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Development of a pediatric dosing sheet for use in the critical care setting

L R Bernstein, E O Reale

    Hospital Pharmacy
    |October 7, 1984
    PubMed

    Insights

    Pediatric dosing in critical care is challenging due to conflicting literature. University of California at San Francisco (UCSF) developed evidence-based pediatric dosing guidelines, successfully used for six years.

    Area of Science:

    • Pediatric Critical Care Medicine
    • Clinical Pharmacology
    • Evidence-Based Practice

    Background:

    • Conflicting medical literature complicates pediatric dosing in critical care.
    • Lack of standardized pediatric dosing guidelines poses challenges for healthcare professionals.

    Purpose of the Study:

    • To develop and implement standardized pediatric dosing guidelines.
    • To improve the accuracy and consistency of medication administration for critically ill children.

    Main Methods:

    • Multidisciplinary team (medical, pharmacy, nursing, respiratory therapy) at UCSF Intensive Care Unit.
    • Comprehensive review of existing medical literature.
    • Consultation with pediatric and critical care specialists.

    Main Results:

    • Developed and successfully implemented pediatric dosing guidelines over six years.
    • Guidelines are well-received by physicians, pharmacists, and nurses.
    • Facilitated more consistent and accurate medication dosing.

    Conclusions:

    • Standardized, evidence-based pediatric dosing guidelines are crucial for critical care settings.
    • Multidisciplinary development and implementation enhance guideline acceptance and utility.
    • UCSF guidelines provide a successful model for improving pediatric critical care medication management.

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