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20% of NAPLEX Exam

Paediatric Pharmacy

Approximately 20% of NAPLEX questions involve paediatric patients. Master child-specific dosing, safety considerations, and family-centred care.

Developmental Stages

Age-Specific Considerations

Paediatric patients are not simply small adults. Each age group has unique pharmacokinetic and pharmacodynamic considerations.

Neonates

0-28 days

Immature metabolism, dosing per kg, limited drug data

Infants

1 month - 2 years

Rapid growth, formulation challenges, immunisations

Children

2-12 years

Age-appropriate counselling, compliance strategies

Adolescents

12-18 years

Confidentiality, transition to adult care, consent

Common Topics

Clinical Areas Covered

Respiratory conditions (asthma, bronchiolitis)
Paediatric infections and antibiotic dosing
GI issues and nutrition
Pain and fever management
Paediatric emergencies
Chronic conditions (diabetes, epilepsy)

Essential Knowledge

Key Paediatric Principles

Weight-based dosing

Most paediatric doses calculated per kilogram of body weight

Age-appropriate formulations

Liquids, dispersible tablets, appropriate flavours

Maximum dose limits

Never exceed adult maximum regardless of weight

Safety margins

Children have less margin for error - double-check all calculations

Family-Centred Care

Communication Matters

Paediatric pharmacy involves counselling both the child (age-appropriately) and their parents or carers. Questions often test your ability to:

  • Explain medicines to parents and carers
  • Provide age-appropriate counselling to children
  • Address compliance and adherence challenges
  • Handle confidentiality with adolescents

Gillick Competence

Understand when a child under 16 can consent to their own treatment. This is frequently tested in the assessment.

A child who demonstrates sufficient understanding and intelligence to fully comprehend the proposed treatment can give valid consent.

Ready to Master Paediatric Pharmacy?

Practice with dedicated paediatric questions across all age groups and clinical areas.