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Pediatric Medication Administration

Pediatric Medication Administration. Module D. Pediatric Classifications. Pediatric Considerations. Absorption Distribution Metabolism Excretion or elimination. Pediatric Considerations. Lack many of the Protective Mechanisms - thin & permeable skin - lacks gastric acid

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Pediatric Medication Administration

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  1. Pediatric Medication Administration • Module D

  2. Pediatric Classifications

  3. Pediatric Considerations • Absorption • Distribution • Metabolism • Excretion or elimination

  4. 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

  5. Factors for IM Site Selection-Peds • Avoid nerves and vessels • Less SC thickness • Muscle mass appropriate to med. Volume • Ease of access or position • Ventrogluteal-site of choice if >7mo. Old • Vastus Lateralis- site of choice for infants < 12 mo. receiving immunizations • Deltoid- Not used in infants or children with underdeveloped muscles. May be used for toddlers and older children.

  6. Medication Administration Techniques • Oral • Topical • Parenterals

  7. Preparing dosages for Pediatric Clients • Milligrams/kilograms/body weight • Body surface area • Safe dosage range

  8. Milligrams/kilograms/body weight • This is the most common method used for calculating pediatric dosage • It is based on the client’s weight.

  9. Body surface area • Formula: BSA(m2)/1.73 (m2) x Adult dose = Child’s dose • Nomogram- seediagram

  10. Safe dosage range • Step 1: Calculate the total daily dosage • Step 2: Dividing by the number of doses per day.

  11. Other Formulas Used in Pediatric Dosage Calculation • Young’s Rule • Clark’s Rule • Fried’s Rule

  12. Always remember • The 6 Rights of Medication Administration • The 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

  13. The End • Questions??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

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