IV FLUIDS

Resuscitation phase: 6 hrs

< 2y/o
>2 y/o
MILD
50cc/kg
30cc/kg
MODERATE

SEVERE

100cc/kg

150cc/kg

60cc/kg

90cc/kg

D50.3%NaCl
in 6hrs
1/4PLR in
2hrs,
D50.3%NaCl
in 6hrs
1/3 PLR in
2hrs, 2/3
D50.3%Nacl
in 6hrs

Trauma, Burn = PLR

Head trauma (coma), Stab wound = PNSS
Cardiac = D5NSS
AP/Chole, OB cases = D5LR
*note if px is diabetec, dont give D5LR

Holiday Segar Method of Rehydration

(Maintenance)
First 10 kg 100ml/kg/day
Next 11 20 kg add 50ml/kg/day
More than 20 kg add 20ml/kg/day
* for > 7y/o use macrogtts = ugtts/4

Maintenance phase: 18 hrs

< 6y/o: D5 IMB
>10y/o: D5NM
0 3 kg
75cc/kg/day
3 10 kg
100cc/kg/day
11 20 kg
75cc/kg/day
21 30 kg
60cc/kg/day
31 40 kg
50cc/kg/day
41 50 kg
40cc/kg/day
51 60 kg
30cc/kg/day

DRUGS AND DOSAGES

Empirical Dosages:
0 3 mos
4 6 mos
7 9 mos
10 12 mos
10-18 mos
2 4 yrs
4 6 yrs
6 9 yrs
10 12 yrs
> 12 yrs

IMB
IMB
IMB
D5 NM
D5 NM
D5 NM
D5 NM

IVF to follow: 24 hrs

Replacemt (volume/volume) ask for output
then interrupt
present IVF to fast drip volume loss
100gms = 100 ml = 0.1kg

VITAMINS
Vitamin B Complex with Vitamin C or lysine
neurobion, crescin, enervon C,
lysovit, penta500

Nursery IV Therapy
Day
Term

1
60

Preterm
ml/kg

65

2
70

3
80

4
100

75
85
D10 Water

100

5
120

6
160

120
150
D5 Water

*fast drip 10-20cc/kg x 3 doses (blood circulation

= 80cc/kg)
Check UO in 1 hr if no UO, add 10 cc
*total UO / # of hours / weight (kg)

Fluids of choice

0.3 ml/dose
0.6 ml/dose
0.9 ml/dose
1ml/dose
1 ml/dose
2.5 ml TID
5 ml TID
5 ml TID
10 ml TID
15 ml or 1 tbsp or
tab/cap TID

Vitamin C
-

ceelin, pediafortan, cetrinets

Vitamins/Minerals
esvimin, clusivol, nutrilin, growee,
poly-visol, vidalyn, enervon c plus
Appetite Stimulant
- appebon 500, appetans, pediafortan AS

Vitamin A
-

50,000 IU/day
Prophylaxis: measles, diarrhea, ARI
CAP
o >1 yr 200,000 IU or 1 cap
o < 1yr 100,000 IU or cap
Drops:
o Therapeutic: 5-20gtts/day
o Preventive: 1-2 gtts/day
Chronic Diarrhea
o Re-epithelialization of GIT
o 200,000 IU
Post partum 200,000 IU
o 6-9 mos 100,000 IU
o 1 y/o 200,000 IU rpt after 6
mos
ACON cap 25,000, 50,000 IU
AFAXIN Cap 10,000, 25,000,
50,000 IU
Retinol drops 10,000 IU/ml
o Therapeutic 5 20 drops/day
o Preventive 1-2 drops/day

EMERGENCY MEDICATIONS
1.
2.
3.
4.

BLOOD PRODUCTS
Plt: 1unit/ 7kg
FWB: 20mg/kg
pRBC: 10-15mg/kg
FFP: all coag factors, 10-15mg/kg
Cryoppt: 4 U/10kgBW fast drip

MINERALS

Atropine
- 0.04mg/kg/dose (0.01-0.02)
NaHCO3
- 1-2 meq/kg/dose
Epinephrine
- 0.001mg/kg
- 0.01 mg SC
Dopamine
- 200mg in 260 ml D5W
- 400mg in 250 ml D5W

for every unit 0.1kg or 100mg wt loss,

give 100 ml

Iron
-

FeSO4
Drops
0 3 mos
4 6 mos
6 12 mos
1- 2 y/o
Syrup
2 6 y/o
7 12 y/o

prophylactic dose: 1mkday

therapeutic dose: 6mkday
Iberet
o Syrup 105mg/4ml
o Tab 500
Ferlin
o Syrup 30mg/5ml
Hemarate
o Syrup 30mg/5ml
o Tab 105mg
Incremin
o Syrup 30mg/5ml
Dose
0.3 ml
0.6 ml
0.6 ml
1.0 ml
2.5 5.0 ml
5 ml

Calcium
-

prophylaxis 2-3 tabs OD

Ca Sandoz 500mg/tab
Calactate 325mg, 625mg/tab
Calci-Aide 1,250mg/cap 1-2x daily

ANTI-TETANUS (ATS)
Min. age at 1st
# of doses
dose
Birth
1
6 wks
3
6 wks
3
9 mos
1

Min. interval
bet. Doses
4 wks
4 wks
-

TETANUS TOXOID
0.5 ML IM
Children 3,000-6,000 IU/IM
Adult 5,000-10,000 IU/IM

INJECTABLE/IV MEDICAITONS
1. Hydrocortisone
Wt x 7 = ____ loading dose then
Wt x 5 = ____ maintenance dose q6
2. Ranitidine: 1 mkdose
Wt x 1 = ___ mg a12
3. Paracetamol (aeknil) 10mkdose
Wt x 10 x 2 300 = ____ IM/IV q4
T 39C

4. Cefuroxime 80-100 mkday

Wt x 100 3 ____ mg IV q8
5. Penicillin 50,000-100,000 IU mkday
Wt x 100 4 ___ mg q6
*Shifting IV oral
- 125mg = 200,000 IU
- 250 mg = 400,000 IU
Wt x mkd x ml conv factor = ___ ml 4 = ____
ml oral penicillin
6. Diazepam 0.2-0.3 mkdose
10mg/2ml/amp
BFC
7. Antamin 0.35mkdose
Wt x 0.35 10 = ____ QID
8. Diphenhydramine 1mkdose
Wt x 1 x1 50 = ___ ml
10. Ampicillin
Frequency
Newborn q12
Infant q8
Toddler q6
Usual dose 100mkday
Septic dose 150mkday
Meningitic dose 300mkday
11. Aminophylline
Wt x 7 = __ mg Loading dose then
Wt x 5 = __ mg Maintenance dose q6
to be diluted 3x its volume with
PNSS
given with cardiac precautions
use in preterm to stimulate
respiratory center
also in apnea of prematurity HMD
12. Chloramphenicol IV 100mkday
- typhoid fever q6 x 10-14 days
- do not give to < 6 mos: gray baby
Syndrome
13. Mannitol 2.5cc/kg.dose q6-q8