Patient Care and Monitoring

For all pediatric patients, review and consider the following when selecting and monitoring drug therapy:

• Gestational age, postnatal age, and corrected age if the patient is a neonate

• Patient's demographic information including age, weight (and birth weight if a neonate), and gender

• Disease or illness for which treatment is needed

• Past medical history, including comorbidities

• Medication history current and past (including OTC and complementary and alternative products)

• History of medication adherence

• Other concurrent medications

• Previous therapy failures

• Available routes of administration

• Can the patient take medications orally?

• If IV medication is needed what types of IV accesses are available? For example, does the patient have a central or peripheral line?

• Is intramuscular administration needed?

• Fluid status—Is the patient dehydrated, balanced, or edematous?

• Available data regarding safe and effective dosing of selected drug

• Verification of accurate dose calculation

• Verify weight and dosing units (e.g., mg/kg/day, mg/kg/dose)

• Is the dosing interval appropriate?

• Is the dose an easily measurable amount for the caregiver?

• Will the drug be administered at home and/or a daycare facility or school?

• Does the parent/caregiver need additional documentation for medication administration at other locations?

• Are additional supplies for medication administration at other locations needed?

• Educate parent/caregiver/patient, regarding selected drug therapy

• Regular assessment of weight

• Premature neonates and infants can change frequently, check weight daily

• Depending on illness in older children, daily weight check may be necessary

• Organ function

• For drugs that undergo extensive hepatic metabolism and clearance, assess liver function at baseline and periodically (depending on severity of illness)

• For drugs that undergo extensive renal elimination

• Note changes in serum creatinine and urine output

• Calculate serum creatinine clearance using Schwartz's or Traub-Johnson's equations

• Measure drug serum concentrations when appropriate

• Monitor clinical outcomes of pharmacotherapy

• Monitor, manage, and prevent adverse drug events

• Monitor for drug-drug or drug-food interactions

' Self-assessment questions and answers are available at ht-tp://www. mhpharmacotherapy. com/pp.html.

The Prevention and Treatment of Headaches

The Prevention and Treatment of Headaches

Are Constant Headaches Making Your Life Stressful? Discover Proven Methods For Eliminating Even The Most Powerful Of Headaches, It’s Easier Than You Think… Stop Chronic Migraine Pain and Tension Headaches From Destroying Your Life… Proven steps anyone can take to overcome even the worst chronic head pain…

Get My Free Audio Book

Post a comment