Peds Dosing Flashcards
Since the serum protein is lower in neonates, what effect does this have on drug levels?
higher than expected levels of free drugs
what are the oral routes of administration in pediatrics?
oral suspensions or solutions, chewables, sprinkle formulations, orally-dissovleable, tablets/capsules
when do you use rectal routes of administrations
children who cannot take PO medicines
what are common drugs used rectally
acetaminophen, phenergan, glycerin, suppositories, diazepam
what is the most reliable route of administration
parenteral
what are the complications of parenteral route of administration
thrombophlebitis, extravasations
what is the most accurate form of dosing in pediatrics
mg/kg (weight dosing)
What are the methods of dosing in peds
weight, body surface area, age
what is the least accurate method of dosing in peds
age
What are the two forms of weight dosing?
mg/kg/day or mg/kg/dose
What is 1 kilogram in pounds
2.2 lbs
What is 1 teaspoon in milliliters
5 mL
what is 1 tablespoon in milliliters
15 mL
What is 1 ounce in milliliters
30 mL
What is the medication that can be used at any age for pain or fever
Acetaminophen
What forms is acetaminophen available in
IV, infant drops, children’s suspension, ODT, chewable, PR, tablets
what is the average dosing of acetaminophen
10-15 mg/kg/dose q4-6h PRN
What is the max dose of acetaminophen
5 doses in q24h or 75mg/kg/day or 4g in adults
When is ibuprofen appropriate for use in children
PO dosing >6 mos to 12 yrs of age
What is ibuprofen good at treating
Antipyretic and analgesic
what is the max dose of ibuprofen
40 mg/kg/day or 3.2g/day in adult
What is the normal dose of ibuprofen in kids
5-10mg/kg/dose q6-8h
What are the doseage forms of ibuprofen
infant drops, children’s suspension, chewable tablets, oral tablets
When are cough and cold products safe to use in children
> 6 yo (FDA) or > 4 yo (AAP)
