NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Ace your North American Pharmacist Licensure Examination (NAPLEX) with our comprehensive practice test. Features include interactive flashcards, multiple-choice questions, with detailed hints and explanations. Fast-track your pharmacy career today!

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Which medication is not preferred for use in children under 2 years old due to the risk of high-risk extravasation?

  1. Prochlorperazine

  2. Olanzapine

  3. Promethazine

  4. Droperidol

The correct answer is: Promethazine

Promethazine is not preferred for use in children under 2 years old due to the risk of high-risk extravasation. Promethazine has been associated with severe tissue injury, including gangrene, when there is accidental extravasation during intravenous administration. This risk is higher in children under 2 years old due to their small veins, making it more challenging to administer drugs intravenously without complications. Therefore, prochlorperazine, olanzapine, and droperidol are safer alternatives for use in children under 2 years old compared to promethazine.