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p. 2126
GROWTH AND DEVELOPMENT
Children undergo considerable physiologic changes between birth and
adulthood. Although most follow the same general pattern of growth,
the timing of maturation varies from child to child.
Case 102-1 (Question 1),
Table 102-1
PHARMACOKINETIC DIFFERENCES
All aspects of pharmacokinetics are affected by growth and
development. Drug absorption is altered by a variety of mechanisms,
with the most significant differences noted during the first months of
life.
Case 102-2 (Question 1),
Case 102-3 (Questions 1–4)
Drug distribution is affected by changes in relative organ size, body
water content, fat stores, plasma protein concentrations, acid–base
balance, cardiac output, and tissue perfusion. The greatest degree of
change occurs during the first year of life.
Case 102-3 (Questions 5, 6),
Table 102-2
Metabolic function is highly dependent on patient age. This has been
demonstrated in a number of recent studies, which have identified
significant differences in half-life during infancy, childhood, and
adolescence.
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