Pediatric Med Administration

Question 1

Drugs are typically packaged and prepared in average ______

Answer 1

Adult dose strengths

Question 2

What factors lead to drug vulnerability in the pediatric population? (2)

Answer 2

• Immature liver enzymes
• Kidney function

Question 3

Describe the effects of drug metabolism on medication administration in children (2)

Answer 3

• Drugs are excreted more rapidly
• Require larger doses / decreased time between doses

Question 4

At what weight can a child typically start taking adult doses?

Answer 4

90 lbs

Question 5

At what age can a child use a cup for medication administration?

Answer 5

3 - 4 years

Question 6

______ provides the most accurate measurement for small amounts

Answer 6

A syringe

Question 7

Describe syringe / dropper medication administration (4)

Answer 7

• Hold child in semi-reclined position
• Place syringe / dropper on side of mouth
• Administer liquid slowly in small amounts
• Wait for child to swallow between deposits

Question 8

Describe ear drop administration in children < 3 years old

Answer 8

Pull pinna down and back

Question 9

Describe ear drop administration in children > 3 years old

Answer 9

Pull pinna up and back

Question 10

Describe the position for nasal administration

Answer 10

Head over edge of pillow

Question 11

NEVER give an injection to …

Answer 11

A sleeping child - wake first

Question 12

What site is typically used for IM injections?

Answer 12

Vastus lateralis

Question 13

In what circumstances are SQ / ID infections typically given to children? (3)

Answer 13

• Insulin
• Vaccines
• Allergy testing

Question 14

What sites are used for SQ injections? (3)

Answer 14

• Upper arm
• Anterior thigh
• Abdomen

Question 15

Describe suppository administration (3)

Answer 15

• Position child for comfort
• Wear gloves
• Use lubricant

Question 16

If a suppository needs split, always cut ______

Answer 16

Lengthwise