Pediatrician Research Essay

Pediatrician Research Essay-14
Acid is essential to degrading certain oral drugs before systemic absorption.Therefore, the absorption of these drugs in children is greater than in adults due to decreased breakdown and increased preservation in a less acidic gastric space.Many drug absorption differences between pediatric and adult populations revolve around the stomach.

Acid is essential to degrading certain oral drugs before systemic absorption.

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The clinician must take into account the immature physiology of the infant or child when considering symptoms, prescribing medications, and diagnosing illnesses.

Pediatric physiology directly impacts the pharmacokinetic properties of drugs that enter the body.

A major difference between the practice of pediatric and adult medicine is that children, in most jurisdictions and with certain exceptions, cannot make decisions for themselves.

The issues of guardianship, privacy, legal responsibility and informed consent must always be considered in every pediatric procedure.

Pediatrics (also spelled paediatrics or pædiatrics) is the branch of medicine that involves the medical care of infants, children, and adolescents.

The American Academy of Pediatrics recommends people be under pediatric care up to the age of 21, thought usually only minors under 18 are required to be under pediatric care.Percentage of total body water and extracellular fluid volume both decrease as children grow and develop with time.Pediatric patients thus have a larger volume of distribution than adults, which directly affects the dosing of hydrophilic drugs such as beta-lactam antibiotics like ampicillin.The absorption, distribution, metabolism, and elimination of medications differ between developing children and grown adults.Despite completed studies and reviews, continual research is needed to better understand how these factors should affect the decisions of healthcare providers when prescribing and administering medications to the pediatric population.Pediatric patients have underdeveloped proteins, which leads to decreased metabolism and increased serum concentrations of specific drugs.However, prodrugs experience the opposite effect because enzymes are necessary in allowing their active form to enter systemic circulation.Also among the first books about pediatrics was Libellus [Opusculum] de aegritudinibus et remediis infantium 1472 ("Little Book on Children Diseases and Treatment"), by the Italian pediatrician Paolo Bagellardo.In sequence came Bartholomäus Metlinger's Ein Regiment der Jungerkinder 1473, Cornelius Roelans (1450–1525) no title Buchlein, or Latin compendium, 1483, and Heinrich von Louffenburg (1391–1460) Versehung des Leibs written in 1429 (published 1491), together form the Pediatric Incunabula, four great medical treatises on children's physiology and pathology.The body size differences are paralleled by maturation changes.The smaller body of an infant or neonate is substantially different physiologically from that of an adult.


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