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EMERGENCY DRUGS CEPHALOSPORINS AMINOGLYCOSIDES Cotrimoxazole 8-10 mkD bid (TMP

)
Kindoprim 40/5
st
Epinephrine 0.01 mkd 1 Generation Amikacin 10-15 mkD Bacidal 80/5
Atropine 0.02-0.03 mkd Cephalexin 50-100 mkD q6 Amikacide 100/2; 250/2 Trizole 80/5
Adenocard 6 mg initially; 12mg nxt Cefadroxil 25-50 mkD BID Kanamycin 30-50 mkD Triglobe 45/5
Adenosine 6mg/2mL Cefalothin 50-100 mkD QID Netilmycin 6-8 mkD Bactrim 160/5; 40; 80
Ca Gluc 10% 0.1-0.2 mkd Cefazolin 50-100 mkD QID Nettomycin 50/2 Lidaprim 40/5
Captopril 0.3-1.0 mkD q 12 Cephradine 25-50 mkD q6 Tobramycin 6-8 mkD (Nebcin) Macrobid 40/5
Capoten 25mg/tab Gentamycin 5-8 mkD IV Clindamycin >1mo – 20-40 mkD q 6-8
nd
Hydralazine 0.1-0.5 mkd 2 Generation Garamycin 20mg; 40mg; 80 <1mo- 15-20 mkD q6-8h
Apresoline PO: 10mg; 25 Cefamandole 50-100 QID Dalacin C 75/5ml
IV: 20mg/amp Cefaclor 20-40 mkD q12 Chloramphenicol 50-100 mkD
L-Carnitine 30-40 mkd Ceclor 125/5; 250/5 DS ANTI-AMOEBIC Chloromycetin (Men: 100 mkd
Carnicor PO: 1/10; 330 Cefuroxime IV: 50-100 mkD q8 Metronidazole 40-50 mkD (7.5 mkd) Chloramol q 6H)
IV: 1/5 PO: 20-40 mkD BID < 7 or > 2q = 7 mkD Tetracycline 40-60 mkD
Lidocaine 1.0 mkd bolus Zinnat 125/5,250/5 > 7 or > 2 g = 30 mkD
10-50 ugKm Zinacef IV Flagyl PO: 125/5; 250 MACROLIDES
Mannitol 20% 1-2 mkd IV: 500/100
rd
Prep 1.2% soln (1 med/mL) 3 Generation Metroxyn 500mg Erythromycin 30-50 mkD
NaHCO3 1.5-2.0 mkd Cefotaxime 50-100 mkD BID-QID Servizole 200mg/5mL Erythrocin 200/5; 400/5 ds;
Naloxone 0.1 mkd NB: 50 mkd q 12H Tinidazole 50-60 mg OD x 3 days (AGE) 100/2.5gtts
Plain 0.4mg/1mL 1g bid for > 12yo & adults 50-60 mg x 5 days (liver) Azithromycin 10 mkD ODx3 d
Neonatal 0.02mg/1mL Claforan 500mg; 1g; 2g Etofamide 15-20 mkD Clarithromycin 15 mkD q12 or
Nifedipine 0.2-1.0 mkd Ceftriaxone Child: 20-80 mkD OD Kitnos 40/5; 250; 500 7.5 mkd
Nipride 0.5-1.5 ugkm Adult: 1-2 g OD Furazolidone 5-7 MKD q6 Klaricid 125/5 (don’t ref)
Urecholine 2.9mg/m2/d q8 PO Rocephin

ANTI-STAPH Ceftazidime 50-100 mkD ANTI-TB
(Fortum) < 2mo: 25-50 mkD BID INH Tx: 15-20 mkD liver ANTI-FUNGAL
Nafcillin 100-200 mkD q6 > 2mo: 30-100 mkD TID Px: 10-15 mkD peri. neuritis
Vigopen 250/5 Adult: 1-6 g/day TID Trisovit 50/5 Nystatin 0.5-1mL tid-qid x 7d (thrush)
Co-Amoxiclav 40-60 mkD Cefoperazone 100-150 mkD Nicetal 100/5 NB: 400 TU/day
Augmentin 156/5; 312/5 Child: 50-200 mkD BID Primafort 100/5 Inf/child: 1-2 MU/d
Stafloxin 100-200 mkD Adult: 2-4 gkD q12 Odinah 150/5 Mycostatin 100 TU/mL
Vancomycin 40-60 mkD Cefobis Trisofort 200/5 500 TU/tab
Cloxacillin 50-100 mkD q6 Cefoxitin 50-100 mkD q6-12 Pyrobin H 150/5 Amphotericin B 0.3-0.7 MKD
Prostaphlin-A 125/5 Mefoxin 1 g/vial Comprilex 200/5 500mg + 10mL dist H2O
Orbenin 250; 500 Ceftizoxime Child: 40-80 mkD bid-qid Ethambutol 15-25 mkD optic neuritis Griseofulvin 10 mk SD
Oxacillin 100-200 mkD IV Adult: 0.5-2 g/d Myambutol 200/5 Adult: 500-1000mg/day but not
(Prostaphlin) 2-4 doses IV/IM Ethambin 125/5 <10mkd single or div. doses
Cefixime 3-6 mkD BID Isoetham 150/5 Child: 10 mkD in div. doses
OTHER B-LACTAMS Tergicef 100/5 (50mg/ml) Ethambin/INH 150/5; 125 Grisovin 125 mg/tab
Cefdinir 9-18 mkD q8 Rifampicin 10-20 mkD (liver) Fluconazole LD: 6 MKD
Imepenem 60 mkD q6 Omnicef 50mg/sachet; Rimactane 100/5; 200/5 MD: 3 mkD x 1 week
NB: 20 mk q 12 100mg/cap 150; 300; 450; 600 Diflucan 50mg/cap
Piperacillin (Cypercil) Cedax 9 mkD OD (180/5) Meningo Px: Ketoconazole
Less Serious: 100-200 MKD q6 Cefetamet 20 mkD OD q12 Adult: 600 q12 x 4 doses Nizoral 200mg/tab
Serious: 200-300 MKD Globocef 250/5 1-12yo: 10 mk q12 x 4 doses Terbutafine HCl 1 tab OD
th
Vancomycin 40-60 MKD (give in 2h) 4 Generation 3mo-1y: 5 mk q12 x 4 doses Lamisil 250mg/tab;
Cefepime Streptomycin 20-30 mkD OD IM ototoxic
for severe infection, q8 PZA 30-50 mkD q8
2mo old, BW <40kg = 50 mkq12x10d

2.12-0.5/5.2 mkd (Domicum) Amino (0. 30/5 For Dr. 2 Valproic acid 15 mkD Librentin 2/5.003 mkH Triamcinolone acetonide BID-TID Phenytoin LD: 15-20 mk Bricanyl IV: 0. 200/5 Midazolam 0.15/3 Megapen 50 TU/mL gtts 5 yo = 125 mg Famotidine 0. 1-2 tsp TID PO: 1/1.5/1 Kenacort A/Ladercort A 0.5-5 mkd SD Tab: 200.1 mkD Sumapen 25/5.5/5= 500 TU Combantrin 125mg. 15/1 Dolan FP 100/5 500mg = 800 TU 125mg/5mL susp Cisapride 0. 200mg Noenate: 1 mkd q8 or 2 mkd q12 Betamethasone BID-TID Zobrixol 15/5.2/5 exp. 100/5 Fentanyl Low: 2 mkD PCN: 50-100TUKD or Tetramizole 2. 8mg Diazepam 0. ½. 0.5 Tegretol 100/5. 10/5) Promethazine (NB: 50-100 BID. 2mg Epival 250mg/tab Atrovent 4-8gtts/mL NSS .4 x 8 = 16mg in 8h Mometasone furoate OD SCMC 20-30 mkD Valium 10mg/2mL if IVF rate is 5cc/h.2-0.1-0.15 mkd PO: 30/5.04-0.2 mkD Amoxicillin 40-60 mkD q8 ANTI-VIRAL Lanzoprazole 25 mg OD PO Morphine 10/mL Methisoprinol 50-100 mkD Prevacid FDT Nalbuphine 0. 400. HP 2-6y = ½ tsp TID Rivotril 2mg/tab Drip: eg: 5kg at 0. 20mg susp Zantac IV: 50/2 Ibuprofen 5-10 mkd q6-8 312. 625mg H2 Bloc 20/2 Morphine 0. 100 Tagamet Syr: 200/1. 250mg/tab PO: 150. 10 mg Phenergan IV: 50/2 men: 300-400 mkd q6) Symmetrel 50/5 Buscopan 1-3 tab TID.5/1. 100/5 Lorazepam 0.5/5.1 mkD Nafcillin 100-200 mkDq6 Isoprinosine 250/1.1 mkd q8H (0. 500 5-9 yo = 250 mg Losec 20mg.4 MK) with 40cc IVF+ 16mg Clobetasole propionate Solmux 40/1. 250 Nensona Luminal IV: 130mg/1mL Terbutaline SQ: 0.1-0.2 mkD TID Ponstan 50/5 Pentacillin 50/5.4 mkd (max:2-5mg) 5 x 0. 7. 40mg Dormicum IV: 5/1.9 mkH Hytone/Hydrotpic/Eczacort Mucosulvan 15/5.25 Clonazepam 0. ANTI-HELMINTHIC ANTACIDS ANALGESICS PENICILLINS Oxantel pamoate 10-20 mkd Cimetidine 10-20 mkD q12 Quantrel 100/5. HP Bromulex 4mg/5mL.2 mkd q8 Mefenamic acid 3-5 mkD Oral PCN 100-200 TUKD >15yo = 500 mg Prepulsid 1/1.005 mkd Desoximetasone BID-TID PO: 20mg/5mL PO: 0.08 mkD q12 Prep: 250/10 Aplosyn 10.1mg/mL MD: 5-8 mkD PO: 1. 250. 125. 7.5/1.4 mkH in 8h drip: Synalar 10. ¼) Drip: 0. 25.01-0.6 mkD q12 Carbamazepine 10-20 mkD Drip: 0. 125/5. 200 Metoclopromide 0. 500 Nubain 10/mL Stafloxin 100-200 mkD Inosiplex 50 mkD ANTI-SPASMODIC Pancuronium 0.2-1. 500mg/tab.4-0.1-0. Amantadine 5-8 mkD Bentyl 10/5.2 mkd up to 4x/D) ANTI-ASTHMA ANTI-DERMATOSES COUGH ANTI-CONVULSANTS Aminophylline LD: 8-10 mk MD: 3-5 Hydrocortisone 1% TID x 2 wks Ambroxol 1.03 MK MD: 2 mk 12h post-LD Fluocinolone acetonide BID-TID Bromhexine 7-12y = 1 tsp TID MD: 0.03 mkD Apnea: LD: 5-6 mkd Betnovate/Diprolene/Diprosone Salvotran 15/5.075 mkd Esperson DIAZEPAM DRIP Gr 1: 65 mg (Gr 1. 10mg Bacampicillin 25-50 mkD Acyclovir 10-15 mkD q6 x 5D IV: 25mg/amp Penglobe 200/5 Zovirax 250/5.05-0. 100 Ventolin 2/5 sy. 10mg Ampicin/Pentrexyl/Aldribid Virazole 10 mkD PO: 5/5.3 mkH dilute in NSS makes 0. Bael: LD: 0.64mL) Dermovate Cemetol 200/5 Phenobarbital LD: 15-20 mk Theophylline 3-5 mkd Diflucortolone valerate BID-TID MD: 5 mkD Nuellin 80/15.1 mkd (max: 0. 500mg 10-14yo = 375 mg Omeprazole Midazolam 0. 50. 25. 1.5/5. 2mg Depakene 250mg/5mL Prox-S 2/5. 30.7 md q 12 PO: 5mg/tab 312. 800 Mod: 2-20 mkD 25-30 mkD TMZ 25mg/10mL IV: 200/2 High: 2-50 mkD 625mg = 1 MU Mebendazole 100 mkd BID x 3 days Ranitidine 4-5 mkD q8 Sublimaze (Janssen): 50ug/2mL 250/5 = 400 TU Antiox: 100. fill soluset Elica/Momate Loviscol 50/1.1 mkD Ampicillin 100-200 mkD Immunosine 250/5 Relestal 1 mkd (5/1.5 conc = mg/total vol (mL Dilantin IV: 100mg/2mL Salbutamol 0. 300.

500 20% = 20 g/100 mL (180cal/100ml) Hydrocortisone LD: 10 mk Calcium gluconate 10% 1 cc/k/shift Biogesic 100mg/1ml.2-0.5 gKD Ferlin 30mg/5mL. (1gm = 5 cc. 500 MD: 5 mkD IV MD: 200-500MKD q6 or drip Calpol 120mg/5mL.5mg (5mL) q 3-5min Mkd PRN after 24h STEROIDS ELECTROLYTES PARACETAMOL 10-15 mkd INTRALIPID Dexamethasone 0. 10.3 mkD q12-q6 Frusema 20/2.2 x Wt Incremin 30mg/5mL Ascriptin 325mg 1 kg x 0. 25mg/5mL SALICYLATES Calories : 650 cal Albumin: 1 g/K/dose Fer-in-sol 15mg/0. 250mg/5mL eg: Wt = 2k at intra dose=0. 60mg/0. inc renal & splan circ 2 g/100 mL = 20 mg/mL Methyldopa 5-40 mkD q6-8 Pedia 1-2 mg SQ q 20min 5-10ug/k/min = inotropic.ANTI-HISTAMINES DIURETICS Prep: Dopamine: 200/5 Heparin LD: 50 UK IV bolus Diphenhydramine 3-5 mkD TID-QID Conc Dopa D5W MD: 10-20 Ukh Benadryl IV: 50/1x3 dose Furosemide 1.5g/50mL (25%) Propan 25mg/5mL Anti-rheumatic 65-130 mkD start dose at CHON = 0. 3g 0.25-0.6ml.7 mkD Ca/ml) Naprex 250mg/5m.06mL Iron Tx: 4-6 MKD Tylenol 120mg/5mL CHON: 2.5 mL IM Hydroxyzine 1 mkD Diamox 250mg/tab S 1000 4cc 46 cc Iterax 2mg/ml.5.0-2.25 mk rd Ketotifen 0. 250/2 (Max 200 Mkd in 10 min) Crocin 125mg/5mL.5 x 100 = 10 mL (of 10% IL) Act-o-vial 100 IV: 100/1 (9 el. 1 DOPAMINE DRIP conc = 600/60 = 13.5 mkD 650 mg (58. 40mg DS 1600 2 cc 48 cc 0.25 mkD Aldactone 25mg/tab QS 4000 16 cc 34 cc Indomethacin IV (12-24h interval) Virlix 10mg/1mL Hydrochlorothiazide 1-2 mkD Initial: 0. 25.2 mk Zaditen 0.5-3.0 mkD DS 2000 8 cc 42 cc Cetirizine 0.2 mk Claritin 5mg/5mL 200g/1L. 60/0.5-1 U/mL NSS or PO: 12. 25 Spironolactone 1. 50mg/tab Computation for concentration: 2 Dose: < 48h: 0.5-1. 500mg Solumedrol 125/2 PO: 500 mg (45 mg Ca) Opigesic 125mg.2 mk nd Loratadine 2-12yo.3 mkd-1mg in IDM 1 mg (1 “U”) vial .06.025 mkd q12 200/250 = 0. 250mg Prednisone 0. D5W 250 + 200 mg/amp > 8 dy: 0.5 x 1000 Albumin 0.5-4 Gkd Amino 6% Px: 1-2 MKD Winadol 120mg/5mL. 120mg/5mL 10 Prednisolone 0. 40 QS 3200 4 cc 46 cc HepB IgG 0.02mL/50mL NSS Methdilazine 0.33 ug/ugtts > 8 dy: 0. 4. per liter: CHON : 60 g Odiron 50mg/10mL.5-1gkd) 1. 18mg/5mL Glucose : 100 g Alburein 12.1 mk Zadec 1mg/5mL.5 mg Ca) Rexidol 150mg/5mL. Lidocaine 2% ATROPINE SULFATE 1-5 ug/k/min = VD.2mg/1mL.3 mkd Superin 180mg/5mL.25 elem Fe) Prep. 50 Lasix 20/2. 0. 250/5.5 gkD (10%) Solu-cortef 100/2.5mL/K w/n 12h of birth Tacaryl 4/5.0 mkd S 800 1 cc 49 cc Heparin Lock 0. 500mg 2 kg x 0. 600 VAMIN/AMINOSTERIL 1 mkD (BA) Tempra 120mg/5mL. no effect on HR Aldomet 125.1 mk >30k: 2 tsp OD Mannitol 20% 1.3 Mkd (max 5 mg) x 3 dys Aeknil 300mg/2mL 10% = 10 g/100 mL Decadron 4/1 Afebrin 120mg/5mL.45mg Defebrol 60mg/0. 500mg Glucose: 5-9 MK ALBUMIN Iberet 500 mg (26.25 mk 2.05 mkD q12 Diazoxide 300/2 Prep: Dobutamine: 250/2 vaccine not given Tavegyl 0.0 g/K (max 6 gKD) Polyvifer 10mg/1mL Aspirin Gr V Gr 1 = 65 mg 60 Albumer/Albutein 50/1 (5%) Neo-Novaldin 325mg = 8. Ca/ml or 0.3 cc Vamin/12h 250/1 (25%) Glucagon 0.5/5. 8 Diazoxide 5-10 mkd then at 3 & 6 mos if Clemastine 0. 1mg 1 cc = 60 ugtts 2-7 dy: 0. 325mg.4 mkd Vitamin K 0.6mL. 20mg.8 mg/cc = 800 ug/cc 3 Dose: < 48h: 0. 1mg Acetazolamide 20-30 mkD Conc Dobu D5W Hep B Vaccine 0. < 30k: 1 tsp OD Dichlotride 25mg.5-2 gkD or 5cckd 2-7dy: 0. 250 0. 15mg/1mL Asaped 81mg eg: wt = 1kg Formula: Desired-Actual x 1.2 Mkd q 3-5min 10-20 ug/k/min = inc BP AD = rate x conc Rate = RD x Wt x 60 Adult 2mg q 10 min IV/IM Wt x 60 Conc 0.

BUN rise >1.06 mk (TDD) G 22 (3 ½) = gtta in 39 sec 10-20kg 1000cc+50cc/k over 10k Pedia Elxr 0.5 Mkd CHARACTERISTICS OF MD: 0.2g/dL (32g/L) D10 = x 0.05/ml. pain GIR = Rate x Dextrosity Men SA x 1500 On Admission: lasting >30min. start MD = 1/5 of TDD OD st infected skin Burns +14% for 1 Degree 45 42 = 1/10 of TDD BID decreased platelet count or blood d/o Sweating +10-25% 50 44 brain abscess Adult: TDD: 0. hypocalcemia < 8mg/dL (1.9mmol/L) = 100cc of D10 IVF 4.5 .3 D10 = x 0.5-10kg 100cc/k/day Score AOG (wks) Digitalis 0.25 Md PROXIMAL & DISTAL SBO PHOTOTHERAPY KVO: ugtt = 3. leukocytosis > 16. clammy perspiration Dextrosity: D5 50 CHF SA x 800 1. 0. hyperglycemia > 200mg/dL inversion D50 500 MF < 2yo = SA x 1500 (11mmol/L) 3.055 6. fever.25/ml G 20 (3 ½) = gtts in 12 sec >20kg 1500cc+20cc/k over 20k 5 26 PO: 0. age > 55 yrs 2. D12.000 Q wave formation and ST segment D10 100 Renal SA x 400 + 24h UO 3.typical pain: retrosternal.1-0.5 75 Cardiac SA x 200 2. elevation of serum CPK-MB Conversion: > 2yo = SA x 1200 4.5 Indication: PT: 10 mg% bilirubin gtt = 10 HIGH SBO LOW SBO Cafeine Na benzoate 0.4 D12 = x 0. hypoalbuminemia < 3.04-0.16 elevated ASO. arthralgia.05 + 0.02 + 0. CRP & ESR.000 1000 RBC Phototx +20% 25 34 1 dose = ½ TDD nd Tachypnea +25-50% 30 36 2 dose = ¼ TDD (8hrs) o o rd C/I: increased ICP Fever +12% q 1 C > 37. serum LDH > 400 IU/L conc desired-actual x 2 x total vol 5.85mg/dL (>1. severe. hematocrit fall > 10% LDH 12-24h 2-4days 7-10days 100 x 0. prolonged Calorie in IVF: D5 = x 0. (+) culture of Grp. chorea. hypoxemia (PO2 <60mmHg) thus: 100cc/k/day divided by 3 shifts Major: carditis. fluid sequestration > 4000 mL + 90cc D5 IVF CRITERIA FOR RHEUMATIC FEVER 3. A strep D7. erythema marginatum post IVF To convert to: D7.5= x 0.3 1.04-0.5 = x 0.04 + 0. 5. 10mg/mL Complications: Prominent vomiting less prominent osmotic diarrhea Vomit not feculent often feculent Nelson’s: ½ TDD – immediately rashes Pain frequent less frequent ¼ TDD – 12H after bronze baby syndrome minimal distension prominent ¼ TDD – 12H after dehydration ¼ TDD in 2 doses (q 12H) as MD SA = Wt x 4 + 7 x 400 (renal) RANSON’S CRITERIA for CRITERIA FOR AMI GLUCOSE INFUSION RATE Wt + 90 ACUTE PANCREATITIS 1. unrelieved by nitrates.2 SGOT 8-12h 36-48h 3-5days if total vol = 100 cc: 15-20k wt x 0.1 = 10cc D50W 2.5 C 35 38 3 dose = ¼ TDD (6 hrs) severe CP depression Hypermetabolic +25-50% 40 40 12H after.03 + 0.8mmol/L) = x 10% = D50 in sol subcutaneous nodules.125-0.1 6-10 kg wt x 0. polyarthritis. Wt x 60 Preterm SA x 1200 cold.1 During the initial 48hrs: CPK-MB 4-6h 12-24h 24-48h 100 10-15k wt x 0. evolutionary ST elevation followed by D7.5 = x 0.000.06 Mk st 5.05 Onset Peak Duration eg: D10 – D5 x 2 = 0.LUMBAR TAP HS METHOD for IVF Infusion BALLARD’S MATURITY TESTING DIGITALIZATION Pressure (in cmH2O) G 22 (1 ½) = gtts in 21 sec 2.5mg/2mL amp WBC correction in traumatic tap: TF/4 = cc/hr or ugtt/min 15 30 Periph WBC x 1000 = WBC 20 32 TDD = 0.2 cc IM FT: 15 mg% bilirubin Acute onset less acute Prep 5mg/ml.25mg/tab 10 28 IV: 0.11 Minor: hx of RF/RHD.2 PR interval. serum AST > 250 IU/L Labs: 100 0-5 kg wt x 0.5-1.

and > 15 mg/dL in III.35-7.5 (HCO3) + 8. if < 0. RR Rate <20 20-40 >40 2. lower: yrs x 2 + 70 EXTUBATION CRITERIA 5.3 = chronic + 2000 (2L) pCO2 35-45 = 40 photo transif foto pCO2 0.4 0.4  2 49-72 >15 >18 >25 >30 60-80 mild hypoxemia O2 = FR – CA Metabolic Alkalosis: >72 >17 >20 >25 >25 50-60 moderate ET Size: > 2 yo = age(yrs) + 16 0.3-0.3 x ABE x wt to thigh expected IV Arms/Legs/ 15-18 Elbows/Knees V Hands/Feet > 18 JAUNDICE VITAL SIGNS INTUBATION/EXTUBATION Initial Vent settings in neonate Clinical Jaundice INTUBATION manifestation of color starting I. BP 1 7 preterm.5meq dec HCO3 q 10mmHg dec KRAMER'S CLASSIFICATION: pCO2 Zone Jaundice Est. syst 2 8 4.5-2 mg/dL upper :yrs x 2 + 90 3 9 (26-34 umol/L).5 mL x 3 d (q4-6) Dexamethasone 6 hrs prior then 24 hrs . Increase in total serum bilirubin at <2 mo up to 60 Flow <8 8-10 >10 ET LENGTH > 5 mg/dL/day (85 umol/L). Total serum bilirubin > 12 mg/dL in 1y-5y 40 kg cm full term. Levels PEFR Chr: 4-5meq dec HCO3 q 10mmHg dec I Head/neck 6-8 mg/dl Ht= x – 100 x 5 + 170 (F)/175 (M) pCO2 II Upper trunk 9-12 III Lower trunk 12-14 % PEFR = actual x 100 def: 0.5 1.IT Respiratory Alkalosis: IT Ac: 2-2.7 = ac/chr FiO2 = CA (0. Direct bilirubin > 1.4 age(h) considr photo ex ex & Chronicity: H – 40 .7mmHg inc pCO2 q 1meq/L inc < 50 severe 4 HCO3 LBW HR RR Respiratory Acidosis: BW phototx exchange 2-12 mo = <160 < 2 mo = up to 60 Acute: 1meq/L inc HCO3 q 10mmHg inc <1500 5-8 13-16 1-2 yo = <120 2mo-2yr = 50 pCO2 1500-1999 8-12 16-18 2-8 yo = <110 1-5 yo = 40 Chron: 3-3.H=  24 x pCO2 CPAP ABG HYPERBIL MGT HCO3 HEALTHY TERM NEONATE TFR = wt x TV(10-15) x RR x IE ratio(2) pH 7.8 = acute TFR O2 80-100 fails CA = 100 – FiO2 x TFR <24 Oxygenation: 79 Metabolic Acidosis: 25-48 >12 >15 >20 >25 80-100 adequate pCO2 = 1.2) + 02 (1) x 100 HCO3 22-26 = 24 foto > 0.3 mL + 4.4-0.5 life.45 = 7. II.5meq inc HCO3 q 10mmHg 2000-2499 11-14 18-20 inc pCO2 IE: 60/RR . 30 mm Hg lower no electrolyte imbalance control of infection good muscle mass racemic epi (0.7 PNSS) 2.8 FT: 3 or 3. Jaundice lasting for more than 1 FiO2 < 50 week for term. HEART RATE ET SIZE at serum bilirubin levels 5-7 mg% <2 mo 140-160 > 2yo: age (yrs) + 16 Settings low moderate high ------------------------------------- 2-12 mo 120-140 PIP <18 18-24 >24 4 Criteria to rule out physiologic jaundice: 1-2 yo 100-120 PEEP <4 5-6 >7 PT: 2 or 2.6-0. 2mo-1yr 50 MAP <8 8-12 >12 age/2 + 12 3. Clinical jaundice in the 1st 24 hrs of 2-8 yo 90-110 I Time 0. 2 weeks for diast P/F preterm.8 >0.

Reserve Volume (ERV) = 1. Physiological functional = KBW x estim body vol x 2 Oriented 5 measurement. Insp. tx wheezing. fever Days 1-5: petecchiae. & pulse & pulse reassess BID (q 15min if possible) FLUIDS AND ELECTROLYTES Days 1-5: petecchiae. TMP-SMX. < 2 yo 50 100 150 Tx fever. fever < 2 mos: 1. Days 5-7: bleeding Days 5-7: bleeding Severe Pneumonia: D5 IMB. Febrile 1. PLR. D10W CLASSICAL DENGUE FEVER CLASSICAL DENGUE FEVER Garamycin/Gentamycin 1. Afebrile 2. (+) Severe Pneumonia: Hydrite 1 tab in 100cc water = 8h tourniquet test tourniquet test Admit. (+) 1. 1 + spontaneous bleeding 2. Hypotonic: D5W. D5 NSS. reassess daily Glucolyte 1 sachet in 200cc water failure: rapid. Gr. PNSS st give 1 dose antibiotic Benzyl PCN/ 3. Anatomical: volume of the = desired – actual Hct x Wt TRANSFUSION Inappropriate 3 conducting airways Desired Hct = volume/wt + Actual Hct Confused 4 b. Dead Space = 150 mL Vol = desired – actual Hb x 2 x Wt DOUBLE VOLUME EXCHANGE Incomprehensible 2 a. cold. cold. weak pulse. volume of the lungs Sedimented RBC 15 cc/k that does not eliminate CO2 PARTIAL EXCHANGE TRANSFUSION EYE OPENING (usually greater in lung diseases Platelet Conc: 1 U / 6 KBW None 1 with V/Q inequalities) 1U = 30-50 cc (raises platelet ct by 10T) = KBW x estim vol x Hct A-D To PAIN 2 Actual Hct To COMMAND 3 FFP = Fluid rate (5-20 cc/k/h in 4h) Spontaneous 4 1 u = increases Hgb by 2. Convalescent send home. narrow pulse pressure. Hemoconcentration not > 20% of baseline baseline PULMONARY VOLUMES BLOOD TRANSFUSION ACTUAL RETIC COUNT (ARC) GLASGOW COMA SCALE 1. Chloramphenicol. Reserve Volume (IRV) = 3. Convalescent 3. D5 Maintresol > Day 6 : shock > Day 6 : shock Hospitalize. Exp. Hypertonic: D50W. Profound Shock with undetectable BP tx fever and wheezing.1L 60 min x 4h > 2 = hemolysis Obeys command 6 4. Total Volume (TV) = 500 mL FWB 20 cc/k (max) Actual Hct x reticulocyte ct MOTOR = volume inspired or expired with Desired Hct None 1 each normal breath Vol = desired – actual Hb x 6 x Wt Extension 2 2. Gr.0 L = desired – actual Hct x Wt RETICULOCYTE INDEX = Arc / 2 Flexion 3 = volume that can be inspired over = Hct / ret ct x 2 Withdraws to pain 4 and above the TV rate = vol x 12 gtts/mL = gtts/min Localizes pain 5 3. Residual Volume (RV) = 1. Hemoconcentration not > 20% of 2.2 + manifestations of circulatory supportive care. Afebrile Mild Pneumonia: Mild Moderate Severe 3. clammy Very Severe Pneumonia: extremities extremities Admit. weak pulse. Glucost 1 sachet in 100cc water = 8h 2.2 L < 2 = BM suppression = volume that remains in the lungs PRBC 10-15 cc/k VERBAL after maximal expiration 15 cc/K in neonates None 1 5. Oresol 1 sachet in 1L water = 24h 3. Fever + non-specific ssx. 2. keep warm. HPOT. HPOT. 1 + spontaneous bleeding Tx fever. ¾ 7 hrs) 1. Gr. narrow failure: rapid. Gr. D5NM. Profound Shock with undetectable BP 4. give IV/IM Benzyl PCN. Fever + non-specific ssx. Isotonic: D5LR. ff-up in 2-4 days > 2 yo 30 60 90 GRADING OF DHF GRADING OF DHF 1. clammy pulse pressure. Isolyte. Hct by 3 Score: < 7 = poor prognosis . Thrombocytopenia not < 100T 1. Thrombocytopenia not < 100T 2. D5 0. 4.CARI MALCOLM HOLIDAY STAGES OF DHF st STAGES OF DHF (1/4 1 hr. give O2.3NaCl.2 + manifestations of circulatory 3. Febrile 2mo-2 yo: 2.

9% 154 154 Burns PLR Na/K delivery = 0. bluish extremities P-lyte90 90 20 80 Inc BUN D10W 2 pink all over P-lyte Pl 45 20 35 Bleeding D5 LR RESPIRATION UTI D5 NSS 0 none Na = 1 meq = 23 mg Profuse Bleeding D5 LR 1 slow.1-0.3% NaCl Cl = 98-106 meq PULSE (HR) LR 130 4 109 28 3 3 Fever & Sweating D5 0.6% 102 102 2o to HPN D5W K = 2 meq/kg 2 good cry 0. D10W 2 > 100 beats/min IsolyteP 25 20 20 CHF D5 NSS Adult = desired-actual x 350 GRIMACE PLP48 25 20 22 HPN D5W/D5LR(BP) 3 0 no response 0.3% NaCl 2 regular DM PNSS 2-3 severely depressed 4-6 moderately depressed 7-10 vigorous IBW MOTOR GRADING COMPOSITION OF BODY FLUIDS DEVELOPMENTAL MILESTONES 2-12 mo = age in mo x 10 = wt in lbs 0 no movement Na K Cl HCO3 1mo regards < 6 mo = age in mo x 600 + BW 1 flicker of contraction with no Gastric 50 10-15 150 0 2 smile = wt in gms associated Panc 140 5 50-100 100 3 turns head 6-12 mo = age in mo x 500 + BW movement at a joint Bile 130 5 100 40 4 holds head = wt in gms 2 movement present but can’t Ileosto 130 15-20 120 25-30 5 rolls over < 1 yo = Age (mo) + 9 sustain against gravity Diarrh 50 35 40 50 6 transfers objects 2 3 movement against gravity Sweat 50 5 55 0 7 sits briefly > 2 yo = age in yrs x 2 + 8 but not with resistance Blood 140 4-5 100 25 8 creeps = wt in kg 4 movement against some Urine 0-100 20-100 70-100 0 9 pulls up = age in yrs x 5 + 17 resistance 10 cruises = wt in lbs 5 movement against full resistance Osm = 2 (Na meq/L + K meq/L) + 11 walks with support Urine mg/dL – glucose mg/dL 12 stands / walks alone 2.8 18 4-5 = 2 x BW 1 yo = 3 x BW 2 yo = 4 xBW 3 yo = 5 x BW 5 yo = 6 x BW 7 yo = 7 x BW 10 yo = 10 x BW .IV FLUIDS IVF OF CHOICE ELECTROLYTES APGAR ACTIVITY (muscle tone) Na K Cl HCO3 Ca PO4 LBM PLR Na = 135-145 meq (RV= 136 meq) 0 no activity IMB 25 20 22 23 3 3 Vomiting D5 NSS K = 4-5.1 mg Dengue Fever D5 0.3% 51 51 CHF (NPO) D5 NSS Maintenance: Na = 3 meq/kg 1 grimace 0.4 meq/kg 0 blue ORS 90 20 80 30 (20 gluc) Azotemia D5W Full incorporation = 40 meq/L 1 pink.3% NaCl.6 meq (RV= 4 meq) 1 some flexion NM 40 13 40 16 3 3 Maintenance D5 NM Ca = 8-10 meq 2 very active NSS 154 154 BA D5 0.6 1 < 100 beats/mi IsolyteM 40 35 40 Ascitis D5W.45 77 77 Heat Stroke D5 NSS Na/K deficit is given in 3 days APPEARANCE (color) 0. 0 none NMR 40 30 Drowning D5W Deficit = (desired-actual) x Wt x 0. irregular K = 1 meq = 39.

36 25-35 35-40 10-12 yrs 70-80 (5-10’) 35-60 30-35 13-15 yrs 55-65 Ca deficit .5/100 PMN’s >10 S-26 20 2.1/100 Mkm ≈ 4-6 wks Enfalac 21 2.3 mg/kg for IV antibiotics >7 D Crea (NB): 0.11-7. Ranitidine 7-12 (kg) (age in y x 7. PHASE epinephrine. mwf/mtw) B. Expected Body Weight (up to 1 mo) At birth 35 cm Hydrocortisone Term EBW=(age in days-10) < 4 mo 1/2 in/mo (1.5/100 Ideal tracheal aspirate: EC <25 NAN 20 1.25 cm/mo 2 yo 4 x BW 10 yo 10 x BW 4-6 y 1 cm/yr 3 yo 5 x BW .7.0 BUN (NB): 3-12 o Fever = +12% for every C 1-6 yo 2.5 ml IM < 6 mo (g) age in mo x 600 + BW 1yo: 75 cm maintenance 6-12 mo (g) age in mo x 500 + BW 2-12 yo: yr x 6 + 77 diphenhydramine Nelson's: Height in cm: age inyrs x5 + 80 Vincristine 15 mg/m2 on D0.5 cm/yr) x 15 + BW 3-5 yr 1/2 in/ yr (1.0-2.5-3.01 mkd max of .1 cc/kg/shift (Birth term): 7.0 10-15 45-65 3-6 yrs 90-100 pH (premature 48H): 7. A.6 cm/mo) Preterm EBW=(age in days-14) 1-2 yr 1 in/ yr (2. Ave. Head Circumference L aspariginase 6mg/m2 for 9 doses 1-2 mkD up to 50 mg IV q 6H (Del mundo) (3 doses per week.5 C 7-12 yo 1.7.BCE CALORIC REQUIREMENTS K infusion rate = IV rate x amt of K (mEq) < 1 mo 110-140 cal/k/day Vol of IVF x wt Normal values: NB 45-50 cal/kg 1-11 mos 110-115 Normal KIR: 0.5 Eg.5 cm/mo 1 yo 3 x BW 7 yo 7 x BW 1-3 y 0.0 In q shift = 75 mEq x 3 kg = 75 mEq K (<2 mos): 3.8 in 24H pCO2 (NB): 27-40 6-11 mos 2. 75 mEq x 3 kg in 24 H Na (NB): 134-146 o rise > 37.0-7.14.49 (1 day) 7.25/100 ALL HIGH RISK PROTOCOL Anaphylaxis ANTHROPOMETRY 2.21 1-2 mkd IM/IV up to 50 mg q 4-6 3-12 mos (age in mo + 9)/2 Height in in: age (yrs) x 2 + 32 Doxorubicin 25 mg/m2 on D0.35-7.29-7.53-75 mEq/k/day (30’) > 60 25-30 16-19 yrs 45-50 Ca requirement .5 g/kg/day 9.3 cm/yr) Where: 10=time to recover over 5-20 yrs 1/2 in/5 yrs (1.45 24 or ugtt/min 0-5 mos 2. Length 1.3 cm/5yr) physiologic wt loss (Nelsons)) 20=g/day gained 0-3 mo 2 cm/mo C.0-1.3 3-10kg 60-80 1-2 yrs 100-110 Vit K = 0. Body Weight A. Estim wt 3-6 mo 1 cm/mo 4-5mo 2 x BW 5 yo 6 x BW 6-12 m 0.35-7.3 cm/mo) 5-10 mkd up to 100-500 mg IV q 4-6H x 20 + BW 5-12 mo 1/4 in/mo (0.21 1-6 yr (kg) age in yr x 2 + 8 Prednisone 40 mg/m2 on D21-25.45 MF = BCE x Wt x 1.5) / 2 3.26-7.1 – 0.25/100 Pre-NAN 21 2/100 Max steroids for NS : 2 mkD or 60 BM 22 1.5 = 75 mEq = 8. Ideal Body Weight Nelson's: induction 1:1000 At birth 3000 gms Birth Length: 50 cm (20 in) consolidation 0.5 15-25 40-45 7-9 yrs 80-90 Ca gluconate .0 Bronchial asthma = + 50% 16-19 yo 1.27-32 mEq/day (>1 H) 7.14.5 3 shifts (2-12 mos): 3.5 = cc/hr PROTEINS RDA Wt x dose (thereafter) 7.3 cc = 72 mEq Bililight therapy = + 20% 9 (1 cc = 9 mEq) Milk Formula CHON Similac 20 cal 1.3-1.0 Hyperventilation/dyspnea = + 25% 13-15 yo 1.5-2.5-6.

1.9 GFR=125 ml/min (75-150) s26 20/oz 2. adult corn oil 813/dL 82 3.5 7.6 7.6 7. intubate MILK CPAP GUIDELINES Parameters To Be Met B4 Weaning CREATININE CLEARANCE Abbot. 80-120 normal nan ha 67/dL 1. With FiO2 of 40%.visible marked C clinical syndrome (HPN. based on height 1. an ETT must be inserted. Decrease FiO2 by 3-5% every time serum crea (mg/dl) caro syr 120/oz 31 reduce pressure.ASTHMA CLASSIFICATION SILVERMAN'S SCORE CHF CLASSIFICATION CONVULSION SCORING BASED ON SEVERITY 0 1 2 Flaring . Blood PH >/= 7. Initially CPAP is set @ 6cm water.8 pressure must be increased in 2cm 4.42g/dL 4. bedside 7 up severe.45=term.1 8.6 *If CPAP fails w/ ETT.DM) apart 10 mi FEV1 »80 »80 60-79 <60 Grunting .5 remains less than 50 in 100% FiO2 with FiO2 of 15-50% VALUES 20/oz 1.visible marked II congenital stimulation Upper chest duration fleeting 10-60s >1min day sx <1/w >1/w daily daily Retractions .96 72.6/dL 2 3.3 4.4 attained and if PaO2 reamins by increments of 2 cm water every female=85 21/oz 2.9 13.55=children. transfer ptient to oxygen hood * x crea (mg/dl) nan1 67/dL 1.4/dL F=10-15 125ml 24/oz . adolescent fem bm(t) 699/L 9. 5-20 renal failure prenan 80/dL 2.min marked *Anatomic factor 0 1 2 intrmtnt persistent Lower chest I acquired occurence none upon spont mild mod severe Retractions .09 41. If 10-12cm water pressure is 2. is achieved. If there is an increase in PaO2. mechanical <5 uremia 21/oz 2/dl ventilation is indicated. PaO2 > 70 II.7 =adolescent male 75/dl 1. reduce pressure * male=72 enfalac 67.4 other method).4/oz 3.7 increments to a maximum of 5.100 x 5 + 170 A no restriction of act Exp wheeze N mod extrem B restriction of severe act Cerebal fxn N depresd/coma agitated actual PEF >80%. Weaning from CPAP ------------------- bonna 22/oz 1.synch in. infant.3 method.100 x 5 + 175 *Therapeutics Acc muscles N mod max males:ht(cm) . Improvement in CXR I.2 3.3 0.33 = preterm.8g/dL by 5-10% increments. If 2.4 4. normal C restriction of moderate act D sharp restriction of ordinary act] 1-3 mild asthma attack E complete rest in a chair or bed 4-6 moderate.25/dl under50. steth ears ventilation adeq impair impair (audible) *Functional cyanosis ATHMA SCORING I asymptomatic WOOD'S SCORE 3-4 give 02 II symptomatic w >ordinary act 0 1 2 »7 intubate III symptomatic w minimal activity p02 or 50-100 «70 in «70 in IV symptomatic at rest cyanosis rm air 40fio2 Personal best Predictive Value of PEF Breath snds N unequal absent females: ht(cm) .1/dl 2.51 50-80 renal impairment neosure 22/oz *If CPAP fails under non invasive 20-50 renal insufficiency nutren jr 100/dL 3 3.25/dl 24 urinary crea: M=15-20 ug/k s26lbw 100/ 2. AABG showing PO2 >/= 50 mmHg * 0. CPAP failure is evident if PaO2 3.5 3. ----------------- lactum 21.lbw.93 66.5 20/oz 10cm. >10mi PEFR var <20 20-30 >30 >30 retractions .wyeth = 1:2 MJ & Nestle = 1:1 1. PCO2 </= 55 mmHg 0.09 38. FiO2 must be increased 2-4H until pressure of 2-3cm 140-age x wt gain 22/oz 2.5/dl with 10-12cm water.1 4. <1yo alfare 72/dL 2.2 8.<1yo MILK CAL CHON g FAT CHO there is no inc in PO2 in 15 min 3. (If by ETT) or by 12cm (in * x ht (cm) bm (pt) 671/L 14.seesaw *Physiologic (disturbance in) severity mild mod severe night sx «2/mo >2/mo >1/w >1/w drawing A heart rhythm and conduction twitch clonus PEFR exp »80 »80 60-79 <60 Xyphoid B myocardial contraction frequency >60mi 60s. Hgb 12-15g% or Hct 36-45 0. promil 81/dL 2.

sleep given to bb whose mothers were IV. (g/day) (cm/mo) cm/mo Anterior : 12-18 mos 12 0 0-3 mo 30 3.0 1 none PROTEIN K INFUSION RATE 2600-3000 3.032 x wt(lbs) + 0.5-2.5 5 cm Plantar Grasp Birth 10 mos 12 yo : M 7-8 cm F 6-6. CHLORIDE normal = 98-106 meq 2 to pain V. suture Naloxone 4-6y 6 3/y 1/y Stepping Birth 6 wks 5.5 8.4 III.5 3 cries to pain Premature 0-25 /cumm maximum target/day=10 meq >4500 4.awake 7.75 Neck Righting 4-6 mos 24 mos V.0 4 irritable.7 meq EYE gr v=325 4 spontaneous III.5 10.5 9. Hair 1cm/mo Rooting 7 mos.86 Tonic Neck 2 mos 6 mos ELBW 1000-1499 F: 0.0 7.5 Adductor Birth 7 mos LBW 2000-2499 >12 yo: M: 0. II.3 mg/dl 1 none Term 0-22 /cumm K = 1 mEq = 3.8 cm all ages : 0.D. 5 #1 (umbilical cath. cries WBC ct maintenance Na=3 x wt 4100-4500 4.5-5.0 5 withdraws to touch Premature 24-63 mg/dl Maintenance K= 2 x wt 1000-1400 3.SODIUM 3700-4100 4.5 2 Posterior : 3-4 mos materials: 11 + 3-6 mo 20 2 1 1.0 11.5 5 coos.22 x ht .5 2.91 mg/dl (61% PMNs) NaHC03= gr x=650 mg=7.13 x 155 .4meq/kg 3400-3700 3. WT GAIN station age wt gain length hc 1.0 2 moans to pain (57 % PMNs) Na = 1 mEq = 2.) 6-9 mo 15 1. 50cc syringe Narcan cc=0.5 4 withdraws to pain (csf-bld ratio 55-105%) Total K def = deficit + maintenance 1400-1900 3.0 3 abnormal flexion Term 44-128 mg/dl Full incorporation: 40meq/L or 1900-2200 3.5 2 abnormal extension (csf-bld ratio 44-158%) 20meq/500cc 2200-2600 3.5 10. Nails 1cm/3mo Sucking & Birth 4 mos. babbles II.0 12. Reflexes of Neonates 2.027 x wt + 0.5 9.18 Spread of knee jerk VLBW 1500-1999 x ht (in) .5 N 7. x 2 fundic ht (in) . (mm) Depth (cm) 6 spontaneous GLUCOSE Deficit = (KD-KA) x wt x 0.5 0. POTASSIUM According to Infant Weight FOR INFANTS OPENING P normal =4-5. HGT strip 0.7. Blood vol.4 meq/kg MOTOR Infant <200 mm H2O Weight (gms) l.10.0 VERBAL Term 20-170 mg/dl normal=0.CSF Normal Values ELECTROLYTE COMPUTATION ET Tube Sizes and Distances MODIFIED GLASGOW SCORE I. FWB 1-3y 8 1 0. CALCIUM normal = 8-10 meq 3 to speech IV. CO2 normal = 15 meq 1 none DOUBLE VOLUME EXCHANGE EFW GROWTH GROWTH AND DEVELOPMENT TRANSFUSION I. Fontanelle Closure = KBW x EST.6 meq (4) Newborn 80-110 mm H2O N K deliverance = 0.1 .5 .0.25 Moro Birth 8 mos 4.6 500-1000 2.5 Premature 65-150 mg/dl K delivery = ivf rate x K in ivf / vol/ wt 3000-3400 3. Ca gluconate ----------------.2 0. Three way stop cock normal wt for term: 2500-3800 g 9-12mo 12 1. NGT fr. Liver span Palmar Grasp Birth 6 mos given Demerol with in 4 hrs PTD 1 w : 4.5 appears disappears 3.5 cm Parachute 9 mos Persists adolesc: 4-8 cm width neonates: 0.0 8. Gallbladder Landau 3 mos 24 mos length infants: 1.1 x efw Placing Birth 6 wks 6.0 11.2-0.