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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
Dexamethasone 0.2-0.4 mkd Vitamin K 0.3 Mkd (max 5 mg) x 3 dys Aeknil 300mg/2mL 10% = 10 g/100 mL
Decadron 4/1 Afebrin 120mg/5mL; 325mg; 500 20% = 20 g/100 mL (180cal/100ml)
Hydrocortisone LD: 10 mk Calcium gluconate 10% 1 cc/k/shift Biogesic 100mg/1ml; 250/5; 500
MD: 5 mkD IV MD: 200-500MKD q6 or drip Calpol 120mg/5mL; 250mg/5mL eg: Wt = 2k at intra dose=0.5 gkD (10%)
Solu-cortef 100/2; 250/2 (Max 200 Mkd in 10 min) Crocin 125mg/5mL; 500mg 2 kg x 0.5 x 100 = 10 mL (of 10% IL)
Act-o-vial 100 IV: 100/1 (9 el. Ca/ml or 0.45mg Defebrol 60mg/0.6mL; 120mg/5mL 10
Prednisolone 0.7 mkD Ca/ml) Naprex 250mg/5m; 500mg
Solumedrol 125/2 PO: 500 mg (45 mg Ca) Opigesic 125mg; 250mg
Prednisone 0.5 mkD 650 mg (58.5 mg Ca) Rexidol 150mg/5mL; 60/0.06; 600 VAMIN/AMINOSTERIL
1 mkD (BA) Tempra 120mg/5mL; 60mg/0.06mL
Iron Tx: 4-6 MKD Tylenol 120mg/5mL CHON: 2.5-4 Gkd Amino 6%
Px: 1-2 MKD Winadol 120mg/5mL; 500mg Glucose: 5-9 MK
ALBUMIN Iberet 500 mg (26.25 elem Fe) Prep. per liter: CHON : 60 g
Odiron 50mg/10mL; 25mg/5mL SALICYLATES Calories : 650 cal
Albumin: 1 g/K/dose Fer-in-sol 15mg/0.6ml; 18mg/5mL Glucose : 100 g
Alburein 12.5g/50mL (25%) Propan 25mg/5mL Anti-rheumatic 65-130 mkD start dose at CHON = 0.5 gKD
Ferlin 30mg/5mL; 15mg/1mL Asaped 81mg eg: wt = 1kg
Formula: Desired-Actual x 1.2 x Wt Incremin 30mg/5mL Ascriptin 325mg 1 kg x 0.5 x 1000
Albumin 0.5-1.0 g/K (max 6 gKD) Polyvifer 10mg/1mL Aspirin Gr V Gr 1 = 65 mg 60
Albumer/Albutein 50/1 (5%) Neo-Novaldin 325mg = 8.3 cc Vamin/12h
250/1 (25%) Glucagon 0.25-0.3 mkd Superin 180mg/5mL; 3g
0.3 mkd-1mg in IDM
1 mg (1 “U”) vial
LUMBAR TAP HS METHOD for IVF Infusion BALLARD’S MATURITY TESTING DIGITALIZATION
Pressure (in cmH2O)
G 22 (1 ½) = gtts in 21 sec 2.5-10kg 100cc/k/day Score AOG (wks) Digitalis 0.04-0.06 mk (TDD)
G 22 (3 ½) = gtta in 39 sec 10-20kg 1000cc+50cc/k over 10k Pedia Elxr 0.05/ml; 0.25/ml
G 20 (3 ½) = gtts in 12 sec >20kg 1500cc+20cc/k over 20k 5 26 PO: 0.25mg/tab
10 28 IV: 0.5mg/2mL amp
WBC correction in traumatic tap: TF/4 = cc/hr or ugtt/min 15 30
Periph WBC x 1000 = WBC 20 32 TDD = 0.04-0.06 Mk
st
5,000,000 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 > 37.5 C 35 38 3 dose = ¼ TDD (6 hrs)
severe CP depression Hypermetabolic +25-50% 40 40 12H after, 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: 0.5-1.5 Mkd
CHARACTERISTICS OF MD: 0.125-0.25 Md
PROXIMAL & DISTAL SBO
PHOTOTHERAPY KVO: ugtt = 3.5
Indication: PT: 10 mg% bilirubin gtt = 10 HIGH SBO LOW SBO Cafeine Na benzoate 0.1-0.2 cc IM
FT: 15 mg% bilirubin Acute onset less acute Prep 5mg/ml; 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.typical pain: retrosternal, severe, pain GIR = Rate x Dextrosity
Men SA x 1500 On Admission: lasting >30min, unrelieved by nitrates, Wt x 60
Preterm SA x 1200 cold, clammy perspiration Dextrosity: D5 50
CHF SA x 800 1. age > 55 yrs 2. evolutionary ST elevation followed by D7.5 75
Cardiac SA x 200 2. leukocytosis > 16,000 Q wave formation and ST segment D10 100
Renal SA x 400 + 24h UO 3. hyperglycemia > 200mg/dL inversion D50 500
MF < 2yo = SA x 1500 (11mmol/L) 3. elevation of serum CPK-MB Conversion:
> 2yo = SA x 1200 4. serum LDH > 400 IU/L conc desired-actual x 2 x total vol
5. serum AST > 250 IU/L Labs: 100
0-5 kg wt x 0.05 + 0.05 Onset Peak Duration eg: D10 – D5 x 2 = 0.1
6-10 kg wt x 0.04 + 0.1 During the initial 48hrs: CPK-MB 4-6h 12-24h 24-48h 100
10-15k wt x 0.03 + 0.2 SGOT 8-12h 36-48h 3-5days if total vol = 100 cc:
15-20k wt x 0.02 + 0.3 1. hematocrit fall > 10% LDH 12-24h 2-4days 7-10days 100 x 0.1 = 10cc D50W
2. fluid sequestration > 4000 mL + 90cc D5 IVF
CRITERIA FOR RHEUMATIC FEVER 3. hypocalcemia < 8mg/dL (1.9mmol/L) = 100cc of D10 IVF
4. hypoxemia (PO2 <60mmHg) thus: 100cc/k/day divided by 3 shifts
Major: carditis, polyarthritis, chorea, 5. BUN rise >1.85mg/dL (>1.8mmol/L) = x 10% = D50 in sol
subcutaneous nodules, erythema marginatum post IVF To convert to: D7.5 = x 0.055
6. hypoalbuminemia < 3.2g/dL (32g/L) D10 = x 0.11
Minor: hx of RF/RHD, arthralgia, fever, D12.5= x 0.16
elevated ASO, CRP & ESR, prolonged Calorie in IVF: D5 = x 0.2
PR interval, (+) culture of Grp. A strep D7.5 = x 0.3
D10 = x 0.4
D12 = x 0.5
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 7.35-7.45 = 7.4 age(h) considr photo ex ex &
Chronicity: H – 40 ; if < 0.3 = chronic + 2000 (2L) pCO2 35-45 = 40 photo transif foto
pCO2 0.3-0.7 = ac/chr FiO2 = CA (0.2) + 02 (1) x 100 HCO3 22-26 = 24 foto
> 0.8 = 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 = 1.5 (HCO3) + 8.4 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 0.6-0.7mmHg 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: 3-3.5meq inc HCO3 q 10mmHg 2000-2499 11-14 18-20
inc pCO2
IE: 60/RR - IT Respiratory Alkalosis:
IT Ac: 2-2.5meq dec HCO3 q 10mmHg dec KRAMER'S CLASSIFICATION:
pCO2 Zone Jaundice Est. 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: 0.3 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. 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 2.5
1. Clinical jaundice in the 1st 24 hrs of 2-8 yo 90-110 I Time 0.4 0.4-0.8 >0.8
FT: 3 or 3.5
life. II. RR Rate <20 20-40 >40
2. 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). 2mo-1yr 50 MAP <8 8-12 >12
age/2 + 12
3. Total serum bilirubin > 12 mg/dL in 1y-5y 40
kg cm
full term, and > 15 mg/dL in III. BP
1 7
preterm. syst
2 8
4. Direct bilirubin > 1.5-2 mg/dL upper :yrs x 2 + 90
3 9
(26-34 umol/L). lower: yrs x 2 + 70
EXTUBATION CRITERIA
5. Jaundice lasting for more than 1
FiO2 < 50
week for term, 2 weeks for diast
P/F
preterm. 30 mm Hg lower
no electrolyte imbalance
control of infection
good muscle mass
PULMONARY VOLUMES BLOOD TRANSFUSION ACTUAL RETIC COUNT (ARC) GLASGOW COMA SCALE
1. 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. Insp. Reserve Volume (IRV) = 3.0 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. Exp. Reserve Volume (ERV) = 1.1L 60 min x 4h > 2 = hemolysis Obeys command 6
4. Residual Volume (RV) = 1.2 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. Dead Space = 150 mL Vol = desired – actual Hb x 2 x Wt DOUBLE VOLUME EXCHANGE Incomprehensible 2
a. Anatomical: volume of the = desired – actual Hct x Wt TRANSFUSION Inappropriate 3
conducting airways Desired Hct = volume/wt + Actual Hct Confused 4
b. Physiological functional = KBW x estim body vol x 2 Oriented 5
measurement; 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; Hct by 3
Score: < 7 = poor prognosis
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 = 4-5.6 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 0.3% NaCl Cl = 98-106 meq PULSE (HR)
LR 130 4 109 28 3 3 Fever & Sweating D5 0.3% NaCl; 0 none
NMR 40 30 Drowning D5W Deficit = (desired-actual) x Wt x 0.6 1 < 100 beats/mi
IsolyteM 40 35 40 Ascitis D5W; 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% 51 51 CHF (NPO) D5 NSS Maintenance: Na = 3 meq/kg 1 grimace
0.6% 102 102 2o to HPN D5W K = 2 meq/kg 2 good cry
0.45 77 77 Heat Stroke D5 NSS Na/K deficit is given in 3 days APPEARANCE (color)
0.9% 154 154 Burns PLR Na/K delivery = 0.1-0.4 meq/kg 0 blue
ORS 90 20 80 30 (20 gluc) Azotemia D5W Full incorporation = 40 meq/L 1 pink, 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, irregular
K = 1 meq = 39.1 mg Dengue Fever D5 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
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: 0.1 – 0.3
3-10kg 60-80 1-2 yrs 100-110 Vit K = 0.3 mg/kg for IV antibiotics >7 D Crea (NB): 0.3-1.0
10-15 45-65 3-6 yrs 90-100 pH (premature 48H): 7.35-7.5
15-25 40-45 7-9 yrs 80-90 Ca gluconate - 1 cc/kg/shift (Birth term): 7.11-7.36
25-35 35-40 10-12 yrs 70-80 (5-10’)
35-60 30-35 13-15 yrs 55-65 Ca deficit - 53-75 mEq/k/day (30’)
> 60 25-30 16-19 yrs 45-50 Ca requirement - 27-32 mEq/day (>1 H) 7.26-7.49
(1 day) 7.29-7.45
MF = BCE x Wt x 1.5 = cc/hr PROTEINS RDA Wt x dose (thereafter) 7.35-7.45
24 or ugtt/min 0-5 mos 2.5 g/kg/day 9.8 in 24H pCO2 (NB): 27-40
6-11 mos 2.5-3.0 BUN (NB): 3-12
o
Fever = +12% for every C 1-6 yo 2.0-2.5 Eg. 75 mEq x 3 kg in 24 H Na (NB): 134-146
o
rise > 37.5 C 7-12 yo 1.5-2.0 In q shift = 75 mEq x 3 kg = 75 mEq K (<2 mos): 3.0-7.0
Hyperventilation/dyspnea = + 25% 13-15 yo 1.5 3 shifts (2-12 mos): 3.5-6.0
Bronchial asthma = + 50% 16-19 yo 1.0-1.5 = 75 mEq = 8.3 cc = 72 mEq
Bililight therapy = + 20% 9 (1 cc = 9 mEq)
Milk Formula CHON
Similac 20 cal 1.5/100 Ideal tracheal aspirate: EC <25
NAN 20 1.5/100 PMN’s >10
S-26 20 2.25/100
Pre-NAN 21 2/100 Max steroids for NS : 2 mkD or 60
BM 22 1.1/100 Mkm ≈ 4-6 wks
Enfalac 21 2.25/100