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NICARDIPINE DRIP
prep: 2.5mg/ml= 25mg/10ml ampule
Dose:
child 0.5-5mcg/kg/min (titrate to clinical effect)
IVIG Adult: start
Correction with 5mg/H, increase dose as needed by
of hyponatremia DUET (double vol exchange transfusion)
dose: 2 g/kg in 12 H or 400mg/kg/dose x 5d 2.5mg/Hmeqs
1ml=2.5 Q 5-15 min (max dose:15mg/h) decrease by
NaCl bld vol- 80cc/kg
2.5g/vial,dilute w/ 50 ml diluents to make 3mg/H
wt= 1.8kgas needed to maintain desired response e.g wt- 3kg
50mg/ml,administer the ff: S.Na=131.4
Test dose: d- A x wt x 0.6 (140-131.4x1.8 x0.6=9.2meqs) 3 x 80 x 74-60/74=3360/74
0.5 ml/kg/H x 15 min + wt x 3=maintenance ( 1.8 x 3= 5.4) 45cc to be exchanged
NAHCO3 ABG-no correction if <10
1 ml/kg/H x 15 min 160-180cc/kg/FWB
BE x wt. x 0.3 or 1 meq/kg HYPONATREMIA B.D
1.5 ml/kg/H x 15 min -4.6 1.8-6.4 mothers bld type-wt 80 x 2
can be given IV push or drip D-A x wt x 0.6 + (2-3)
2 ml/kg/H x 15 min -2.3- 1.8-4.1 INDICATIONS:
50mcg/kg maintenance
2.5 ml/kg/H x 15 min - 2.3-1.8-4.1 S-sepsis
Na >1-2 neq/kg
3 ml/kg/H x 15 min S-S.biliruubin >20mg/dl
st
3.5 ml/kg/H x 15 min 1 shift: HYPOCALCEMIA H-hypoxia and acidosis
4 ml/kg/H x 15 min D5w-6.6 K/K(?)- 0.1 to 0.3meqs/k/H H-Hemolytic dose of NB CORRECTED WBC:
If tolerated infuse the rest at ___cc/H for 10H D5IMB-50 N K of body=50meqs A-ABO incomoatibility e.g
watch out for headache,flushing,hypotension,fever and NaCL-2.5? K/R-meqs KCL/# hrs/wt P-Prematurity RBC=7500=75000/500-15
chills Hypokalemia COMPLICATIONS: for evry RBC=1 WBC
D-A x wt x 0.3 + (wt x 2) ? V-Vascular embolism WBC=37-15=22 corrected
AMINOSTERIL I-Infection RBC
0.5/kg- inc until 3g/kg wt x 0.2 x 8 x 3 x 2 x wt C-Cardiac arrhythmia
SK- <3-5%-.05 vol overdose
wt x RD x 100/6%/24 <2.5-10%-0.10 CP arrest
OR E-Electrolyte imbalance
wt. x RD /o.694 wt x 0.05 x 50 + wt x (2 /maintenance)
* start 1 g x 48H then resume at 2g(?) FiO2- 100% target FiO2 x TFR (S)
79
Age Consider photo Exchange Exchange RESPONSE TO PHOTO *check rebound B2 for 12-24H after disccharge
photo transfusion transfusion
if if
Extensive INtensive
photo photo Bil Age Action