Stead Family Department of Pediatrics

  • Therapeutics

    Rationale

    Informed use of medications and therapeutic agents is essential, especially in pediatrics. Appropriate and successful treatment requires choice of the correct medication, the appropriate dose, and both a dosage form and a dosing regimen that will maximize compliance. The pharmacokinetics (absorption, metabolism, distribution and elimination) of medications and their therapeutic and adverse effects change as the child grows and matures. Child behavior and psychomotor development influence a physician's choice of the form of medication dispensed and of the expectation for compliance. 

    Objectives

    • Describe the ways that physical and physiologic growth changes the pharmacokinetics of commonly used medications in pediatrics. Specifically address drug absorption, distribution, metabolism and elimination.
    • Recognize drugs and other therapeutic agents such as immunizations that are contraindicated or must be used with extreme caution in specific age groups and patient populations.
    • Summarize the factors that affect drug excretion into breast milk.
    • Be cognizant of the importance of patient education in ensuring compliance with prescribed treatment regimens.
    • Demonstrate the ability to write a prescription.
    • Explain how a drug dose is calculated for infants and prepubertal children.
    • Understand the appropriate use of the following common medications classes in the outpatient setting, including when it is NOT appropriate to treat with a medication:
      • Analgesics / antipyretics
      • Antibiotics
      • Bronchodilators
      • Corticosteroids
      • Cough and cold preparations
      • Ophthalmic preparations
      • Otic preparations
      • Vitamin / mineral supplements
    • List the most common generic types of medications used for management of the following uncomplicated conditions:
      • Otitis media
      • Wheezing
      • Conjunctivitis
      • Allergic rhinitis
      • Urinary tract infection
      • Impetigo
      • Eczema
      • Fever
      • Streptococcal pharyngitis
      • Acne