Pediatric Pharmacy

[pharmacy1010]

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Taking up a job in pediatric Pharmacy....wanted to see how people feel it was different, the ups and downs of that job....etc...

 

[Glycerin]

Taking up a job in pediatric Pharmacy....wanted to see how people feel it was different, the ups and downs of that job....etc...

Doses can be tiny and diseases/conditions can be odd. Lots of non-FDA-approved uses of medications, because there aren't as many RCTs in the pediatric population.

Pediatric PK can be all over the place, which will affect drug dosing as well. Always double check your math, always. A 10-fold error (one decimal place) can be fatal with some drugs in the peds population. If mg is ordered, divide by patient's weight in kg to get the mg/kg dosing that is typically given as the dose in the Lexi-Comp Pediatric Drug Handbook.

I'm assuming you'll be in a hospital setting?

Primarily, I work in a pediatric ED (though lately it's been both adult and peds ED simultaneously due to staffing), with occasional stints in PICU/general peds.

 

[Farmercyst]

Doses can be tiny and diseases/conditions can be odd. Lots of non-FDA-approved uses of medications, because there aren't as many RCTs in the pediatric population.

Pediatric PK can be all over the place, which will affect drug dosing as well. Always double check your math, always. A 10-fold error (one decimal place) can be fatal with some drugs in the peds population. If mg is ordered, divide by patient's weight in kg to get the mg/kg dosing that is typically given as the dose in the Lexi-Comp Pediatric Drug Handbook.

I'm assuming you'll be in a hospital setting?

Primarily, I work in a pediatric ED (though lately it's been both adult and peds ED simultaneously due to staffing), with occasional stints in PICU/general peds.

I didn't know you were in Peds. Are you in a teaching hospital or non-teaching?

 

[Glycerin]

I didn't know you were in Peds. Are you in a teaching hospital or non-teaching?

It's kind of a mixture. It's not university affiliated, but we do have a family practice residency for physicians who are integrated into the hospital as well as in an ambulatory setting. Our pharmacy residents do round with them on pediatric rotations as well. We're a community hospital with a level II trauma center.