Developmental pharmacology and age-related pharmacokinetics — branching viva

Opening (candidate)

My first priority is the baby. I would support the airway and breathing with bag-mask ventilation, give naloxone titrated to respiratory effort, and call for senior paediatric and neonatal help. I would keep the infusion stopped and preserve the syringe and the original order, and I would check whether any other child is on the same protocol. Once the baby is safe I would escalate to the consultant, report the incident, and speak with the family honestly. ^{[1] [5]}