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APGAR

APPEARANCE
PULSE
GRIMACE

0
Blue all over
No pulse
No response

1
acrocyanosis
<100
Mild grimace

3
pink
>100
Vigorous cry

ACTIVITY

No
movement
No breathing

Some flexion

Vigorous
flexion/extension
Strong cry

RESPIRATION

Rehydration
Mild
Moderate
Severe
Maintenance

<10kg

Weak/irreg
breathing

>10kg

50
100
150

30
60
90

X WT of D5.3NaCl x 6hrs
X WT = PLRS x1 then D5.3 NaCl x 5hrs
X WT=1/3 PLRS x1 then 2/3 D5.3NaCl x5hrs

<7yo
D5IMB

>7yo
D5NM

100 (1st 10kg)+ 50 (2nd 10kg) +20 (next kgs)


IDB
BIRTH:3000g
INFANT:
0-6m: age(mo) x 600 + BW
6-12 mo: age(mo) x 500 +
CHILDREN:
1-6y/o: age(yr) x2 +6
7-12 y/o: age (yr) x 7-5 / 8

AVE Length: 50cm


(9+8+5+3cm=25cmgain/1st year)

TB
TB exposure:PPD (+) CXR(-) S/S(-)
T TB infection: + - TB disease: + + +
T TB inactive: + + -

MKDoses
PARA/IBUPROFEN: 10-20
MEFENAMIC:6.5
AMOX: 30-50; OM 90
AMPI: 50-100; MEN: 200-400
CEFALEXIN:25-50 Q6
CEFUROXIME: 20-40 Q12 OR 75-250 Q8
CEFTRIAXONE: 50-100 Q12-24
AMPI-SUL: 50-100 Q6
CO-AMOX: 30-50 Q8
PEN G: 50-100L Q6
CLOXA: 50-100 Q6
OXA: 75-100 Q6 IV
DIPHEN: 1-2MG IM, 5MG Q6 PO
CETIRIZINE: 10MG/TAB, 6-12Y/O:1 TB,
Drops: 10 or 20 OD, 2-6yo: 5mg, 10drp
FEVER
Continuous: daily fluctuation >1C
Remittent: daily fluctuation >2C but never
normal
Intermittent: Temp touching NORMAL for a
day
ALLOWABLE BLOOD LOSS
WT X 80 (BLOOD VOL) X 0.10