NURS 3210 CH 3 PPT

Drugs are cleared less effectively due to decreased excretion.

Visual, hearing, and cognitive deficits.

Polypharmacy refers to taking multiple medications simultaneously, and it is a concern due to increased risk of adverse effects and interactions.

To identify risk situations related to drug therapy.

Mixing medications to disguise taste, using age-appropriate terminology, and safety considerations.

To ensure accuracy and prevent medication errors.

Take as directed, do not double-up doses or discontinue without guidance from prescriber, and be alert for polypharmacy.

To ensure patient understanding and adherence to medication regimen.

To ensure accurate calculation of dosage based on body weight.

To reduce anxiety and discomfort associated with medication administration.

Immature liver and kidney function impairs drug metabolism and excretion.

Decline in organ function increases the risk of adverse effects and toxicity.

To ensure the right medication, dosage, and patient.

It provides a standardized method for calculating dosages based on body surface area.

Preparation of all equipment and supplies before administration.

To provide emotional support and assist with the administration process.

The patient's weight in kilograms

Convert the weight to kilograms, then use the ordered dose to calculate the safe range (e.g., 10 mg/kg x 8.4 kg = 84 mg)

Contact the prescriber immediately

The nurse is not authorized to make treatment changes without the prescriber's direction

The pharmacy requires the prescriber's direction to make treatment changes

To ensure the dose is within the recommended limits and does not pose a risk to the patient

Potential harm or adverse effects to the patient

To ensure the correct dose, medication, and administration method are used to prevent medication errors

Factors affecting absorption include gastric pH, gastric emptying, and intramuscular absorption. These factors impact drug therapy by altering the rate and extent of absorption, which can lead to variations in drug efficacy and toxicity.

The immaturity of the liver and kidneys in pediatric patients affects drug metabolism and excretion, leading to reduced metabolism and excretion of drugs. This can result in increased drug levels and potential toxicity.

When verifying medication orders for pediatric patients, considerations should include factors such as age, weight, and medical condition, as well as any allergies or sensitivities to medications.

The skin's thinness and permeability in pediatric patients increase the risk of percutaneous absorption, which can lead to increased systemic absorption and potential toxicity.

The immature blood-brain barrier in pediatric patients allows for increased penetration of drugs into the brain, which can lead to increased CNS effects and potential toxicity.

Gastric pH and gastric emptying rates can impact the absorption of oral medications in pediatric patients, leading to variations in drug efficacy and toxicity.

Age-related considerations include factors such as body composition, organ maturity, and developmental stage, which can impact drug pharmacokinetics and pharmacodynamics.

Safety protocols should include measures such as double-checking medication orders, using pediatric-specific dosing calculations, and implementing barcode scanning to minimize medication errors.

The primary consideration is the patient's age and weight, which affects the dosing and preparation of medications. Pediatric patients, such as 6-month-old B, cannot swallow pills and require liquid preparations, which must be calculated based on their weight to ensure safe administration.

Verifying medication orders is crucial in pediatric patients to ensure safe administration. The nurse should verify the patient's weight, calculate the medication dose based on the patient's weight, and verify the medication order with a second RN before administration.

The nurse should consider the safe range of medications, verify the medication dose with a second RN, and calculate the dose based on the patient's weight. These protocols are important to ensure safe administration and prevent medication errors.

The nurse ensures accurate calculation by using the patient's correct weight in kilograms, and calculating the dose based on the patient's weight. This is important to ensure safe administration and prevent medication errors.

Documenting vital signs, such as fever, is important to determine the need for medication administration. In this case, the patient's fever greater than 102.6 temporal indicates the need for acetaminophen administration.

The nurse administers medications to pediatric patients using oral syringes, which are common methods to instill the medication in the mouth of the young child. The nurse must consider the patient's age, weight, and ability to swallow or ingest medications.

The charge nurse plays a crucial role in ensuring safe medication administration by providing guidance and support to the nurse, particularly in pediatric patients. Their experience and expertise in pediatric medication administration can impact patient care by ensuring safe and accurate administration of medications.

The calculation for determining the mg of medication per dose is based on the patient's weight in kilograms. In this case, the patient's weight is 18.5 pounds, which is converted to kilograms, and then the dose is calculated based on the prescribed dose of 10mg/kg/dose.