Pharm for Peds Flashcards
What ages is it most difficult to administer meds?
0-4 years old
Easiest way to restrain a child
Have parent with one arm around child and one arm around head and face towards the provider
Use hand over head to tilt patient and instruct the parent to do this
What is the main role in peds for providers?
Educating parents on how to take care of their kids
What dosing of meds should you almost never give kids?
TID
Should give QD or BID
How should you adminster meds to peds
45 degrees
Past cheek pouch
tablet on back of the tongue
Clinical pearl for how kids can easily swallow pills
Apple sauce pouch, squirt it down
Worst tasting med for kids
Augmentin
Tastes like disgusting pinacalada
also steroids
How do you cover taste of bad tasting meds
Spoon fool of chocloate syrup
Adminster med
Another spoon of choclate syrup
Coats the mouth
can also use marshmallow syrup
Where in WV is a good place that has meds that are not anywhere else?
Travillions
What environment should we allow for administering meds?
Comfortable and distracted
Tablets ok
What tactics can you use to encourage kids to take meds?
Give options (10 days meds, one day shot - sometimes preferred in older kids and higher efficacy)
Use stuffed animals
Use rewards (stickers)
Positive reinforcement
Let them know that they NEED to take the medicine and they may need a shot
What are the different ways that meds can be given?
Oral
Suppository
Shot
DO NOT negotiate, use commands
What is important way to write when prescribing meds to peds?
Be very clear!!!
Use mL/cc instead of teaspoons (teaspoons can vary in volume)
What is an equivalent to mL
CC
Common SE of omnicef
Red poop
TELL PARENTS
Common SE of steroids in kids
Bouncing off the walls
What can be given prior to a med to reduce GI SE in peds
Probiotics for diarrhea
can cause bloody poop in Omnicef
SE of ADHD meds and way to combat it
Decrease appetite
Should eat first before using meds
Nutella with meds can help
MC method of adminstering meds to kids
syringe
What age is it discouraged to take OTC cough meds and why (2007-2017).
<6 years according to American Academy of Peds
< 2 years according to the FDA (because of parents not giving the right dosage)
Only use it under 2 in major
FDA found in 2007 that there were 1000s of hospitalized kids d/t overdose and a few deaths. There are dangerous ingredients like aspirin that can cause overdose d/t being combo meds. Cannot clear dosages easily d/t not as efficient kidneys.
Fine in kids if given proper dosages!!!
dimataph
romatesin
What is dosing based on for kids?
Drug facts on the meds
Typically based on weight (kg)
USE SYRINGE THAT COMES WITH THE BOTTLE
When giving a med to a kid, what is important to treat?
ONLY the symptoms
Combo drugs are not necessary
If a child overdoses, what should a parent do?
CONTACT POISON CONTROL not the provider
for dog poop even
What should you never give to kids and why?
Aspirin d/t Rey’s Syndrome
DO NOT GIVE PEPTO BISMAL
