Why Care About Paeds? Flashcards
What are the 4 paediatric age categories?
neonate
infant
child
adolescent
What defines a neonate?
term neonate: 37-42 weeks gestational age
preterm: less than 37 weeks gestational age
What are the different categories of preterm neonates?
extremely preterm: less than 28 weeks
very preterm: 28-32 weeks
moderate to late preterm: 32-37 weeks
What is gestational age?
first day of last period to birth
What is chronological age?
the time elapsed after birth
-the response to “how old are you?”
-described in days, weeks, and/or years
-also called post natal age (PNA)
Why do the paediatric age categories matter?
provides us with info about in-utero development and potential neonatal complications
neonatal dosing references will use these terms
What defines an infant?
1 month to 1 year of age
What defines a child?
1 year through 12 years
What are the 3 developmental periods?
toddler: 1-3 years of age
preschool: 3-5 years of age
gradeschooler: 5-12 years of age
What defines an adolescent?
12-18 years of age
What is the age cutoff for admission to JPCH?
JPCH does not admit patients that are 17 years of age and older
What are some examples of Wellness Programs in SK?
newborn screening
postpartum visits
newborn hearing screens
specialized clinics
immunization programs
What is the role of newborn screening?
tests for congenital disorders
-32 metabolic and endocrine disorders
routine care for all neonates born in SK
When and how is newborn screening conducted?
completed after 24 hours of age
completed by a blood test (heel poke and dry blood spot card)
Does a positive screen during newborn screening always signify that the baby has x disorder?
a positive screen does not mean a baby has the disorder
-further testing required
Explain the postpartum visiting program.
support and follow-up care at home after the birth of a baby (typically via nurse)
during first 10-14 days of life
assess mothers recovery, babys health and weight
provide support with feeding
answer questions
refer and connect to community services
Explain newborn hearing screens.
hearing test about 12-16 hours after birth
usually performed in hospital before discharge
helps identify early hearing loss and how to address it
What are developmental milestones?
reaching milestones in how children play, learn, speak, act and move
What percentage of Canadian children and youth have used at least one prescription in the last month?
25%
9% aged 3-19 yrs used 2 or more medications
Why can medications have different effects in children?
their brains are still developing
same disease state in adults can present differently in children and youth
different PK in children
How are many drugs used in children?
off-label
drugs tend to be less studied for children, adult data is often extrapolated
What are the objectives of Health Canada’s Paediatric Drug Action Plan?
ensure Canadian children and youth have access to the medicine they need
development of age appropriate formulations
provide more info to Canadians on paediatric activities and data
modernization of clinical trial regulations
What are the 4 developmental skills?
language
dressing
fine motor
grooming
What are the main developmental areas?
physical
emotional
social
spiritual
intellectual
adaptive
What does the success of a child’s therapy usually rely on?
a caregiver
What is Jordan’s Principle?
all First Nation children living in Canada can access the products, services, and supports they need, when they need them
What are the most common DTP’s in paeds?
dose too low
dose too high
adverse drug reaction
adherence
