Peds Dosing Flashcards

1
Q

Since the serum protein is lower in neonates, what effect does this have on drug levels?

A

higher than expected levels of free drugs

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2
Q

what are the oral routes of administration in pediatrics?

A

oral suspensions or solutions, chewables, sprinkle formulations, orally-dissovleable, tablets/capsules

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3
Q

when do you use rectal routes of administrations

A

children who cannot take PO medicines

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4
Q

what are common drugs used rectally

A

acetaminophen, phenergan, glycerin, suppositories, diazepam

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5
Q

what is the most reliable route of administration

A

parenteral

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6
Q

what are the complications of parenteral route of administration

A

thrombophlebitis, extravasations

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7
Q

what is the most accurate form of dosing in pediatrics

A

mg/kg (weight dosing)

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8
Q

What are the methods of dosing in peds

A

weight, body surface area, age

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9
Q

what is the least accurate method of dosing in peds

A

age

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10
Q

What are the two forms of weight dosing?

A

mg/kg/day or mg/kg/dose

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11
Q

What is 1 kilogram in pounds

A

2.2 lbs

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12
Q

What is 1 teaspoon in milliliters

A

5 mL

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13
Q

what is 1 tablespoon in milliliters

A

15 mL

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14
Q

What is 1 ounce in milliliters

A

30 mL

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15
Q

What is the medication that can be used at any age for pain or fever

A

Acetaminophen

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16
Q

What forms is acetaminophen available in

A

IV, infant drops, children’s suspension, ODT, chewable, PR, tablets

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17
Q

what is the average dosing of acetaminophen

A

10-15 mg/kg/dose q4-6h PRN

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18
Q

What is the max dose of acetaminophen

A

5 doses in q24h or 75mg/kg/day or 4g in adults

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19
Q

When is ibuprofen appropriate for use in children

A

PO dosing >6 mos to 12 yrs of age

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20
Q

What is ibuprofen good at treating

A

Antipyretic and analgesic

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21
Q

what is the max dose of ibuprofen

A

40 mg/kg/day or 3.2g/day in adult

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22
Q

What is the normal dose of ibuprofen in kids

A

5-10mg/kg/dose q6-8h

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23
Q

What are the doseage forms of ibuprofen

A

infant drops, children’s suspension, chewable tablets, oral tablets

24
Q

When are cough and cold products safe to use in children

A

> 6 yo (FDA) or > 4 yo (AAP)

25
Q

What is the chemical that is toxic in neonates that is in cough/cold medicines

A

benzyl alcohol or propylene gylcol

26
Q

What are the dosage forms of amoxicillin

A

suspension, chewables, capsule, tablet

27
Q

what is the generic dose of amoxicillin

A

20-40 mg/kg/day q8h or 25-45 mg/kg/day q12h

28
Q

what is the high dose amoxicillin

A

80-90 mg/kg/day BID (OM) or TID (CAP)

29
Q

What is the expiration date of oral amoxicillin suspensions

A

14days

30
Q

How must suspended amoxicillin be stored

A

refrigerated

31
Q

What is the generic name of Augmentin

A

Amoxicillin/Clavulanate

32
Q

what is the mild-mod dosing of augmentin

A

25 mg/kg/day BID

33
Q

what is the severe dosing of amoxicillin

A

45 mg/kg/day BID

34
Q

What is the expiration date for the suspension of Augmentin

A

10 days

35
Q

How must Augmentin be stored

A

Refrigerated

36
Q

What are the pedatric dose forms of augementin

A

chewable or suspension

37
Q

What is the brand name of Azithromycin

A

Zithromax

38
Q

What is the main dosing for Azithromycin

A

10 mg/kg on Day 1, 5 mg/kg on Day 2-5

39
Q

What is the standard Z-pak dosing

A

500 mg Day 1 and 250mg Day 2-5

40
Q

What is the expiration date of the suspension form of Azithromycin

A

10 days

41
Q

How should Azithromycin suspension be stored

A

NOT refigerated

42
Q

What is the brand name of cephalexin

A

Keflex

43
Q

What is the dosing of Keflex

A

25-50 mg/kg/day QID

44
Q

When does Keflex suspension expire

A

14 days

45
Q

How is suspended Keflex stored

A

refrigerated

46
Q

What is the common name for Cotrimoxazole

A

Bactrim

47
Q

What is the abreviation of Bactrim

A

TMP-SMX

48
Q

What is the general dosing of Bactrim

A

8-12 mg/kg/day q12h

49
Q

How is suspended Bactrim stored

A

NOT refigerated

50
Q

What is the dosing forms of Clindamycin

A

PO or IV

51
Q

What is the general dose of Clindamycin

A

20-40 mg/kg/day q6-8h

52
Q

What is the brand name of Ondansetron

A

Zofran

53
Q

What are the doseage forms of Zofran

A

ODT, suspension, IV

54
Q

What is the max dose of Zofran

A

16 mg

55
Q

What is the general dose of Zofran

A

0.15 mg/kg/dose q4-6 h

56
Q

How is Zofran stored

A

Not refrigerated but protected from light

57
Q

What are the common prescription writing errors?

A

decimal point missing, drops v syrup, abbreviations miss read, legibility poor, weight isn’t correct for dosing