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WEIGHT

AT BIRTH
3-12 MOS

KILOGRAMS
3.25
+ 9
2
Age (yrs) X 2 + 8

1-6 YRS

POUNDS
7
Age (mos) +
11
Age ( yrs) X 5
+ 17
Age ( yrs ) X 7
+5

7-12 YRS

7 5
2

HEIGHT
AT BIRTH
AT I YR
2 -12 YR

centimeter
50
75
Age ( yr) X 6 +77

Inches
20
30
Age (yr) X 2.5
+ 30
BODY SURFACE AREA :
()
3600

APGAR
Sign
Muscle tone
(Acticity)
Pulse
Reflex
irritability
Grimace
Color
(Appearanc
e)
Respiration

2
active
>100
Sneeze/cou
gh
All pink

Crying,
rhythmic
effective

1
Some
flex./ext
<100
Some
grimace or
avoidance
Body pink,
ext. blue

0
limp
No pulse
No
response
blue/pale

Slow/irregul
ar,
ineffective

Compression
depth

Approximately
1/3 to
depth of chest

Approximately
1/3 to
depth of chest

Approximately
1/3 to
depth of chest

Compression
rate

100/min

>100min

120
events/min
( 90
compressions
/30 breaths)

Compression
ventilation
ration

5:1 ( pause
for ventilation
until trachea
is intubated)

5:1 ( pause
for ventilation
until trachea
is intubated)

3 :1

PENICILLINS
Amoxicillin
(Amoxil,
Himox,
Jamox)

30-50 mg/kg/day q 8
po

AmoxicillinClavulanic
Acid
or Coamoxiclav

30-50mg/kg/day q8
IV,PO

Ampicillin
(Ampedia,
Ampicin)

NB: 50-100 mkd q 6-8


IM/IV
(up to 1 wk)
100-200mg/k/d q8
(1-4 wk)
IN,CH: 100-200 mkd q
4-6 IM/IV

Syrup:
125mg/5ml,
250mg/ml
cap:250mg,
500mg
vial:
100,125,500mg/vi
al

AmpicillinCloxacillin
(pensyclox,
Ampiclox,Cl
oxamicin)

Ampi 250mg + cloxa


250 mg
Same as ampicillin

250 mg cap
250mg/5ml syrup
75, 250, 500 mg
vial

absent

NEWBORN RESUSCITATION ( Outside Delivery


Room)
1. Warm, Position, Suction, Dry, tactile stimulation
2. Oxygen (Blow by)
3. Bag-Valve Mask Ventilation ( If heart rate < 100
Bmp or gasping respiration
4. Chest compression ( if heart rate < 60-80 bpm
after ventilation intiated)
5. Medication Epinephrine (if heart rate continues
to fall or remains < 80 bpm)

Maneuver

Airway

Breathing
Initial

Subsequent
FBAQ

SUMMARY OF ABC MANEUVERS


Child
Infant
1 8 years
<1 year old
old
Head tilt-chin
Head tilt-chin
lift
lift
( if trauma is
( if trauma is
present ,uses
present ,uses
jaw thrust )
jaw thrust )
2 breath at 1
2 breath at 1
to
to
1 sec/
1 sec/
breath
breath
20
20
breath/min
breath/min
Heimlich
Back blows
maneuver
and chest
thrusts

circulation
Pulse check

Carotic

Compression
landmarks

Lower half of
sternum

Compression
method

Heel of 1
hand

Newly Born

Head tilt-chin
lift
( if trauma is
present ,uses
jaw thrust )
2 breath at
approximately
1 sec/breath
20
breath/min
Back blows
and chest
thrsut

Brachial or
femoral
1 finger width
below
intermammary
line

1 finger width
below
intermammary
line

2 thumbencircled
hands
( for
2 providers)
or 2 or 3
finger

2 thumbencircled
hands
( for
2 providers)
or 2 or 3
finger

250,500mg cap
100mg/ml drops
125, 250mg/5ml
susp (Moxicillin,
pediamox,
sumoxil,wyamox)
Syrup: TID
156mg/5ml
(125mg amox)
312mg/5ml
(250mg amox)
Cap:
375mg/tab
(250mg amox)
625mg/tab
(500mg amox)
Vail:
300mg/vial
(250mg amox)
500mg/vial
(500mg amox)
1.2g/vial (1g
amox)
Syrup BID
457 mg/5ml (4oo
mg amox) 228.5
mg/5 ml ( 200 mg
amox

AmpicillinSulbactam
(unasyn)

Drops:A60mg + C
30mg q 6
Infant vials: A50mg +
C25mg q8
NB: 100mg/k/d q 12
(up tp 1 wk)
q8 (1-4
wks)
50-100mg/kg/day q6-8
IV,IM
30-50 mkday q8 (oral)

BacAmpicillin
(Bacacil,
Penglobe)

IN,CH: 25-50
mg/kg/day q 12 po
A: 800-1600mg/k/d q
12h

Umbilical

375 mg tab
375 mg vial
(A250mg +
S125mg)
750 mg vial
(A500mg+
S250mg) 250
mg/5ml
200, 400, 800mg
tab
200mg/5ml susp

Aztreonam
(Azactam)

Cloxacillin
(Orbenin,
Prostaphlin
A)

NB<2kg: 60mg/k/d q
12h IV/IM
(1st week)
90mg/k/d q
18h IV/IM
(1-4 weeks)
NB>2kg: 90mg/k/d q
8h IV/IM
(1st week)
120mg/k/d q
6h (1-4wk)
IN,CH: 90-120 mg/k/d
q 6-8h
Severe or life
threatening infxn:
2 gms IV q 6-8 h

500 mg,
1 g vial

IN,CH: 50-100 mg/kg/d


q6-8 po
A: 2-4g/d q 6 po

250, 500mg cap


125mg/5ml susp
250mg/5 ml susp
250 and 500 mg
vial
250mg vial
500 mg vial

Oxacillin

CEPHALOSPHORINS
1st GENERATION
Cephalexin
TD: 30-50 mg/k/d q6-8
monohydrate
OM: 75-100 mg/k/d

Cefalothin Na

NB<1200g: 50 mkd
q12 (0-4wks)
>1200g: 50-75 mkd q
8-12
(up to 1
week)
100150mkd q6-8
(1-4wks)
IM/IV over
15-30
min
IN,CH: 100-200 mkd q
6 IM/IV
(over 30 mins)
50-100mg/kg/day q6 IV
A: 2-12 g/d q4-6 IM/IV
(over 30mins)
Nafcillin
NB: 40mg/k/d q12 IV
250mg/5ml susp
(Vigopen)
(up to 1 wk)
250 mg cap
60-80mg/k/d q 6500 mg and
8h (1-4wks)
1 g vial
IN,CH: 100-200 mg/k/d
q 4-6h IV
Pen V
50,000-100,000
125mg/5ml
(phenoxym
U/kg/day q6
(200,000u/5ml)
ethylhigh dose: 150,000250mg/5ml
penicillin)
200,000 U/kg/day q6
(400,000u/5ml)
PO
500mg cap
(Megapan,Pantacillin,
(800,000 u)
Sumapen, medoxypen)
Aqueous
50,000-100,000
1,000,000 U/vial
Pen G
U/kg/day q6
5,000,000 U/vial
meningitic dose:
Benzylpenic 200,000-400,000
illin
U/kg/day q6 IV
PENICILLIN G (PENADUR) = Wt x 100 /600
Benzathine
50,000 u/kg single
dose IM
1.2 M & 2.4 M u
600,000-1.2 M u IM q3- vial
4 wks
Crystalline
(Rheumatic Fever
1M and 5M u vial
prophylaxis)

Procaine

NB: 50,000-100,000
u/kg q 6
IV/IM
IN,CH: 100,000250,000 u/kg q
4-6 IM/IV
25,000-50,000ukd, IM
q 12-24
Meningitic: 200,000400,000
Skin infxn:
150,000u/k/d x 10 days

80-160 mg/k/d q 6h
life threatening: up to
2g/k/d q4
Cefazolin
NB: 40mg/k/d q 12 (1st
wk)
40-60mg/k/d q8-12 (14 wks) IM/IV over 15-30
min
IN,CH: 50-100mg/k/d q8
IM/IV
2nd GENERATION
Cefaclor
IN,CH: 20-40mg/kg/day
(ceclor)
po q8
A: 750mg-1.5g q8

Cefuroxime

100-150 mg/kg/d q8 IM/IV


10-15 mkday q12 oral
250mg/kg/d q 6 IV (for
bacterial meningitis)
OM: 40mg/k/d q 12
>5 yrs: 30 mkd q 12
>5 yrs: 40 mkd q 12
A: 250mg q 12

Cefetamet

CH<12 yrs: 10 mg/kg q 12


>12 yrs: 500 mg po q 12

Cefoperazone

CH: 100-150mg/k/d q 6-8


IM/IV
A: 2-12g/d IM/IV q 6-8
Cefotaxime
IN,CH: 50-100mg/k/d q
12-16h
A (gonorrhea): 500mg
IM/IV SD
Cefoxitin
80-160 mg/kg/day IM/IV q
4-8
3rd GENERATION
Ceftriaxone
50-100mg/kg/day q12-24
(3rd gen)
IV
Typhoid:75-80mg/kg/day
x
A: 1-4 g/d

Ceftazidime
(3rd gen)

Cefixime
( Tergecef
Zefral,
Ultraxime)
Ceftizoxime
(3rd gen)
Cefotaxime
Ceftazidime

NB<2000g: 100mg/k/d
q12
(up to 1 week)
150mg/k/d q8 (1-4
wk)
CH: 100-150 mg/kg/day q
8
A: 1-6 g/d q8 IM/IV
3-8 mkday q 12

CH: 40-80 mg/k/d q 6-12


A: 500mg-2g/d q 6-12h
IM/IV
100-200mg/kg/day q6-8
IV
90-150mg/kg/day q8 IV

(keflex)
100mg/ml drops
125mg/5ml
susp,
250mg/5ml susp
250, 500 mg 1 g
cap
250, 500 mg
pulvule
1g/vial
(Keflin)
(Stancef)
500mg &
1 g vials

250, 500 mg cap


125mg/5 ml
susp
250mg/5 ml
susp
Zinacef:
250mg, 750mg,
1.5g vial;
125mg/ml susp
125mg, 250mg,
500mg tab
Zinnat: 125,
250mg sachet
susp., 125mg,
250mg, 500mg
coated tab
(globocef)
250, 500 mg tab
250mg/5ml susp
(cefobis)
500 mg, 1 g
vials
(Claforan)
250mg, 500mg,
1 g vial
(Mefoxin) 1 g
vial
(Rocephin)
IM: 250mg,
500mg, 1 g (inj.
w/ lidocaine)
IV: 250mg,
500mg, 1 g (inj.
w/ 1% water)
(Fortum)
250mg,500mg
1g, 2g vials

Drops:20mg/ml
Susp:100mg/5ml
Cap:100mg,
200mg
(Tergecin)
500mg
1 g vials
250mg, 500mg,
1g/vial Cloforan
250mg, 500mg,
1g/vial Fortum

MACROLIDES
Azithromycin
CH: 10mg/kg/day x 3
days or alternatively for
5 days w/ a single
10mg/kg dose on day 1
then 5 mg/kg on D2-5
Clarithromyci
CH: 15mg/kg q12 po
n
A: 500-1000 mg q12
Severe infxn: 2 tab BID
x 6-14 days
Erythromycin
IN,CH: 30-50mg/kg/day
q6
po
15-30mg/k/d q6
SIV infusion
A: 1-2 g/k/d q6 po
1-4gkd q6 IV
Int. antisepsis: 1 g/dose
x 3 doses (1pm,2pm,
11pm) the day before sx

Roxithromyci
A: 1 tab BID po 15-30
n (Rulid,
min before meals
Macrol)
QUINOLONES
Ciprofloxacin
A: 500mg-1.5 g po q12
(Ciprobay)
100-200 mg as IV
infusion for 30 min q12
Norfolxacin
UTI: 200-400 mg BID
GI infxn: 400 mg BID
Gonorrhea: 800mg SD
Ofloxacin
Uncom.
100mg BID po x 2-7
UTI
days
Compl.
200mg BID po x 7-14
UTI, Pn, OM,
days
sinusitis, skin
& soft tissue
infxn
300-600mg as single
Gonococcus
dose
Non100-200mg BID x 7-14
gonococcus
days
GI infection
200-300mg BID x 5-7
days

250mg cap
200mg/5ml
powder for oral
suspension
(Klaricid)
250mg tab
125mg/5ml
susp
(Erycin,
Macrodin,
Ilosone
125mg/5ml;
250mg/5ml)
100mg/2.5ml
drops
250mg, 500mg
cap
200mg/5ml
susp
400mg/5ml
susp
500 mg vial

100, 200mg tab


Tobramycin
( Nebcin)

NB<1200g: 25mkd q
24h
(0-4 wks)
>1200g: 25-50mkd q1224h, IV over 15-30 min
(1st week)
IN,CH: 50-100 mkd q6
po
IM/IV

(pediachlor,
chlormycetin,
Chloramol,
chlorambid)
125mg/5ml
susp
250mg, 500mg
cap
1 g vial

Clindamycin

NB<1200g: 10mg/k/d q
6
(1st 4 wks)
1.2-2kg: 15mg/k/d q8
>2g: 15mg/k/d q8 or
20mg/k/d q6
IN,CH: 10-40 mg/k/d q6
IN,CH>3mos: 15mg/k/d
q6
A: 1-2 g IV infusion
*Crea clearnce of
15ml/min should not
receive unless
hemodialysis is
instituted within 48 hrs
5-8 mg/k/d q 12

(dalacin-C)
150mg, 300mg
cap
150mg/ml amp

Cotrimoxazole
(SMX-TMP)

AMINOGLYCOSIDES
Amikacin
NB: 15 mkd q12 (1st
(Amikin,
wk)
Pediakin)
15-22.5 mkd q8-12
(1-4 wks) IM/IV (over 12h)
IN,CH,A: 15 mkd div q8
IM/IV (over 30-60 min)
LD: 10 mg/k/dose
Gentamicin
NB:
(Garamycin,
<1200g: 2.5 mg/kg q 14Servigenta,
18 h (0-4 wks)
Progara)
<1200g: 5 mkd q 12 (1st
wk); 7.5 mkd q 8 (1-4
wk) IM/IV (over 1-2 h)
IN, CH:
5-8 mkd q8 IM/IV (over
1-2 h) 5 mkd
A: 3.5 mkd q 8 IM/IV
(over -2h)
Netilmycin
2.5mg/kg/dose q8 IV,IM
(Netromycin)

Inoflox, Qinolon

Chloramphen
icol

ImipenemCilastatin

45mg+205mg/5
ml
Bacidal
80mg+400mg/5
ml
160mg+800mg
forte tab
80+400mg
tab/cap
160mg+800mg
tab

(Tienam)
500 mg
imipenem
500 mg
cilastatin, 1
amp

(Bactrim,
Septrin,
Microbid)
40mg+200mg/5
ml
Triglobe:

6-7.5mg/kg/day q8 IV,IM

ANTI-TUBERCULOUS DRUGS
INH
IN,CH: 10-20 mg/kg/d
5-10
(max: 300mg/d)qd
A: 8-10 mg/kg/d (max
300mg/d), pre-breakfast
(pyridoxine:
10mg/100mg INH to
prevent S/E)
RIF
IN,CH: 10-20 mkd, OD
10-15 1-pre or 2 post meal
A: 600mg/d single daily
dose (max 600mg/d)
PZA
CH: 30-35 mkd (max
15-30 2g/d) qd po
A: 20-35 mkd po before
meals
EMB
15mg INH +125mg
15-25 EMB/5ml
A: 15-25 mg/kg/d qd, po
(not >1.5g)

Strept
omyci
n 25

CH: 20-40mg/kg/d qd IM
x 2mos (max 1 g/d)
A: 15-25 mg/kg/d or 1 g
daily, qd, IM

250mg/ml,
(2ml) vial
125mg/ml,
(2ml) vial
50 mg/ml (2ml)
vial

20mg/2ml amp
60mg/1.5 ml
amp
80mg/2ml amp

25mg/ml (2ml
amp)
50mg/ml (2ml
amp)
100mg/ml (1.5
or 2 ml vial)
10mg/ml
40mg/ml (2ml
amp)

50mg/ml (trisovit)
100mg/m
l(nicetas,pyrifort)
150mg/5m l(Odinah)
200mg/5ml
(comprilex,Trisofort)
100,300,400 mg tab
100 & 200mg/5ml
150, 300, 450, 600mg
cap
600mg vial
250mg/5ml
500mg/tab

100mgtab
(pyrifort,trisovit)
150mg tab (pyrina)
325mg, 400mg
125mg/5ml 500mg
tab
1 g vial

COLDS PREPARATION:
Phenylpropanolamine
(decongestant)

1-3mos: ml q 8
Disudrin
4-6mos: ml q 8
12.5mg/5ml
7-12 mos: ml q 8
syr
1-2 yr: 1 ml q 8
6.25 mg/ml
2-6 yr: tsp q 8
drops
7-12 yr: 1 tsp q 8
Combined Prep: Rondec, Drixine, Sudafed, Dimetapp,
Decolsin, Triaminic, Tridecon
Brompheneramine
1-3 mos: 0.25 cc
Dimetapp
maleate,
4-6 mos: 0.5 cc
Per 5 ml syrup
phenylephrine,
7mos-2 yrs: 1 cc
Per infant drop
phenylpropanolamine 3-12 yrs: 1 tsp TID

BRONCHODILATORS
Aminophylline 3-5 mg/kg/dose or
0.6-0.9 mg/k/hr
LD: 5-7 mg/k/dose
MD: 3-5 mg/k/dose q 6
hr + 2 or 3 cc IVF to
run for
20-30 min

Ipratropium +
Fenoterol
(Berodual)

7 yrs, A: 2-10gtts (0.10.5 ml)


3-6x daily ( min
interval: 2 hours)

Iron Supplement
Dose: 3-5 mg/kg/day (maintenance)
6 mg/kg/day ( therapeutic dose)
preparation: drops 15 mg/ml
syrup 30 mg/5 ml

Salbutamol

0.1-0.15 mkd po q 6-8


or 2.5 ml tsp q 6-8 ( 6
mos-3 y/o) or 5 ml q 68 hrs
recommended dose:
0.1-0.3 mg/k/d

Immuzinc
dose: 1-2 mg/kg/day
prep: 20 mg /5 ml syrup
10 mg/ml drops

Nebulizer
0.01 ml/kg (max 1 ml)
in 3ml NSS or 5-10gtt
in 2ml NSS q6

Nifuroxazide (ercefuryl)
< 6 monts 1 tsp BID
> 6 months 1 tsp TID

Terbutaline

Calcium Gluconate
Dose: 200-300
Ex. WT x dose x prep
1.4 kg x 200 mg/ml = 290 mg/ml x 100mg /ml
= 2.9 ml

Nebulizer
0.01 ml/kg (max of 1 ml
in 3 ml NSS or 5-10 gtt
in 2 ml NSS) q 6

Naloxone
Dose: 0.1 mg/kg/dose IV/IM/SC
Theophylline
prep: 80 mg/ml
26.7 mg/ml
dose: 2.5 mg/kg/dose q12

ANALGESICS
Aspirin
Thrombolytic
RHD activity
Kawasaki

Diclofenac

DOSE
65-130 mg/kg/d q 4-6
h
3-5 mg/k/day
75-100mg/k/day
80-100 mkd q 6h x
2wks
then 3-5 mg/kg x 6-8
wks
CH: 50 mg tab BID
during or after meals
A: 75-100 mg daily

Mefenamic
Acid

6.5 mg/kg/dose q 6 h

Paracetamol

10-15 mg/kg/dose q
4-6 h

Ketotifen

Clenbuterol

PREPARATION
80 mg, 325 mg
tab

25, 50 mg tab
100 mg tab (SR)
25mg/ml (3ml)
amp
50 mg/5ml susp
(ponstan,
tynostan)
250, 500 mg
tab/cap
150mg/ml (2ml
amp)
125, 250 mg
susp
325, 500 mg tab
120, 250/5ml
syrup
60mg/0.6 ml
drops

0.1-0.18-5 mkd po q 8
or 0.075 mg/k dose q 6
hr; or 1 mcg SC to rpt
prn after 20 min once
daily

6mos-3 yrs: 1 drop BID


or 0.25 ml syr BID
>3 yrs: 5 ml syrup BID
<6 mos: 1 ml drops
6-24 mos: 2 ml drops
1-2 yrs: 5 ml syr
2-4 yrs: 7.5 ml
4-6 yrs: 10 ml
6-12 yrs: 15 ml

25mg/ml (10ml)
amp
80mg/15ml syr
(nuelin)
125, 250 mg tab
(nuelin,
phenedrine)
120mg tab
(tedral)
MDI: 20mcg I +
50 mcg F/10ml
250mcg I + 500
mcg F/ 20ml
inhalant
2mg/5ml syrup
(activent,
librentin, ventolin)
1mg/5ml expector
2mg tab
2.5mg/2.5ml neb
or 5mg/2.5 neb
200ug rotacap
0.1mg/inhalation
(Asmalin)
5mg/ml resp soln
0.5mg/ml
(2ml)amp
0.5mg/ml (1ml)
amp
1.5mg/5ml syr
(betalin, bricanyl,
pulmoxel,
terbulin)
2.5 mg tab
5 mg tab (ER)
2.5mg/ml (2ml)
neb
0.5mg/d
turbohaler, 100 d
(zaldec, Zadilen)
1mg cap
1mg/5ml syr
spiropent

COUGH PREPARATIONS
MUCOKINETICS
Ambroxol HCl
<1 yr: 12 mg/day
(bronchopront,
0.5ml BID (<6 mos)
Mucosolvan,
1ml BID (7-12 mos)
Mucovent,
1-2 yr: 15mg/day or
Muxal,Venteze 1.25mg BID
Therasolvan,
CH: 1.2-1.6 mg/kg/d
Zobrixol)
5-10 y/o: tsp BID-TID
CH>10 yrs, A: 1 tab TID
or 1 tsp TID
Bromhexine
<2 yrs: tsp TID-QID
HCl
2-5 yrs: tsp TID-QID
5-10 yrs: 1 tsp TID-QID
CH> 10 yr, A: 2 tsp TIDQID

Carbocisteine
(Aflema,
Ameuslyn,Bro
nchotus,
Flemex,
Laxobron,Kra
movon,
Simbron,

<2 mos: 0.25 ml QID


2-6 mos: 0.5 ml QID
7-12 mos: 1 ml QID
1-3 yrs: 5-7.5 ml TID
4-7 yr: 7.5-10 ml TID
8-12 yr: 10-15 ml TID
A: 1 capsule or 30 mll TID
Solmux: 1-3 yrs: 2.5 ml

15,30mg/5ml
syr
6mg/ml
drops
15mg/2ml
inhln soln
15 mg/2ml
amp
Bisolvon
8mg tab, 2
mg/ml soln,
0.8 mg/ml
elixir, 4 mg
amp
Bitussin,
Bronkose,
mucolyptus,
mucuspel
4mg/5ml syr,
8 mg tab
100, 250
mg/5ml susp
50mg/ml
drops
500 mg cap
40 mg/ml
drop

Solmux)

TID
4-7 yrs: 5 ml TID
8-12 yrs: 7.5 ml

Solmux:
250mg/5 ml
500 mg/5ml
suspension

ANTI-CONVULSANTS
Carbamazepine LD: 10-20 mg/kg
MD: 5 mg/kg/day
Clonazepam

S-CARBOXYMETHYLCISTEINE (LOVISCOL,MUKINYL,VISCODEC)
Loviscol
<3 mos: 0.3 ml TID
50 mg/ml drop
3-6 mos: 0.6 ml TID
100mg/5ml,
7-12 mos: 0.9 ml TID
250mg/5ml
13-24mos: 1.2 ml
susp
TID
1-3 yrs: 1-1 tsp
TID
4-7 yrs: 1 tsp TID
8-12 yrs: 2-3 tsp TID
Mucolytic + expectorant: bromulex, mucolex, bisolvon
(bromhexine HCl), Bronchicum, Cheryl IP (Guaifensin +
Ipecac)
Antitussive: Bractus, Sinecod (Butamine citrate), Robitussin
AC (Guaifenessin+ codeine phosphate + pheniramine
maleate), Pertix, Protussa, Tuscalman Berna
Dextromethorphan 1-2 tbsp 3-4 hrly or
5mg/5ml syr
HBr
1-2 tabs q 4 hr
10 mg tab
(max: 12 tabs/day)
Expectorant + antitussive: mucolexin (Dextromethorphan +
guiafenesin + Na citrate), mucobran (Guiafenesin + Na citrate)
STEROIDS
Budesonide
(budecort)

Dexamethasone

Hydrocortiso
ne
Status
Asthmaticus
Shock
Prednisone

C: 200-400 mcg BID


initial
MD: 100-200 mcg
BID
(max: 800 mcg daily)
A: 400-800 mcg BID
MD: 200-400 mcg
BID
0.023-0.33 mkd po
0.5-1 mkd (max 16mg/d)
in 4 div doses, IV (for
ICP)

LD: 10mg/k/dose
MD: 4-8mg/k/dose
10-20 mkd q 6 then 4
mkd q 4 until (+)
response
50 mg/kg initial then 5075 mkd q 6
CH: 1-2 mg/k/d q 6
P: 40-60 mkd po ( for
neoplasm)

ANTI-HISTAMINES
Acrivastin
1 tab TID po
Chlorphenira
mine
(Antamine)
Clemastine
(Tavergyl)

Diphenhydra
mine
(Benadryl)
Hydroxyzine
HCl (Iterax)
Mequitazine
(primalan)
Terfenadine
(Teldane)

0.35 mg/kg/day or
0.2 mg/kg/dose
2-6 yrs: 2.5-5ml BID
6-12 yrs: 5-10 ml BID
>12 yrs: 7.5 ml BID or
tab to 1 tab BID po
or
0.025 mg/k IM
3-5 mg/kg/day q 6 po,
IM, IV

10 mg OD or
1 mg/k/day BID
- 2 tabs/day accdg
to age
15-30 mg BID

200mcg/dose
misthaler
200mcg
turbohaler
250mcg/ml
respul

0.5 mg, 4mg


tab
5mg/ml
amp(1ml)
4mg/ml
vial(2ml)
50mg/ml, 2ml
vial
125mg/ml, 2ml
vial

5 mg tab

8 mg cap
semprex
4 mg tab
10 mg/ml (1 ml)
amp
0.5mg/ml syr
1mg tab
2mg/2ml amp

25mg, 50mg cap


12.5mg/5ml syr
50mg/ml (1ml)
amp
0.2 mg/syrup
10, 25 mg tabs
5 mg tab
2.5mg/5ml syr
30mg/5ml syr
60mg tab

Diazepam
(anxionil,
trazepam,
valium)
Diphenylhydantaoin

Tegretol
100mg/5ml syr
200mg tab
Rivotril 2mg tab

IN,C <10 yrs: 0.010.03 mg/kg/d


>10 yrs: 1- 2 mg/k/d
MD: <10 y: 0.05 -0.1
mkd
10-16y: 1.5 - 3
mkd
A: 2-4mg/k/d
mg-0.3mg/k/dose
0.2-0.4 mg/kg/dose

10mg/2ml amp
2mg, 5 mg tab

Sedation/sleep:

2-3 mkd q 8-12

Long term anticonvulsant

start at 1.5 mkd q 12


to 4-6 mkd q 12 or as
single daily dose HS

Dilantin 125,
30mg/5ml susp
30, 100 mg cap
100g/2ml amp
16.25mg
32.5mg,65mg
97.5mg tablets
Na luminal:
130mg/ml amp
15,30,60,100
mg tab
20 mg/ml syr

15 mg/kg/d div q 8-12


by 5-10 mg/kg/day
weekly (max: 30
mg/kg/d q 8)

gr = 15 mg
gr = 30 mg
gr 1 = 60 mg
Depakene
250mg/5ml
susp
250mg tab

Phenobarbital

Valproic acid

ANTI-EMETIC
Dimenhydrinate

LD: 10-15 mg/kg/dose


MD: 4-8 mg/k/d q 8h
*push DW before and
after
LD: 10-20 mg/k/d
MD: 5-10 mkd

5mg/k/d QID
2-6 yrs: 2.5 ml BIDTID
6-8 yrs: 5-10 ml BIDTID
8-12 yrs: 10-20 ml
BID-TID
Infant: supp
1-6 yrs: supp
6-12 yrs: 1 supp
BID/TID

ANTI-VERTIGO
Betahistine
A: 1-2 tab TID po with
meals

Meclezine
HCl

12.5-50 mg/k/day
TID/BID
<6 mos: 0.5 ml daily
2-6 yrs: 3 ml or
1-2 tabs daily

Dramamine
12.5mg/5ml syr
50 mg tab
Emes: 50 mg tab
Vomex: 50 mg
supp

Serc, mension
6mg tab
(mesylate)
8, 16 mg tab
(dihydrochloride)
Bonamine 25 mg
tab
Bonadoxine 8
mg/ml drops

PROKINETIC (GASTRO-KINETIC DRUG)


Metoclopramide 0.5 mg/k/day
<1yr: 1 mg BID
1-3 yrs: 1 mg BID-TID
3-5 yrs: 2 mg BID-TID
5-14 yrs: 2.5 mg TID

Plasil
5 mg/5ml syrup
10 mg tab
10 mg/2ml amp

ANTI-ULCER
Antacid

Cimetidine (
tagamet)

Ranitidine
(Zantac)

2-4 tabs chewtab QID


1 hr after meals or
2-4 tsp QID susp
5-7.5mg/kg/dose q 6
po/IV or
10-20 mg/kg QID

2-4 mg/k/dose BID po


or
1 mg/k/dose TID, IV

ANTI-SPASMODIC
Bentyl
2.5-10 ml TID
Dicycloverine
HCl,
Simethicon

Hyoscine-Nbutyl bromide
(buscopan)

IN: 0.5-1 ml gtt or


tsp syr QID/TID
1-5 yrs: 2.5-5ml
TID/QID
6-12 yrs: 5 ml
IN: amp TID IM, SC
or slow IV
CH, A: 1-2 tabs 3-5 x
daily

ANTI-FLATULENT
DimethylA: 1-2 tab TID po
polysiloxane

Chewable tabs
250 and 500 ml
susp
200,400,800 mg
tab
100mg/ml (2ml)
amp
100mg/5ml syrup
75,150, 300 mg
tabs
150mg/5ml syrup
50mg/2ml amp

10 mg tab
10mg/5ml syrup
Relestal: 5 mg/ml
drops
10mg/5ml syrup

10 mg tab
5 mg/5 ml syrup
20 mg/ml amp

40 mg tab
Disflatyl, Gascon

ANTI-HELMINTICS
Albendazole
Nematode
400 mg po
Capillariasis
200 mg BID x 10days
400 mg q day x 3
Strongyloidiasis
days
Mebendazole
200 mg po BID x 3
(Antiox)
days or 500 mg po
one dose
Piperazine
(Expelin,
Aloxin)

75 mg/kg (max:
3.5g/d) q day x 2 days
(for ascariasis only)

Pyrantel
Pamoate

11 mg/kg/day (max 1
g) x 3 days

ANTI-DIARRHEALS
Nifuroxazide
<6 mos: 2 tsp daily
( Ercefuryl)
>6 mos: 3 tsp daily
A: 1 cap QID
Paromomycin +
kaolin + pectin
Bacterial
<3 yrs: 1 tsp q 4 h
diarrhea
4-14 yrs: 1 tbsp q 4h
25mg/kg q 6-8 hr x 5
Ameobiasis
days
Dysentery
35-60 mg/kg x > 6 doses
Pre-op
35 mg/kg x 4 consec
Hepatic coma
days
Taeniasis
75mg/kg
Giardiasis
20-50 mg/kg/day x 5
days
20-30 mg/kg/day x 5-8
days

OPTICAL ANTI-INFECTIVES:

Zentel
200 mg/5ml syr
400 mg tab

100, 500 mg
tab
100 mg/5 ml
susp
1.25 mg/5 ml
syr
62.5 mg/5 ml
syr
Combantrin
250, 500 mg
tab
125, 250
mg/5ml
Quatrel:
100 mg/5 ml
100 mg tab

200 mg cap
220mg/5ml
syr
Humagel
150 mg cap
50mg/5ml
susp

Chloramphenicol
solution
ointment

1 gtt 2-4x/day (1 gtt/hr for


acute cases) Apply inside
surface of lower lid

Framycetin
solution
ointment

1-2 gtts q 1-2h or 1-2 gtts


3-4x/day (acute)
2-3 application daily or at
bedtime
1-2gtts into lower
conjunctival sac 2-3h
1-2 gtts q4
in ribbon into
conjunctival sac 2-3x/day

Sulfacetamide
Tobramycin
Solution
ointment

AMEOBICIDES
Diloxanide
furoate
(furamide,
elizol)
Etofamide
(kitnos)

0.25%,
0.5%, 1% 5
ml drops
0.1%,0.5%
3.5 g tube
0.5% 2.5ml
drops, 0.5%
2.5 g tube
10% 15%
5ml drops
3mg/ml
(0.3%),5ml
3mg/g
(0.3%) 3.5g
tube

20mg/k/day po TID
x 10 days

125mg/5ml

CH: 15-20ml/kg/day
or 2 tsp TID x 3
days
A: 5 tabs BID x 3
days or 1 forte tab
BID

100mg/5ml susp
200mg tab
500 mg forte

EAR PREPARATIONS:
1. Antiseptics with corticosteroids
Polymyxin
Cortisporin
B+Neomycin+HAA
Fluocinolone
Aplosyn,
acetonide +
Synalar
polymyxin B +
neomycin
Triamcinolone
kenacomb
acetonide +
neomycin +
gramicidine +
nystatin
2. Anti-Infectives and Antiseptics
Chloramphenicol
Chloromycetin

3-4 gtts tidqid


3-4 gtts tidqid

5ml
drops
5 ml
drops

2-3 gtts tidqid

7.5ml
drops

2-3 gtts bidqid


3-4 gtts tid

(5%)
5ml
10ml
drops
10ml
drops

Polymycin B + glacialAerosporin
acetic acid
Polymycin B +
Lignosporin
3-4 gtts tid
lidocaine
3. Miscellaneous
Antipyrine +
Auralgan Moisten cotton
Benzocaine +
plug with solution
glycerine
then insert into
dehydrated
meatus tid-qid
Dousate
otosol
Fill ear canal wit
sodium
soln & stay in
position for 4-5
min then insert a
cotton wool plug x
2 consecutive
nights

10ml,
15ml
drops
(0.5%)
10 ml
drops

ANTI-FUNGAL
Amphotericin B

Candida
Fluconazole(difl
ucan)

Griseofulvin
Ketoconazole

Nystatin
(Mycostatin)

NB: 100ug-1mg/kg/d
over 6 hrs during 1st 4
wks of age
IN,CH:
1st day: 0.1mg/kg for
2hrs (test dose)
2nd day: 0.25mg/k
(increment of 0.1250.25mg/kg), to 1
mg/k/d as single infusion
over 6-8h

5mg/ml(10ml
)vial
50mg
reconstituted
with 10cc
sterile water
to make
5mg/ml

IN,CH: 400,000-800,000
u/d q 4-6 h, po

Metronidazole
Ameobiasis
Trichomoniasis

50, 150,
200mg/cap
2mg/mlvial
330 mg tab

5-8mg/k/day QID
NOT FOR G6PD

50mg/15ml,
16.6mg/5ml
100mg tab
Flagyl

IN,CH: 35-50 mkd q8


x10 days
A: 750mg TID po x 5-10
days

Giardiasis

C: 5 mkd q8 x 7 days
A: 250mg TID x 5 days

Anaerobic
Infxn:

C: 15 mkd q8 x 5 days
A: 250 mg TID x 5 days

Dose: 0.50.7mg/k/day

TD: 20-30 mg/k/day


LD: 6mg/k OD
MD: 3 mg/k OD

CH: 7.25 mg/kg/d OD,po


A: 0.33-).66g/d OD, po
CH: 5-10 mkd q12-24,
po
A: 200-400 mg OD, po
NB:
<2kg: 200,000-400,000
u/d q 4-6h po
>2kg: 400,000-800,000
u/d q 4-6h

AMEOBICIDES
Furazolidone
(furoxone)

Intestinal
Antisepsis

250mg,
500mg tab
125mg/5ml
susp
5mg/ml(100
ml)vial
1g
suppository

NB: 15mkd (initial) then


7.5 mkd q12 IV
CH: 30 mkd (max 4g/d)
q6 po/IV
A: 500mg q6 po/IV or
300mkd (max 4g/d) q6
po/IV

200mg tab

100,000
units/ml susp

Tetracycline
Vancomycin

500,000 u
tab
100,000 u
vaginal tab

A: 750mg x 3 doses 1
day before sx
25-50 mg/kg/day div q6
po
NB<1.2kg: 15mg/k/d OD
>1.2kg: 20mkd q12 (1st
wk)
30mkd q8 (14wks)
IN,CH: 40mg/k/d q6-12h
A: 2mg/d IV q6-12h

250, 500mg
cap
500mg/vial

A: 800,000-2,000,000
u/d q 4-6h, po

ANTI-VIRAL
Acyclovir
Premature

Term

VaricellaZoster

Encephalitis

Amantadine
HCl

Inosiplex

Methixoprinol
Linosine
Ribavirin
(virazole)

10mg/kg as 1hr IV
infusion of 12hrs x
10-21 days

200 and 400 mg


tab
250mg/ml (5ml)
inj

10mg/kg as 1hr IV
infusion of 8 x 10-21
days
2-12 yr: 20mg/kg
(max:800) qid x 5
days
>12 yrs: 800mg po
5x/day x 7 days
10mg/kg as 1 hr IV
infusion of 8hrs x 4-21
days
CH: 5-8 mkd po
(max150mg) bid or tid
A: 200mg OD ir BID
<6mos: 1 ml q 3-4hrs
6-12mos: 1.5ml q3-4
1-2yrs: 2ml
2-6yrs: 3ml
6-12yrs: 5ml
A: 1 tab
LD: 100mg/kg/day
MD: 50mg/kg/day
CH: 15mg/kg/d in 3 or
4 div doses
A: 800mg/day (1st
day LD of 1600mg) q6

100mg tab
50mg/ml

(Immunosine)
500mg tab
250mg/5ml

(Isoprinosine)
500mg tab
250mg/5ml syr
200mg cap
20mg/ml syr
100mg/ml amp
6g/vial aero

DEVELOPMENTAL MILESTONES
Age
Gross
VisualMotor
Motor/Proble
m Solving
1
Raises
Birth:
mo
head from
Visually fixes
prone
position
1 mo: Has
tight grasp,
follows to
midline
2
Holds head
No longer
mo
in midline,
clenches
lifts chest
fists tightly,
off table
follows
object past
midline
3
Supports
Holds hands
mo
on
open at rest,
forearms in
follows in
prone
circular
position,
fashion,
holds head
responds to
up steadily
visual threat
4
Rolls over,
Reaches
mo
supports on
with arms in
wrists, and
unison,
shifts
brings hands
weight
to midline
6
Sits
Unilateral
mo
unsupporte
reach, uses
d, puts feet
raking grasp,
in mouth in
transfers
supine
objects
position
9
Pivots
Uses
mo
when
immature
sitting,
pincer grasp,
crawls well,
probes with
pulls to
forefinger,
stand,
holds bottle,
cruises
throws
objects
12
Walks
Uses mature

Language

Social/Adapti
ve

Alerts to
sound

Regards
face

Smiles socially
(after being
stroked or
talked to)

Recognizes
parent

Coos
(produces
long vowel
sounds in
musical
fashion)

Reaches for
familiar
people or
objects,
anticipates
feeding

Laughs,
orients to
voice

Enjoys
looking
around

Babbles, ahgoo, razz,


lateral
orientation to
bell

Recognizes
that
someone is
a stranger

Says mama,
dada
indiscriminatel
y, gestures,
waves byebye,
understands
no
Uses two

Starts
exploring
environment,
plays
gesture
games (e.g.,
pat-a-cake)
Imitates

mo

15
mo

18
mo

24
mo

3 yr

4 yr

5 yr

alone

pincer grasp,
can make a
crayon mark,
releases
voluntarily

Creeps up
stairs,
walks backwards
independen
tly
Runs,
throws
objects
from
standing
without
falling

Scribbles in
imitation,
builds tower
of two blocks
in imitation

Walks up
and down
steps
without
help

Imitates
stroke with
pencil, builds
tower of 7
blocks, turns
pages one at
a time,
removes
shoes,
pants, etc.

Scribbles
spontaneous
ly, builds
tower of 3
blocks, turns
23 pages at
a time

Can
alternate
feet when
going up
steps,
pedals
tricycle

Copies a
circle,
undresses
completely,
dresses
partially,
dries hands
if reminded,
unbuttons

Hops,
skips,
alternates
feet going
down steps

Copies a
square,
buttons
clothing,
dresses self
completely,
catches ball
Copies
triangle, ties
shoes,
spreads with
knife

Skips
alternating
feet, jumps
over low
obstacles

Age
0.5 mos
6-11 mos
1-2 yrs
3-6 yrs
7-9 yrs
10-12 yrs
13-15 yrs
16-19 yrs

words other
than
mama/dada or
proper nouns,
jargoning
(runs several
unintelligible
words
together with
tone or
inflection),
one-step
command with
gesture
Uses 46
words, follows
one-step
command
without
gesture
Mature
jargoning
(includes
intelligible
words), 710
word
vocabulary,
knows 5 body
parts
Uses
pronouns (I,
you, me)
inappropriately
, follows twostep
commands,
has a 50
word
vocabulary,
uses two-word
sentences
Uses
minimum of
250 words, 3
word
sentences,
uses plurals,
knows all
pronouns,
repeats two
digits
Knows colors,
says song or
poem from
memory, asks
questions

Prints first
name, asks
what a word
means

Cal per kg
115
110
110
90-100
80-90
70-80
55-65
45-50

Prot g/kg
3.5
3.0
2.5
2.0
1.5
1.5
1.5
1.2

actions,
comes when
called,
cooperates
with dressing

1518 mo:
Uses spoon
and cup

Copies
parent in
tasks
(sweeping,
dusting),
plays in
company of
other
children
Parallel play

Normal respiratory rate


<60
<50
<40
<30

Age
<2 mo
2-12mo
1-5yo
6-8y/o

-- NORMAL RESPIRATORY RATES IN CHILDREN


Age
Respiratory Rate (breaths/min)
(yr)
01*
2438
13
2230
46
2024
79
1824
1014
1622
1418
1420
Age
NB
2y/o
4y/o
>6y/o

Normal heart rate


110-150
85-120
75-115
60-110

Weight
IBW
preterm
term
At birth
3-12 mo

kg
(# of days -14) x 15 + BW 9gms
(# of days -10 x 20 + BW 9 grms
3.25
Age in months + 9
2
(age in yrs x 2) + 8
(age in yrs x 7) 5
2

1-6y/o
7-12 y/o

Length
Ave BL
1 y/o
3y/o
4y/o
>2y/o
Group play,
shares toys,
takes turns,
plays well
with others,
knows full
name, age,
gender
Tells tall
tales, plays
cooperatively
with a group
of children

Plays
competitive
games,
abides by
rules, likes to
help in
household
tasks

Holiday Segar
BW (kg)
1-10 y/o
11-20
>20

50 cm (20 in)
75 cm
3 ft.
BL x 2
(age in yrs x 5) + 80

Fluid volume
100 ml/kg
1000 ml+ 50 ml/kg for each kg >
10kg
1500+ 20 ml/kg for each kg > 20
kg

Ludans
method

<15 kg
<2 y/o

mild
moderate

50
100

>15 kg
>2 kg

30
60
PLR D50.9 6-7 hrs
severe
150
90
1/3 PLR x 1 hr
2/3 D5 0.3 or 0.9 6-7hrs
For every degree rise in temperature add 12% Of maintenance
IVF components (meq/L)
Na
K
D5LRS
130
4
D5 0.3 Nacl
51
D5 0.45 Nacl
75
D5 0.9 NaCl
154
D5 mannitol
49
25
D5 NR
140
5
D5 NM
40
13
D5 IMB
25
20
NP
30
20
D5NSS
150
D5W
-

Cl
109
51
75
154
19
98
40
22
25
150
-

base
28
20
50
16
23
23
-

Mg
-

Blood Transfusion
WHO treatment plan (CDD)
Plan A
Age in yrs.
<2
2-10
>10

Give every after BM


50-100 ml (2-3oz)
100-200 ml (2-3 0z)
As much as tolerated

Plan B
Age
<4 mo
4-11
12-23 mo
2-4y/o
5-10
10-15 y/o

Weight
<5 kg
5-7.9
8-10.9
11-15.9
16-29.9
>30

Ml in 4 hours
200-400
400-600
600-800
800-1200
1200-2200
2200-4200

Plan C
Age
<12 mo
>12 mo
Using PLR for 4-6

30 ml/kg
1 hr
30 mins
hrs

50 ml/kg
5 hrs
2 hours

FWB:
PRBC:
Plt Conc:
FFP:
Cryoppt:

10 cc/kg
10 cc/kg
1 unit/7 kg
10 15 cc/kg
1unit/5 kg

4-6 hours
4 hours
fast drip
2-4 hrs

How to compute ANC


= WBC(% neutrophils + % bands) x 1000
Fluid Balance
TFB=Total fluid intake total fluid output
TFI ( TFO + (BSAxIWL))
TFI = parenteral (IVF/meds) + oral
TFO= IWL (400-700/m2) + urine output+ vomitus/ NGT output
TFR = BSA x IWL + U.O in 24 hours(if with diuretics )
If w/o diuretic use BSA x IWL + U.O in 24 hours

Albumin Transfusion
Sodium (Na)
Normal value: 135-145 meq/L
A. To compute for deficit
Desired Na (140 meq/l) - actual Na x 0.6 x Wt.
Ex. 140-121 x 0.6 x 10 kg
= 114 meq
B. To compute for maintenance
Required K= deficit + maintenance
Wt. x 4 (constant)
Ex. 4x 10 kg = 40 meq
C. required sodium for 24 hours
Add desired + maintenance
Ex : 114+ 40 meq = 154 meq
Running rate : < 0.5 meq/l/hr
(increased running rate can lead to osmotic
demyelination)
Na correction: by 1st day the rest over 24-48 hours

Dose: 0.5 -1 gm/kg


Preparation: 20% 10 gm
25 % 12.5 gm
Transfuse 1 vial to run for 2 hrs at 6-7 gtts/min
After 1 vial give furosemide (1 mkdose)
Give 2nd vial then furosemide
Mobitor VS q 15 mins while ongoing Infusion
IVIg Computation
# of vials needed = WT. x Dose (2g/kg)
preparation(g/ml)
Ex. 12 kg

B. Maintenance
Wt x 4 meq

# of vials needed = 12 kg x 2g/kg


2.5 g
= 9.6 vials or 10 vials
Infusion Rate:
0.01-0.02 ml/kg/min for the first 30 mins. Via infusion pump if
no adverse reactions noted, may increase to maximum of
0.04 ml/kg/min
Ex: 12 kg wt
Infusion rate of 0.01
12 kg X 0.01 x 3o mins = 4 ml
* give for ml to run for 30 mins watchout for nausea, vomiting,
chills fever, dyspnea, malaise, hjeadache etc.

Running rate : 0.25-0.5 meq/m2/hr


IVF correction should not exceed 40 meq/L

2. increase to infusion rate 0f 0.02 x 60 mins


12 x 0.02 x 60 = 15 ml to run for 60 min

ECG : tall/peaked T waves ; prolonged PR interval,


decreased ST wave ; diappearance of P wave

3. remaining to run for 14 hours

Potasium (K)
Normal value: 3.5-4.5 meq/l
A. To compute for deficit
(Desired actual) x wt. X 0.3

IVIg Preparation Available


Serum K if > 6.5 meg/l
Mgt: glucose 0.5 1 g/kg + insulin 0.1-0.2 units/ kg
over 30 minutes

Bicarbonate Correction
Total Bicarbonate correction
= Wt. x 0.3 x base excess
Calcium Gluconate
Preparation 10% calcium gluconate
= 10 g
= 100 mg
100 cc
ml
maintenance = 150-200 mkday
Ex. Wt x desired ( 4.1 x 200 = 820mkday)
= 100
= 8.2 ml div into doses
X
ml

10 ml (500mg/vial)
20 ml (1000 mg/vial)
50 ml (2500 mg/vial)
100 ml (5000 mg/vial)
200 ml ( 10000 mg/vial)

Haesteril 6%
<10 kg
= 10 cc/kg
<20 kg
= 20 cc/kg
> 20 kg
= 30 cc/kg/hr
Ex: WT: 72.9 kg
IVF: 3cc/kg/hr
72.9 kg x 3 cc/kg/hr x 24 hrs = 720 cc
total IVF/day 720 cc = 4528.8
ml
72.9 = 218 cc/hr = 54-55gtts/min (IVF) (-) 7-8
gtts/min (haes)
4
4
= 47-48 gtts /min (IVF rate)
Order:
Hook D5 0.9 Nacl/ D50.3 to run at47-48 gtts/min
Hook 6% haesteril as drip to run at 7-8 gtts per
min
Excahnge Transfusion
total vol (ml) = Wt (kg) x 2 x 85 (bld vol)
Absolute vol. of RBCs needed
wt. x2 x 85
2
Absolute vol. (ml) of RBC needed
WTx2x85 = 0.7
_____ 2________
Actual vol. (ml) of FFP needed
= Wt. x 2 x 85 actual vol of RBC needed
Mannitol (20%)
Dose: 0.3-0.5 g/kg
20 g/100ml x 0.5 (wt)/ X = x
x= 0.5 (wt) (100)
20 gm
X = ________ ml q 6-8 hrs
Ex. 44kg dose 0.3 g/kg
202/100ml x15/x = x (20g) = 15 x 100
x= 1500/20 = 75 ml q6

WT. x 0.5 /kg = x (gm)


x (g) x 100 ml/10 gm = x (cc)
To order: start intralipid 10% give __ cc
to run for 1 hr. (as test dose) then 14 cc to
run for 20 hrs via infusion/syringe pump
* insert another line
* intralipid should not be mixed with electrolyte containing IVF
Lipid
Dose: 0.5 - 2
Wt x dose x 100/ 20 (if 20% prep)
* add additional amount of D5W total of 24 cc to run at 1 cc/hr
for 24 hrs via syringe pump
* wrap tubing with carbon paper
Gomez Classification
Actual wt.
x 100%
Ht. for age
97-100% normal
76-96%
1st deg. Mal.
61-75%
2nd Deg. Mal
<60%
3rd deg mal.
Waterlowe Classification
Stunting :actual wt. x 100%
Ideal Ht. for age
> 95 %
90-05%
80-90%
<80%

normal
mild
mod
severe

Wasting: Actual wt.


Ideal wt for ht
> 90 %
80-90%
70-80%

x 100%

normal
mild
mod

Dextrosity:
Aminosteril Feeding
Rate: 0.5-2 grms/ kg/day
Ex. Wt x rate x prep. = ml/day
10 kg x 0.5 grms x 6 grms
kg.day
100 ml
5 gms x 100 ml = 83 ml/day
day
6 grms
= 83 ml = 3.45 ml/hr
Div doses

Desired - lowest x 1
Highest lowest
D10 D5 =
50-5
D7.5 5
50-5

D12.5-5 =
50-5

= 0.11

= D10

45
2.5 = 0.055 = D7.5
45
7.5 = 0.166 = D12.5
45

ABG
pH
pCO2
pO2
HCO3
O2sat
BE +/-

7.35- 7.45
35-45
80-100
22-26
94- 100%
2

Urine Anion Gap


= urine Na + Urine K U Cl - U HCO3
(+) = low H+ secretion and low ammonium excretion
(-) = urinary bicarbonate loss
Nutrition
TCR = IBW x RDA for age or
TCR = holiday segar method (in kcal/kg)
CHON : 2 gm/kg/day
Fats:
40%
CHO:
60 %
divided into 3 meals and 3 snacks

Intralipid

Ex. 59 cc x 0.11 = 6.49 (D5050)


59 - 6.49 = 52 cc
Reticulocyte Index
RI =actual Hct. X Retic. Ct.
desired hct
10
normal value: 1-1.5 normal
> 1 inc. erythropoeisis, inc BM activity, hemolysis
< 1 dec. erythropoeisis, BM failure
Hypoglycemia

premature
neonate
newborn:
1 day
>1 day
child
fasting
2 hours PP

normal glucose value


(mg/dl)
20-60
30-60
40-60
50-90
60-100
70-105
<120

Treatment : 2 ml/kg of D10 (bolus)


IV bolus

Ex. BW
= 3 kg
3 x 2 ml
= 6 ml
6 x factor = 6 x 0.11
= 0.66 cc
order: 5.3 cc of present IVF (or D5W) + 0.7 cc of D50-50 to
make D10 as bolus

Term

20170
0.201.7 g/L
mg/dL
Child
540
0.050.40 g/L
mg/dL
CSF, cerebrospinal fluid; PMNs, polymorphonuclear
lymphocytes; WBC, white blood cell.
Modified from Oski FA: Principles and Practice of Pediatrics,
3rd ed. Philadelphia, JB Lippincott, 1999.

Croup Scoring

Respi. Stridor

Cough

retraction

Dyspnea

color

none
audible stridor
when agitated
at rest
severe
none
when agitated
croup like at rest
severe
rest
mild
moderate
severe
none
mild
moderate
severe
normal
cyanosis at room
air
cyanosis w/02

score
0
1
2
3
4
0
1
2
3
0
1
2
3
0
1
2
3
0
1
2

Hypoxic Ischemic Encephalorathy (Sarnat Scoring)

level of conciusness
muscle tone
myoclonus
seizure
suck reflex
moro reflex
grasp
dolls eye
respi.
CR
pupils

I
alert
normal or
hypertonic
+
active
exagerated
N or inc
N
reg.
N or tachy
dilated
reactive

II
lethargy
hypotonic

III
coma
failed

+
+
weak
inc.
exag.
overactivity
varies
brady
aniso
reactive

+
absent
dec. 0r apneic
brady
aniso
nonreact.

TABLE 25-3 -- EVALUATION OF CEREBROSPINAL FLUID


WBC Count
Mean % PMNs
Preterm
025
57%
3
WBCs/mm
Term
022
61%
WBCs/mm3
Child
07
5%
WBCs/mm3

Preterm
Term
Child

GLUCOSE
2463 mg/dL
34119 mg/dL
4080 mg/dL

1.33.5 mmol/L
1.96.6 mmol/L
2.24.4 mmol/L

CSF GLUCOSE/BLOOD GLUCOSE


Preterm
55%105%
Term
44%128%
Child
50%

LACTIC ACID DEHYDROGENASE


Normal range
530 U/L (or about
10% of serum value)

Preterm

PROTEIN
65150
mg/dL

0.651.5 g/L

TABLE 25-2 -- EVALUATION OF TRANSUDATE vs. EXUDATE


(PLEURAL, PERICARDIAL, OR PERITONEAL FLUID)
Measurement*
Transudate
Exudate
Specific gravity
<1.016
>1.016
Protein (g/dL)
<3.0
>3.0
Fluid : serum ratio
<0.5
>0.5
LDH (IU)
<200
>200
Fluid : serum ratio
<0.6
>0.6
(isoenzymes not useful)
WBCs
<1000/mm3
>1000/mm3
RBCs
<10,000
Variable
Glucose
Same as serum
Less than serum
pH
7.47.5
<7.4
LDH, lactate dehydrogenase; RBCs, red blood cells; WBCs, white blood
cells.
Note: Amylase >5000 U/mL or pleural fluid : serum ratio >1 suggests
pancreatitis.
TABLE 1-2 -- MANAGEMENT OF CIRCULATION
Location*
Rate
Compressions:
(per min)
Ventilation
Infants
1 fingerbreadth
>100
5:1
below intermammary
line
Children
2 fingerbreadth
100
5:1
(<8 yr)
below intermammary
line
Older
Lower half of
100
15:2
children
stemum
(>8 yr)
TABLE 17-3 -- PREDICTED ENDOTRACHEAL TUBE SIZE AND
*
EXPECTED BIRTH WEIGHT BY GESTATIONAL AGE
Gestational Weight
ETT Size
ETT Depth of Insertion
Age (wk)
(g)
(mm)
(cm from upper lip)
24
700
2.5
7
26
900
2.5
7
28
1100
2.53.0
7
30
1350
3.0
7
32
1650
3.0
7
34
2100
3.5
8
36
2600
3.5
8
38
3000
3.54.0
9

INFANT GROWTH AND CALORIC REQUIREMENTS


Preterm Infants
Term Infants
1520 g/kg/day
10 g/kg/day
Maintaining
5075 kcal/kg/day
weight
Adequate
115130 kcal/kg/day (may be up
100120
growth
to 150 kcal/kg/day for VLBW
kcal/kg/day
infants)
LABORATORY DIFFERENTIATION OF OLIGURIA
Test
Prerenal
Renal
FENa
<1%
>3%
BUN/Cr ratio
>20 :1
<10 : 1
Urine specific
>1.015
<1.010
gravity


TABLE 17-11 -- GUIDELINES FOR USE OF PHOTOTHERAPY IN
PRETERM INFANTS <1 WEEK OF AGE
Weight (g)
Phototherapy (mg/dL)
Transfusion (mg/dL)
Consider Exchange
5001000
57
1215
10001500
710
1518
15002500
1015
1820
>2500
>15
>20
GUIDELINES FOR USE OF PHOTOTHERAPY IN PRETERM
INFANTS <1 WEEK OF AGE
Weight (g)
Phototherapy
Transfusion (mg/dL) Consider
(mg/dL)
Exchange
5001000
57
1215
10001500
710
1518
15002500
1015
1820
>2500
>15
>20

CALCULATION OF EXPECTED COMPENSATORY


RESPONSE
Disturbance Primary
pH
Expected
Change
Compensatory
Response
Acute
PaCO2
pH
HCO3- by 1 mEq/L
respiratory
for each 10 mmHg
acidosis
rise in PaCO2
Acute
PaCO2
pH
HCO3- by 13
respiratory
mEq/L for each 10
alkalosis
mmHg fall in PaCO2
Chronic
PaCO2
pH
HCO3- by 4 mEq/L
respiratory
for each 10 mmHg
acidosis
rise in PaCO2
Chronic
PaCO2
pH
HCO3- by 25
respiratory
mEq/L for each 10
alkalosis
mmHg fall in PaCO2
Metabolic
HCO3 pH
PaCO2 by 1 to 1.5
acidosis
fall in HCO3Metabolic
HCO3
pH
PaCO2 by 0.251
alkalosis
rise in HCO3Lumbar Tap Orders
Please secure consent
Prepare the ff materials:
Sterile gloves size _____
Disposable needle q 23/24
Sterile Specimen bottles #4
Eye sheet
Sterile gauze/cotton
Betadine/Alcohol #1
Secure ___________ for sedation
For HGT prior to LT
Post Lumbar Tap Orders
>Flat on bed for 4 hours
>NPO temp for 2 hours then may feed once
fully awake with aspiration precaution
>Monitor VS q 15 min x 1 hour, q30 mins x
2 hours then q 1 till stable
>Send CSF Specimen to the lab as ff:
bottle #1 : GS/CS; AFB
#2 : RBC, WBC, diff ct.
#3 : protein/sugar
#4 phadebact ( test for strep B, H. I influ, strep Pn, N
meningitides)

Blood transfusion Orders

Secure and transfuse (blood product )to run for hours


properly typed and x matched
IVF to KVO while ongoing transfusion then
Resume present IVF once transfusion is finished
watch out for any untoward signs and symptoms such as
fever, chills, rashes, DOB, tachycardia
hook plain NSS while on BT to run at KVO
monitor vs q 15 minutes while ongoing BT
give paracetamol __ mg SIVP 1 hr prior to BT
Inform PROD once blood product is available
For repeat CBC 6 hours post BT (optional)
Furosemide at 0.5- 1 mg/kg/dose mid

For BMA Orders

prepare the ff Materials


gloves size_____
eye sheet
sterile cotton #1
sterile gauze # 2
glass slides #20
syringe 10 cc #2
5cc syringe #1
betadine #1
lidocaine 2% #2
70% alcohol
secure consent pls. and post BT (depends sa AP)

For exchange transfusion orders


Pls. prepare the following :
French 5 feeding tube #2
3 way stopcock
syringe connector
sterile bottle 1L
10 cc syringe #2
betadine and alcohol
sterile cotton
sterile gauze #2
suture with needle
note: give calcium gluconate 10%
0.7 ml + 0.7 ml sterile water IV
push every 10 exchanges
> give furosemide after exchange

Pulse Cyclophosphamide Therapy


( for Systemic Lupus Erythematosus)
Pre hydration:
- D5W 750 ml to run for 1 hour alternate with D5 0.3 Nacl 750 ml to run fo
for 2 doses
- Ondansetron (zafran) 8 mg/4ml, 4 mg +50 ml D5W to run for 30 mins
- cyclphophamide 1gm (1000 mg) + 100 ml D5W to run for 1 hour
Post chemo/ cyclophosphamide hydration
- same regulation as pre chemo hydration
- ondansetron 4mg + 50 ml D5W for 30mins
- Prednisone 20 mg OD after breakfast
- TPR q4 and record pls.
- I and O q shift
- limit sodium intake to 2 g/day
- maintain on heplock after 10 hrs. therapy
Materials for Triple Intrathecal (TIT)
> NPO temp. For 4-6 hours
> secure consent
> prepare the ff. materials:
- sterile gloves size_______
- sterile eyesheet
- sterile cotton balls
- sterile gauze
- sterile water 50 ml #1
- tuberculin syringe #3
- sterile specimen bottle #1
- 2.5 cc syringe #1
>sterile needle g 23 or ___

2 mo2 yr
ACID PHOSPHATASE
(Major sources: prostate and erythrocytes)
Newborn
7.419.4 U/L
7.419.4 U/L
213 yr
6.415.2 U/L
6.415.2 U/L
Adult male
0.511.0 U/L
0.511.0 U/L
Adult female
0.29.5 U/L
0.29.5 U/L
ALANINE AMINOTRANSFERASE (ALT)
(Major sources: liver, skeletal muscle, and myocardium)
Neonate/infant
1345
1345 U/L
U/L
Adult male
1040
1040 U/L
U/L
Adult female
735 U/L
735 U/L
ALDOLASE
(Major sources: skeletal muscle and myocardium)
1024 mo
3.411.8 U/L
3.411.8 U/L
216 yr
1.28.8 U/L
1.28.8 U/L
Adult
1.74.9 U/L
1.74.9 U/L
ALKALINE PHOSPHATASE
(Major sources: liver, bone, intestinal mucosa, placenta, and
kidney)
Infant
150420 U/L
150420 U/L
210 yr
100320 U/L
100320 U/L
Adolescent males
100390 U/L
100390 U/L
Adolescent
100320 U/L
100320 U/L
females
Adult
30120 U/L
30120 U/L

AMMONIA
(Heparinized venous specimen on ice analyzed within 30 min)
Newborn
90150 g/dL
64107 mol/L
02 wk
79129 g/dL
5692 mol/L
>1 mo
2970 g/dL
2150 mol/L
Adult
050 g/dL
035.7 mol/L
AMYLASE
(Major sources: pancreas, salivary glands, and ovaries)
Newborn
565 U/L
565 U/L
Adult
27131 U/L
27131 U/L
ANTINUCLEAR ANTIBODY (ANA)
Not significant
<1 :
80
Likely
>1 :
significant
320
Patterns with clinical correlation:
CentromereCREST
NucleolarScleroderma
HomogeneousSLE
ANTISTREPTOLYSIN O TITER
(4-fold rise in paired serial specimens is significant)
Preschool
<1 :
85
School age
<1 :
170
Older adult
<1 :
85
NOTE: Alternatively, values up to 200 Todd units are normal.
ASPARTATE AMINOTRANSFERASE (AST)
(Major sources: liver, skeletal muscle, kidney, myocardium, and
erythrocytes)
Newborn
2575 U/L
2575 U/L
Infant
1560 U/L
1560 U/L
13 yr
2060 U/L
2060 U/L
46 yr
1550 U/L
1550 U/L
79 yr
1540 U/L
1540 U/L
1011 yr
1060 U/L
1060 U/L
1219 yr
1545 U/L
1545 U/L
BICARBONATE
Newborn

1724
mEq/L

1724 mmol/L

>2 yr

1624
mEq/L
2226
mEq/L

BLOOD GAS, ARTERIAL[7]


Pao2(mmHg)
pH
Newborn
7.26
60
(birth)
7.29
Newborn
7.37
70
(>24 hr)
Infant (124
7.40
90
mo)
Child (719
7.39
96
yr)
Adult (>19
7.35
90110
yr)
7.45

1624 mmol/L
2226 mmol/L

Paco2(mmHg)

HCO3(mEq/L)

55

19

33

20

34

20

37

22

3545

2226

BILIRUBIN (TOTAL)
Preterm
Term
Preterm
Term
Preterm
Term
Preterm
Term
Preterm
Term
Adult
Neonate
Infants/children
CALCIUM (TOTAL)
Preterm
Full term <10 days
10 days24 mo
212 yr
Adult
CALCIUM (IONIZED)
Newborn <36 hr
Newborn 3684 hr
118 yr
Adult

Newborn
Child/adult

Cord
<2 mg/dL
<2 mg/dL
01 days
<8 mg/dL
<8.7 mg/dL
12 days
<12 mg/dL
<11.5 mg/dL
35 days
<16 mg/dL
<12 mg/dL
Older infant
<2 mg/dL
<1.2 mg/dL
0.31.2 mg/dL
BILIRUBIN (CONJUGATED)
<0.6 mg/dL
<0.2 mg/dL

<34 mol/L
<34 mol/L
<137 mol/L
<149 mol/L
<205 mol/L
<197 mol/L
<274 mol/L
<205 mol/L
<34 mol/L
<21 mol/L
521 mol/L
<10 mol/L
<3.4 mol/L

6.211 mg/dL
7.610.4
mg/dL
9.011.0
mg/dL
8.810.8
mg/dL
8.610 mg/dL

1.62.8 mmol/L
1.92.6 mmol/L

4.205.48
mg/dL
4.405.68
mg/dL
4.805.52
mg/dL
4.645.28
mg/dL

1.051.37 mmol/L

2.32.8 mmol/L
2.22.7 mmol/L
2.22.5 mmol/L

1.101.42 mmol/L
1.201.38 mmol/L
1.161.32 mmol/L

CHLORIDE (SERUM)
98113
98113 mmol/L
mEq/L
98107
98107 mmol/L
mEq/L

CHOLESTEROL
(see Lipids)
C-REACTIVE PROTEIN
(Other laboratories may have
00.5 mg/dL
different reference values)
CREATINE KINASE (CREATINE PHOSPHOKINASE)
(Major sources: myocardium, skeletal muscle, smooth muscle, and brain)
Newborn
10200 U/L
10200 U/L
Man
15105 U/L
15105 U/L
Woman
1080 U/L
1080 U/L

Cord
Newborn
Infant
Child
Adolescent
Man
Woman

CREATININE (SERUM)
0.61.2 mg/dL
53106 mol/L
0.31.0 mg/dL
2788 mol/L
0.20.4 mg/dL
1835 mol/L
0.30.7 mg/dL
2762 mol/L
0.51.0 mg/dL
4488 mol/L
0.71.3 mg/dL
62115 mol/L
0.61.1 mg/dL
5397 mol/L

ERYTHROCYTE SEDIMENTATION RATE (ESR)


Term neonate
04 mm/hr
Child
420 mm/hr
Adult (male)
115 mm/hr
Adult (female)
425 mm/hr

Newborn
1 mo
25 mo
6 mo15 yr
Adult male
Adult female

FERRITIN
25200 ng/mL
200600 ng/mL
50200 ng/mL
7140 ng/mL
20250 ng/mL
10120 ng/mL

Newborn
Infant
216 yr
>16 yr

FOLATE (SERUM)
565 ng/mL
1555 ng/mL
521 ng/mL
320 ng/mL

20200 ng/mL
200600 ng/mL
50200 ng/mL
7140 ng/mL
20250 ng/mL
10120 ng/mL

11147 nmol/L
34125 nmol/L
1148 nmol/L
745 nmol/L

-GLUTAMYL TRANSFERASE (GGT)


(Major sources: liver [biliary tree] and kidney)
Cord
19270 U/L
19270 U/L
Preterm
56233 U/L
56233 U/L
03 wk
0130 U/L
0130 U/L
3 wk3 mo
4120 U/L
4120 U/L
312 mo boy
565 U/L
565 U/L
312 mo girl
535 U/L
535 U/L
115 yr
023 U/L
023 U/L
Adult male
1150 U/L
1150 U/L
Adult female
732 U/L
732 U/L

Preterm
Newborn, <1 day
Newborn, >1 day
Child
>16 yr

HEMOGLOBIN A1 C
Adult

Newborn
Infant
Child
Adult male
Adult female

MAGNESIUM
METHEMOGLOBIN
OSMOLALITY

GLUCOSE (SERUM)
2060 mg/dL
4060 mg/dL
5080 mg/dL
60100 mg/dL
74106 mg/dL

1.13.3 mmol/L
2.23.3 mmol/L
2.84.5 mmol/L
3.35.6 mmol/L
4.15.9 mmol/L

Conventional
Units
1.32.0 mEq/L
<1.5% total Hgb
275295
mOsm/kg

KETONES (SERUM)
0.53.0 mg/dL

Newborn
Child

LACTATE
Capillary blood
<27 mg/dL
520 mg/dL

Venous
Arterial

520 mg/dL
514 mg/dL

17.944.8 mol/L
7.217.9 mol/L
9.021.5 mol/L
11.631.3 mol/L
9.030.4 mol/L

Sl Units
0.651.0 mmol/L
275295
mmol/kg

530 mg/L

0.03.0 mmol/L
0.562.25
mmol/L
0.52.2 mmol/L
0.51.6 mmol/L

LACTATE DEHYDROGENASE (AT 37C)


(Major sources: myocardium, liver, skeletal muscle, erythrocytes,
platelets, and lymph nodes)
04 days
290775 U/L
290775 U/L
410 days
5452000 U/L
5452000 U/L
10 days24 mo
180430 U/L
180430 U/L
24 mo12 yr
110295 U/L
110295 U/L
>12 yr
100190 U/L
100190 U/L

090 days
312 mo
111 yr
>11 yr

LIPASE
1085 U/L
9128 U/L
10150 U/L
10220 U/L

LIPIDS [8]
Cholesterol (mg/dL)

Child/a
dolesc
ent
Adult

Desira
ble
<170

Borde
rline
170
199

<200

200
239

Preterm
Newborn
Adult

Newborn
10 days24 mo
24 mo12 yr
>12 yr

5.07.5% total Hgb


<2.0
IRON
100250 g/dL
40100 g/dL
50120 g/dL
65175 g/dL
50170 g/dL

Quantitative

Newborn
Infant
Child
Adult

Newborn
16 mo
6 mo4 yr
46 yr
619 yr

High

LDL (mg/dL)

>200

Desir
able
<110

Borde
rline
110
129

Hig
h
>13
0

>240

<100

100
159

>16
0

PHENYLALANINE
2.07.5 mg/dL
1.23.4 mg/dL
0.81.8 mg/dL
PHOSPHORUS
4.59.0 mg/dL
4.56.7 mg/dL
4.55.5 mg/dL
2.74.5 mg/dL
POTASSIUM
3.75.9 mEq/L
4.15.3 mEq/L
3.44.7 mEq/L
3.55.1 mEq/L
PREALBUMIN
739 mg/dL
834 mg/dL
236 mg/dL
1230
mg/dL
1242
mg/dL

121454 mol/L
73206 mol/L
48109 mol/L

1.452.91 mmol/L
1.452.16 mmol/L
1.451.78 mmol/L
0.871.45 mmol/L

3.75.9 mmol/L
4.15.3 mmol/L
3.44.7 mmol/L
3.55.1 mmol/L

HDL
(mg/d
L)
Desir
able
45

45

PYRUVATE
RHEUMATOID
FACTOR

SODIUM
130140 mEq/L
133146 mEq/L

Preterm
Older

Infant
Adult

Conventional
Units
0.30.9 mg/dL
<30 U/mL

Sl Units
0.030.10 mmol/L

130140 mmol/L
133146 mmol/L

TOTAL IRON-BINDING CAPACITY (TIBC)


100400 g/dL
17.971.6 mol/L
250425 g/dL
44.876.1 mol/L

Newborn
3 mo10 yr
Adult

Premature (<1
week)
Newborn
Infant/child
Adult

TRANSFERRIN
130275 mg/dL
203360 mg/dL
215380 mg/dL

1.302.75 g/L
2.033.6 g/L
2.153.8 g/L

UREA NITROGEN
325 mg/dL

1.18.9 mmol/L

412 mg/dL
518 mg/dL

1.44.3 mmol/L
1.86.4 mmol/L

620 mg/dL

2.17.1 mmol/L

URIC ACID
2.46.4 mg/dL

0.140.38 mmol/L

212 yr
1214 yr

2.45.9 mg/dL
2.46.4 mg/dL

0.140.35 mmol/L
0.140.38 mmol/L

Adult male

3.57.2 mg/dL

0.200.43 mmol/L

Adult female

2.46.4 mg/dL

0.140.38 mmol/L

02 yr

VITAMIN A
(Retinol)
Preterm
Full term

1346 g/dL
1850 g/dL

0.461.61 mol/L
0.631.75 mol/L

16 yr
712 yr
1319 yr

2043 g/dL
2049 g/dL
2672 g/dL

0.71.5 mol/L
0.91.7 mol/L
0.92.5 mol/L

(Thiamine)

(Riboflavin)

Newborn
Child/adult

(Ascorbic acid)

(1,25-dihydroxyvitamin D)

<11 yr
>11 yr

VITAMIN B1
5.37.9
g/dL
VITAMIN B2
424 g/dL

0.160.23 mol/L

106638 nmol/L

VITAMIN B12
(Cobalamin)
1601300
pg/mL
200835
pg/mL

118959 pmol/L

VITAMIN C
0.41.5
mg/dL

2385 mol/L

VITAMIN D3
1665
pg/mL

42169 pmol/L

VITAMIN E
315 mg/L
520 mg/L

148616 pmol/L

7.035 mol/L
11.646.4 mol/L

ZINC
70120 mg/dL

10.718.4 mmol/L

Age
26-30 wk
28 wk
32 wk
Term ( cord )
1-3 D
2 wk
1 mo
2 mo
6 mo
6 mo - 2 yr
2 - 6 yr
6 12 yr
12 18 yr
Male
Female
Adult
Male
Female
Age
Birth
12 hrs
24 hrs
1 wk
2 wk
1 mo
6 mo
1 yrs
2 yrs
4 yrs
6 yrs
8 yrs
10 yrs
16 yrs
21 yrs

Age specific blood cell indices


Hb (g%)
Ht
WBC
13.4
41.5
4.4
14.5
45
15
47
16.5
51
18.1 ( 9-30)
18.5
56
18.9 (9.4-34)
16.6
53
11.4 (5-20)
13.9
44
10.8 (4-19.5)
11.2
35
12.6
36
11.9 (6-17.5)
12
36
10.6 (6-17)
12.5
37
8.5 (5-15.5)
13.5
40
8.1 (4.5-13.5)

Plt
254 (180-327)
275
290
290
192
252
150-350
150-350
150-350

14.5
14

43
41

7.8 (4.5-13.5)
7.8 (4.5-13.5)

150-350
150-350

15.5
14

47
41

7.4 (4.5-11)
7.4 (4.5-11)

150-350
150-350

Wbc
9-30
13-38
9.4-34
5-21
5-20
5-19.5
6-17.5
6-17.5
6-17
5.5-15.5
5-14.5
4.5-13.5
4.5-13.5
4.5-13
4.5-11