determine when patient should be referred and evaluate for
potential side effects
what is done to assess infants and children
consider non-pharmacological therapy, provide specific patient
education and counseling, describe and demonstrate appropriate
dosing and administration of medication, and consider engaging
the child
what is the plan and implementation for infants and children
increased GI secretions and motility; decreased surface area and
blood flow; increased pH
what is some age related changes in older adults related to
absorption
decreased total body water and muscle mass; increased body
weight
what is some age related changes in older adults related to
distribution
decreased hepatic blood flow and enzyme activity
what is some age related changes in older adults related to
metabolism
decreased renal function
what is some age related changes in older adults related to
elimination
, adverse effects due to changes, polypharmacy, multiple chronic
disorders, impaired vision or hearing, impaired judgement,
cognition changes, confusion, dysphagia- difficulty swallowing,
poor nutrition status, and drug sensitivity
what are concerns for older adults
may take additional time due to complexity of information,
gather details of medical history and conditions, observe and ask
about impairments, ask about physical limitations
what information should be collected for older patients
evaluate duplicate therapies, potential adverse drug effects, how
much, and if referral is needed
what is done to assess for elderly patients
consider product selection, value of non-adherence, determine
appropriate dosing, provide specific education and counseling
what is the plan and implementation for older adults
for all females of childbearing age ask about pregnancy status, if
pregnant identify stage, many drugs can cross the placenta and
create the risk to the fetus
what information should be collected for pregnancy
evaluate safety concerns and determine if pregnancy is exclusion
what is done to assess for pregnancy
recommend non drugs first, avoid recommending homeopathic
or herbal products, evaluate for non adherence, see if patient has
a list of recommended options