Chapter 6

Question 1

Does the therapeutic and adverse effects of a drug differ of a child and an adult? Why?

Answer 1

Yes

Dosing and what’s it suppose to do in a baby body vs adult

Question 2

What is pharmokinetics?

Answer 2

Study of the time drug absorbs in body

( body does to the drug )

Question 3

What is the degree and rate of drug absorption in children based on?

Answer 3

Age, weight, health, route

Question 4

Drug absorption is initially influenced by ?

Answer 4

The route of administration

Question 5

In children, intestinal surface area does not reach of an adults until 20 weeks, meaning this is reduced, which results in drugs not being?

Answer 5

Fully absorbed

Question 6

Why are kids more prone to toxicity?

Answer 6

Because there body surface mass is more, meaning there is more absorption and can cause toxic levels

Question 7

Do we give water or lipid soluble drugs to children and why?

Answer 7

Water because the BBB is not fully developed and can cause neurological damage

Question 8

What does pharmacodynamics mean?

Answer 8

What drug does to the body

Question 9

How are drugs based on for pediatrics patients?

Answer 9

There weight in kilograms or body surface area

Question 10

Why is it important for the nurse to differnitie the child development age from chronological age?

Answer 10

The difference effect on the child response to drug administration

Question 11

What is family centered care?

Answer 11

Ensuring safety during and after health care interventions with the family

Question 12

What are most drugs given by to children under 6?

Answer 12

Oral syringe

Question 13

Should you ever give injections to a sleeping child? And why?

Answer 13

NO!
Because in the future cause sleep problems and mistrust

Question 14

What does the length of a needle depend on for a child?

Answer 14

Muscle mass, subcutaneous tissue and site of injection

Question 15

What is the main thing to take away from adolescents in drugs?

Answer 15

Not being honest
Scared
Hormones alter many absorptions
Diffultiy in connecting future consequences

Question 16

With children there GI has less surface area meaning it’s?

Answer 16

Less aciditc, Harding to digest drugs meaning it’ll be there for a longer period of time

Question 17

Neonates and infants have __%more body water meaning they need ?

Answer 17

15%

A larger dose of water soluble medications

Question 18

Notes
Children have decrease hepatic blood flow and drug metabolizing enzymes

Children have decreased renal blood flow and tubular function affecting excretion

Pediatric drug dosing and monitoring
- heavy on this with close parent or caregiver
- family centered care
- side effects may be hard since children can’t fully communicate

Question 19

How can we decrease pain in children when injecting?

Answer 19

Distraction
Diversion
Relaxing
Creative imagery

Question 20

We always want to use the least amount of restraint on a child why?

Answer 20

Because of trauma