PEDIATRIC CONSIDERATIONS Flashcards

1
Q

limited to available research in the provision of dosing protocols, safe practices, key assessments, and important nursing implications

A

Pediatric pharmacology

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2
Q

Where did the study of safe usage for children based on, that is guided by small studies or judgement of the clinician

A

anecdotal evidence

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3
Q

meaning when the drug is being used for some purpose for which it has not been approved

A

being prescribed off label

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4
Q

The degree and rate of drug absorption are based on factors such
as age, health status, weight, and route of administration.

A

Absorption

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5
Q

significant factors in the absorption of drugs.

A

Hydration status,
presence of underlying disease,
and GI disorders

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6
Q

affected by factors such as body fluid composition, body tissue composition, protein-binding capability, and effectiveness of various barriers to drug transport.

A

Drug distribution

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7
Q

carried out primarily in the liver, with the kidneys and lungs playing a small part in metabolism

A

Metabolism

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8
Q

what should drug prescribing based on

A

therapeutic effect and drug concentration.

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9
Q

the predominant means of drug elimination.

A

Renal Excretion

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10
Q

how much drugs that is available in pediatric dosing

A

more than 450 drugs

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11
Q

essential to ensuring safety during and after health care interventions, especially drug administration

A

The concept of family-centered care

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12
Q

Give 5 tips to enhance drug administration and facilitate
comfort:

A

-Simple explanations, a firm approach, and enlisting the imagination
of a toddler through play may enhance success
-establish a positive rapport with the patient, develop the plan of
care in collaboration with the patient, and ensure privacy in all aspects of drug administration.
-School-age children, should be permitted even more control, involvement in the process, and information
-state more…

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13
Q

nursing process

A

Family-Centered Collaborative Care

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14
Q

A 4-year-old patient is discharged on an oral liquid drug suspension of 4 mL per dose. Which device will the nurse recommend to ensure the highest level of accuracy in home administration of the drug?

A

Oral syringe

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15
Q

The nurse understands the differences between drug excretion in children and that in adults. With this knowledge, what does the nurse
consider when administering drugs to children?

A

The most important assessment is to evaluate
for drug accumulation, because the excretion

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16
Q

A parent is learning to administer drug to a school-age child. Which strategy will the nurse teach the parent to achieve cooperation in a child of this age?

A

Providing age-appropriate explanations

17
Q

A nurse caring for a child with developmental delay prepares to teach the patient about prescribed drugs. Which actions are essential to
ensure patient safety? (Select all that apply.)

A

-Assess the child’s developmental age.
-Consider the actions and uses of the drug.
- Involve the family in teaching sessions.

18
Q

The Principle of Atraumatic Care includes

A

-Pain management
-Collaborative care with family members

19
Q

Which of the following strategies are helpful when working with adolescent patients to promote adherence?

A

-Allow flexibility in the treatment plan.
-Set up a mutually developed drug contract.

20
Q

Who is reluctant to provide permission for children to participate in research stides because of the risk involved and the potentially invasive nature of data gathering?

A

Parents and Guardians

21
Q

The mother says that his child is 155 months old. How do you classify the pediatric age of the child?

A

Adolescent

22
Q

To evaluate the effect of drug administration on the perdiatric status, the nurse must carefully monitor?

A

Renal function,
Urine flow,
Drug effectiveness

23
Q

Our nurisng responsibility in dosing pediatric drug is to consider the individual status

A

Age, organ function, health, and route of administration

24
Q

What are the factors that young children may recieve drug dosages much different from those of adults?

A

developmental factors and smaller body size

25
Q

Drug distribution for pediatric patients is affected by the following factors.

A

-body fluid composition,
-body tissue composition,
-protein-binding capability