Intro + PKPD Flashcards
Body Surface Area (BSA)
sqrt [(ht x wt) / 3600] = m^2
CrCl (Bedside Schwartz)
(0.413 x ht) / Scr = mL/min/1.73m^2
Max stability of water containing preparations in the fridge
14 days
Injectable solutions admin orally?
Ok if both contain the same salt form with similar bioavailability
Max pediatric dose
adult dose
Ins units
mL/kg/day
Outs units
mL/kg/hour
Anuria
0 output
Oliguria
< 0.5-1 mL/kg/hr
Normal urine output
> 1 mL/kg/hr
polyuria
> 4 mL/kg/hr
why oral absorption decreases with age
higher gastric pH early in life and high rate of gastric emptying
How higher total body water and extracellular fluid in neonates influences distribution
Higher Vd of hydrophilic drugs
Lower Vd of lipophilic drugs
Protein binding
decreased concentrations of circulating proteins and binding affinity of albumin (increased free fraction drug)
CYP3A4
Transition of 3A7 to 3A4
adult levels by age 1
1A2
Absent in neonatal period
55% of adult by age 9
Elimination implications
Slower clearance, longer half life
Less frequent dosing required