Pediatric Medication Administration

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Oral Medications. GI tract gives an immeasurable assimilation territory to meds.Problem: Infant/kid may cry and decline to take the prescription or spit it out.. Nursing Intervention. Infant:Place in little measure of fruit purée or cerealPut in areola without formulaGive by oral syringe or dropperHave guardian helpNever leave solution in space for guardian to give later. Stay in room while guardian gives the po me

Presentation Transcript

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Pediatric Medication Administration Bowden & Greenberg

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Oral Medications GI tract gives a boundless assimilation territory to meds. Issue: Infant/youngster may cry and decline to take the medicine or spit it out.

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Nursing Intervention Infant: Place in little measure of fruit purée or grain Put in areola without equation Give by oral syringe or dropper Have parent help Never leave pharmaceutical in space for parent to give later. Remain in room while parent gives the po medicine

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Nursing Interventions Toddler: Use basic terms to clarify while they are getting pharmaceutical Be firm, don't offer to may decisions Use diversion Band-Aid if infusion/diversion Stickers/rewards

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Nursing Intervention Preschool: Offer decisions Band-Aid after infusion Assistance for IM infusion Praise/compensate/stickers

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Nursing Intervention School-age Concrete clarifications Choices Interact with youngster at whatever point conceivable Give decisions Medical play

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Nursing Interventions Adolescent Use more dynamic method of reasoning for solution Include in basic leadership particularly for long haul drug organization

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Nursing Alert For fluid meds, an oral syringe or prescription container ought to be utilized to guarantee precise dose estimation. Utilization of a family teaspoon or tablespoon may bring about measurement blunder since they are off base. Bowen & Greenberg

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Household Measures Used to Give Medications

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Oral Medication Administration Note kid's hands are held by the attendant and youngster is held safely against the attendants body.

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Oral Medications Hold kid/newborn child hands far from face Infant give in syringe or areola DO NOT ADD TO FORMULA Small youngster: blend with little measure of juice or natural product Offer syringe or prescription glass Parent may give on the off chance that you are remaining in the room

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Oral Medication: more seasoned kid TIP: Tell the kid to drink juice or gentle after disagreeable solution. More established kid can such the solution from a syringe, squeeze their nose, or drink through a straw to diminish the contribution of notice, which adds to the offensiveness of oral pharmaceuticals.

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Intramuscular Medications Rarely utilized as a part of the intense setting. Inoculations Antibiotics Use emla

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IM Injection: intercessions TIP: Tell the youngster it is good to make commotion or shout out amid the infusion. His or her occupation is to make an effort not to move the limit.

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IM Injection Secure tyke before giving IM infusion. Whaley & Wong

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Nursing Alert Rocephin is regularly given in the ER. Hold arrange for IV anti-infection once conceded. Doctor request may show to defer IV anti-infection organization for 12 to 24 hours. Potential pharmaceutical organization blunder.

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IM Injection Sites Vastus Lateralis Deltoid Dorsogluteal

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Vastus Lateralis: Largest muscle in newborn children/little kid. 0.5 ml in newborn child 1 ml in little child 2 ml in pre-school Use 5/8 to 1 inch needle Bowden & Greenberg

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Deltoid Use ½ to 1 inch needle 0.5 to 1 ml infusion volumes More quick assimilation than gluteal locales. Bowden & Greenberg

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Dorsogluteal Should not be utilized as a part of Children under 5 years. ½ to 1 ½ inch needle 1.5 to 2 ml of injectate volume. Bowden & Greenberg

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Eye Drops Eye: Pull the let cover down Rest hand holding the dropper with the prescription on the youngster's temple to diminish danger of injury to the eye.

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Eye Drops Pull the let top down Rest hand holding the dropper with the prescription on the youngster's temple to decrease danger of injury to the eye. Whaley & Wong

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Ear Drops Whaley & Wong

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Ear Drops In kids more youthful than age 3 years the pinna is pulled down and back to fix the ear channel In the tyke more seasoned than 3 years, the pinna is pulled up and back.

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Nose Drops Position tyke with the head hyper reached out to forestall choking sensation brought about by medicine streaming into the throat. Whaley & Wong

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Intravenous Medications IV course gives coordinate access into the vascular framework. Unfriendly impacts of IV solution organization: Extravasation of medication into encompassing tissue Immediate response to sedate

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IV Medication Administration Check you establishment's arrangement on which drugs must be directed by the doctor and which must be confirmed for exactness by another attendant. All IV pharmaceuticals regulated amid your pediatric pivot must be controlled under direct supervision of your clinical educator.

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IV Medication Administration Check for compatibilities with IV arrangement and other IV meds. Flush well between organization of inconsistent medications. IV prescriptions are normally weakened.

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Nursing Alert The additional liquid given to control IV medicines and flush the tubing must be incorporated into the estimation of the youngster's aggregate liquid admission, especially in the youthful kids or those with temperamental liquid adjust. Bowden & Greenberg

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IV Medications IV push = specifically into the tubing Syringe pump = persistent organization Buretrol = used to additionally weaken sedate

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IV Push Morphine Solu-medrol Lasix Drug that can securely be directed more than 3 to 5 minutes. Bowden & Greenberg

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IV push Medication given in an entry down the tubing – meds that can be given over a 1-3 minute timeframe. Lasix: diuretic Morphine sulfate: torment Demerol: torment Solu-medrol: asthmatic

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IV Pump Bowden & Greenberg

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Syringe pump Accurate conveyance framework for managing little volumes ICU NICU

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IV Buretrol Bowden & Greenberg

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IV Buretrol goes about as a moment load Useful when controlling measures of liquid to be imbued Useful for overseeing IV anti-toxins/drugs that should be weakened keeping in mind the end goal to regulate securely

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Intravenous Therapy

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Central Venous Line Whaley & Wong

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Central Venous Line An extensive bore catheter that are embedded either percutaneously or by chop down and progressed into the unrivaled or mediocre vena cava Umbilical line might be utilized as a part of the neonate Used for long haul organization of meds Used for chemotherapy Total parental sustenance

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Child With Central Venous Line Whaley & Wong

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Type of liquid Glucose and electrolytes Maintenance Potassium included Crystalloid: Normal Saline or lactated ringers Fluid revival Acute volume expander Colloid: egg whites/plasma/solidified plasma

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Complications Infiltration Catheter impediment Air embolism Phlebitis Infection

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Infiltration: liquid holes into the subcutaneous tissue Signs and side effects: Fluid spilling around catheter Site cool to touch Solution rate moderates are pump caution enlists down-stream-impediment Tenderness or torment: baby is eager or crying

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Catheter Occlusion Fluid won't implant or not able to flush Frequent pump alert Flush line Check line for wrinkles

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Air embolism The IV pump will caution when there is air in the tubing Look to see that there is liquid in the IV pack or buretrol Slow IV rate Remove air from tubing with syringe

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Phlebitis Often because of substance disturbance When meds are given by direct intravenous infusion, or by bolus (straightforwardly into the line) it is essential to give them at the endorsed rate. Continuously check the site for penetrate before giving an IV pharmaceutical

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Signs and side effects: phlebitis Erythema at site Pain or blazing at the site Warmth over the site Slowed implantation rate/pump alert goes off

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Reason for pump caution Needs to have volume re-set Needs more IV arrangement in sack or buretrol Kinked tubing at mixture site Child lying on tubing Air in tubing Infiltrated at site of imbuement

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Clinical Pearls If alert states upward impediment Look at IV pack Look at liquid level in buretrol Look to check whether ball in dribble chamber is coasting If alert states descending impediment Look to see that all cinches are open Look to check whether line is wrinkled Irrigate with typical saline or heparin