The Art and Science of Pediatric Oral Medication Administration: The Critical Role of Nurses in Enhancing Safety
Keywords:
Oral medication administration, Pediatric patients, Patient safety, Nursing role, taste-masking strategiesAbstract
Pediatric oral medication administration requires attention to developmental physiology, swallowing ability, and cooperation, all of which may affect dose accuracy and safety. This narrative review synthesizes evidence and practical guidance for nurses on selecting dosage forms, verifying whether tablets may be split or crushed, measuring liquid medicines in milliliters (mL) with an appropriate oral syringe, positioning and administering medication, and communicating with children at different developmental stages. Experimental evidence on caregivers’ measurement of liquid medicine indicates greater dosing errors with cups and mismatched label and device units. Nurses should therefore verify medication orders and concentrations, select a device suited to the prescribed volume, and ask caregivers to demonstrate measurement and administration before discharge. Safe practice combines accurate medication checks with age-appropriate communication and family participation.
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