Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications <...
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Transcript of Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications <...
![Page 1: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/1.jpg)
Pediatric Medication Administration
Module D
![Page 2: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/2.jpg)
Pediatric Classifications
Age Range Classifications
< 38 weeks gestation Premature infant
< 1 month Neonate or newborn infant
1 month- <1 year Infant
1 year - < 12 years Child
![Page 3: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/3.jpg)
Pediatric Considerations
Absorption
Distribution
Metabolism
Excretion or elimination
![Page 4: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/4.jpg)
Pediatric Considerations
Lack many of the Protective Mechanisms
- thin & permeable skin
- lacks gastric acid
- lacks lung mucosal barriers
- poorly regulated body temp.
- immature liver & kidney
![Page 5: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/5.jpg)
Avoid nerves and vesselsLess SC thicknessMuscle mass appropriate to med. VolumeEase of access or positionVentrogluteal-site of choice if >7mo. OldVastus Lateralis- site of choice for infants < 12 mo. receiving immunizationsDeltoid- Not used in infants or children with underdeveloped muscles. May be used for toddlers and older children.
Factors for IM Site Selection-Peds
![Page 6: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/6.jpg)
Medication Administration Techniques
Oral
Topical
Parenterals
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Preparing dosages for Pediatric Clients
Milligrams/kilograms/body weight
Body surface area
Safe dosage range
![Page 8: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/8.jpg)
Milligrams/kilograms/body weight
This is the most common method used for calculating pediatric dosage
It is based on the client’s weight.
![Page 9: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/9.jpg)
Body surface area
Formula: BSA(m2)/1.73 (m2) x Adult dose = Child’s dose
Nomogram- see diagram
![Page 10: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/10.jpg)
Safe dosage range
Step 1: Calculate the total daily dosage
Step 2: Dividing by the number of doses per day.
![Page 11: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/11.jpg)
Other Formulas Used in Pediatric Dosage Calculation
Young’s Rule
Clark’s Rule
Fried’s Rule
![Page 12: Pediatric Medication Administration Module D. Pediatric Classifications Age RangeClassifications < 38 weeks gestationPremature infant < 1 monthNeonate.](https://reader035.fdocuments.us/reader035/viewer/2022080905/56649ecf5503460f94bdd39d/html5/thumbnails/12.jpg)
Always remember The 6 Rights of Medication AdministrationThe Process of Administering Medication
- Identify the client - Inform the client - Administer the drug - Provide adjunctive interventions as needed - Record the drug administered drug - Evaluate the client’s response to drug• Never allow someone else to draw-up your meds• Always practice universal precaution
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The End Questions??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????