WEIGHT KILOGRAMS POUNDS depth of chest depth of chest depth of chest

AT BIRTH 3.25 7
3-12 MOS Age (mos) + Compression 100/min >100min 120
11 rate events/min
1-6 YRS Age (yrs) X 2 + 8 Age ( yrs) X 5 ( 90
+ 17 compressions
7-12 YRS Age ( yrs ) X 7 /30 breaths)
+5
Compression 5:1 ( pause 5:1 ( pause 3 :1
ventilation for ventilation for ventilation
HEIGHT centimeter Inches
ration until trachea until trachea
AT BIRTH 50 20
is intubated) is intubated)
AT I YR 75 30
2 -12 YR Age ( yr) X 6 +77
Age (yr) X 2.5
+ 30
BODY SURFACE AREA : PENICILLINS
Amoxicillin 30-50 mg/kg/day q 8 po 250,500mg cap
(Amoxil, 100mg/ml drops
Himox, 125, 250mg/5ml
APGAR Jamox) susp (Moxicillin,
Sign 2 1 0 pediamox,
Muscle tone active Some limp sumoxil,wyamox)
(Acticity) flex./ext Amoxicillin 30-50mg/kg/day q8 Syrup: TID
Pulse >100 <100 No pulse -Clavulanic IV,PO 156mg/5ml
Reflex Sneeze/cou Some No Acid (125mg amox)
irritability gh grimace or response or Co- 312mg/5ml
Grimace avoidance amoxiclav (250mg amox)
Color All pink Body pink, blue/pale Cap:
(Appearanc ext. blue 375mg/tab
e) (250mg amox)
Respiration Crying, Slow/irregul absent 625mg/tab
rhythmic ar, (500mg amox)
effective ineffective Vail:
300mg/vial
(250mg amox)
NEWBORN RESUSCITATION ( Outside Delivery 500mg/vial
Room) (500mg amox)
1. Warm, Position, Suction, Dry, tactile stimulation 1.2g/vial (1g
2. Oxygen (Blow by) amox)
3. Bag-Valve Mask Ventilation ( If heart rate < 100 Syrup BID
Bmp or gasping respiration 457 mg/5ml (4oo
4. Chest compression ( if heart rate < 60-80 bpm mg amox) 228.5
after ventilation intiated) mg/5 ml ( 200 mg
5. Medication – Epinephrine (if heart rate continues amox
to fall or remains < 80 bpm)
Ampicillin NB: 50-100 mkd q 6-8 Syrup:
(Ampedia, IM/IV 125mg/5ml,
SUMMARY OF ABC MANEUVERS Ampicin) (up to 1 wk) 250mg/ml
100-200mg/k/d q8 cap:250mg,
Maneuver Child Infant Newly Born
(1-4 wk) 500mg
1 – 8 years <1 year old
IN,CH: 100-200 mkd q vial:
old
4-6 IM/IV 100,125,500mg/vi
Airway Head tilt-chin Head tilt-chin Head tilt-chin
al
lift lift lift
( if trauma is ( if trauma is ( if trauma is
Ampicillin- Ampi 250mg + cloxa 250 mg cap
present ,uses present ,uses present ,uses
Cloxacillin 250 mg 250mg/5ml syrup
jaw thrust ) jaw thrust ) jaw thrust )
(pensyclox Same as ampicillin 75, 250, 500 mg
Breathing 2 breath at 1 2 breath at 1 2 breath at
,Ampiclox, vial
Initial to to approximately
Cloxamicin Drops:A60mg + C 30mg
1 ½ sec/ 1 ½ sec/ 1 sec/breath
) q6
breath breath
Infant vials: A50mg +
Subsequent ≈20 ≈20 ≈20
C25mg q8
breath/min breath/min breath/min
Ampicillin- NB: 100mg/k/d q 12 (up 375 mg tab
FBAQ Heimlich Back blows Back blows
Sulbactam tp 1 wk) 375 mg vial
maneuver and chest and chest
(unasyn) q8 (1-4 (A250mg +
thrusts thrsut
wks) S125mg)
circulation
50-100mg/kg/day q6-8 750 mg vial
Pulse check Carotic Brachial or Umbilical
IV,IM (A500mg+
femoral
30-50 mkday q8 (oral) S250mg) 250
Compression Lower half of 1 finger width 1 finger width
mg/5ml
landmarks sternum below below
Bac- IN,CH: 25-50 mg/kg/day 200, 400, 800mg
intermammary intermammary
Ampicillin q 12 po tab
line line
(Bacacil, A: 800-1600mg/k/d q 200mg/5ml susp
Penglobe) 12h
Compression Heel of 1 2 thumb- 2 thumb-
method hand encircled encircled Aztreonam NB<2kg: 60mg/k/d q 500 mg,
hands ( for hands ( for (Azactam) 12h IV/IM 1 g vial
2 providers) 2 providers) or (1st week)
or 2 or 3 2 or 3 finger 90mg/k/d q
finger 18h IV/IM
(1-4 weeks)
Compression Approximately Approximately Approximately NB>2kg: 90mg/k/d q 8h
depth 1/3 to ½ 1/3 to ½ 1/3 to ½ IV/IM
 (1st week) CEPHALOSPHORINS
120mg/k/d q 1st GENERATION
6h (1-4wk) Cephalexin TD: 30-50 mg/k/d q6-8 (keflex)
IN,CH: 90-120 mg/k/d q monohydrate OM: 75-100 mg/k/d 100mg/ml drops
6-8h 125mg/5ml
Severe or life susp,
threatening infxn: 250mg/5ml susp
2 gms IV q 6-8 h 250, 500 mg 1 g
cap
Cloxacillin IN,CH: 50-100 mg/kg/d 250, 500mg cap 250, 500 mg
(Orbenin, q6-8 po 125mg/5ml susp pulvule
Prostaphli A: 2-4g/d q 6 po 250mg/5 ml susp Cefalothin Na80-160 mg/k/d q 6h 1g/vial
n A) 250 and 500 mg life threatening: up to (Keflin)
vial 2g/k/d q4
Oxacillin NB<1200g: 50 mkd q12 250mg vial Cefazolin NB: 40mg/k/d q 12 (1st (Stancef)
(0-4wks) 500 mg vial wk) 500mg &
>1200g: 50-75 mkd q 40-60mg/k/d q8-12 (1- 1 g vials
8-12 4 wks) IM/IV over 15-30
(up to 1 min
week) IN,CH: 50-100mg/k/d q8
100-150mkd IM/IV
q6-8 2nd GENERATION
(1-4wks) Cefaclor IN,CH: 20-40mg/kg/day 250, 500 mg cap
IM/IV over (ceclor) po q8 125mg/5 ml
15-30 min A: 750mg-1.5g q8 susp
IN,CH: 100-200 mkd q 6 250mg/5 ml
IM/IV susp
(over 30 mins) Cefuroxime 100-150 mg/kg/d q8 IM/IV Zinacef:
50-100mg/kg/day q6 IV 10-15 mkday q12 oral 250mg, 750mg,
A: 2-12 g/d q4-6 IM/IV 250mg/kg/d q 6 IV (for 1.5g vial;
(over 30mins) bacterial meningitis) 125mg/ml susp
Nafcillin NB: 40mg/k/d q12 IV 250mg/5ml susp OM: 40mg/k/d q 12 125mg, 250mg,
(Vigopen) (up to 1 wk) 250 mg cap >5 yrs: 30 mkd q 12 500mg tab
60-80mg/k/d q 6-8h 500 mg and >5 yrs: 40 mkd q 12 Zinnat: 125,
(1-4wks) 1 g vial A: 250mg q 12 250mg sachet
IN,CH: 100-200 mg/k/d susp., 125mg,
q 4-6h IV 250mg, 500mg
Pen V 50,000-100,000 125mg/5ml coated tab
(phenoxym U/kg/day q6 (200,000u/5ml) Cefetamet CH<12 yrs: 10 mg/kg q 12 (globocef)
ethyl- high dose: 150,000- 250mg/5ml >12 yrs: 500 mg po q 250, 500 mg tab
penicillin) 200,000 U/kg/day q6 (400,000u/5ml) 12 250mg/5ml susp
PO 500mg cap Cefoperazone CH: 100-150mg/k/d q 6-8 (cefobis)
(Megapan,Pantacillin, (800,000 u) IM/IV 500 mg, 1 g vials
Sumapen, medoxypen) A: 2-12g/d IM/IV q 6-8
Aqueous 50,000-100,000 1,000,000 U/vial Cefotaxime IN,CH: 50-100mg/k/d q (Claforan)
Pen G U/kg/day q6 5,000,000 U/vial 12-16h 250mg, 500mg,
meningitic dose: A (gonorrhea): 500mg 1 g vial
Benzylpeni 200,000-400,000 IM/IV SD
cillin U/kg/day q6 IV Cefoxitin 80-160 mg/kg/day IM/IV q (Mefoxin) 1 g
PENICILLIN G (PENADUR) = Wt x 100 /600 4-8 vial
Benzathine 50,000 u/kg single 3rd GENERATION
dose IM 1.2 M & 2.4 M u Ceftriaxone 50-100mg/kg/day q12-24 (Rocephin)
600,000-1.2 M u IM q3- vial (3rd gen) IV IM: 250mg,
4 wks Typhoid:75-80mg/kg/day 500mg, 1 g (inj.
Crystalline (Rheumatic Fever 1M and 5M u vial x w/ lidocaine)
prophylaxis) A: 1-4 g/d IV: 250mg,
500mg, 1 g (inj.
NB: 50,000-100,000 w/ 1% water)
u/kg q 6 Ceftazidime NB<2000g: 100mg/k/d (Fortum)
Procaine IV/IM (3rd gen) q12 250mg,500mg
IN,CH: 100,000- (up to 1 week) 1g, 2g vials
250,000 u/kg q 150mg/k/d q8 (1-4
4-6 IM/IV wk)
CH: 100-150 mg/kg/day q
25,000-50,000ukd, IM 8
q 12-24 A: 1-6 g/d q8 IM/IV
Meningitic: 200,000- Cefixime 3-8 mkday q 12 Drops:20mg/ml
400,000 ( Tergecef Susp:100mg/5ml
Skin infxn: Zefral, Cap:100mg,
150,000u/k/d x 10 days Ultraxime) 200mg

Ceftizoxime CH: 40-80 mg/k/d q 6-12 (Tergecin)

(3rd gen) A: 500mg-2g/d q 6-12h 500mg
IM/IV 1 g vials
Cefotaxime 100-200mg/kg/day q6-8 250mg, 500mg,
IV 1g/vial Cloforan
Ceftazidime 90-150mg/kg/day q8 IV 250mg, 500mg,
1g/vial Fortum
\
MACROLIDES
Azithromycin CH: 10mg/kg/day x 3 250mg cap
 days or alternatively for 200mg/5ml 80mg+400mg/5
5 days w/ a single powder for oral ml
10mg/kg dose on day 1 suspension 160mg+800mg
then 5 mg/kg on D2-5 forte tab
Clarithromyci CH: 15mg/kg q12 po (Klaricid) 80+400mg
n A: 500-1000 mg q12 250mg tab tab/cap
Severe infxn: 2 tab BID 125mg/5ml 160mg+800mg
x 6-14 days susp tab
Erythromycin IN,CH: 30-50mg/kg/day (Erycin,
q6 po Macrodin,
15-30mg/k/d q6 Ilosone AMINOGLYCOSIDES
SIV infusion 125mg/5ml; Amikacin NB: 15 mkd q12 (1st 250mg/ml,
A: 1-2 g/k/d q6 po 250mg/5ml) (Amikin, wk) (2ml) vial
1-4gkd q6 IV 100mg/2.5ml Pediakin) 15-22.5 mkd q8-12 125mg/ml,
Int. antisepsis: 1 g/dose drops (1-4 wks) IM/IV (over 1- (2ml) vial
x 3 doses (1pm,2pm, 250mg, 500mg 2h) 50 mg/ml (2ml)
11pm) the day before sx cap IN,CH,A: 15 mkd div q8 vial
200mg/5ml IM/IV (over 30-60 min)
susp LD: 10 mg/k/dose
400mg/5ml Gentamicin NB: 20mg/2ml amp
susp (Garamycin, <1200g: 2.5 mg/kg q 14- 60mg/1.5 ml
500 mg vial Servigenta, 18 h (0-4 wks) amp
Roxithromyci A: 1 tab BID po 15-30 Progara) <1200g: 5 mkd q 12 80mg/2ml amp
n (Rulid, min before meals (1st wk); 7.5 mkd q 8
Macrol) (1-4 wk) IM/IV (over 1-
QUINOLONES 2 h)
Ciprofloxacin A: 500mg-1.5 g po q12 IN, CH:
(Ciprobay) 100-200 mg as IV 5-8 mkd q8 IM/IV (over
infusion for 30 min q12 1-2 h) 5 mkd
Norfolxacin UTI: 200-400 mg BID A: 3.5 mkd q 8 IM/IV
GI infxn: 400 mg BID (over ½-2h)
Gonorrhea: 800mg SD Netilmycin 2.5mg/kg/dose q8 IV,IM 25mg/ml (2ml
Ofloxacin Inoflox, Qinolon (Netromycin) amp)
Uncom. 100mg BID po x 2-7 50mg/ml (2ml
UTI days 100, 200mg tab amp)
Compl. 200mg BID po x 7-14 100mg/ml (1.5
UTI, Pn, OM, days or 2 ml vial)
sinusitis, skin
& soft tissue Tobramycin 6-7.5mg/kg/day q8 IV,IM 10mg/ml
infxn ( Nebcin) 40mg/ml (2ml
300-600mg as single amp)
Gonococcus dose
Non- 100-200mg BID x 7-14 ANTI-TUBERCULOUS DRUGS
gonococcus days
GI infection INH IN,CH: 10-20 mg/kg/d 50mg/ml (trisovit)
200-300mg BID x 5-7 5-10 (max: 300mg/d)qd 100mg/m
days A: 8-10 mg/kg/d (max l(nicetas,pyrifort)
300mg/d), pre-breakfast 150mg/5m l(Odinah)
(pyridoxine: 200mg/5ml
Chloramphen NB<1200g: 25mkd q (pediachlor,
10mg/100mg INH to (comprilex,Trisofort)
icol 24h chlormycetin,
prevent S/E) 100,300,400 mg tab
(0-4 wks) Chloramol,
>1200g: 25-50mkd chlorambid) RIF IN,CH: 10-20 mkd, OD 100 & 200mg/5ml
q12-24h, IV over 15-30 125mg/5ml 10-15 1-pre or 2 post meal 150, 300, 450, 600mg
min (1st week) susp A: 600mg/d single daily cap
IN,CH: 50-100 mkd q6 250mg, 500mg dose (max 600mg/d) 600mg vial
po cap PZA CH: 30-35 mkd (max 250mg/5ml
IM/IV 1 g vial 15-30 2g/d) qd po 500mg/tab
A: 20-35 mkd po before
Clindamycin NB<1200g: 10mg/k/d q (dalacin-C) meals
6 150mg, 300mg EMB 15mg INH +125mg 100mgtab
(1st 4 wks) cap 15-25 EMB/5ml (pyrifort,trisovit)
1.2-2kg: 15mg/k/d q8 150mg/ml amp 150mg tab (pyrina)
>2g: 15mg/k/d q8 or A: 15-25 mg/kg/d qd, po 325mg, 400mg
20mg/k/d q6 (not >1.5g)
IN,CH: 10-40 mg/k/d q6 125mg/5ml 500mg
Imipenem- IN,CH>3mos: 15mg/k/d (Tienam) tab
Cilastatin q6 500 mg Strept CH: 20-40mg/kg/d qd IM 1 g vial
A: 1-2 g IV infusion imipenem omyci x 2mos (max 1 g/d)
*Crea clearnce of 500 mg n 25 A: 15-25 mg/kg/d or 1 g
15ml/min should not cilastatin, 1 daily, qd, IM
receive unless amp
hemodialysis is
instituted within 48 hrs
Co- 5-8 mg/k/d q 12 (Bactrim,
trimoxazole Septrin,
(SMX-TMP) Microbid)
40mg+200mg/5
ml
Triglobe:
45mg+205mg/5
ml
Bacidal COLDS PREPARATION:
 BRONCHODILATORS
Phenylpropanolamine 1-3mos: ¼ ml q 8 Disudrin
Aminophylline 3-5 mg/kg/dose or 25mg/ml (10ml)
(decongestant) 4-6mos: ½ ml q 8 12.5mg/5ml
0.6-0.9 mg/k/hr amp
7-12 mos: ¾ ml q 8 syr
LD: 5-7 mg/k/dose 80mg/15ml syr
1-2 yr: 1 ml q 8 6.25 mg/ml
MD: 3-5 mg/k/dose q 6 (nuelin)
2-6 yr: ½ tsp q 8 drops
hr + 2 or 3 cc IVF to 125, 250 mg tab
7-12 yr: 1 tsp q 8
run for (nuelin,
Combined Prep: Rondec, Drixine, Sudafed, Dimetapp,
20-30 min phenedrine)
Decolsin, Triaminic, Tridecon
120mg tab (tedral)
Brompheneramine 1-3 mos: 0.25 cc Dimetapp
Ipratropium + 7 yrs, A: 2-10gtts (0.1- MDI: 20mcg I +
maleate, 4-6 mos: 0.5 cc Per 5 ml syrup
Fenoterol 0.5 ml) 50 mcg F/10ml
phenylephrine, 7mos-2 yrs: 1 cc Per infant drop
(Berodual) 3-6x daily ( min 250mcg I + 500
phenylpropanolamine 3-12 yrs: 1 tsp TID
interval: 2 hours) mcg F/ 20ml
inhalant
Salbutamol 0.1-0.15 mkd po q 6-8 2mg/5ml syrup
Iron Supplement
or 2.5 ml tsp q 6-8 ( 6 (activent, librentin,
Dose: 3-5 mg/kg/day (maintenance)
mos-3 y/o) or 5 ml q 6- ventolin)
6 mg/kg/day ( therapeutic dose)
8 hrs 1mg/5ml expector
preparation: drops 15 mg/ml
recommended dose: 2mg tab
syrup 30 mg/5 ml
0.1-0.3 mg/k/d 2.5mg/2.5ml neb
Nebulizer or 5mg/2.5 neb
Immuzinc 0.01 ml/kg (max 1 ml) 200ug rotacap
dose: 1-2 mg/kg/day in 3ml NSS or 5-10gtt 0.1mg/inhalation
prep: 20 mg /5 ml syrup in 2ml NSS q6 (Asmalin)
10 mg/ml drops 5mg/ml resp soln
0.5mg/ml
Nifuroxazide (ercefuryl) (2ml)amp
< 6 monts 1 tsp BID Terbutaline 0.1-0.18-5 mkd po q 8 0.5mg/ml (1ml)
> 6 months 1 tsp TID or 0.075 mg/k dose q 6 amp
hr; or 1 mcg SC to rpt 1.5mg/5ml syr
Calcium Gluconate prn after 20 min once (betalin, bricanyl,
Dose: 200-300 daily pulmoxel, terbulin)
Ex. WT x dose x prep Nebulizer 2.5 mg tab
1.4 kg x 200 mg/ml = 290 mg/ml x 100mg /ml 0.01 ml/kg (max of 1 ml 5 mg tab (ER)
= 2.9 ml in 3 ml NSS or 5-10 gtt 2.5mg/ml (2ml)
in 2 ml NSS) q 6 neb
Naloxone 0.5mg/d
Dose: 0.1 mg/kg/dose IV/IM/SC turbohaler, 100 d
Ketotifen 6mos-3 yrs: 1 drop BID (zaldec, Zadilen)
Theophylline or 0.25 ml syr BID 1mg cap
prep: 80 mg/ml >3 yrs: 5 ml syrup BID 1mg/5ml syr
26.7 mg/ml Clenbuterol <6 mos: 1 ml drops spiropent
dose: 2.5 mg/kg/dose q12 6-24 mos: 2 ml drops
1-2 yrs: 5 ml syr
2-4 yrs: 7.5 ml
4-6 yrs: 10 ml
ANALGESICS DOSE PREPARATION 6-12 yrs: 15 ml
Aspirin 65-130 mg/kg/d q 4-6 80 mg, 325 mg
Thrombolytic h tab COUGH PREPARATIONS
RHD activity 3-5 mg/k/day
Kawasaki 75-100mg/k/day MUCOKINETICS
80-100 mkd q 6h x Ambroxol <1 yr: 12 mg/day 15,30mg/5ml
2wks HCl 0.5ml BID (<6 mos) syr
then 3-5 mg/kg x 6-8 (bronchopron 1ml BID (7-12 mos) 6mg/ml
wks t, 1-2 yr: 15mg/day or drops
Diclofenac CH: 50 mg tab BID 25, 50 mg tab Mucosolvan, 1.25mg BID 15mg/2ml
during or after meals 100 mg tab (SR) Mucovent, CH: 1.2-1.6 mg/kg/d inhl’n soln
A: 75-100 mg daily 25mg/ml (3ml) Muxal,Ventez 5-10 y/o: ½ tsp BID-TID 15 mg/2ml
amp e CH>10 yrs, A: 1 tab TID or amp
Mefenamic 6.5 mg/kg/dose q 6 h 50 mg/5ml susp Therasolvan, 1 tsp TID
Acid (ponstan, Zobrixol)
tynostan) Bromhexine <2 yrs: ¼ tsp TID-QID Bisolvon
250, 500 mg HCl 2-5 yrs: ½ tsp TID-QID 8mg tab, 2
tab/cap 5-10 yrs: 1 tsp TID-QID mg/ml soln,
Paracetamol 10-15 mg/kg/dose q 150mg/ml (2ml CH> 10 yr, A: 2 tsp TID- 0.8 mg/ml
4-6 h amp) QID elixir, 4 mg
125, 250 mg amp
susp Bitussin,
325, 500 mg tab Bronkose,
120, 250/5ml mucolyptus,
syrup mucuspel
60mg/0.6 ml 4mg/5ml syr,
drops 8 mg tab
Carbocistein <2 mos: 0.25 ml QID 100, 250
e (Aflema, 2-6 mos: 0.5 ml QID mg/5ml susp
Ameuslyn,Br 7-12 mos: 1 ml QID 50mg/ml
onchotus, 1-3 yrs: 5-7.5 ml TID drops
Flemex, 4-7 yr: 7.5-10 ml TID 500 mg cap
Laxobron,Kra 8-12 yr: 10-15 ml TID 40 mg/ml
movon, A: 1 capsule or 30 mll TID drop
Simbron, Solmux: 1-3 yrs: 2.5 ml TID
Solmux) 4-7 yrs: 5 ml TID Solmux:
 8-12 yrs: 7.5 ml 250mg/5 ml
500 mg/5ml ANTI-CONVULSANTS
suspension Carbamazepine LD: 10-20 mg/kg Tegretol
MD: 5 mg/kg/day 100mg/5ml syr
200mg tab
S-CARBOXYMETHYLCISTEINE
Clonazepam IN,C <10 yrs: 0.01- Rivotril 2mg tab
(LOVISCOL,MUKINYL,VISCODEC) 0.03 mg/kg/d
Loviscol <3 mos: 0.3 ml TID 50 mg/ml drop >10 yrs: 1- 2
3-6 mos: 0.6 ml TID 100mg/5ml, mg/k/d
7-12 mos: 0.9 ml TID 250mg/5ml susp MD: <10 y: 0.05 -0.1
13-24mos: 1.2 ml mkd
TID 10-16y: 1.5 - 3
1-3 yrs: 1-1 ½ tsp mkd
TID A: 2-4mg/k/d
4-7 yrs: 1 ½ tsp TID Diazepam mg-0.3mg/k/dose 10mg/2ml amp
8-12 yrs: 2-3 tsp TID (anxionil, 0.2-0.4 mg/kg/dose 2mg, 5 mg tab
Mucolytic + expectorant: bromulex, mucolex, bisolvon trazepam,
(bromhexine HCl), Bronchicum, Cheryl IP (Guaifensin + valium)
Ipecac) Diphenyl- LD: 10-15 mg/kg/dose Dilantin 125,
Antitussive: Bractus, Sinecod (Butamine citrate), Robitussin hydantaoin MD: 4-8 mg/k/d q 8h 30mg/5ml susp
AC (Guaifenessin+ codeine phosphate + pheniramine *push DW before and 30, 100 mg cap
maleate), Pertix, Protussa, Tuscalman Berna after 100g/2ml amp
Dextromethorphan 1-2 tbsp 3-4 hrly or 5mg/5ml syr Phenobarbital LD: 10-20 mg/k/d 16.25mg
HBr 1-2 tabs q 4 hr 10 mg tab MD: 5-10 mkd 32.5mg,65mg
(max: 12 tabs/day) 97.5mg tablets
Expectorant + antitussive: mucolexin (Dextromethorphan + Sedation/sleep: 2-3 mkd q 8-12 Na luminal:
guiafenesin + Na citrate), mucobran (Guiafenesin + Na citrate) 130mg/ml amp
Long term anti- start at 1.5 mkd q 12 15,30,60,100
convulsant to 4-6 mkd q 12 or as mg tab
STEROIDS single daily dose HS 20 mg/ml syr
Budesonide C: 200-400 mcg BID 200mcg/dose
(budecort) initial misthaler gr ¼ = 15 mg
MD: 100-200 mcg 200mcg gr ½ = 30 mg
BID turbohaler gr 1 = 60 mg
(max: 800 mcg daily) 250mcg/ml Valproic acid 15 mg/kg/d div q 8-12 Depakene
A: 400-800 mcg BID respul by 5-10 mg/kg/day 250mg/5ml
MD: 200-400 mcg weekly (max: 30 susp
BID mg/kg/d q 8) 250mg tab
Dexa- 0.023-0.33 mkd po 0.5 mg, 4mg
methasone 0.5-1 mkd (max 16mg/d) tab
in 4 div doses, IV (for 5mg/ml ANTI-EMETIC
ICP) amp(1ml) Dimenhydrinate 5mg/k/d QID Dramamine
4mg/ml 2-6 yrs: 2.5 ml BID- 12.5mg/5ml syr
vial(2ml) TID 50 mg tab
Hydrocortiso LD: 10mg/k/dose 50mg/ml, 2ml 6-8 yrs: 5-10 ml BID- Emes: 50 mg tab
ne MD: 4-8mg/k/dose vial TID Vomex: 50 mg
10-20 mkd q 6 then 4 125mg/ml, 2ml 8-12 yrs: 10-20 ml supp
Status mkd q 4 until (+) vial BID-TID
Asthmaticus response Infant: ¼ supp
1-6 yrs: ½ supp
Shock 50 mg/kg initial then 50- 6-12 yrs: 1 supp
75 mkd q 6 BID/TID
Prednisone CH: 1-2 mg/k/d q 6 5 mg tab
P: 40-60 mkd po ( for ANTI-VERTIGO
neoplasm) Betahistine A: 1-2 tab TID po with Serc, mension
meals 6mg tab
(mesylate)
ANTI-HISTAMINES 8, 16 mg tab
Acrivastin 1 tab TID po 8 mg cap (dihydrochloride)
semprex Meclezine 12.5-50 mg/k/day Bonamine 25 mg
Chlorphenira 0.35 mg/kg/day or 4 mg tab HCl TID/BID tab
mine 0.2 mg/kg/dose 10 mg/ml (1 ml) <6 mos: 0.5 ml daily Bonadoxine 8
(Antamine) amp 2-6 yrs: 3 ml or mg/ml drops
Clemastine 2-6 yrs: 2.5-5ml BID 0.5mg/ml syr 1-2 tabs daily
(Tavergyl) 6-12 yrs: 5-10 ml BID 1mg tab
>12 yrs: 7.5 ml BID or 2mg/2ml amp
½ tab to 1 tab BID po
or PROKINETIC (GASTRO-KINETIC DRUG)
0.025 mg/k IM Metoclopramide 0.5 mg/k/day Plasil
Diphenhydra 3-5 mg/kg/day q 6 po, 25mg, 50mg cap <1yr: 1 mg BID 5 mg/5ml syrup
mine IM, IV 12.5mg/5ml syr 1-3 yrs: 1 mg BID-TID 10 mg tab
(Benadryl) 50mg/ml (1ml) 3-5 yrs: 2 mg BID-TID 10 mg/2ml amp
amp 5-14 yrs: 2.5 mg TID
Hydroxyzine 10 mg OD or 0.2 mg/syrup
HCl (Iterax) 1 mg/k/day BID 10, 25 mg tabs
Mequitazine ½- 2 tabs/day accdg 5 mg tab
(primalan) to age 2.5mg/5ml syr
Terfenadine 15-30 mg BID 30mg/5ml syr
(Teldane) 60mg tab
ANTI-ULCER
OPTICAL ANTI-INFECTIVES:
Antacid 2-4 tabs chewtab QID Chewable tabs
Chloramphenicol 1 gtt 2-4x/day (1 gtt/hr for 0.25%,
1 hr after meals or 250 and 500 ml
solution acute cases) Apply inside 0.5%, 1% 5
2-4 tsp QID susp susp
ointment surface of lower lid ml drops
Cimetidine 5-7.5mg/kg/dose q 6 200,400,800 mg
0.1%,0.5%
( tagamet) po/IV or tab
3.5 g tube
10-20 mg/kg QID 100mg/ml (2ml)
Framycetin 1-2 gtts q 1-2h or 1-2 gtts 0.5% 2.5ml
amp
solution 3-4x/day (acute) drops, 0.5%
100mg/5ml syrup
ointment 2-3 application daily or at 2.5 g tube
Ranitidine 2-4 mg/k/dose BID po 75,150, 300 mg
bedtime
(Zantac) or tabs
Sulfacetamide 1-2gtts into lower 10% 15%
1 mg/k/dose TID, IV 150mg/5ml syrup
conjunctival sac 2-3h 5ml drops
50mg/2ml amp
Tobramycin 1-2 gtts q4 3mg/ml
Solution ½ in ribbon into (0.3%),5ml
ANTI-SPASMODIC ointment conjunctival sac 2-3x/day 3mg/g
Bentyl 2.5-10 ml TID 10 mg tab (0.3%) 3.5g
10mg/5ml syrup tube
Dicycloverine IN: 0.5-1 ml gtt or ½ Relestal: 5 mg/ml
HCl, tsp syr QID/TID drops
Simethicon 1-5 yrs: 2.5-5ml 10mg/5ml syrup AMEOBICIDES
TID/QID
Diloxanide 20mg/k/day po TID 125mg/5ml
6-12 yrs: 5 ml
furoate x 10 days
Hyoscine-N- IN: ¼ amp TID IM, SC 10 mg tab
(furamide,
butyl bromide or slow IV 5 mg/5 ml syrup
elizol)
(buscopan) CH, A: 1-2 tabs 3-5 x 20 mg/ml amp
Etofamide CH: 15-20ml/kg/day 100mg/5ml susp
daily
(kitnos) or 2 tsp TID x 3 200mg tab
days 500 mg forte
ANTI-FLATULENT A: 5 tabs BID x 3
Dimethyl- A: 1-2 tab TID po 40 mg tab days or 1 forte tab
polysiloxane Disflatyl, Gascon BID

EAR PREPARATIONS:
ANTI-HELMINTICS 1. Antiseptics with corticosteroids
Albendazole Zentel Polymyxin Cortisporin 3-4 gtts tid- 5ml
Nematode 400 mg po 200 mg/5ml syr B+Neomycin+HAA qid drops
Capillariasis 200 mg BID x 10days 400 mg tab Fluocinolone Aplosyn, 3-4 gtts tid- 5 ml
400 mg q day x 3 acetonide + Synalar qid drops
Strongyloidiasis days polymyxin B +
Mebendazole 200 mg po BID x 3 100, 500 mg neomycin
(Antiox) days or 500 mg po tab Triamcinolone kenacomb 2-3 gtts tid- 7.5ml
one dose 100 mg/5 ml acetonide + qid drops
susp neomycin +
Piperazine 75 mg/kg (max: 1.25 mg/5 ml gramicidine +
(Expelin, Aloxin) 3.5g/d) q day x 2 days syr nystatin
(for ascariasis only) 62.5 mg/5 ml 2. Anti-Infectives and Antiseptics
syr
Chloramphenicol Chloromycetin 2-3 gtts bid- (5%)
Pyrantel 11 mg/kg/day (max 1 Combantrin qid 5ml
Pamoate g) x 3 days 250, 500 mg
Polymycin B + glacialAerosporin 3-4 gtts tid 10ml
tab
acetic acid drops
125, 250
Polymycin B + Lignosporin 3-4 gtts tid 10ml
mg/5ml
lidocaine drops
Quatrel:
100 mg/5 ml 3. Miscellaneous
100 mg tab Antipyrine + Auralgan Moisten cotton 10ml,
Benzocaine + plug with solution 15ml
glycerine then insert into drops
ANTI-DIARRHEALS dehydrated meatus tid-qid
Nifuroxazide <6 mos: 2 tsp daily 200 mg cap Dousate otosol Fill ear canal wit (0.5%)
( Ercefuryl) >6 mos: 3 tsp daily 220mg/5ml sodium soln & stay in 10 ml
A: 1 cap QID syr position for 4-5 drops
Paromomycin + Humagel min then insert a
kaolin + pectin 150 mg cap cotton wool plug x
Bacterial <3 yrs: 1 tsp q 4 h 50mg/5ml 2 consecutive
diarrhea 4-14 yrs: 1 tbsp q 4h susp nights
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
 A: 800mg/day (1st 100mg/ml amp
day LD of 1600mg) q6 6g/vial aero

ANTI-FUNGAL
Amphotericin B NB: 100ug-1mg/kg/d 5mg/ml(10ml AMEOBICIDES
over 6 hrs during 1st 4 )vial Furazolidone 5-8mg/k/day QID 50mg/15ml,
wks of age (furoxone) NOT FOR G6PD 16.6mg/5ml
IN,CH: 50mg 100mg tab
1st day: 0.1mg/kg for reconstituted Metronidazol Flagyl
2hrs (test dose) with 10cc e IN,CH: 35-50 mkd q8 x10
2nd day: 0.25mg/k sterile water Ameobiasis days 250mg,
(increment of 0.125- to make A: 750mg TID po x 5-10 500mg tab
0.25mg/kg),  to 1 5mg/ml days 125mg/5ml
mg/k/d as single infusion Trichomonias susp
over 6-8h Dose: 0.5- is C: 5 mkd q8 x 7 days 5mg/ml(100
0.7mg/k/day A: 250mg TID x 5 days ml)vial
Candida TD: 20-30 mg/k/day 1g
Fluconazole(difl LD: 6mg/k OD Giardiasis C: 15 mkd q8 x 5 days suppository
ucan) MD: 3 mg/k OD A: 250 mg TID x 5 days

Anaerobic NB: 15mkd (initial) then

50, 150, Infxn: 7.5 mkd q12 IV
200mg/cap CH: 30 mkd (max 4g/d) q6
2mg/mlvial po/IV
Griseofulvin CH: 7.25 mg/kg/d OD,po 330 mg tab A: 500mg q6 po/IV or
A: 0.33-).66g/d OD, po 300mkd (max 4g/d) q6
Ketoconazole CH: 5-10 mkd q12-24, 200mg tab po/IV
po Intestinal
A: 200-400 mg OD, po Antisepsis A: 750mg x 3 doses 1 day
Nystatin NB: 100,000 before sx
(Mycostatin) <2kg: 200,000- units/ml susp Tetracycline 25-50 mg/kg/day div q6 po 250, 500mg
400,000 u/d q 4-6h po cap
>2kg: 400,000- 500,000 u Vancomycin NB<1.2kg: 15mg/k/d OD 500mg/vial
800,000 u/d q 4-6h tab >1.2kg: 20mkd q12 (1st
100,000 u wk)
IN,CH: 400,000-800,000 vaginal tab 30mkd q8 (1-
u/d q 4-6 h, po 4wks)
IN,CH: 40mg/k/d q6-12h
A: 800,000-2,000,000 A: 2mg/d IV q6-12h
u/d q 4-6h, po

DEVELOPMENTAL MILESTONES
Age Gross Visual- Language Social/Adapti
Motor Motor/Proble ve
ANTI-VIRAL m Solving
Acyclovir 200 and 400 mg 1 Raises Birth: Alerts to Regards face
Premature 10mg/kg as 1hr IV tab mo head from Visually fixes sound
infusion of 12hrs x prone
10-21 days 250mg/ml (5ml) position
inj 1 mo: Has
Term 10mg/kg as 1hr IV tight grasp,
infusion of 8 x 10-21 follows to
days midline
Varicella- 2 Holds head No longer Smiles socially Recognizes
Zoster 2-12 yr: 20mg/kg mo in midline, clenches (after being parent
(max:800) qid x 5 lifts chest fists tightly, stroked or
days off table follows talked to)
>12 yrs: 800mg po object past
Encephalitis 5x/day x 7 days midline
3 Supports Holds hands Coos Reaches for
10mg/kg as 1 hr IV mo on open at rest, (produces familiar
infusion of 8hrs x 4-21 forearms in follows in long vowel people or
days prone circular sounds in objects,
Amantadine CH: 5-8 mkd po 100mg tab position, fashion, musical anticipates
HCl (max150mg) bid or tid 50mg/ml holds head responds to fashion) feeding
A: 200mg OD ir BID up steadily visual threat
4 Rolls over, Reaches Laughs, Enjoys
Inosiplex <6mos: 1 ml q 3-4hrs (Immunosine) mo supports on with arms in orients to looking
6-12mos: 1.5ml q3-4 500mg tab wrists, and unison, voice around
1-2yrs: 2ml 250mg/5ml shifts brings hands
2-6yrs: 3ml weight to midline
6-12yrs: 5ml 6 Sits Unilateral Babbles, ah- Recognizes
A: 1 tab mo unsupporte reach, uses goo, razz, that
Methixoprinol LD: 100mg/kg/day (Isoprinosine) d, puts feet raking grasp, lateral someone is a
Linosine MD: 50mg/kg/day 500mg tab in mouth in transfers orientation to stranger
250mg/5ml syr supine objects bell
Ribavirin CH: 15mg/kg/d in 3 or 200mg cap position
(virazole) 4 div doses 20mg/ml syr 9 Pivots Uses Says “mama, Starts
mo when immature dada” exploring 7-9 yrs 80-90 1.5
sitting, pincer grasp, indiscriminatel environment, 10-12 yrs 70-80 1.5
crawls well, probes with y, gestures, plays gesture 13-15 yrs 55-65 1.5
pulls to forefinger, waves bye- games (e.g., 16-19 yrs 45-50 1.2
stand, holds bottle, bye, pat-a-cake)
cruises throws understands
objects “no”
12 Walks Uses mature Uses two Imitates Age Normal respiratory rate
mo alone pincer grasp, words other actions, <2 mo <60
can make a than comes when 2-12mo <50
crayon mark, mama/dada or called, 1-5yo <40
releases proper nouns, cooperates 6-8y/o <30
voluntarily jargoning with dressing
(runs several
-- NORMAL RESPIRATORY RATES IN CHILDREN
unintelligible
words Age Respiratory Rate (breaths/min)
together with (yr)
tone or 0–1 * 24–38
inflection), 1–3 22–30
one-step 4–6 20–24
command with 7–9 18–24
gesture 10–14 16–22
15 Creeps up Scribbles in Uses 4–6 15–18 mo: 14–18 14–20
mo stairs, imitation, words, follows Uses spoon
walks back- builds tower one-step and cup Age Normal heart rate
wards of two blocks command NB 110-150
independen in imitation without 2y/o 85-120
tly gesture 4y/o 75-115
18 Runs, Scribbles Mature Copies >6y/o 60-110
mo throws spontaneous jargoning parent in
objects ly, builds (includes tasks
from tower of 3 intelligible (sweeping, Weight
standing blocks, turns words), 7–10 dusting), IBW kg
without 2–3 pages at word plays in preterm (# of days -14) x 15 + BW 9gms
falling a time vocabulary, company of term (# of days -10 x 20 + BW 9 grms
knows 5 body other At birth 3.25
parts children 3-12 mo Age in months + 9
24 Walks up Imitates Uses Parallel play 2
mo and down stroke with pronouns (I, 1-6y/o (age in yrs x 2) + 8
steps pencil, builds you, me) 7-12 y/o (age in yrs x 7) – 5
without tower of 7 inappropriately 2
help blocks, turns , follows two-
pages one at step
a time, commands,
Length
removes has a 50– Ave BL 50 cm (20 in)
shoes, word 1 y/o 75 cm
pants, etc. vocabulary, 3y/o 3 ft.
uses two-word 4y/o BL x 2
sentences >2y/o (age in yrs x 5) + 80
3 yr Can Copies a Uses Group play,
alternate circle, minimum of shares toys, Holiday Segar
feet when undresses 250 words, 3– takes turns,
BW (kg) Fluid volume
going up completely, word plays well
1-10 y/o 100 ml/kg
steps, dresses sentences, with others,
11-20 1000 ml+ 50 ml/kg for each kg >
pedals partially, uses plurals, knows full
10kg
tricycle dries hands knows all name, age,
if reminded, pronouns, gender >20 1500+ 20 ml/kg for each kg > 20
unbuttons repeats two kg
digits
4 yr Hops, Copies a Knows colors, Tells “tall Ludans <15 kg >15 kg
skips, square, says song or tales,” plays method <2 y/o >2 kg
alternates buttons poem from cooperatively
feet going clothing, memory, asks with a group mild 50 30
down steps dresses self questions of children moderate 100 60
completely, ¼ PLR ¾ D50.9 6-7 hrs
catches ball severe 150 90
5 yr Skips Copies Prints first Plays 1/3 PLR x 1 hr
alternating triangle, ties name, asks competitive 2/3 D5 0.3 or 0.9 6-7hrs
feet, jumps shoes, what a word games, For every degree rise in temperature add 12% Of maintenance
over low spreads with means abides by
obstacles knife rules, likes to IVF components (meq/L)
help in Na K Cl base Mg
household
D5LRS 130 4 109 28 -
tasks
D5 0.3 Nacl 51 - 51 - -
D5 0.45 Nacl 75 - 75 - -
D5 0.9 NaCl 154 - 154 - -
Age Cal per kg
D5 mannitol 49 25 19 20 -
Prot g/kg
D5 NR 140 5 98 50 -
0.5 mos 115 3.5
D5 NM 40 13 40 16 -
6-11 mos 110 3.0
D5 IMB 25 20 22 23 -
1-2 yrs 110 2.5
NP 30 20 25 23 -
3-6 yrs 90-100 2.0
D5NSS 150 - 150 - - Preparation 10% calcium gluconate
D5W - - - - - = 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

Blood Transfusion
WHO treatment plan (CDD)
FWB: 10 cc/kg 4-6 hours
Plan A PRBC: 10 cc/kg 4 hours
Age in yrs. Give every after BM Plt Conc: 1 unit/7 kg fast drip
<2 50-100 ml (2-3oz) FFP: 10 – 15 cc/kg 2-4 hrs
2-10 100-200 ml (2-3 0z) Cryoppt: 1unit/5 kg
>10 As much as tolerated
How to compute ANC
= WBC (% neutrophils + % bands) x 1000
Plan B
Age Weight Ml in 4 hours Fluid Balance
<4 mo <5 kg 200-400
4-11 5-7.9 400-600 TFB=Total fluid intake – total fluid output
12-23 mo 8-10.9 600-800 TFI – ( TFO + (BSAxIWL))
2-4y/o 11-15.9 800-1200 TFI = parenteral (IVF/meds) + oral
5-10 16-29.9 1200-2200 TFO= IWL (400-700/m2) + urine output+ vomitus/ NGT output
10-15 y/o >30 2200-4200 TFR = BSA x IWL + ½ U.O in 24 hours(if with diuretics )
If w/o diuretic use BSA x IWL + U.O in 24 hours
Plan C
Age 30 ml/kg 50 ml/kg
<12 mo 1 hr 5 hrs
>12 mo 30 mins 2 ½ hours
Using PLR for 4-6 hrs
Albumin Transfusion

Sodium (Na) Dose: 0.5 -1 gm/kg

Normal value: 135-145 meq/L Preparation: 20% 10 gm
A. To compute for deficit 25 % 12.5 gm
Desired Na (140 meq/l) - actual Na x 0.6 x Wt.
Ex. 140-121 x 0.6 x 10 kg Transfuse 1 vial to run for 2 hrs at 6-7 gtts/min
= 114 meq After 1 vial give furosemide (1 mkdose)
Give 2nd vial then furosemide
B. To compute for maintenance Mobitor VS q 15 mins while ongoing Infusion
Required K= deficit + maintenance
Wt. x 4 (constant) IVIg Computation
Ex. 4x 10 kg = 40 meq
C. required sodium for 24 hours # of vials needed = WT. x Dose (2g/kg)
Add desired + maintenance preparation(g/ml)
Ex : 114+ 40 meq = 154 meq Ex. 12 kg
Running rate : < 0.5 meq/l/hr
(increased running rate can lead to osmotic # of vials needed = 12 kg x 2g/kg
demyelination) 2.5 g
Na correction: ½ by 1st day the rest over 24-48 hours = 9.6 vials or 10 vials
Infusion Rate:
0.01-0.02 ml/kg/min for the first 30 mins. Via infusion pump if
Potasium (K) no adverse reactions noted, may increase to maximum of
Normal value: 3.5-4.5 meq/l 0.04 ml/kg/min
Ex: 12 kg wt
A. To compute for deficit Infusion rate of 0.01
(Desired – actual) x wt. X 0.3 12 kg X 0.01 x 3o mins = 4 ml
* give for ml to run for 30 mins watchout for nausea, vomiting,
B. Maintenance chills fever, dyspnea, malaise, hjeadache etc.
Wt x 4 meq
2. increase to infusion rate 0f 0.02 x 60 mins
Running rate : 0.25-0.5 meq/m2/hr 12 x 0.02 x 60 = 15 ml to run for 60 min
IVF correction should not exceed 40 meq/L
3. remaining to run for 14 hours
ECG : tall/peaked T waves ; prolonged PR interval,
decreased ST wave ; diappearance of P wave IVIg Preparation Available

Serum K if > 6.5 meg/l 10 ml (500mg/vial)

Mgt: glucose 0.5 – 1 g/kg + insulin 0.1-0.2 units/ kg 20 ml (1000 mg/vial)
over 30 minutes 50 ml (2500 mg/vial)
100 ml (5000 mg/vial)
200 ml ( 10000 mg/vial)

Bicarbonate Correction

Total Bicarbonate correction

= Wt. x 0.3 x base excess

Calcium Gluconate
 CHON : 2 gm/kg/day
Fats: 40%
CHO: 60 %
divided into 3 meals and 3 snacks

Intralipid
Haesteril 6% WT. x 0.5 /kg = x (gm)
<10 kg = 10 cc/kg x (g) x 100 ml/10 gm = x (cc)
<20 kg = 20 cc/kg
> 20 kg = 30 cc/kg/hr To order: start intralipid 10% give __ cc
to run for 1 hr. (as test dose) then 14 cc to
Ex: WT: 72.9 kg IVF: 3cc/kg/hr run for 20 hrs via infusion/syringe pump
72.9 kg x 3 cc/kg/hr x 24 hrs = 720 cc * insert another line
total IVF/day – 720 cc = 4528.8 * intralipid should not be mixed with electrolyte containing IVF
ml Lipid
72.9 = 218 cc/hr = 54-55gtts/min (IVF) (-) 7-8 Dose: 0.5 - 2
gtts/min (haes) Wt x dose x 100/ 20 (if 20% prep)
4 4 * add additional amount of D5W total of 24 cc to run at 1 cc/hr
= 47-48 gtts /min (IVF rate) for 24 hrs via syringe pump
* wrap tubing with carbon paper
Order:
Gomez Classification
Hook D5 0.9 Nacl/ D50.3 to run at47-48 gtts/min Actual wt. x 100%
Hook 6% haesteril as drip to run at 7-8 gtts per Ht. for age
min 97-100% normal
76-96% 1st deg. Mal.
Excahnge Transfusion 61-75% 2nd Deg. Mal
<60% 3rd deg mal.
total vol (ml) = Wt (kg) x 2 x 85 (bld vol)
Absolute vol. of RBC’s needed
wt. x2 x 85 Waterlowe Classification
2
Absolute vol. (ml) of RBC needed Stunting : actual wt. x 100%
WTx2x85 = 0.7 Ideal Ht. for age
_____ 2________
Actual vol. (ml) of FFP needed > 95 % normal
= Wt. x 2 x 85 – actual vol of RBC needed 90-05% mild
80-90% mod
Mannitol (20%) <80% severe
Dose: 0.3-0.5 g/kg
20 g/100ml x 0.5 (wt)/ X = x Wasting: Actual wt. x 100%
x= 0.5 (wt) (100) Ideal wt for ht
20 gm
X = ________ ml q 6-8 hrs > 90 % normal
80-90% mild
Ex. 44kg dose 0.3 g/kg 70-80% mod
202/100ml x15/x = x (20g) = 15 x 100
x= 1500/20 = 75 ml q6 Dextrosity:

Desired - lowest x 1
Aminosteril Feeding Highest – lowest

Rate: 0.5-2 grms/ kg/day D10 – D5 = 5 = 0.11 = D10

Ex. Wt x rate x prep. = ml/day 50.5 45
10 kg x 0.5 grms x 6 grms
kg.day 100 ml D7.5 – 5 = 2.5 = 0.055 = D7.5
5 gms x 100 ml = 83 ml/day 50.5 45
day 6 grms
= 83 ml = 3.45 ml/hr D12.5-5 = 7.5 = 0.166 = D12.5
Div doses 50.5 45

ABG Ex. 59 cc x 0.11 = 6.49 (D5050)

59 - 6.49 = 52 cc
pH 7.35- 7.45
pCO2 35-45 Reticulocyte Index
pO2 80-100 RI = actual Hct. X Retic. Ct.
HCO3 22-26 desired hct 10
O2sat 94- 100% normal value: 1-1.5 normal
BE +/- 2 > 1 inc. erythropoeisis, inc BM activity, hemolysis
< 1 dec. erythropoeisis, BM failure
Urine Anion Gap
= urine Na + Urine K – U Cl - U HCO3
(+) = low H+ secretion and low ammonium excretion Hypoglycemia
(-) = urinary bicarbonate loss
normal glucose value
Nutrition (mg/dl)
TCR = IBW x RDA for age or premature 20-60
TCR = holiday segar method (in kcal/kg) neonate 30-60
 newborn:
1 day 40-60
>1 day 50-90 LACTIC ACID DEHYDROGENASE
child 60-100 Normal range 5–30 U/L (or about
fasting 70-105 10% of serum value)
2 hours PP <120
PROTEIN
Treatment : 2 ml/kg of D10 (bolus) Preterm 65–150 0.65–1.5 g/L
IV bolus mg/dL
Ex. BW = 3 kg Term 20–170 0.20–1.7 g/L
3 x 2 ml = 6 ml mg/dL
6 x factor = 6 x 0.11 Child 5–40 0.05–0.40 g/L
= 0.66 cc mg/dL
order: 5.3 cc of present IVF (or D5W) + 0.7 cc of D50-50 to CSF, cerebrospinal fluid; PMNs, polymorphonuclear
make D10 as bolus lymphocytes; WBC, white blood cell.
Modified from Oski FA: Principles and Practice of Pediatrics,
3rd ed. Philadelphia, JB Lippincott, 1999.
Croup Scoring
TABLE 25-2 -- EVALUATION OF TRANSUDATE vs. EXUDATE
score (PLEURAL, PERICARDIAL, OR PERITONEAL FLUID)
Respi. Stridor none 0 Measurement * Transudate Exudate †
audible stridor 1 Specific gravity <1.016 >1.016
when agitated 2 Protein (g/dL) <3.0 >3.0
at rest 3 Fluid : serum ratio <0.5 >0.5
severe 4 LDH (IU) <200 >200
Cough none 0 Fluid : serum ratio <0.6 >0.6
when agitated 1 (isoenzymes not useful)
croup like at rest 2 WBCs ‡ <1000/mm3 >1000/mm3
severe 3 RBCs <10,000 Variable
retraction rest 0 Glucose Same as serum Less than serum
mild 1 pH § 7.4–7.5 <7.4
moderate 2 LDH, lactate dehydrogenase; RBCs, red blood cells; WBCs, white blood
severe 3 cells.
Dyspnea none 0 Note: Amylase >5000 U/mL or pleural fluid : serum ratio >1 suggests
mild 1 pancreatitis.
moderate 2 TABLE 1-2 -- MANAGEMENT OF CIRCULATION
severe 3 Location * Rate Compressions:
color normal 0 (per min) Ventilation
cyanosis at room 1 Infants 1 fingerbreadth >100 5:1
air below intermammary
cyanosis w/02 2 line
Children 2 fingerbreadth 100 5:1
(<8 yr) below intermammary
Hypoxic Ischemic Encephalorathy (Sarnat Scoring) line
Older Lower half of 100 15:2
I II III children stemum
level of conciusness alert lethargy coma (>8 yr)
muscle tone normal or hypotonic failed
hypertonic TABLE 17-3 -- PREDICTED ENDOTRACHEAL TUBE SIZE AND
myoclonus + + - EXPECTED BIRTH WEIGHT BY GESTATIONAL AGE *
seizure - + + Gestational Weight ETT Size ETT Depth of Insertion
suck reflex active weak absent Age (wk) (g) (mm) (cm from upper lip)
moro reflex exagerated inc. - 24 700 2.5 7
grasp N or inc exag. - 26 900 2.5 7
dolls eye N overactivity dec. 0r - 28 1100 2.5–3.0 7
respi. reg. varies apneic 30 1350 3.0 7
CR N or tachy brady brady 32 1650 3.0 7
pupils dilated aniso aniso 34 2100 3.5 8
reactive reactive nonreact. 36 2600 3.5 8
38 3000 3.5–4.0 9
TABLE 25-3 -- EVALUATION OF CEREBROSPINAL FLUID INFANT GROWTH AND CALORIC REQUIREMENTS
WBC Count Mean % PMNs Preterm Infants Term Infants
Preterm 0–25 57% 15–20 g/kg/day 10 g/kg/day
WBCs/mm3 Maintaining 50–75 kcal/kg/day
Term 0–22 61% weight
WBCs/mm3 Adequate 115–130 kcal/kg/day (may be up 100–120
Child 0–7 5% growth to 150 kcal/kg/day for VLBW kcal/kg/day
WBCs/mm3 infants)

GLUCOSE
Preterm 24–63 mg/dL 1.3–3.5 mmol/L LABORATORY DIFFERENTIATION OF OLIGURIA
Term 34–119 mg/dL 1.9–6.6 mmol/L Test Prerenal Renal
Child 40–80 mg/dL 2.2–4.4 mmol/L FENa <1% >3%
BUN/Cr ratio >20 :1 <10 : 1
Urine specific >1.015 <1.010
CSF GLUCOSE/BLOOD GLUCOSE gravity
Preterm 55%–105%
Term 44%–128%
Child 50%
 Blood transfusion Orders
TABLE 17-11 -- GUIDELINES FOR USE OF PHOTOTHERAPY IN
PRETERM INFANTS <1 WEEK OF AGE  Secure and transfuse (blood product ) to run for hours
Weight (g) Phototherapy (mg/dL) Transfusion (mg/dL) properly typed and x matched
Consider Exchange  IVF to KVO while ongoing transfusion then
500–1000 5–7 12–15  Resume present IVF once transfusion is finished
1000–1500 7–10 15–18  watch out for any untoward signs and symptoms such as
1500–2500 10–15 18–20 fever, chills, rashes, DOB, tachycardia
>2500 >15 >20  hook plain NSS while on BT to run at KVO
 monitor vs q 15 minutes while ongoing BT
GUIDELINES FOR USE OF PHOTOTHERAPY IN PRETERM  give paracetamol __ mg SIVP 1 hr prior to BT
INFANTS <1 WEEK OF AGE  Inform PROD once blood product is available
Weight (g) Phototherapy Transfusion (mg/dL) Consider  For repeat CBC 6 hours post BT (optional)
(mg/dL) Exchange  Furosemide at 0.5- 1 mg/kg/dose mid
500–1000 5–7 12–15
1000–1500 7–10 15–18 For BMA Orders
1500–2500 10–15 18–20
>2500 >15 >20  prepare the ff Materials
 gloves size_____
 eye sheet
 sterile cotton #1
CALCULATION OF EXPECTED COMPENSATORY  sterile gauze # 2
RESPONSE  glass slides #20
Disturbance Primary pH Expected
 syringe 10 cc #2
Change Compensatory
 5cc syringe #1
Response
 betadine #1
Acute ↑ PaCO2 ↓ pH ↑ HCO3 - by 1
respiratory mEq/L for each 10  lidocaine 2% #2
acidosis mmHg rise in  70% alcohol
PaCO2  secure consent pls. and post BT (depends sa AP)
Acute ↓ PaCO2 ↑ pH ↓ HCO3 - by 1–3
respiratory mEq/L for each 10 For exchange transfusion orders
alkalosis mmHg fall in PaCO2 Pls. prepare the following :
Chronic ↑ PaCO2 ↓ pH ↑ HCO3 - by 4 - French 5 feeding tube #2
respiratory mEq/L for each 10 - 3 way stopcock
acidosis mmHg rise in - syringe connector
PaCO2 - sterile bottle 1L
- 10 cc syringe #2
Chronic ↓ PaCO2 ↑ pH ↓ HCO3 - by 2–5
- betadine and alcohol
respiratory mEq/L for each 10
- sterile cotton
alkalosis mmHg fall in PaCO2
- sterile gauze #2
Metabolic ↓ HCO3 - ↓ pH ↓ PaCO2 by 1 to 1.5
- suture with needle
acidosis × fall in HCO3 -
note: give calcium gluconate 10%
Metabolic ↑ HCO3 - ↑ pH ↑ PaCO2 by 0.25–1
0.7 ml + 0.7 ml sterile water IV
alkalosis × rise in HCO3 -
push every 10 exchanges
> give furosemide after exchange
Lumbar Tap Orders
Please secure consent Pulse Cyclophosphamide Therapy
Prepare the ff materials: ( for Systemic Lupus Erythematosus)
Sterile gloves size _____ Pre hydration:
Disposable needle q 23/24 - D5W 750 ml to run for 1 hour alternate with D5 0.3 Nacl 750 ml to run fo
Sterile Specimen bottles #4 for 2 doses
Eye sheet - Ondansetron (zafran) 8 mg/4ml, 4 mg +50 ml D5W to run for 30 mins
Sterile gauze/cotton - cyclphophamide 1gm (1000 mg) + 100 ml D5W to run for 1 hour
Betadine/Alcohol #1
Secure ___________ for sedation Post chemo/ cyclophosphamide hydration
For HGT prior to LT - same regulation as pre chemo hydration
- ondansetron 4mg + 50 ml D5W for 30mins
Post Lumbar Tap Orders - Prednisone 20 mg OD after breakfast
- TPR q4 and record pls.
>Flat on bed for 4 hours - I and O q shift
>NPO temp for 2 hours then may feed once - limit sodium intake to 2 g/day
fully awake with aspiration precaution - maintain on heplock after 10 hrs. therapy
>Monitor VS q 15 min x 1 hour, q30 mins x
2 hours then q 1 till stable Materials for Triple Intrathecal (TIT)
>Send CSF Specimen to the lab as ff:
bottle #1 : GS/CS; AFB > NPO temp. For 4-6 hours
#2 : RBC, WBC, diff ct. > secure consent
#3 : protein/sugar > prepare the ff. materials:
#4 phadebact ( test for strep B, H. I influ, strep Pn, N - sterile gloves size_______
meningitides) - sterile eyesheet
- sterile cotton balls
- sterile gauze
- sterile water 50 ml #1
 - tuberculin syringe #3 12–19 yr 15–45 U/L 15–45 U/L
- sterile specimen bottle #1
- 2.5 cc syringe #1 BICARBONATE
> sterile needle g 23 or ___ Newborn 17–24 mEq/L 17–24 mmol/L
2 mo–2 yr 16–24 mEq/L 16–24 mmol/L
>2 yr 22–26 mEq/L 22–26 mmol/L

BLOOD GAS, ARTERIAL[7]

Pao2 Paco2 HCO3 −
pH (mmHg) (mmHg) (mEq/L)
ACID PHOSPHATASE Newborn (birth) 7.26–7.29 60 55 19
(Major sources: prostate and erythrocytes) Newborn (>24 7.37 70 33 20
Newborn 7.4–19.4 U/L 7.4–19.4 U/L hr)
2–13 yr 6.4–15.2 U/L 6.4–15.2 U/L Infant (1–24 mo) 7.40 90 34 20
Adult male 0.5–11.0 U/L 0.5–11.0 U/L Child (7–19 yr) 7.39 96 37 22
Adult female 0.2–9.5 U/L 0.2–9.5 U/L Adult (>19 yr) 7.35–7.45 90–110 35–45 22–26
ALANINE AMINOTRANSFERASE (ALT) BILIRUBIN (TOTAL)
(Major sources: liver, skeletal muscle, and myocardium) Cord
Neonate/infant 13–45 13–45 U/L Preterm <2 mg/dL <34 μmol/L
U/L Term <2 mg/dL <34 μmol/L
Adult male 10–40 10–40 U/L 0–1 days
U/L
Preterm <8 mg/dL <137 μmol/L
Adult female 7–35 U/L 7–35 U/L
Term <8.7 mg/dL <149 μmol/L
1–2 days
ALDOLASE
Preterm <12 mg/dL <205 μmol/L
(Major sources: skeletal muscle and myocardium)
Term <11.5 mg/dL <197 μmol/L
10–24 mo 3.4–11.8 U/L 3.4–11.8 U/L
3–5 days
2–16 yr 1.2–8.8 U/L 1.2–8.8 U/L
Preterm <16 mg/dL <274 μmol/L
Adult 1.7–4.9 U/L 1.7–4.9 U/L
Term <12 mg/dL <205 μmol/L
Older infant
ALKALINE PHOSPHATASE
Preterm <2 mg/dL <34 μmol/L
(Major sources: liver, bone, intestinal mucosa, placenta, and
kidney) Term <1.2 mg/dL <21 μmol/L
Infant 150–420 U/L 150–420 U/L Adult 0.3–1.2 mg/dL 5–21 μmol/L
2–10 yr 100–320 U/L 100–320 U/L BILIRUBIN (CONJUGATED)
Adolescent males 100–390 U/L 100–390 U/L Neonate <0.6 mg/dL <10 μmol/L
Adolescent 100–320 U/L 100–320 U/L Infants/children <0.2 mg/dL <3.4 μmol/L
females
Adult 30–120 U/L 30–120 U/L CALCIUM (TOTAL)
Preterm 6.2–11 mg/dL 1.6–2.8 mmol/L
Full term <10 days 7.6–10.4 1.9–2.6 mmol/L
AMMONIA mg/dL
(Heparinized venous specimen on ice analyzed within 30 min) 10 days–24 mo 9.0–11.0 2.3–2.8 mmol/L
Newborn 90–150 μg/dL 64–107 μmol/L mg/dL
0–2 wk 79–129 μg/dL 56–92 μmol/L 2–12 yr 8.8–10.8 2.2–2.7 mmol/L
mg/dL
>1 mo 29–70 μg/dL 21–50 μmol/L
Adult 8.6–10 mg/dL 2.2–2.5 mmol/L
Adult 0–50 μg/dL 0–35.7 μmol/L

AMYLASE CALCIUM (IONIZED)

(Major sources: pancreas, salivary glands, and ovaries) Newborn <36 hr 4.20–5.48 1.05–1.37 mmol/L
mg/dL
Newborn 5–65 U/L 5–65 U/L
Newborn 36–84 hr 4.40–5.68 1.10–1.42 mmol/L
Adult 27–131 U/L 27–131 U/L
mg/dL
1–18 yr 4.80–5.52 1.20–1.38 mmol/L
ANTINUCLEAR ANTIBODY (ANA)
mg/dL
Not significant <1 : 80
Adult 4.64–5.28 1.16–1.32 mmol/L
Likely significant >1 : 320
mg/dL
Patterns with clinical correlation:
Centromere—CREST CHLORIDE (SERUM)
Nucleolar—Scleroderma Newborn 98–113 98–113 mmol/L
Homogeneous—SLE mEq/L
Child/adult 98–107 98–107 mmol/L
ANTISTREPTOLYSIN O TITER mEq/L
(4-fold rise in paired serial specimens is significant)
Preschool <1 : 85 CHOLESTEROL
School age <1 : 170 (see Lipids)
Older adult <1 : 85 C-REACTIVE PROTEIN
NOTE: Alternatively, values up to 200 Todd units are normal. (Other laboratories may have 0–0.5 mg/dL
different reference values)
ASPARTATE AMINOTRANSFERASE (AST) CREATINE KINASE (CREATINE PHOSPHOKINASE)
(Major sources: liver, skeletal muscle, kidney, myocardium, and (Major sources: myocardium, skeletal muscle, smooth muscle, and brain)
erythrocytes) Newborn 10–200 U/L 10–200 U/L
Newborn 25–75 U/L 25–75 U/L Man 15–105 U/L 15–105 U/L
Infant 15–60 U/L 15–60 U/L Woman 10–80 U/L 10–80 U/L
1–3 yr 20–60 U/L 20–60 U/L
4–6 yr 15–50 U/L 15–50 U/L
7–9 yr 15–40 U/L 15–40 U/L
10–11 yr 10–60 U/L 10–60 U/L
 CREATININE (SERUM)
Cord 0.6–1.2 mg/dL 53–106 μmol/L
Newborn 0.3–1.0 mg/dL 27–88 μmol/L KETONES (SERUM)
Infant 0.2–0.4 mg/dL 18–35 μmol/L Quantitative 0.5–3.0 mg/dL 5–30 mg/L
Child 0.3–0.7 mg/dL 27–62 μmol/L
Adolescent 0.5–1.0 mg/dL 44–88 μmol/L LACTATE
Man 0.7–1.3 mg/dL 62–115 μmol/L Capillary blood
Woman 0.6–1.1 mg/dL 53–97 μmol/L Newborn <27 mg/dL 0.0–3.0 mmol/L
Child 5–20 mg/dL 0.56–2.25
ERYTHROCYTE SEDIMENTATION RATE (ESR) mmol/L
Term neonate 0–4 mm/hr Venous 5–20 mg/dL 0.5–2.2 mmol/L
Child 4–20 mm/hr Arterial 5–14 mg/dL 0.5–1.6 mmol/L
Adult (male) 1–15 mm/hr
Adult (female) 4–25 mm/hr LACTATE DEHYDROGENASE (AT 37°C)
(Major sources: myocardium, liver, skeletal muscle, erythrocytes,
platelets, and lymph nodes)
FERRITIN 0–4 days 290–775 U/L 290–775 U/L
Newborn 25–200 ng/mL 20–200 ng/mL 4–10 days 545–2000 U/L 545–2000 U/L
1 mo 200–600 ng/mL 200–600 ng/mL 10 days–24 mo 180–430 U/L 180–430 U/L
2–5 mo 50–200 ng/mL 50–200 ng/mL 24 mo–12 yr 110–295 U/L 110–295 U/L
6 mo–15 yr 7–140 ng/mL 7–140 ng/mL >12 yr 100–190 U/L 100–190 U/L
Adult male 20–250 ng/mL 20–250 ng/mL
Adult female 10–120 ng/mL 10–120 ng/mL LIPASE
0–90 days 10–85 U/L
FOLATE (SERUM) 3–12 mo 9–128 U/L
Newborn 5–65 ng/mL 11–147 nmol/L 1–11 yr 10–150 U/L
Infant 15–55 ng/mL 34–125 nmol/L >11 yr 10–220 U/L
2–16 yr 5–21 ng/mL 11–48 nmol/L
>16 yr 3–20 ng/mL 7–45 nmol/L

γ-GLUTAMYL TRANSFERASE (GGT) LIPIDS [8]

(Major sources: liver [biliary tree] and kidney) Cholesterol (mg/dL) LDL (mg/dL) HDL
Cord 19–270 U/L 19–270 U/L (mg/d
Preterm 56–233 U/L 56–233 U/L L)
0–3 wk 0–130 U/L 0–130 U/L Desira Borde High Desir Borde Hig Desir
ble rline able rline h able
3 wk–3 mo 4–120 U/L 4–120 U/L
Child/a <170 170– >200 <110 110– >13 45
3–12 mo boy 5–65 U/L 5–65 U/L
dolesc 199 129 0
3–12 mo girl 5–35 U/L 5–35 U/L
ent
1–15 yr 0–23 U/L 0–23 U/L
Adult <200 200– >240 <100 100– >16 45
Adult male 11–50 U/L 11–50 U/L
239 159 0
Adult female 7–32 U/L 7–32 U/L

GLUCOSE (SERUM)
Preterm 20–60 mg/dL 1.1–3.3 mmol/L PHENYLALANINE
Newborn, <1 day 40–60 mg/dL 2.2–3.3 mmol/L Preterm 2.0–7.5 mg/dL 121–454 μmol/L
Newborn, >1 day 50–80 mg/dL 2.8–4.5 mmol/L Newborn 1.2–3.4 mg/dL 73–206 μmol/L
Child 60–100 mg/dL 3.3–5.6 mmol/L Adult 0.8–1.8 mg/dL 48–109 μmol/L
>16 yr 74–106 mg/dL 4.1–5.9 mmol/L
PHOSPHORUS
Newborn 4.5–9.0 mg/dL 1.45–2.91 mmol/L
HEMOGLOBIN A1 C 5.0–7.5% total Hgb
10 days–24 mo 4.5–6.7 mg/dL 1.45–2.16 mmol/L
Adult <2.0
24 mo–12 yr 4.5–5.5 mg/dL 1.45–1.78 mmol/L
>12 yr 2.7–4.5 mg/dL 0.87–1.45 mmol/L
IRON
Newborn 100–250 μg/dL 17.9–44.8 μmol/L
POTASSIUM
Infant 40–100 μg/dL 7.2–17.9 μmol/L
Newborn 3.7–5.9 mEq/L 3.7–5.9 mmol/L
Child 50–120 μg/dL 9.0–21.5 μmol/L
Infant 4.1–5.3 mEq/L 4.1–5.3 mmol/L
Adult male 65–175 μg/dL 11.6–31.3 μmol/L
Child 3.4–4.7 mEq/L 3.4–4.7 mmol/L
Adult female 50–170 μg/dL 9.0–30.4 μmol/L
Adult 3.5–5.1 mEq/L 3.5–5.1 mmol/L

PREALBUMIN
Newborn 7–39 mg/dL
Conventional Sl Units
1–6 mo 8–34 mg/dL
Units
6 mo–4 yr 2–36 mg/dL
MAGNESIUM 1.3–2.0 mEq/L 0.65–1.0 mmol/L
4–6 yr 12–30
METHEMOGLOBIN <1.5% total Hgb
mg/dL
OSMOLALITY 275–295 275–295
6–19 yr 12–42
mOsm/kg mmol/kg
mg/dL

Conventional Sl Units
Units
 PYRUVATE 0.3–0.9 mg/dL 0.03–0.10 mmol/L
RHEUMATOID <30 U/mL
FACTOR

SODIUM Age specific blood cell indices

Preterm 130–140 mEq/L 130–140 mmol/L Age Hb (g%) Ht WBC Plt
Older 133–146 mEq/L 133–146 mmol/L 26-30 wk 13.4 41.5 4.4 254 (180-327)
28 wk 14.5 45 - 275
32 wk 15 47 - 290
TOTAL IRON-BINDING CAPACITY (TIBC) Term ( cord ) 16.5 51 18.1 ( 9-30) 290
Infant 100–400 μg/dL 17.9–71.6 μmol/L 1-3 D 18.5 56 18.9 (9.4-34) 192
Adult 250–425 μg/dL 44.8–76.1 μmol/L 2 wk 16.6 53 11.4 (5-20) 252
1 mo 13.9 44 10.8 (4-19.5) -
TRANSFERRIN 2 mo 11.2 35 - -
Newborn 130–275 mg/dL 1.30–2.75 g/L 6 mo 12.6 36 11.9 (6-17.5) -
3 mo–10 yr 203–360 mg/dL 2.03–3.6 g/L 6 mo - 2 yr 12 36 10.6 (6-17) 150-350
Adult 215–380 mg/dL 2.15–3.8 g/L 2 - 6 yr 12.5 37 8.5 (5-15.5) 150-350
6 – 12 yr 13.5 40 8.1 (4.5-13.5) 150-350
12 – 18 yr
UREA NITROGEN Male 14.5 43 7.8 (4.5-13.5) 150-350
Premature (<1 3–25 mg/dL 1.1–8.9 mmol/L Female 14 41 7.8 (4.5-13.5) 150-350
week) Adult
Newborn 4–12 mg/dL 1.4–4.3 mmol/L Male 15.5 47 7.4 (4.5-11) 150-350
Infant/child 5–18 mg/dL 1.8–6.4 mmol/L Female 14 41 7.4 (4.5-11) 150-350
Adult 6–20 mg/dL 2.1–7.1 mmol/L
Age Wbc
Birth 9-30
URIC ACID
12 hrs 13-38
0–2 yr 2.4–6.4 mg/dL 0.14–0.38 mmol/L
24 hrs 9.4-34
2–12 yr 2.4–5.9 mg/dL 0.14–0.35
CASUMPANG,mmol/LNOEL CATANGUL,1 wkANTONIO 5-21
12–14 yr 2.4–6.4 mg/dL (Cocolife,mmol/L
0.14–0.38 Maxicare) (Ped Surg)
2 wk 5-20
Loc: 1241; RM 30; sec: Loc: 1263; RM 7; Sec:
1 mo 5-19.5
Adult male 3.5–7.2 mg/dL 0.20–0.43 mmol/L
Rose Rona 6 mo 6-17.5
Adult female 2.4–6.4 mg/dL 0.14–0.38 mmol/L
M-F: 8 – 10 AM, 3 – 5 PM Tues & Sat: 2 – 4 PM
1 yrs 6-17.5
Sat: 8 – 10 AM, 2 – 4 PM 0917-831-4185
2 yrs 6-17
VITAMIN A 0916-312-4239 / 1441- OR: 831-7994 / 234-337
4 yrs 5.5-15.5
(Retinol) 02166 Res: 546-9564
6 yrs 5-14.5
Res: 889-0140 PB: 102-5045
Preterm 13–46 μg/dL 0.46–1.61 μmol/L 8 yrs 4.5-13.5
Full term 18–50 μg/dL 0.63–1.75 10 yrs 4.5-13.5
BATINOμmol/L
BAQUIRAN, CASTRO, LEAH
1–6 yr 20–43 μg/dL GERALDINE
0.7–1.5 μmol/L (Pagcor,16 yrs
Caritas, 4.5-13
(Philamcare, 21 yrs 4.5-11
7–12 yr 20–49 μg/dL 0.9–1.7 μmol/LHPPI) Philamcare)
Loc: 1231; RM: 25; Sec: Loc: 1250; RM 15 Sec:
13–19 yr 26–72 μg/dL 0.9–2.5
Marie μmol/L Lita
MWF: 5 – 7 PM MWF: 9 – 12 AM,
VITAMIN B1 0920-920-1437 TThS: 1- 3 PM
(Thiamine) 5.3–7.9 0.16–0.23
Res: 822-6052
μmol/L 0917-329-9146
μg/dL Wed: 820-2126 Res: 951-7388
Mediserv Southmall: 806- QC Clinic: 732-2196
VITAMIN B2 7831 831-2291
(Riboflavin) 4–24 μg/dL W – F:nmol/L
106–638 12-1.30 PM Neo Care DC: 8544517
Olivarez Gen Hosp: 826- MWF- 1 – 3 PM
VITAMIN B12 7966 /
(Cobalamin) 825-8746; Loc: 21
TThS: 2 – 5 PM
Newborn 160–1300 118–959 pmol/L
Macaraig Lying-in: 820-2126
pg/mL MWF: 2-5 PM
Child/adult 200–835 148–616 pmol/L
pg/mL BERMAL, NANCY CHANG BENJAMIN
(Infectious) (Fam Med)
VITAMIN C Loc: 1251; RM: 2; Sec: Loc: 1240; RM 20; Sec:
(Ascorbic acid) 0.4–1.5 23–85
Jane μmol/L Bebs
mg/dL TTh: 8-10 AM TThS: 2.30 – 4.30 PM
0918-928-2571 Res: 823-9261
VITAMIN D3 Res: 046-431-5454 0917-801-8028
(1,25-dihydroxy- 16–65 42–169 pmol/L
Bautista Hosp: TTh: 9-11
vitamin D) pg/mL Sat: 9 – 12 NN
CMC: M & F: 4-6 PM
VITAMIN E
<11 yr 3–15 mg/L 7.0–35 μmol/L
>11 yr 5–20 mg/L BRAVOμmol/L
11.6–46.4 LULU (Infectious) DANDO, NERISSA
Loc: 1256; RM: 11; Sec: Mila (Toxicologist)
ZINC ABAD SANTOS, LUZ ANDONG, SUSAN (Neuro)
TTH: 4-6 PM, Sat: 9-10 AM Loc: 1237; RM 28; Sec:
70–120 mg/dL 10.7–18.4 mmol/L / 1441-
0918-921-5998 (Medicard,Intellicare,Maxicare,
Myla Loc: 1259, Rm: 10, Sec: Lita
132453 WPhilamcare)
& S: 1 – 4 PM TTh: 8.30 AM - 1.30 PM,
Res: Loc:655-9417
Res: 1256, Rm: 11, Sec: Mila Sat: 8.30 AM - 3 PM,
MDH: 585-027 / 591-611, M-S: 10-12 AM
0928-707-5724 MWF: 2 – 3 PM ( by appt )
Loc: 431 Res:
PB: 843-8801
125-113-3005 0918-924-4714 / 0918-507-
M – S: 10.30 AM – 12.30 NN PCGHCity:
Medical : M-F: 3-5 PM
6355-6789 2911
Children’s Clinic: 831-0939 833-6633
Loc: 6259 / 834-0807 Res: 713-4332, Antel: 831-
MWF: 4-6 PM Manila
Th: 3 - 6 Doctor’s
PM, Sat:Hosp.
9– 5751
PGH: 599-972 / 596-061 12 NN
Loc: 266 OM: 527-9067
524-3011 / 525- 7148 Bay Garden: 832-7732 Las Pinas Doct Hosp: 825- Mon: 3 – 8 PM
Loc. 5340; RM: 808 Mary Chiles: 735-5341 5236 Our Lady of Pillar: 472-
TThS : 3-5 PM MF: 9-12AM Loc: 156 3773
832-3239 RM: 209; TThS: 1 – 3 PM Loc: 211
TThS: 9 – 12 NN
Wed: 4 – 6 PM

DE GOROSTIZA- FALCUTERO, AGNES

AQUINO, JOCELYNE
BAGUILAT
(Value Care, HMI, CMG,
Medicard, Intellicare,
Icare, EA Phil, Maxicare)
Loc: 1247, Rm: 33, Sec:
Arlene
M-S: 4-7 PM
0917-794-1866
Res: 544-1224
Bayvieuw: 834-0287
Taguig: 837-806 / 832-2673
PHMC: 871-3011, Rm: 209
M-S: 10-12 AM
Taguig doctors: 838-2072
TTh: 10-12 AM
BANOCNOC, NERISSA
(Philamcare, PAGCOR,
Maxicaare, Fortunecare, EA
Phil, Medcore, Cocolife,
Nippon, Medicard, Caphealth,
Intellicare)
Loc: 1239; RM 29; Sec: Cecil
M – Th: 7.30 – 9.30 AM
Loc: 1236; RM 22
Fri – Sat: 4 – 7 PM
0918-936-3152
ARCADIO, RAMON Res: 842-7247
(Caphealth, Valuecare, SP
Care,
Caritas)
Loc:1256,Rm:
11,Sec:Vicky/Mila
MWFS: 10.30-12 AM,
Sat: 10-12 AM
0917-814-3273 / PB
1003167 GUTIERREZ, JOSEPH DALE
Res: 426-0378 / 426-1018 (Pulmo)
MDH: 525-7148 / 524-3011 (Philamcare)
524-3041 Loc: 4310 Loc: 1261; RM: 9 Sec: Tess
M-S Excp Wed: 4-6 PM M – Sat: 3 – 5 PM
Cardinal Santos: 727-0001 0917-811-2684
to 25 Loc: 718 Makati Med Ctr:
Sat: 8.30-10 AM, Rm: 118 815-9911 ; Loc: 2380
Galang Medical Center: Suite: 380; M – S: 10 AM – 12
Sun: 10-12 NN NN
Up College of Medicine:
526-4170 / 526-0370
(DEV/BEH)
Loc: 1251; RM: 2 Sec: Jane
Wed: 1 – 6 PM (bysppt)
Clinic: 372-3825 (Loc:
3235)
0918-910-9004
Res: 456-5096
Capitol Med Ctr: 372-3825
Loc: 3285
RM: 208; T – F – Sat: 3 – 6
PM
Mary Mediatrix med Ctr:
(043)756-6890 Loc: 220
RM: 110; Mon: 10 AM – 3
PM
MCU Doctor’s Clinic:
363-3790
RM 14; Sat: 10 AM – 12 NN
ILANTO, EMMA (Aldol
Med)
Loc: 1233; RM: 26; Sec:
Rose
MW: 3 – 5 PM; Fri: by appt
Clinic: 771-9391
0917-422-5388
Res: 854-4304
Asian Hosp: 771-9319
771-0438
TThS: 10 AM – 12 NN
ThS: 1-3 PM (By appt)

APELO, RIMA BENITO, MA. LYN (Allergo) JAO, JEANETTE DIZON- BUNDOC,
0920-920-2696 Loc: 1231, RM: 25 0918- 929-2774 MARRY ANN
Clinic: 825-6911 MWFS: 8-11 AM 851-1224 / 831-1224 0917-628-3809
823-0575 / 125-800-5578 Res: 411-2653 Res: 485-6202 / 563-2217
Polymedic: 531-0876 589-1663
0927-448-8707

BACSAIN, MILAGROS BANDONILLO-

(Neonat) BARCELON CIELO PARUNGAO-CHRISOSTOMO, GABRIEL- MARTINEZ,
(Prycecare, Intellicare) (Philamcare, Intellicare, VIRGINIA (Endo) ELIZABETH (Gastro)
Loc: 1256; RM: 11 Sec: Mila Icare, Medicard, Maxicare) Intellicare, Valuecare, Medicard Loc: 1256; RM 11; Sec:
M – S: 2-5 PM, MWF: 8-10 AM Loc: 1248; RM 16; Sec: Loc: 1241; RM: 30; Sec: Rose Mila
0917-812-2641 Sonia MWFS: 10 – 1 PM Tues: 9 – 11 AM
Res: 801-3132 M – F: 7-9 AM, Sat 5-7 PM 0917-861-4077 Sat: 9 – 12 AM
Condo: 889-2755 0917-852-9475 Res: 843-6395 0917-801-4050
Pasig: 641-3347 Res: 839-2276 Perpetual Help. Med. Ctr: Res: 921-1629
408-7091 Las Pinas: 825-5238 (loc: 874-8515 / 843-6395 Loc: 494 MDH: 524-3011 (Loc: 5400)
156) RM: 407; TTh: 10 – 12 NN MWF: 10 – 12 AM, 1 – 4
Olivarez Hosp: 826-7966 / Sat: 2 – 4 PM PM
825-8746 DLSUMC: (046) 416-0226 MED CITY: 633-3866, TTh
Rm: 108; MWF: 1- 3 PM, Loc: 220 PGH: 521-8450
Sat: 10-12 NN RM: 2119; Th: 3 – 5 PM
Asian Hosp. 771-9299
WF: 3 – 5 PM

DELA CONCHA- DIAZ, SUSAN

CANTONJOS, OFEL (Philamcare, EA Phils)
Loc: 1251; RM 2; Sec: Jane Loc: 1255; RM 4; Sec:
TTh F: 5 – 7 PM Sat: 7 – 9 AM Evelyn
0906-307-6507 TThS: 5 – 7 PM JAVIER, MIGUEL (Pulmo) MEDINA-MONTOYA,
Res: 850-9429 0915-319-2502 (EA Phil, Medicard, Maxicare, MELISSA (Hema)
Olivarez: 826-7966 / 826-5750 Healthway Med Clinic: 850- Valuecare) Loc: 1250; RM: 15; Sec:
Loc: 127 6721 Loc: 1237; RM 28; Sec: Myla Emily
MWF: 1 – 3 PM Loc: 35 M – Sat: 10 – 12 AM MWF: 2 – 4 PM
0906-493-1789 / 0927-651- 0917-380-4449 SOSA, MADELEINE (Neuro) VILLAVER, VENJILYN
1852 Res: 826-4901 835-3355 (Allergo)
571-0319 749-9704 09917-844-5094 Loc: 1231; RM : 25; Sec:
Cardinal Santos Med Ctr: Cavite: 046-414-0426 Marie
705-1291 / 727-0001 Loc: Perpetual Help. Med. Ctr: TTh: 9 – 11.30 AM
2271 RM: 118; Fri: 10 – 12 NN Sat: 3 – 5 PM
RM: 271; MWF: 3 – 5 PM ACM Med. Clinic: 0920-895-9823
Medico Bldg: RM 303 (046)-414-1426 855-7794
ThS: 5 – 6 PM MTh: 9 – 11 AM Evangelista Hosp: (632) 847-
Health First Clinic: 634-5250 9369
TTh: 4 – 5 PM TTh: 4 – 6 PM
Sat: 11 AM – 1 PM
Las Pinas Doctor Hosp:
MALANYAON, OLYMPIA NAZARENO, DIVINA (632) 825-5236
(Cardio) (Nephro) MF: 2 – 4; W: 2 – 5 PM
Loc: 1236; RM 22; Sec: M – S (Excp. Wed): 3 – 5 Binan Doc’s Hosp:
Glenda PM (632) 69902371
MF: 10 – 12 AM, Wed: By appt. 0917-862-9644 TTh: 1 – 3 PM; Sat: 8 - 10
0917-823-4329 Res: 523-7589 AM
Res: 410-5430 Asia Medic: (046) 515-6523
Med City: 634-1627 / 635-6789 TThS: 9 AM – 1 PM VARIAS, ROWENA
Loc: 5081 Our Lady of Pillar: Loc: 1261; RM: 9; Sec: Tess
RM: 803; TTh: 2 – 4 PM (046) 472-3770 / 472-3773 MWF: 7 – 9 AM
Sat: 9 – 11 AM MWF: 9 AM – 12 NN 0917-844-7501
St. Lukes: 723-0301 825-4393 / 809-8559
RM: 813; MF: 4 – 6 PM
637-5152
531-4911 (Loc: 126)
920-1423

REGINO, MARCICEL
(Cardio)
0917-855-4232
712-6088 / 711-0583

SANGA-MIRANDA RUBY SANTOS, WILLY (Neonat)

Cocolife Loc: 1244; RM: 18; Sec:
Loc: 1232; RM: 24; Myrna
Sec: Vangie Tues & Fri: 4 – 6 PM
MWFS: 9 AM – 1 PM 0917-502-7453
TTh: 1 – 4 PM Res: 046-438-1783
0922-878-6546 UST Hosp: 749-9745
Res: 560-2291 / 560-0109 RM: 109; TS: 11 AM – 1 PM
772-4181 – AM DLSUMC: (046) 416-0226
772-4182 – PM Loc: 220
817-0429 RM: 2119; MWS: 4 – 6 PM
Mary Chiles: 735-5341 Loc:
401
RM: 359; TTh: 10 – 12 NN

SANTOS, DELFIN (Fam SARTE, CERVIN (Intensivist)

Med) 0917-806-4620
0917-844-2363 Res: 713-1653 (AM)
Res: 843-2443 780-8489 (>10PM)
Clinic: 844-2363 Fabella: 734-5561 Loc: 156

SEVERINO, MYRLA TAN-MELENDTRES, MA.

(Fam Med) LAURDES (Fam Med)
Loc: 1242; RM: 19; Sec: (Maxicare, Medicare,
Charry Medicard, Prycecare, Icare,
M – S: 9 – 12 AM Medserv)
Res: 823-5938 Loc: 1263; RM: 7; Sec:
0917-882-1242 Margie
776-7244 M – F (excp. Wed): 9 AM – 2
PM
0919-558-8544
0919-337-1159
823-2742