BETA LACTAMS 50-100 mkD q6 100,000-200,000 ukD q12 50,000-100,000 ukD q8/q12 (< 7days) 75,000-150,000 ukD q6-q12 (>7days) 500,000 u/K single dose (Early Syphilis) 50,000 u/K max dose 2.4 M u/dose (Syphilis) 50 mkD q6
Penicillin Pen G Crystalline
Benzathine Penicillin 1.2 m.u., 2.4 m.u/vial
Sumapen Phenoxymethyl penicillin 125/5 – 200,000 u/5mL 250/5 – 400,000 u/5mL D: 125mg/1.25mL S: 125mg/5mL, 250mg/5mL C: 250mg, 500mg V: 125mg, 250mg, 500mg, 1gm
Ampicillin-Sulbactam Sultamicillin (Unasyn)
50-100 mkD q6/q8 (N = neonates) 100-200 mkD q4/q6 100-150 mkD q8-q12 (meningitis, N) 200-400 mkD q4/q6 (meningitis) 100-200 mkD q8 IV 1.5-12gm/day IV 50mkD q12 (<30kg) 2.25gm (single dose, gonorrhea)
S: 250mg/5mL C: 375mg, 750mg V: 750mg, 1.5gm
Amoxicillin
30-50 mkD q8
D: 100mg/mL S: 125mg/5mL, 250mg/5mL C: 250mg, 500mg V: 1gm
30-50mkD q8 po 50-100mkD q8 IV
S: 156.25/5 (125), 228.5/5 (200), 312.5/5 (250), 457/5 (400) T: 375mg, 625mg V: 600mg (500), 1.2gm (1000)
Aztreonam V: 1gm
Meropenem V: 500mg, 1gm
Imipenem V: 500mg
V: 500mg, 1gm
20-50mkD q6-q8 100mkD (severe infection)
Cefaclor 2nd gen
20-40 mKD q8
D: 50mg/mL S: 125mg/5mL, 250mg/5mL C: 250mg, 500mg
30-50mkD q8 po 50-100mkD q8 IV
20-40 mkD q12 50-100 mkD q8 IV
S: 125mg/5mL, 250mg/5mL T: 250mg, 500mg, V: 750gm, 1.5gm
Cefoxitin 2nd gen
80-160 mkD q4-q6 (max 12gm/D) 20-40 mkD (infants) 100-150 mkD q8 IV
V: 500mg, 1gm
Ceftazidime 3rd gen V: 250mg, 500mg, 1gm, 2 gm
Ceftriaxone 3rd gen
50-100 mkD OD IV
V: 250mg, 500mg, 1gm, 2gm rd
Cefotaxime 3 gen
100-200 mkD q4-q6
V: 250mg, 500mg, 1gm
3-8 mkD q12
D: 20mg/mL S:100mg/5mL C: 100mg, 200mg
Cefepime 4th gen
50mkD q8-12 x 10 days 500mg-1gm q12 (>12 y/o)
V: 500mg, 1gm, 2gm
S: 250mg/5mL, T:500mg V: 500/250mg , 1000/500 V: 4gm/500mg, 2gm/250mg
Cefazolin 1st gen
Cefixime 3rd gen
Amoxicillin-Clavulanic Acid (Co-Amoxiclav)
Piperacillin-Tazobactam
D: 100mg/mL S: 125mg/5mL, 250mg/5mL, C: 250mg, 500mg, 1gm
Cefuroxime 2nd gen
Ampicillin
Amoxicillin-sulbactam (Ultramox)
CEPHALOSPORINS 25-50 mkD q6 (max 4gm/D)
Cefalexin 1st gen
MACROLIDES 30-50 mkD q8-q12 (max 1gm)
Erythromycin D: 100mg/2.5mL S: 200mg/5mL, 400mg/5mL,
200-300 mkD q6 150-300 mkD q8 (<6months) 50 mkD q6-q8 (children) 30 mkD q6-q8 (1wk-2y/o) 20 mkD q12 (septic) 40 mkD q12 (meningitic) 15 mkD (max 2gm/D) 50 mkD/ 1-2 gm q6-q8 (max 4gm/D; adult)
Clarithromycin
15 mkD q12 (max 1gm/D)
S: 125mg/5mL, 250mg/5mL T: 250mg, 500mg V: 50mg/mL
Azithromycin S: 200mg/5mL C: 250mg, 500mg V: 500mg
10 mkD x 3 days 10 mkD 1st day, 2 mkD 2nd-5th day
AMINOGLYCOSIDES 15 mkD LD V: 50mg/mL, 125mg/mL, 10 mkD q12 (MD) Amikacin 250mg/mL
Gentamycin
5-8 mkD q8-q12
V: 40mg/mL, 80mg/2mL
Neltilmicin
Ciprofloxacin 6-8 mkD OD
V: 50mg/mL, 75mg/mL
T: 250mg, 500mg V: 2mg/mL infusion
Levofloxacin
Tetracycline
TETRACYLINE 25-50 mkD
FLUOROQUINOLONES 7.5-15 mkD 8mkD q12 (250mg max)
T: 250mg, 500mg V: 5mg/mL infusion
C: 250mg, 500mg
Doxycycline C: 100mg
4.4 mkD 2.2 mkD
1
OTHERS 50-100 mkD q6-q8 PO 50 mkD q6 IV 25 mkD q6 (neonates)
Chloramphenicol S: 125mg/5mL C: 250mg, 500mg V: 1gm
Co-trimoxazole
5-8 mkD q12
S: 40mg/5mL (200), 80mg/5mL (400), 160mg/5mL (800) T: 400mg/80mg, 800mg/160mg
Clindamycin S: 75mg/5mL granules C: 150mg, 300mg V: 150mg/mL SIVP in 30mins
Vancomycin V: 500mg
Metronidazole S: 125mg/5mL T: 500mg V: 5mg/mL
Pyrantel Pamoate S: 125mg/5mL T: 125mg
Mebendazole
S: 200mg/5mL T: 200mg, 400mg, 800mg V: 250mg
Amantadine T: 100mg, 250mg V: 500mg
Methisoprinosol (Isoprinosine)
200 - 500 mkD OD single dose
S:20mg/mL, 50mg/mL T: 100mg, 500mg
x NB: 5mkD q8-12 po Infant/child: 15-25mkD q6 IV 20-30 mkD q6 PO <1200g (0-4wks) 15mkdose OD >1200g (0-1wk) 20mkdose OD (1-4wks) 30mkdose OD Infant/child: 20mkdose q8 PO 60mkD q8 1-3 hr infusion 30-50 mkD q8-q12 PO 15 mkD LD, 7.5 mkD q8
ANTI-HISTAMINES 6mons-1y/o 1mL OD D: 2.5mg/mL, 10mg/mL 1-2 y/o 2.5 mg BID (5 drops BID) S: 1mg/mL, 5mg/5mL 1mL OD or BID T: 10mg 2-5 y/o ¼ tab BID or ½ tab OD 5mL OD or 2.5mL BID 6-12 y/o ½ tab BID 10mL OD or 5mL BID >12 y/o 1 tab OD Diphenhydramine 1-2 mg/kg IV (max 100mg/dose) Cetirizine
S: 12.5mg/5mL C: 25mg, 50mg V: 50mg/mL
Hydroxyzine HCl
Acyclovir
ANTI-PARASITIC 11 mkD x 3 doses OD
ANTI-VIRALS 10-20 mkD q6 200mg 5x daily (adult, children, > 2 y/o) ½ adult dose (children < 2 y/o) 5-9 mkD q12 (<8y/o) 100-200mg (>8 y/o; not > 200mg/D) 50 mkD q6-q8
S: 250mg/5mL T: 500mg
S: 2mg/mL T: 10mg, 25mg
Loratadine S: 1mg/mL, 5mg/5mL T: 10mg
Chlorphenamine maleate S: 2mg/5mL T: 4mg V: 10mg/mL
Promethazine HCl (Phenergan)
3-5 mkD PO 2-6 y/o 2.5 mL q6/q8 6-12 y/o 5mL q6/q8 1-2 mkD q12 PO Adult: 25mg BID -QID 1-2 y/o 2.5mL OD 2-12 y/o <30kg 5mL >30kg 10mL >12y/o: 1 tab OD <1y/o: 2.5mL TID 1-3y/o: 2.5-5mL TID >6y/o: 5mL TID 7-12y/o: ½ tab TID Adult: 1 tab TID or 2 tsp TID IV/IM: 1mL OD 1mg/kg IM
V: 25mg/mL
ANTI-FUNGAL 12 mkD LD 6 mkD MD
Fluconazole T: 50mg, 100mg, 150mg 200mg V: 2mg/mL
Ketoconazole
5 mkD OD (<15kg) 100 mkD OD (>20kg) 200 mkD OD (>30kg) 10 mkD
T: 200mg
Griseofulvin T: 125mg, 500mg
Amphotericin B
MD 0.5-1 mkD OD
V: 5mg/mL, 50mg/10mL
Rifampicin (R)
ANTI-TUBERCULOSIS 10-20 mkD OD AC
D: 100mg/5mL S: 200mg/5mL C: 150mg, 300mg, 450mg
Isoniazid (H)
10-20 mkD OD AC
120mg OD
T: 120mg, 180mg
x
Betamethasone T: 500mcg V: 1mL, 2mL
Dexamethasone T: 500mcg, 750mcg, 4mg (forte tab) V: 2mg/mL, 4mg/mL, 5mg/mL
Hydrocortisone T: 20mg V: 100mg, 200mg, 250mg, 400mg, 500mg
Prednisone
S: 200mg/5mL C: 75mg, 100mg, 200mg, 300mg, 400mg
Pyrazinamide (Z)
Fexofenadine
S: 10mg/5mL T: 5mg, 20mg
STEROIDS 0.0178-0.25 mkD q6-q8 (max 9mg/D) 0.5-1mkD for ICP 1 mkD q4-q6 for cerebral edema 0.2-0.5 mkd for bacterial meningitis 5mg – 10mg iv q6 (adult dose) 10-15 mkD LD, 4-6 mkD q6-q8 MD (asthma) 3-4 mkD (Dengue) 1-2 mkD q12 BSA x 60 mkD (Nephrotic) z
15-30 mkD OD PC
S: 250mg/5mL C: 400mg, 500mg
Ethambutol (E) C: 275mg, 400mg, 800mg
Streptomycin (S)
15 mkD OD 5-25mKD (<2 months) 10 mkD OD Q 48 or EOD
V: 1gm
2
ANALGESIC & ANTI-PYRETIC 60-80 mkD T: 80mg, 100mg, 325mg RHD: 100mkD (1st 2 wks), 75 mkD (4 wks) Anti-inflammatory: 60-90 mkD Kawasaki: 80-100mkD q6 Indomethacin 1-2 mkD x 3 (PDA) Aspirin
COUGH & COLDS Chlorpheniramine maleate 0.2-0.3 mkD S: 2mg/5mL >12 y/o: 5mL TID or 1 tab TID T: 4mg V: 10mg/mL
Ambroxol 30mg/tab Syrup (15mg/5mL)
C: 100mg
Ibuprofen
6-8 mkd q6
D: 100mg/2.5mL S: 100mg/5mL, 200mg/5mL C: 200mg, 800mg
Mefenamic Acid
Infant drops (6mg/mL)
6.5 mkd q6
Syrup (100mg/5mL)
Meperidine Midazolam
0.1-0.2 mkd q6 (max 15mg)
Carbocisteine
S: 50mg/5mL C: 250mg, 500mg
0.1-0.2 mkd IM, IV
Erdosteine
5-7 mkD q8-q12 (>2y/o)
S: 175mg/5mL C: 300mg
6 mkD/ 0.5-1 mkD 0.2 mkd
T: 15mg V: 1mg/mL, 5mg/mL
Morphine
Syrup (250mg/5mL)
Drops (50mg/mL)
T: 10mg, 30mg, 60mg, 100mg V: 10mg/mL V: 10mg/mL
Naproxen T: 275mg, 550mg
Paracetamol D: 100mg/mL S: 120mg/5mL, 250mg/5mL T: 80mg, 500mg V: 150mg/mL, 300mg/2mL Supp: 125mg, 250mg
10-15 mkd q4
Procaterol (Meptin) S: 5mcg/mL T: 25mcg, 50mcg
Salbutamol + Guaifenesin
Acetylcysteine (Fluimucil) Sachet: 100mg, 200mg S: 100mg/5mL T(effervescent): 600mg
Guaifenesin S: 100mg/5mL C: 200mg
Phenylpropan olamine
Nalbuphine
Drops (6.25mg/mL)
Syrup (12.5mg/5mL)
>10y/o 1 tab TID 5-10 y/o ½ tab TID >10y/o 10mL TID 6-10 y/o 5mL BID-TID 2-5 y/o 2.5mL BID 1-2 y/o 1.25mL BID 7-12 mos 1mL BID <6 mos 0.5mL BID 2-3 y/o 5mL TID 4-7 y/o 10mL TID 8-12 y/o 15mL TID 2-3 y/o 2.5mL TID 4-7 y/o 5mL TID 8-12 y/o 7.5 mL TID <2 mons 0.3mL TID 3-6 mons 0.6mL TID 7-12 mons 0.9mL TID 13-24mons 1.2mL TID >30kg 10mL BID 20-30kg 5mL TID 15-19kg 5mL BID < 5y/o 0.25mKD BID-TID >6y/o 5mL or 25mcg/tab OD-BID Adult 20mL or 50mcg/tab OD-BID >12 y/o 10mL TID, 1 cap BID-TID 6-12 y/o 1tsp TID 2-6 y/o ½-1tsp TID Children: 100mg BID-QID Adult: 200mg BID-TID, 600mgOD 6-12 y/o 5mL TID-QID Adult: 5-10mL TID-QID 1-2cap TID-QID 1-2 y/o 1mL QID 7-12 mos 0.75mL QID 4-6 mos 0.5mL QID 1-3 mos 0.25 mL QID 2-6 y/o 2.5mL QID 7-12 y/o 5mL QID
3
GASTRO MEDS & ANTI-ULCERS Al Mg (OH)3 (Maalox) 2-4 tabs 20 mins pre meal and HS Al Mg (OH)3 + 2-4 tsp or tab QID dimethicone Bisacodyl (Dulcolax) 5-10 mg (6-12 y/o) T: 5mg 10-15 mg (>12 y/o) Supp: pedia 5mg, adult 10mg
Hyoscine-N-butylbromide (Buscopan) T: 10mg V: 20mg
Cimetidine
12 y/o: 1-2 tab 3-5x a day, max 100mg/day Infants & young children 0.3-0.6 mkD 5 mkD q6 LD, 5-10 mkD q6
T: 200mg, 400mg V: 100mg/mL, 150mg/mL
Ranitidine T: 75mg, 150mg, 300mg V: 25mg/mL
Dicycloverine D:5mg/mL S: 10mg/5mL T: 10mg
Domperidone
1 mkD q8 Adult: 150mg BID or 300mg OD 6 mons-2 y/o 0.5-1mL QID 2-5 y.o 2.5-5mL QID 6-12 y/o 5 mL QID 0.2mL kg/dose q8
D: 5mg/mL S:1mg/mL 5mg/5mL T:10mg
Erceflora Lactulose Omeprazole
1 vial BID x 5 days 2mL/kg/dose q6 0.6-0.7 mkD OD
C:20mg,40mg V: 40mg
Nitrofuroxide (Ercefuryl)
<6 mons: 1 tsp BID >6 mons: 1tsp TID
S:218g/5mL C:200mg
Prozinc Drops 0.5-1mL OD (1mL= 10mg elemental Zn) Syrup 2.5-5mL OD (5mL =20mg elemental Zn)
Racecadotril (Hidrasec)
NEPHRO MEDICATIONS Nephrotic: >40mg/day Hypoalb: <2.5mg/dL 60mkD x 4-6 weeks then 40mkD (am) x 2-3 months Alternate day dose If steroid resistant: +2 protein q8 weeks If steroid dependent: relapse within 28 days Frequent relapse: relapse> 12x per month Cyclophosphamide 2-3 mkD single dose 8-12 weeks Prednisone
<6 mons: 10mg >6 mons: 20mg
<9kg: 9-13kg: 13-27kg: >27kg: Adults:
10mg/sachet TID 10mg/2sachet TID 30mg/sachet TID 30mg/2sachet TID 100mg/cap TID
RESPIRATORY MEDICATIONS & BRONCHODILATORS Aminophylline 3-5 mkD (0.6-0.9mk/hr) 5mg/mL LD: 3-6mg/kg x 20-30mins MD: 2mkd q8 MD: 1-9y/o 0.8 1-1.2hr 9-12 y/o: 0.7 0.9hr 2-16 y/o 0.5 q6-8 Eg 20kg = (wt x dose) / preparation (20 x 5) / 5 = 20cc SIVP as LD (20 x 2) / 2 = 8cc SIVP q8 as MD Hydrocortisone (Solu10mkd LD, 4-9mkd MD Cortef) 10-20 mkD LD V: 100mg, 200mg, 250mg 5-6 mkD q8 MD (asthma) 3-5m mk/dose IV Salbutamol 0.15-0.30 mkD q6 S: 2mg/5mL T: 2mg
Terbutaline 1.5mg/5mL syrup, 5mg/2minebule
0.075 mkd q6 PO 0.01 mkd (max 0.5cc)
NEUROLEPTICS & ANTI-CONVULSANTS 0.2-0.3 mkD T:,5mg,10mg/tab Max dose: <5y/o: 5mg; V: 5mg/mL, 10mg/mL >5y/o: 10mg Drip: 50mg (10cc) + 250cc 0.9 NSS to run at 1cc/kg/hr Carbamazepine 20-60mg/day inc by 20-60mg OD (Tegretol) (<4 y/o) 100mg/day inc by 100mg weekly (4y/o) 10-20 mk MD Mannitol 20% 2.5-5cc/kg q6-q8 Phenobarbital 10-20 mkd LD 20mg/5mL; grain 1=60mg 5 mkD q12 MD T: 15mg, 30mg, 60mg, 90mg Max: 1-2gms (300mg) Diazepam
V: 130mg/mL
Phenytoin (Dilantin) S: 30mg/5mL, 125mg/5mL V: 50mg/mL
Valproic Acid S: 250mg/5mL V: 100mg/mL
10-20 mkd LD 5 mkD q12 MD Max: 1 gm 15mkD (LD) OD/BID 20mKD q8 (MD)
4
ANTI-HYPERTENSION / CARDIAC/ DIURETIC/ EMERGENCY MEDICATION Aldactone 2-3.5 mkD Amiodarone 10mkd 30min-1hr LD Aspirin 65 mkD st RHD: 1 2 weeks 100mkD 4 weeks 75mkD Anti-inflammatory 60-90 mkD Kawasaki: 100 mkD,q6 (-) Fever: 8-10 mkDs Acetazolamide 20 mkD (Diamox) 250 – 375 mg/day T: 250 mg
Captopril Ca Gluconate
0.5-1 mkD q8 25 mkd q8 Dilute 1 mL n 2 mL sterile water 0.33/kg (27mg ca/cc) 30-50 mkd q8 0.05 mg/kg IV/IM 5mg rapid IV push 1 mkd q6-12 IV
V: 100mg/mL
Ca Chloride Ca Carbonate Digoxin Diazoxide Furosemide
DOBUTAMINE DRIP Wt x 60 x desired dose Conc. of dobu drip Desired dose Renal: 2-5 Cardiac: 5- 10 (6-15) Adrenergic: 7-8 Concentration Dopa 125 6 250 12.5 500 25 1000 (Premix) 11 Ex. Start Dobu drip Dopa D5W
D5W 43 37.5 25 29
12.5 37.5 50cc x 4-5ugtts
T: 20,40,60mg V: 20mg/mL
Hydralazine T: 10mg, 25mg, 50mg V: 20mg
Nifedipine
0.15-0.3 mkdose q4-6 IV 1-3mkD q4-6 po 0.25 mkD q4-q6 PO
C: 5mg, 10mg
Amlodipine
5mg/tab OD-BID
T: 5mg, 10mg
Propranolol
1-2 mkD q6-12
T: 5mg, 10mg
EPINEPHRINE DRIP Prep: 1mg/ml Dose: 0.1 – 1mkdose
DRIPS
(Wt x dose x 6) x 0.1(running rate) DOPAMINE DRIP
Dopamine 1-2 mcg/kg/min DOPA DRIP Wt x 60 x desired dose Conc. of dopa drip
1 cc 99 cc 100 cc x ____ugtts/min
OR Dose: 0.5-1mkdose Wt x 60 x dose 20
Desired dose Renal: 2-5 Cardiac: 5- 10 Adrenergic: 7-8
Ex. Start Epi drip Epi D5W
Concentration Dopa 100 6.25 200 12.5 400 25 800 (Premix) 11 Ex. Start Dopa drip Dopa D5W
Ex. Start Epi drip Epi D5W
D5W 43.75 37.5 25 39
12.5 37.5 50cc x 4-5ugtts
1 cc 49 cc 50 cc x ___ugtts/min
Titrate by 0.1 dose Epinephrine 0.01 mg/kg (1:10,000 IV) 0.1 mg/kg q3-4mis (ET) 0.1-0.5 ug/kg/min (drip) 2 ½ amps +48.5cc D5W 0.5cc epi +1.5cc NSS q15 x 3 doses pre-extubation then q4-6 (racemic)
5
LIDOCAINE DRIP Dose: 2-10mkdose OR 0.5-1.0mkd q10mins, max 5mg/kg Bolus: 1-2mkdose Wt x 60 x dose = running rate 4000 Ex. Start Lidocaine drip Lidocaine D5W
Lanoxin
10cc 40cc 50cc x ____ugtts
TDD: 0.035 x wt LD: ¼ TDD x 4 doses q6 MD 1/10 TDD x 2 doses q12
OR Wt x 0.004 x 2 0.05 (elixir) * should not exceed weight of px 0.04/kg loading divide by 4doses 0.04 maintenance/ dose 0.5max/day Elixir 0.05 mg/ml Tab 0.25mg/tab IV 0.025mg/ml or 0.5mg/2cc
AMINOPHYLLINE PUSH Prep: 25 mg/ml Dilute 25 mg/ml vial in 4cc PNSS to make 25 mg/5ml concentration Then get 1cc to have 5 mg/ml concentration Neonates LD: 4-6 MD: 1.5-3mkdose q8-12 Order: give 2.4cc of aminophylline as loading dose + EAD then after 12 hours give 1.2 cc IV q8 OR 3-5mkD (0.6-0.9mk/hr) LD 3-6mg/kg x 20-30mins MD 2mkdose q8 MD 1-9y/o 0.8- 1-1.2hr 9-12y/o 0.7- 0.9hr 12-16y/o 0.5 q6-8 (5mg/ml) Ex: 20kg
wt x dose = 20x5 = 20cc SIVP as LD Prep 5 8cc SIVP q8
NITROGLYCERIN DRIP Dose: 0.25-5ug/kg/min dose; can start at 0.15 Prep: 10mg/ml or 100mg/10ml Running rate = Wt x 60 x dose 100 Ex. Start Nitroglycerin drip NTG 5 cc D5W 45 cc 50 cc x ___ugtts/min
MILRINONE DRIP Dose: 0.3-5ug/kg/min Prep: 10mg/ml
AMINOPHYLLINE DRIP Dose: 0.2-0.4 wt x dose = 3 x 0.4 = 0.6cc 2 2 Ex. Aminophylline 0.6 cc D5 W 99.4 cc 100cc OR 80cc to run for 12 hours at 8- 9 ugtts/min
TERBUTALINE DRIP
Running rate = Wt x 60 x dose 200 Ex. Start Milrinone drip Mil 10 cc D5W 40 cc 50 cc x ___ugtts/min (5cc/hr)
(0.1-0.4ug) x wt. x 60 x 8 =___ 500ug/ml Ex. Terbutaline = D5W = ___ 80cc OR 100cc x 10 ugtts/min (8hrs)
Defibrillation: 2.5joules/kg x 3
BRICANYL DRIP Dose: 30-40ug Wt x dose = in cc 500 Ex. Bricanyl = D5W = _____ 120cc x 24 hours
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Tonic-Clonic
Absence Myoclonic Partial Undentifiable
Carbamazepine Clonazepam Ethosuximide Phenobarbital Phenytoin Valproic acid Gabapentin Lamotrigine Topiramate Leviteracitam Oxcarbazepine
ANTI-SEIZURE DRUG st nd 1 line 2 line Valproic Acid, Lamotrigine Carbamazepine, (Lamictal) Phenytoin Oxycarbazepine (Trileptal) Valproic Acid Exthosuximide Lamotrigine Na valproate Lamotrigene Carbamazepine Lamotrigene Phenytoin Oxacarbazepine Valproic acid Na valproate Lamotrigene
MULTIVITAMINS <3 months: 0.3mL OD 3-12 months: 0.6mL OD 1-2 y/o: 1.2mL OD 2-6 y/o: 2.5mL OD 7-12 y/o: 5mL OD >12 y/o: 20mL or 1 tab OD
ANTI-SEIZURE DRUGS 10-30 mkd bid- tid 0.1-0.3 mkd tid-qid 15-40 mkd tid-qid 2-5 mkd bid-tid 5-8 mkd bid,tid 30-80 mkd od,bid,tid,qid 15-45 mkd tid 5-15 mkd bid, tid 5-9 mkd bid 20-40 mkd bid 8-10 mkd bid
Rh Immunoglobulin: WinRho Dengue Dose: 50ug/kg/dose Prep: 300ug/vial I vial x 9-10mins Dilute to complete 8.5cc to run for 10mins/vial Use D5W to dilute Kawasaki Dose: 75ug/kg as single dose Contraindication: hct <100, Rh+ Request CBC PC OD after 24hrs x 3days
FLUIDS IVF
Dext
Na
Cl
K
D5W
50g
170
D10W D20W D50W LRS NSS D5 0.9NaCl D5 0.45NaCl D5 0.3 NaCl PLR D5LR D5IMB
100g 200g 500g
340 680 170 Ca-3
130 154 154 77
109 154 154 77
50 50
51 130 130 25
51 110 110 22
43 4 20
D5NM
50
40
40
13
D5NR
50
140
98
5
50 50 50
4
Lac
28
27 23
Kcal/L
<10 Ca: 3 170 Mg: 3 PO4: 3 170 Mg: 3 Mg: 3, Gluc: 23
HCO3
DESFERAL Dose: 20-45 per/kg/dose infuse in 100cc PNSS then give before and after BT to run for 6hrs 5cc/kg prbc x 2hrs x 4doses q8 or as ordered
Fentanyl Prep: 100mcg/2ml Dose: 1-4mcg/kg dose q2-4 SIVP; 5-10 for anesthesia
27 27 23
Ex: Wt 1kg Dilute 100mcg/2ml solution in 8cc sterile water to make a concentration of 10mcg/ml, then give 0.1cc (1mcg/kg) q4 SIVP
16
7
Amphotericin B Prep: 50mg/vial, Dose: 0.1mkD, max 30-35mk in 3wks Should be properly covered Dilute 50mg vial in 10cc D5W to make a concentration of 5mg/10ml, then aspirate 1cc + 4ccD5W = 5mg/ml, then aspirate from the solution, 1cc + 9cc D5W = 1mg/ml, then aspirate from the solution 1cc to make 0.1mg/ml Wt 1kg Test dose: 0.1mk 1cc of the solution + 19cc D5W x 30mins Day1 0.25mk: 2.5cc + 17.5cc D5W x 4hrs Day2 0.5mk: 5cc + 15cc D5W x 4hrs Day3 0.75mk: 7.5cc + 12.5cc D5W x 4hrs Day4 1mk: 10cc + 10cc D5W x 4hrs then OD
IVIG transfusion Prep: 2.5gm,5gm,2500mg,/50ml vial Dose: 2g/kg single dose Pre-meds: diphen & hydrocort Ex: wt 10kg Wt x dose = # vials x 50ml = ___ ml in 12hrs prep test dose: wt x 0.01 x 30 mins
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