Question

In: Nursing

Discuss the different dosing considerations for pediatric patients compared to those for adults.


Discuss the different dosing considerations for pediatric patients compared to those for adults.

Solutions

Expert Solution

Pediatric Patients:

Proper drug dosing depends on:

  • Age and weight: Young's rule, Clark's rule, Fried's rule
  • Overall health status
  • Condition of such biologic functions such as respiration and circulation
  • Stage of development of body systems for drug metabolism and drug elimination

In neonate, these biologic functions and systems are underdeveloped:

  • Renal function develops over the span of the first 2 yrs of life
  • So if the drug elimination rate is not properly considered then drug accumulation would occur leading to drug overdose and toxicity.

Dosing consideration for adult patients:

  • For the adults with normal health condition dosage is same but if they have health conditions like hepatic, renal, cardiac, cancer, etc. then special considerations of dosing is necessary.
  • Example: in chemotherapy, dosing is difficult as low dose will be ineffective whereas excessive causes toxicity.

Thus consideration of pediatric dosing is different from that of adults & it is necessary to avoid adverse drug events.


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