Pediatric medication administration Questions and Answers with verified solutions

Pediatric medication administration Questions and Answers with verified solutions 6 rights of medical administration - ANS- right med right patient right time right route right does how many identifiers when providing care - ANS- Use at least two identifiers when providing care, treatment, and services what do we need to be sure to check - ANS- Check medication and food allergies Give developmentally appropriate explanations for medication and route - ANS- children may be not cooperative what do we need to do - ANS- be patient pharmacodynamics - ANS- how the drug acts, the behavior at the cellular level Intended effect may be enhanced or diminished pharmcokinetics - ANS- the way its going to move through the body via absorption, metabolism, distribution and excretino in infatns and young children the absorption of orally administered medications is affected by 5 things - ANS- slower gastric empyting-drug stays in body longer increased intestinal motility larger small intestine surface are high gastric ph decreased lipase and amylase secretion im absoprtion in infants and young children is affected b - ANS- by how much muscle mass tone and perfusion, vasomotor instability absopriton is erreactice and may decrease sq in children and infants - ANS- decreased perfusion alters sq absorption absorption by these routes is erratic and may decrease topical - ANS- increased in infants and child which can result in asverse effects not seen in adults they have great BSA leading to increased absorption of topical medications greater permeability of skin what happens to metabolism in children - ANS- is altered because of difference in hepatic enzyme production immaturity of the kidneys until age 1-2 affects GFR, this results in longer half life and increase protectional for toxicity of drugs that are primarily secreted by the kidneys when medications have to be administered using a needle what do we need to teach the children - ANS- this is not a consequence of the child behavior infant realted medication administraion - ANS- involve parents to reduce stress for infant ensure that the parent hold and comfort interventions toddler med admin - ANS- follow routines and rituals involve parents offer simple choices do you want mom or me to give meds allow child to touch and handle equipment preschooler med admin - ANS- provide opportunity to play with the equipment and respond positively to explantations do you want juice or water with medication involve parents school aged med admin - ANS- explain in simple terms seek their assistance reward adolescent med admin - ANS- same manner as adults how do we write if med over 24 hour or single does - ANS- Given over 24-hour period (mg/kg/day) Given in single dose (mg/kg/dose what do we round to - ANS- tenth