Gremlin: Drug Delivery and Dosage Forms Flashcards

1
Q

Approximately ____ of children aged 6-11 years old described the inability to swallow a tablet

A

56%

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2
Q

capsule considerations

A

must determine formulation of capsule and contents

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3
Q

challenges with liquid dosage forms

A

not all meds are commercially available as liquid, and if they are, may have many concentrations -> risk for med errors

Use smallest volume possible

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4
Q

what is the primary source of non-compliance in children

A

palatability

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5
Q

tube admin considerations

A
  • what is the site of absorption
  • can the med contact plastic
  • will the med clog the tube
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6
Q

IM and SQ admin considerations

A
  • can only admin a limited volume (common challenge specific to peds)
  • muscle and fat mass limit utility
  • can be used for emergency or single med admin such as vaccines
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7
Q

1.

powder paper

A

the use of crushed tablets combined with filler to create “measurable” quantity for smallest dosage needs

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8
Q

USP <795>

A

for extemporaneous preparations that do not have available, published literature related to stability

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9
Q

tablet formulation consdieration

A

can it be split or crushed

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10
Q

chew tab formulation cosniderations

A

child needs to be able to chew

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11
Q

mini tab formualtion consideration

A

max mg/tab -> may need to give several tabs to reach desired dose

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12
Q

ODT formulation considerations

A

usually can’t split (expection zofran)

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13
Q

ODF (film) formulation consideration

A

can cut for a more tailored dose, but is expensive

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14
Q

powder packet fomrulation consideration

A

hard to titrarte, powder may need to be mixed with a large volume of liquid

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15
Q

sprinkle formulation consideration

A

limited dose flexibility

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16
Q

why do we avoid benzoyl alcohol in peds

A

neurotox and metabolic acidosis, esp in neonates

17
Q

why do we avoid ethanol in peds

A

neurotox

18
Q

why do we avoid polysorbates in peds

A
  • liver and kidney failure
  • ascities
  • thrombocytopenia
  • pulmonary deterioration
19
Q

why do we avoid propylene glycol in peds

A
  • seizures
  • neurotox
  • hyperosmalarity
  • metabolic acidosis
20
Q

why do we avoid sorbitol in peds

A

osmotic diarrhea

21
Q

inhalation drug device consideration in peds

A

devices made for adults -> default for peds is nebulizer (but there’s education required for parents and the machien is bulky)

22
Q

nasal drug device consideration for peds

A

made for adults and hard to admin for certain ages

23
Q

rectal formulation considerations

A

make poo,will expel drug, bad for absorption

24
Q

topical medication considerations for peds

A

BSA:med, cocnerns for systemic absoroption