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FLUIDS and ELECTROLYTES: NEWBORN BPN:

0-1day old- 80cc/kg/hr Pls admit


>5y;>30 kg- D5LR >15kg- D5LRS 2- 90 TPR Q4H and record
>3y;>15kg-D5NM <15kg-D5 0.3 NaCl, 3- 100 Diet for age ( if not tachypneic)
D5IMB 4- 110 Labs:
*to hydrate: wt x deficit / 8hrs 5- 120 CBC,CXR,U/A,F/A
not to hydrate: wt x deficit/8hrs 6- 130 IVF:
7- 140 D5 0.3NaCl 500cc x
DEFICIT <10kg >10kg 8- 150 MEDS:
MILD 50 30 MILD DHN: Para p.o/IV (10mg/kg)
MOD 100 60 30-50 cc/kg/6H D50.3NaCL Ampi ( 50-100 Q8H)
SEV 150 90 MODERATE DHN: S/O:
60-90cc/kg/6H MIO Q shift and record
MAINTENANCE (24H) of computed deficit give D5LRx 2 hrs, Monitor VS Q4H and record
0-3 kg- 75cc/kg the to be given for the next 6 hrs TSB for fever
3-10 kg- 100 D50.3NaCl W/o for persistence of fever, episodes of
10-20 kg - 75 SEVERE DHN: tachypnea and other untoward s/sx
20-30 kg - 60 >100cc/kg/6H Standby O2 at bedside
30-40 kg - 50 1/3 with D5LR x 2 H then 2/3 with Refer prn
>40 kg - 40 D5O.3NaCl x 6H t.y.

NEONATAL PNEUMONIA BRONCHIAL ASTHMA AMOEBIASIS


Pls admit Pls admit Pls admit
TPR Q4H and record TPR Q4H and record TPR Q4H and record
breastfeeding w/( strict aspiration Diet: NPO if RR>/= 50cpm NPO x 4 H (if w/ vomiting)
precaution) Labs: IVF:
Labs: CBC,APC;U/A; F/A; Chest X-ray PAL view D5LR 1L x ___cc/H
CBC,CXR,U/A,F/A, Bld CS IVF: Labs:
IVF: D5 0.3NaCl 500cc CBC,APC; U/A; F/A; S.Na,K,Ca
MEDS Meds: Meds:
Ceftazidime para Metro ( 30-50 mkday p.o Q8H)
Oxacillin hydrocortisone ( 5 mkdose Q4H) 7.5mkdose iv
Amikacin S/O: 15mkdose-loading dose
PAI w/ Salb MIO Q shift and record Diloxanide ( 20-40mkday x 10 days Q8H)
S/O: Monitor VS Q4H and record S/O:
MIO Q shift and record TSB for fever MIO Q shift and record
Monitor VS Q4H and record W/o for persistence of fever, episodes of Monitor VS Q4H and record
TSB for fever tachypnea and other untoward s/sx Vomitus and stool ct sheet @ bedside
W/o for persistence of fever, episodes of Standby O2 at bedside TSB for fever
tachypnea and other untoward s/sx Refer prd W/o for persistence of fever and any
Standby O2 at bedside t.y. untoward s/sx
Refer prn

AGE w/ mild DHN DENGUE FEVER DHF III


Pls admit Pls admit Pls admit
TPR Q4H and record TPR Q4H and record TPR Q2H and record
NPO x 4 H (if w/ vomiting) DAT w/ no colored foods DAT w/ no colored foods
IVF: IVF: IVF:
D5 0.3 NaCl 500cc x ___cc/H + 2 meqs D5LR 1L x ___cc/H Labs:
Kcl/100cc IVF postvoiding Labs: CBC,APC; U/A; F/A; PT,APTT
Labs: CBC,APC; U/A; F/A; PT,APTT DNS1Ag; BT w/ Rh typing
CBC,APC; U/A; F/A; S.Na,K,Ca BT w/ Rh typing Meds:
Meds: DNS1AG para
S/O: Meds: Rani (0.8-1mkdose IV Q8-12H)
FD 100cc PLR now none temp 0.75-1.5mkdose p.o
MIO Q shift and record S/O: S/O:
Monitor VS Q4H and record MIO Q shift and record Fd 150 cc of present IVF
Vomitus and stool ct sheet @ bedside Monitor VS Q4H and record MIO Q 2H and record
TSB for fever W/o for , narrow pulse pressure, Monitor VS QH and record
W/o for persistence of fever and any bleeding episodes and other untoward s/sx Request 500cc of FFp of px bldtype after
untoward s/sx Refer prn proper crosmatching
Replace GI losses vol/vol w/ PLR t.y. W/o for , narrow pulse pressure,
Refer prn bleeding episodes and other untoward s/sx
t.y. Refer prn
t.y.
NEONATAL SEPSIS BFC SEIZURE DISORDER
Pls admit Pls admit Pls admit
TPR Q4H and record TPRQ4H and record TPRQ4H and record
Cont. breastfeeding NPO temp NPO temp
IVF: Labs: Labs:
D50.3 NaCL 500cc x ___cc/H CBC,APC; U/A;F/A; hgt now then Q6H CBC,APC; U/A;F/A; hgt now then Q6H
Labs: while NPO while NPO
CBC,APC; U/A; F/A; S.Na,K,Ca IVF: IVF:
Meds: D5 0.3NaCl 500cc + 2 meqs KCL/100cc D5 0.3NaCl 500cc + 2 meqs KCL/100cc
Ampi ( 50-100 Q8H) IVF postvoiding IVF postvoiding
Ceftazidime 95mgIVTT Med: Med:
S/O: Para; Ibup; diazepam ( 0.2 mkdose) none temp
MIO Q shift and record S/O: S/O:
Daily cord care w/ NSS MIO q shift and record MIO q shift and record
W/o for persistence of fever, jaundice monitor VS Q4H and NVS Q H and record monitor VS Q4H and NVS Q H and record
Seizure precaution at bedside Seizure precaution at bedside
and any untoward s/sx
Standby O2, padded tongue depressor at Standby O2, padded tongue depressor at
Phototherapy
bedside bedside
Refer prn Replace GI losses vol/vol w/ PLRS as sidedrip Replace GI losses vol/vol w/ PLRS as sidedrep
t.y. Refer prn Refer prn

RHEUMATIC FEVER LP ORDERS MTV:


Pls admit flat on bed x 4H ASCORBIC ACID
NPO x 4H drops 100mg/ml:
TPR Q4H and record send the ff sp to lab as follows: <3mos- 0.3ml/day
DAT TT#3-CSF cell ct, diff ct 3-12mos- 0.6ml/day
Labs: TT#2-CSF,sugar and protein 1-2y.o-1.2 ml/day
TT#1-CSF, Gs/CS, AFB, KOH syrup: 100mg/ml
CBC,APC ESR, CRP
RBS now 2-6y.o- 5ml/day
IVF: monitor VS Q15mins until stable 7-12y.o- 10ml/day
D5IMB 500cc x Refer px for any untoward s/sx Vit b complex + lysine + beclizine (Appebon
Meds: S/P EXTUBATION ORDERS Syrup)
Nebulize w/ Racemic epi now 2-6y.o- 1-2tsp OD
Pen G Q6H IVTT ANST ( 92,000) extubate px now 7-14y.o-2-4 tsp OD
s/o: neb w/ racemic epi Q15 mins x 3 doses IRON
MIO Q4H and record suction secretions 1mkday OD-prophylactic
neb w/ salb, 1 neb Q6H 3-6mkday BID-therapeutic
Monitor V/S Q 4H and record
NPO x 6H ZINC
Complete bedrest w/ no bathroom CXR, ABG 6H post extubation 10mg-infants
privileges, cyanosis Refer for O2-6-10 lpm 20mg->2y.o
persistence of chest pain WOF retractions,tachypnea, and other s/sx, VITAMIN A
Racemic Epi: PNSS-4.7 Epi: 0.3(?)ml/5ml 6-11mos-100,000IU- 1 dose
refer prn. 12-71mos-200,000IU

ANALGESICS/ANTIPYRETIC ANTACIDS ANTI-EMETIC/ANTI-SPASMODIC


PARACETAMOL(Q4H) MEFENAMIC ACID (Q6-8H) RANITIDINE (Q8-12H) FAMOTIDINE METOCLOPRAMIDE NIFUROXIDE (Ercefuryl)
RD: 0.5mkdose po <6mos- 10ml
RD: 10-15mkdose po RD: 5-8mkdose RD: 0.75mkdose p.o (Q12H/ IV-Q8H)
O.2mkdose IV >6mos-5ml
10mkdose IV susp: 50mg/5ml 0.8-1 mkdose IV RD: O.2mkdose Amp: 10mg/2ml, Adult- 1 cap Q6H
15mkdose-BFC 125mg/5ml Amp: 25mg/ml amp: 25mg/2ml 5mg/2ml Susp: 220mg/5ml
Drps: 100mg/ml Cap: 250mg/500 50mg/5ml tab: 20mg/40 syr: 5mg/5ml Cap: 200mg
60mg/0.6mk Tab: 150mg/300mg tab: 10 mg
Syrup: 120mg/5ml ASPIRIN (Q4-6H) CIMETIDINE (Q4-6H) DICYCLOVERINE HCl HYOSCINE N-BUTYL
(Q8H) BROMIDE(Q6-8H)
125mg/5ml RD: 10-15mg/kg/dose RD: 10-15mkday
RD: 2.5-5mg/kg/day RD: 0.15mkdose
350mg/5ml upto 60-80mg/kg/24H <1y.o: 20mkday 6mos-2y.o- o.5-1ml Amp: 20mg/ml
Tab: 325mg/tab anti-inflam: 1-12y.o- 20-25mkday 2yo-5yo- 2.5-5ml tab: 10 mg
250mg/tab 60-100mg/kg/24H po liquid: 100mg/5ml drops: 5mg/ml, 15mg/ml
500mg/tab Kawasaki: 80-100mkday Amp:150mg/ml syr: 2mg/ml, 10mg/ml
Amp: 150mg/ml 100mg/ml tab: 10 mg
DOMPERIDONE (motilium)-Q8H *15
300mg/ml NIMESULIDE ( BID) tab: 200mg
RD: O.3mkdose
IBUPROFEN RD: 2.5-5mkdose 400mg dyspepsia: Adult-1 tab/2tsp Q8H susp: 1mg/ml
RD: 5-10mg/kg/dose 100mg/tab AlMg (Maalox)- Q6H children; 2.5ml Q8H tab 10mg
po Q6-8H 2-4tabs N/V: Adult-2tab/4tsp Q6-Q8H
susp: 100mg/5ml *Take 30 minutes-1 hour after meal at bedtime Children 5ml Q6-Q8H
forte: 200ng/5ml susp: 180 ml; 355ml dyspepsia n/v
10kg 2.5ml 5ml
cap: 200mg Tab: Chewable
20kg 5ml 10ml
f w/ flatulence- AlMG + dimeticone (maalox plus) 30kg 7.5ml 15ml
Adult 1 tab 2 tabs

*to take 15 mins before meals


ANTI-DIARRHEALS ANTIHELMINTHICS AMEBICIDES
PAROROMYCIN (Humagel) MEBENDAZOLE METRONIDAZOLE- Q6H
RD: 20-30 mkday 3-4 divided dose 500mg/tab single dose RD: 30-50 mkday po
150mg/cap, 150mg/5ml 100mg/tab or 5 ml BID x 3 consecutive days 7.5 mkdose IV
20mg/ml susp: 5 ml BID x 3 consecutive days 15 mkdose- loading dose
RACECADOTRIL (Hidrasec) 50mg/ml susp: 10ml SD vial-5mg/ml
1 mos onwards Enterobiasis ( 100mg or 5 mg SD rpt 2 or 4 wks) IV infusion: 500mg/100ml
RD: 1.5mg/kg/day Q8H Susp: 20mg/ml, 50mg/ml Susp: 125mg/5ml
Tab: 100mg;500mg 200mg/5ml
BW hidrasec sachet *deworm @ 2-4 years old FURAZOLIDONE
<9kg 10mg 1 sachet PYRANTEL PAMOATE RD: 4-7 mkday
9-13kg 10mg 1 sachet RD: 10-20 mkdose Liquid: 16.7mg/5ml
13-27 30mg 1 sachet Susp: 125mg/5ml Susp:50mg/ml
>27kg 30mg 2 sachet tab: 125mg; 850 mg PARAMOMYCIN
Adult 100mg/cap Q 8H ALBENDAZOLE RD: 20-30 mkday
ERCEFLORA- Bacillus clausii RD: 75 mkday susp: 150mg/15ml
>1mos- 1-2 vials/day susp: 200mg/5ml ETOFAMIDE ( kitnos)
2-11y.o- 1-2 vials/day tab: 400mg RD: 15-20mkday x 3 days Q 12H
Adult- 2-3 vials/day QUINOLONES Susp: 100mg/5ml
NIFUROXAZIDE (Ercefuryl) CIPROFLOXACIN-BID Tab: 200mg; 500mg
vial: 100mg/50ml
<6mos- 1 tsp BID
200mg/100ml
>6mos-1tsp TID 400mg/200ml
tab: 250mg, 500mg

ANTIHISTAMINE MUCOLYTIC BRONCHODILATORS


DESLORATADINE
HYDROXYZINE HCL ( Iterax) CARBOCISTEINE- Q8H-Q12h SALBUTAMOL-TID
Q12H x 5 days (Aerius) RD: 30-50mkday
RD: 0.13-0.15 mkdose
drops: 50mg/5ml
RD: 1mg/kg/day 6-11 mos- 2 ml Syr: 2mg/5ml
Syr: 100mg/5ml
OR wt /4 1-5yo- 2.5ml 250mg/5ml 100mg/5ml
Syrup: 2mg/ml 6-11yo-5ml Susp: 250mg/5ml amp: 1mg/ml
Tab: 10 mg; 25mg >/=12yo- 10ml Cap: 500mg tab: 2 mg
amp:5mg/ml syr: 2.5ml/5ml <3mos- 0.25ml TERBUTALINE- BID-TID
CHLORPHENAMINE MALEATE tab: 5 mg 3-5mos- 0.5
1-15yo-2.5ml
Q8H 6-8mos-0.75
9-12mos- 1
<3yo- 0.075 mkdose
RD: 0.2mkdose DIPHENHYDRAMINE HCL syr: 1.5mg/5ml
5y.o- 5 ml
Amp: 10mg/ml RD: 3-5mkdose PO AMBROXOL-Q8H soln; 2.5mg/5ml
vial: 10mg/ml 1mkdose IV RD: 1.2-1.8mkday amp: 0.5mg/ml
syrup: 2mg/5ml syr: 12.5mg/5ml liq: 15mg/5ml ; 30mg/5ml tab: 2.5mg
tab: 4 mg Cap: 25mg, 50mg Soln for inhalations: 15ml/2ml
BAMBUTEROL
*20kg-1/2 amp IM IV/IM: 50mg/ml Amp: 15mg/2ml
Ped drops: 6mg/ml
6-12yo- 5mkdose
>20kg- 1 amp IM
tab: 30mg; retard cap 75 oral soln: 1mg/ml
CETIRIZINE diHCL- OD-BID
RD: 0.25-0.27 mkdose ERDOSTEINE- Q12H Tab: 10mg
drops: 10mg/ml RD: 10mkday AMINOPHYLLINE/THEOPHYLINE
2.5mg/ml 10-20kg, 2-6yo- 2.5ml 3-5mkdose
soln: 1mg/ml 21-30kg, 7-12yo- 5ml
80mg/5ml; 125mg/tab,175mg/tab
syr: 5mg/5ml >30kg, >12yo-5ml TID/ 7.5ml BID
tab: 10 mg susp: 115mg/ml; cap: 300 mg

AMINOGLYCOSIDES STEROIDS ANTI-TB DRUGS


GENTAMYCIN- OD-BID PREDNISONE-BID AMINOPHYLLINE I-10;R-15;S-20;E-25;P-30
5-8mkday RD: 1 mkday BID; 2mkday OD LD: 5-7mkdose ISONIAZID
AMIKACIN OD-BID susp: 10mg/5ml MD:3-5mkdose RD: 5-10
RD: 12-15mkday- 15mkdose OD syr: 15mg/5ml; 20mg/5ml syr: 100mg/5ml
VANCOMYCIN: RD: 15mkday Tab: 1mg, 5mg,10,20,30,50 200mg/5ml
ANTIHYPERTENSIVE DEXAMETHASONE tab: 100mg;200mg;300mg
FUROSEMIDE RD: 0.5-1mkdose RIFAMPICIN
RD: 0.5-1mkdose 0.3mkdose initial, then 0.1 mkdose RD: 10-15mkday
Amp: 20mg/2ml 1-2mg/kg Q6H x 4 doses drops: 100mg/ml
rd
Tab: 4omg *xtubate on 3 dose COMBIVENT- Cap: 300; 450mg
HYDRALAZINE HYDROCORTISONE 200ug Ipatropium PYRAZINAMIDE
RD: 0.1-0.2mkdose RD:5mkdose Q6-8H >2y.o-5-8drps RD: 15-30mkday
Amp: 20mg/ml LD: 10mkdose 2Y-3-3 drps susp: 250mg/5ml
tab: 10mg; 15mg;50mg MD: 5 ( max 100) >4y.o-20drps tab: 500mg
ASPIRIN Vial inj: 100mg; 250mg; 500mg ETHAMBUTOL:
75-100mkday PROCATEROL (Meptin)-BID-TID RD:15-25mkday
NIFEDIPINE-Q4-6H RD: 0.25mkdose OR 0.25x wt. Syr; 125mg/5ml
RD: 10mkdose syr: 5 meq/ml tab: 400mg
max: 10mg/kg/24H tab: 25meq, 50meq STREPTOMYCIN
SPIRONOLACTONE ERDOSTEINE (Ectrin/Zertin) RD: 15-20mg/kg/day
1-3.3mkday QID p.o 175mg/5ml-10mkday BID; 300mg/cap BID vial: 1gm
ANTI-TB DRUGS ANTIFUNGAL MACROLIDES
I-10;R-15;S-20;E-25;P-30 NYSTATIN-Q6H ERYTHROMYCIN-Q8H COTRIMOXAZOLE-BID
ISONIAZID AMANTADINE HCL adult and children: 4-6ml RD: 35-50mkday RD: 5-8mkday
RD: 5-10 RD: 4.4-8.8mkday infant: 2ml granules: 200mg/5ml 8-UTI; !0-BPN
syr: 100mg/5ml syr: 50mg/5ml tab: 500,000 U 400mg/5ml susp: 200mg/40mg/5ml-
200mg/5ml tab:100mg Susp: 100,000U/ml drops: 100mg/ 2.5ml (40mg/5ml) (wt/2)
tab: 100mg;200mg;300mg AMPHOTERICIN B tab: 250mg; 500mg 400mg/80mg/5ml-
RIFAMPICIN RIBAVIRIN RD: ).3-0.7mkday CLARITHROMYCIN-Q12H (80mg/5ml) (wt/4)
RD: 10-15mkday RD: 10mkdose slow IV infusion RD: 7.5 mkdose tab: 400mg/80mg
drops: 100mg/ml Syr; 50mg/5ml *250mcg/kg/day-1 mg/kg/day 15mkday 800mg/100mg
Cap: 300; 450mg Tab: 100mg Vial 50mg/5ml; 2mg/ml Susp: 125mg/5ml
tab: 250; 500mg
PYRAZINAMIDE Cap: 50mg; 100mg; 200mg
ROXITHROMYCIN-OD-BID
RD: 15-30mkday FLUCONAZOLE-OD Adult: 150mg/tab; 300mg/tab Q12H
susp: 250mg/5ml RD: 3-6mkday children: >40kg
tab: 500mg vial 3 mg/ml kiddie tab: 100mg
ETHAMBUTOL: Cap: 50, 150mg, 300mg AZITHROMYCIN-OD-BID
RD:15-25mkday GRISEOFULVIN RD: 15-20mkday
susp: 200mg/5ml
Syr; 125mg/5ml Tab: 125mg/500mg
tab: 250mg; 500mg
tab: 400mg KETOCONAZOLE x 5 days OD vial: 500mg
STREPTOMYCIN Adult 200mg/tab CHLORAMPHENICOL-Q6H
RD: 15-20mg/kg/day 5-12y 100mg/tab RD: 50-100mkday
vial: 1gm 1-4y 50mg/tab 75 mkday ( Enteric fever)
FT infant>/= 2wk- 25-50mg/kg/day
PT- 25mg/kg/day
vial-1g
susp: 125mg/5ml
cap: 250mg; 500mg
CEPHALOSPORINSl CEFAMANDOL C'EFTRIAXONE-BID ANTICONVULSANTS/SEDATIVES
1st Gen: RD: 50-100mkday RD: 50-100mkday
Vial: 500mg; 1g;
DRIP FORMULA
CEFALEXIN-Q6H CEFOXITIN
RD: 30-50 mkday po RD: 50-100mkday IV 250mg PHENOBARBITAL
50-100mkday IV CEFPROZIL CEFTAZIDIME LD: 10mkday 6 x wt (kg)xmcg/kg/min= mgin100ml of
RD: 20-40mkday RD: 30-50mkday IV MD; 5 mkday ( max 25 mkdose)
drops: 100mg/ml Vial: 250mg; 500mg;
D5W/NS
powder: 125mg/5ml
Susp: 125mg/ml 250mg/5ml 1g; 2g Ml/H
250mg/5ml tab: 250mg; 500mg CEFPODOXIME MIDAZOLAM
Cap: 250mg; 500mg CEFOTIAM 3-10mkday RD:0.2mkdose
susp: 50mg/5ml
isoproterenol/Epinephrine/Norepi:
CEFAZOLIN RD: 50-100mkday tab: 15mg
RD: 50-100mkday IV tab: 200mg tab: 100mg amp: 5mg/ml, 5/5,15/3 .6 x wt (kg)= mgin100ml o
x 3 doses vial: 0.5g; 1 gm * 1 ml/H will deliver o.1 mcg/kg/min
vial: 250mg th
CEFIXIME-Q12H 4 Gen
Inj: 500mg; 1 g RD: 3-6mkday po CEFEPIME-OD-BID DIAZEPAM
nd
2 gen: 15mkday RD:50-100 RD: O.2-O.8mkdose
Dopamine/dobutamine/amrinone/Nitropr
CEFACLOR-Q8H drops: 20mg/ml Vial: 500mg; 1 gm; usside
RD: 20-40mkday SUSP: 100MG/5ML 2gm 6 x bodywt in kg= mg in 100ml
drops: 50mg/ml Cap: 100mg; 200mg
PHENYTOIN
susp: 125mg/5ml CEFDINIR *. 1 ml/H will deliver 1 mcg/kg/min
LD: 10mkdose
250mg/5ml RD: 9-18mkday
MD: 5 mkday
Tab: 315mg; 750mg (BID)Cap: 100mg
rd Susp: 30/5,125/5 dopa/dobu:
Cap: 500mg 3 GEN
Cap 30,100
CEFUROXIME-Q6-8H CEFOPERAZONE 6 x body wt (kg) =# mg to add to diluents
RD: 20-40mkday po RD: 100-150mkday IV to make 100ml volume
50-100mkday IV Vial: 1.5g
susp: 125mg/5ml
250mg/5ml
tab: 250mg; 500mg
inj: 250mg; 750mg; 1.5 g
DOPAMINE DRIP
(200mg/250ml-800conc) 0.0375/26.6
DOBUTAMINE DRIP FUROSEMIDE DRIP
(400mg/250ml-1600conc)0.075/13.3
2.5-15 mcg/kg/min(max: 40mcg/kg/min) 20mg/2ml
peak effect:10-20min **4ml +20cc PNSS to run @ 1cc/H
wt X RD X 60 ( 0.075) prep: (wt)15 x (Dose)0.1 x 24
12.5mg/ml x 20ml/vial=250mg/250ml (vial) 36 x 2/20=3.6
Shortcut: Premix: 1000mcg/ml in 250ml=250mg/250ml(1mg/ml) 3.6/4ml=.9 or 1 cc
wt x RD 2000mcg/ml in 250 ml= 500mg/250ml (2mg/ml)
13.3 (800-conc) Prep: 10mg/ml amp ( 2 m)
Dobu- premix
wt x RD x60 Dobu- premix Dose:
0.06-1000=250/250in D5W
wt x RD 0.03-2000 2000 0.06-1000=250/250in D5W -infant and child-0.05mg/kg/H (titratr to clinical effect)
26.6 (1600-conc) OR 0.03-2000 -adult 0.1mg/kg/H (max: 0.4mg/kg/H)
wt x RD x 1400/12500 wt x dose x 0.06/0.03
to Check: AD: dose given x Prep/60/wt OR wt(kg) x dose x 24= mg in 24 ml of NS
OR wt x RD x 140D/ 1600/24 6 x wt in kg=___mg in 100ml(1mcg/kg/min) to make: 1 ml/H=0.1mg/kg/H
e.g:
LEVOPHED 250mg in D%W 250cc(1mg/ml) wt(kg) x dose x 24 x 5= mg in 120 ml NS
4mg/4ml; 2mg/ml mcgtts/min=(wt x DD)/16.6 to make: 5 ml/H=0.1mg/kg/H
e.g 2mg/ml = wt x DD xO.O6
2/100 x 1000=20concn *20mg furo + 20cc distilled water to make
500mg in D5W 250cc(2mg/ml) conc of 1 mg/ml
(Wt x dose x 60) = ml ugtts/min=(wt xDD)/33.2 infusion rate: 0.05 x wt
concn =wt x DD x 0.03 e.g:
*to check: :7.5- Actual x 2000/60/wt 0.05 x mgx 1=4cc
To check: ml x conc/60/15=dose actual x conc/60/wt
EPINEPHRINE DRIP AMIODARONE DRIP NICARDIPINE DRIP
wt x 0.6mg=mg added to 100mgD5W prep:50mg/ml ampule prep: 2.5mg/ml= 25mg/10ml ampule
1cc/H= 0.1 ug/kg/min Dose;infant and child Dose:
5cc/H-0.5cc/min 5mg/kg over 30 min followed by infusion starting at child 0.5-5mcg/kg/min (titrate to clinical effect)
10cc/H-1mg/kg/min 5mcg/kg/min Adult: start with 5mg/H, increase dose as needed by
Max dose: 10mcg/kg/min or 20 mg/kg/H 2.5mg/H Q 5-15 min (max dose:15mg/h) decrease by
ml/H= wt x dose x 60 must be diluted in D5W 3mg/H as needed to maintain desired response
conc Infusion concentration should not exceed 2 mg/ml
0.1mkd/.1cc/kg/dose AMINOPHYLLINE DRIP
wt (kg) x dose x 60 x 50= mg in 50ml of D5W LD: 5mg/kg BW in 30cc D5W in a soluset (if px is not
INSULIN DRIP 1000 maintained on oral theophylline)
0.1- 1cc or ml/H to make: 1ml/H=1mcg/kg/min Or
wt x 0.1 x 24= # of ml/cc of insulin to be added to NSS to 25 mg/vial dilute 1 ml + 4ml NSS to make 5 mg/ml
make 24 ml soln to run for 24H solution. Aspirate ___ml give per i.v. infusion for 30 min
INSULIN DRIP
as LD ( 5mg/kg)
prep:1U/ml ampule
MIDAZOLAM DRIP
Dose:
prep: 5mg/ml amp D5w 250 cc + Aminophylline 250mg/amp at __ugtts/min
infant and child 0.1Ukg/H (titrate to clinical effect)
Dose:
glucose drop=80-100mg/dl/H
intermittent 0.05-0.15mg/kg/dose maint drip; 0.4-0.8 mg/kg/H
continuous 1-2mcg/kg/dose formula ugtts/min=dose x BW
wt (kg) x dose x 24 = U in 24ml NS
6 x wt (kg) x mcg/kg/min= mg in 100ml of D5W/NS Note: maintenance infusion ratemust be induced to 0.2-
to make: 1ml/H=0.1 U/kg/H
ml/H 0.3mg/kg/H for elderly patients, pregnant patients and
OR
max total dose: 10mg (intermittent) those in CHF,liver disease or cor pulmonale
wt(kg) x dose x 24 x 5= U in 120ml of NS
Can cause respiratory dpression,hypotension,bradycardia watch out for hypoglycemia and tachycardia
to make: 5ml/H=0.1U/kg/H

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

ABG-no correction if <10 B.D


*O

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

<18 - Wean to singl photo

</=24d </=18 - D/C home

25-48 >/=12 >/=15 >/=20 >/=25 </=14 49-7//2 D/Cphoto


(170) (260) (340) (430)

</=15 >72 D/C photo

49-72 >/=15 >/=18 >/=25 >/=30 Age in hrs TSB (mg/dl)


(260) (310) (430) (510)

24-48H <15 15-<20 20-<25 >/=25

>72 >/=17 >/=20 >/=25 >/= 30


(290) (340) (430) (510) 49-72 <18 18-<24 25-<30 >/=30

>72 <20 20-<25 25-</=30 >/=30

Tx/rec OPD PHOTO INTENSIVE PHOTO/ exc trans


PHOTO