BETA LACTAMS CEPHALOSPORINS

Penicillin 50-100 mkD q6 Cefalexin 1st gen 25-50 mkD q6 (max 4gm/D)
Pen G Crystalline 100,000-200,000 ukD q12 D: 100mg/mL
50,000-100,000 ukD q8/q12 (< 7days) S: 125mg/5mL, 250mg/5mL,
C: 250mg, 500mg, 1gm
75,000-150,000 ukD q6-q12 (>7days)
Cefazolin 1st gen 20-50mkD q6-q8
Benzathine Penicillin 500,000 u/K single dose
V: 500mg, 1gm 100mkD (severe infection)
1.2 m.u., 2.4 m.u/vial (Early Syphilis)
50,000 u/K max dose 2.4 M u/dose
Cefaclor 2nd gen 20-40 mKD q8
(Syphilis)
D: 50mg/mL
Sumapen 50 mkD q6 S: 125mg/5mL, 250mg/5mL
Phenoxymethyl penicillin C: 250mg, 500mg
125/5 – 200,000 u/5mL
Cefuroxime 2nd gen 20-40 mkD q12
250/5 – 400,000 u/5mL
S: 125mg/5mL, 250mg/5mL 50-100 mkD q8 IV
Ampicillin 50-100 mkD q6/q8 (N = neonates) T: 250mg, 500mg,
D: 125mg/1.25mL 100-200 mkD q4/q6 V: 750gm, 1.5gm
S: 125mg/5mL, 250mg/5mL 100-150 mkD q8-q12 (meningitis, N) Cefoxitin 2nd gen 80-160 mkD q4-q6 (max 12gm/D)
C: 250mg, 500mg
200-400 mkD q4/q6 (meningitis) V: 500mg, 1gm 20-40 mkD (infants)
V: 125mg, 250mg, 500mg, 1gm
Ampicillin-Sulbactam 100-200 mkD q8 IV Ceftazidime 3rd gen 100-150 mkD q8 IV
V: 250mg, 500mg, 1gm, 2 gm
Sultamicillin (Unasyn) 1.5-12gm/day IV
S: 250mg/5mL 50mkD q12 (<30kg) Ceftriaxone 3rd gen 50-100 mkD OD IV
C: 375mg, 750mg 2.25gm (single dose, gonorrhea) V: 250mg, 500mg, 1gm, 2gm
V: 750mg, 1.5gm rd
Cefotaxime 3 gen 100-200 mkD q4-q6
Amoxicillin 30-50 mkD q8 V: 250mg, 500mg, 1gm
D: 100mg/mL
Cefixime 3rd gen 3-8 mkD q12
S: 125mg/5mL, 250mg/5mL
D: 20mg/mL
C: 250mg, 500mg V: 1gm
S:100mg/5mL
Amoxicillin-Clavulanic Acid 30-50mkD q8 po C: 100mg, 200mg
(Co-Amoxiclav) 50-100mkD q8 IV Cefepime 4th gen 50mkD q8-12 x 10 days
S: 156.25/5 (125), 228.5/5 (200), V: 500mg, 1gm, 2gm 500mg-1gm q12 (>12 y/o)
312.5/5 (250), 457/5 (400)
T: 375mg, 625mg
V: 600mg (500), 1.2gm (1000)
Amoxicillin-sulbactam 30-50mkD q8 po MACROLIDES
(Ultramox) 50-100mkD q8 IV Erythromycin 30-50 mkD q8-q12 (max 1gm)
S: 250mg/5mL, D: 100mg/2.5mL
T:500mg S: 200mg/5mL, 400mg/5mL,
V: 500/250mg , 1000/500 Clarithromycin 15 mkD q12 (max 1gm/D)
Piperacillin-Tazobactam 200-300 mkD q6 S: 125mg/5mL, 250mg/5mL
V: 4gm/500mg, 2gm/250mg 150-300 mkD q8 (<6months) T: 250mg, 500mg
Aztreonam 50 mkD q6-q8 (children) V: 50mg/mL
V: 1gm 30 mkD q6-q8 (1wk-2y/o) Azithromycin 10 mkD x 3 days
Meropenem 20 mkD q12 (septic) S: 200mg/5mL 10 mkD 1st day, 2 mkD 2nd-5th day
C: 250mg, 500mg
V: 500mg, 1gm 40 mkD q12 (meningitic) V: 500mg
Imipenem 15 mkD (max 2gm/D)
V: 500mg 50 mkD/ 1-2 gm q6-q8
(max 4gm/D; adult)

AMINOGLYCOSIDES
Amikacin 15 mkD LD
V: 50mg/mL, 125mg/mL, 10 mkD q12 (MD)
250mg/mL
Gentamycin 5-8 mkD q8-q12 FLUOROQUINOLONES
V: 40mg/mL, 80mg/2mL Ciprofloxacin 7.5-15 mkD
Neltilmicin 6-8 mkD OD T: 250mg, 500mg
V: 50mg/mL, 75mg/mL V: 2mg/mL infusion
Levofloxacin 8mkD q12 (250mg max)
T: 250mg, 500mg
V: 5mg/mL infusion
TETRACYLINE
Tetracycline 25-50 mkD
C: 250mg, 500mg
Doxycycline 4.4 mkD
C: 100mg 2.2 mkD

1
 OTHERS ANTI-PARASITIC
Chloramphenicol 50-100 mkD q6-q8 PO Pyrantel Pamoate 11 mkD x 3 doses OD
S: 125mg/5mL 50 mkD q6 IV S: 125mg/5mL
C: 250mg, 500mg 25 mkD q6 (neonates) T: 125mg
V: 1gm Mebendazole 200 - 500 mkD OD single dose
Co-trimoxazole 5-8 mkD q12 S:20mg/mL, 50mg/mL
S: 40mg/5mL (200), 80mg/5mL T: 100mg, 500mg
(400), 160mg/5mL (800) x
T: 400mg/80mg, 800mg/160mg

Clindamycin NB: 5mkD q8-12 po ANTI-HISTAMINES

S: 75mg/5mL granules Infant/child: Cetirizine 6mons-1y/o 1mL OD
C: 150mg, 300mg 15-25mkD q6 IV D: 2.5mg/mL, 10mg/mL 1-2 y/o 2.5 mg BID (5 drops BID)
V: 150mg/mL SIVP in 30mins S: 1mg/mL, 5mg/5mL 1mL OD or BID
20-30 mkD q6 PO
T: 10mg
Vancomycin <1200g (0-4wks) 15mkdose OD 2-5 y/o ¼ tab BID or ½ tab OD
V: 500mg >1200g (0-1wk) 20mkdose OD 5mL OD or 2.5mL BID
(1-4wks) 30mkdose OD 6-12 y/o ½ tab BID
Infant/child: 10mL OD or 5mL BID
20mkdose q8 PO >12 y/o 1 tab OD
60mkD q8 1-3 hr infusion Diphenhydramine 1-2 mg/kg IV (max 100mg/dose)
Metronidazole 30-50 mkD q8-q12 PO S: 12.5mg/5mL
S: 125mg/5mL C: 25mg, 50mg 3-5 mkD PO
15 mkD LD, 7.5 mkD q8
T: 500mg V: 50mg/mL
2-6 y/o 2.5 mL q6/q8
V: 5mg/mL 6-12 y/o 5mL q6/q8
Hydroxyzine HCl 1-2 mkD q12 PO
S: 2mg/mL Adult: 25mg BID -QID
ANTI-VIRALS T: 10mg, 25mg
Acyclovir 10-20 mkD q6 Loratadine 1-2 y/o 2.5mL OD
S: 200mg/5mL 200mg 5x daily (adult, children, > S: 1mg/mL, 5mg/5mL 2-12 y/o <30kg 5mL
T: 200mg, 400mg, 800mg T: 10mg >30kg 10mL
2 y/o)
V: 250mg >12y/o: 1 tab OD
½ adult dose (children < 2 y/o)
Amantadine 5-9 mkD q12 (<8y/o) Chlorphenamine <1y/o: 2.5mL TID
T: 100mg, 250mg 100-200mg (>8 y/o; not > maleate 1-3y/o: 2.5-5mL TID
V: 500mg 200mg/D) S: 2mg/5mL >6y/o: 5mL TID
T: 4mg 7-12y/o: ½ tab TID
Methisoprinosol 50 mkD q6-q8 V: 10mg/mL
(Isoprinosine) Adult: 1 tab TID or 2 tsp TID
S: 250mg/5mL IV/IM: 1mL OD
T: 500mg Promethazine HCl 1mg/kg IM
(Phenergan)
V: 25mg/mL
ANTI-FUNGAL Fexofenadine 120mg OD
T: 120mg, 180mg
Fluconazole 12 mkD LD
T: 50mg, 100mg, 150mg x
6 mkD MD
200mg
V: 2mg/mL
Ketoconazole 5 mkD OD (<15kg) STEROIDS
T: 200mg 100 mkD OD (>20kg) Betamethasone 0.0178-0.25 mkD q6-q8 (max
T: 500mcg 9mg/D)
200 mkD OD (>30kg)
V: 1mL, 2mL
Griseofulvin 10 mkD Dexamethasone 0.5-1mkD for ICP
T: 125mg, 500mg
T: 500mcg, 750mcg, 4mg 1 mkD q4-q6 for cerebral edema
Amphotericin B MD 0.5-1 mkD OD (forte tab) 0.2-0.5 mkd for bacterial
V: 5mg/mL, 50mg/10mL V: 2mg/mL, 4mg/mL,
meningitis
5mg/mL
5mg – 10mg iv q6 (adult dose)
Hydrocortisone 10-15 mkD LD, 4-6 mkD q6-q8 MD
ANTI-TUBERCULOSIS T: 20mg (asthma)
Rifampicin (R) 10-20 mkD OD AC V: 100mg, 200mg, 250mg, 3-4 mkD (Dengue)
D: 100mg/5mL 400mg, 500mg
S: 200mg/5mL Prednisone 1-2 mkD q12
C: 150mg, 300mg, 450mg S: 10mg/5mL BSA x 60 mkD (Nephrotic)
Isoniazid (H) 10-20 mkD OD AC T: 5mg, 20mg
z
S: 200mg/5mL
C: 75mg, 100mg, 200mg,
300mg, 400mg
Pyrazinamide (Z) 15-30 mkD OD PC
S: 250mg/5mL
C: 400mg, 500mg
Ethambutol (E) 15 mkD OD
C: 275mg, 400mg, 800mg 5-25mKD (<2 months)
Streptomycin (S) 10 mkD OD Q 48 or EOD
V: 1gm

2
 COUGH & COLDS
Chlorpheniramine maleate 0.2-0.3 mkD
ANALGESIC & ANTI-PYRETIC S: 2mg/5mL >12 y/o: 5mL TID or 1 tab TID
T: 4mg
Aspirin 60-80 mkD
V: 10mg/mL
T: 80mg, 100mg, 325mg RHD: 100mkD (1st 2 wks), 75 mkD
Ambroxol
(4 wks)
30mg/tab >10y/o 1 tab TID
Anti-inflammatory: 60-90 mkD
5-10 y/o ½ tab TID
Kawasaki: 80-100mkD q6
Syrup (15mg/5mL) >10y/o 10mL TID
Indomethacin 1-2 mkD x 3 (PDA)
C: 100mg
6-10 y/o 5mL BID-TID
2-5 y/o 2.5mL BID
Ibuprofen 6-8 mkd q6
D: 100mg/2.5mL Infant drops (6mg/mL) 1-2 y/o 1.25mL BID
S: 100mg/5mL, 200mg/5mL 7-12 mos 1mL BID
C: 200mg, 800mg <6 mos 0.5mL BID
Mefenamic Acid 6.5 mkd q6 Syrup (100mg/5mL) 2-3 y/o 5mL TID
S: 50mg/5mL 4-7 y/o 10mL TID
C: 250mg, 500mg 8-12 y/o 15mL TID

Carbocisteine
Meperidine 6 mkD/ 0.5-1 mkD
Syrup (250mg/5mL) 2-3 y/o 2.5mL TID
Midazolam 0.2 mkd
4-7 y/o 5mL TID
T: 15mg
V: 1mg/mL, 5mg/mL 8-12 y/o 7.5 mL TID
Morphine 0.1-0.2 mkd q6 (max 15mg) Drops (50mg/mL) <2 mons 0.3mL TID
T: 10mg, 30mg, 60mg, 3-6 mons 0.6mL TID
100mg 7-12 mons 0.9mL TID
V: 10mg/mL 13-24mons 1.2mL TID
Nalbuphine 0.1-0.2 mkd IM, IV Erdosteine >30kg 10mL BID
V: 10mg/mL S: 175mg/5mL 20-30kg 5mL TID
Naproxen 5-7 mkD q8-q12 (>2y/o) C: 300mg 15-19kg 5mL BID
T: 275mg, 550mg
Procaterol (Meptin) < 5y/o 0.25mKD BID-TID
Paracetamol 10-15 mkd q4 S: 5mcg/mL >6y/o 5mL or 25mcg/tab OD-BID
D: 100mg/mL T: 25mcg, 50mcg
S: 120mg/5mL, 250mg/5mL Adult 20mL or 50mcg/tab OD-BID
T: 80mg, 500mg Salbutamol + Guaifenesin >12 y/o 10mL TID, 1 cap BID-TID
V: 150mg/mL, 300mg/2mL 6-12 y/o 1tsp TID
Supp: 125mg, 250mg 2-6 y/o ½-1tsp TID
Acetylcysteine (Fluimucil) Children: 100mg BID-QID
Sachet: 100mg, 200mg Adult: 200mg BID-TID, 600mgOD
S: 100mg/5mL
T(effervescent): 600mg
Guaifenesin 6-12 y/o 5mL TID-QID
S: 100mg/5mL Adult: 5-10mL TID-QID
C: 200mg 1-2cap TID-QID
Drops (6.25mg/mL) 1-2 y/o 1mL QID
Phenylpropan

7-12 mos 0.75mL QID

olamine

4-6 mos 0.5mL QID

1-3 mos 0.25 mL QID
Syrup (12.5mg/5mL) 2-6 y/o 2.5mL QID
7-12 y/o 5mL QID

3
 GASTRO MEDS & ANTI-ULCERS
Al Mg (OH)3 (Maalox) 2-4 tabs 20 mins pre meal and HS
Al Mg (OH)3 + 2-4 tsp or tab QID NEPHRO MEDICATIONS
dimethicone
Prednisone Nephrotic: >40mg/day
Bisacodyl (Dulcolax) 5-10 mg (6-12 y/o) Hypoalb: <2.5mg/dL
T: 5mg 10-15 mg (>12 y/o)
Supp: pedia 5mg, adult
60mkD x 4-6 weeks then 40mkD
10mg (am) x 2-3 months
Hyoscine-N-butylbromide 12 y/o: 1-2 tab 3-5x a day, max Alternate day dose
(Buscopan) 100mg/day If steroid resistant: +2 protein q8
T: 10mg Infants & young children 0.3-0.6 weeks
V: 20mg If steroid dependent: relapse
mkD
Cimetidine 5 mkD q6 LD, 5-10 mkD q6 within 28 days
T: 200mg, 400mg Frequent relapse: relapse> 12x
V: 100mg/mL, 150mg/mL per month
Ranitidine 1 mkD q8 Cyclophosphamide 2-3 mkD single dose 8-12 weeks
T: 75mg, 150mg, 300mg Adult: 150mg BID or 300mg OD
V: 25mg/mL
Dicycloverine 6 mons-2 y/o 0.5-1mL QID
D:5mg/mL 2-5 y.o 2.5-5mL QID
S: 10mg/5mL 6-12 y/o 5 mL QID
T: 10mg
Domperidone 0.2mL kg/dose q8
D: 5mg/mL
S:1mg/mL 5mg/5mL
T:10mg RESPIRATORY MEDICATIONS & BRONCHODILATORS
Erceflora 1 vial BID x 5 days Aminophylline 3-5 mkD (0.6-0.9mk/hr)
Lactulose 2mL/kg/dose q6 5mg/mL LD: 3-6mg/kg x 20-30mins
Omeprazole 0.6-0.7 mkD OD MD: 2mkd q8
C:20mg,40mg MD: 1-9y/o 0.8 1-1.2hr
V: 40mg
9-12 y/o: 0.7 0.9hr
Nitrofuroxide <6 mons: 1 tsp BID 2-16 y/o 0.5 q6-8
(Ercefuryl) >6 mons: 1tsp TID Eg
S:218g/5mL
C:200mg
20kg = (wt x dose) / preparation
(20 x 5) / 5 = 20cc SIVP as LD
Prozinc <6 mons: 10mg
Drops 0.5-1mL OD (20 x 2) / 2 = 8cc SIVP q8 as MD
>6 mons: 20mg
(1mL= 10mg elemental Zn) Hydrocortisone (Solu- 10mkd LD, 4-9mkd MD
Syrup 2.5-5mL OD Cortef) 10-20 mkD LD
(5mL =20mg elemental Zn) V: 100mg, 200mg, 250mg 5-6 mkD q8 MD (asthma)
Racecadotril (Hidrasec) <9kg: 10mg/sachet TID 3-5m mk/dose IV
9-13kg: 10mg/2sachet TID Salbutamol 0.15-0.30 mkD q6
13-27kg: 30mg/sachet TID S: 2mg/5mL
>27kg: 30mg/2sachet TID T: 2mg
Adults: 100mg/cap TID Terbutaline 0.075 mkd q6 PO
1.5mg/5mL syrup, 0.01 mkd (max 0.5cc)
5mg/2minebule

NEUROLEPTICS & ANTI-CONVULSANTS

Diazepam 0.2-0.3 mkD
T:,5mg,10mg/tab Max dose: <5y/o: 5mg;
V: 5mg/mL, 10mg/mL >5y/o: 10mg
Drip: 50mg (10cc) + 250cc 0.9 NSS
to run at 1cc/kg/hr
Carbamazepine 20-60mg/day inc by 20-60mg OD
(Tegretol) (<4 y/o)
100mg/day inc by 100mg weekly
(4y/o)
10-20 mk MD
Mannitol 20% 2.5-5cc/kg q6-q8
Phenobarbital 10-20 mkd LD
20mg/5mL; grain 1=60mg 5 mkD q12 MD
T: 15mg, 30mg, 60mg, 90mg Max: 1-2gms (300mg)
V: 130mg/mL
Phenytoin (Dilantin) 10-20 mkd LD
S: 30mg/5mL, 125mg/5mL 5 mkD q12 MD
V: 50mg/mL Max: 1 gm
Valproic Acid 15mkD (LD) OD/BID
S: 250mg/5mL 20mKD q8 (MD)
V: 100mg/mL

4
 ANTI-HYPERTENSION / CARDIAC/ DIURETIC/ EMERGENCY
MEDICATION
Aldactone 2-3.5 mkD DOBUTAMINE DRIP
Amiodarone 10mkd 30min-1hr LD Wt x 60 x desired dose
Aspirin 65 mkD Conc. of dobu drip
st
RHD: 1 2 weeks 100mkD
4 weeks 75mkD Desired dose
Anti-inflammatory 60-90 mkD Renal: 2-5
Kawasaki: 100 mkD,q6 Cardiac: 5- 10 (6-15)
(-) Fever: 8-10 mkDs Adrenergic: 7-8
Acetazolamide 20 mkD
(Diamox) 250 – 375 mg/day Concentration Dopa D5W
T: 250 mg 125 6 43
Captopril 0.5-1 mkD q8 250 12.5 37.5
Ca Gluconate 25 mkd q8 500 25 25
V: 100mg/mL Dilute 1 mL n 2 mL sterile water 1000 (Premix) 11 29
Ca Chloride 0.33/kg (27mg ca/cc)
Ca Carbonate 30-50 mkd q8 Ex. Start Dobu drip
Digoxin 0.05 mg/kg IV/IM Dopa 12.5
Diazoxide 5mg rapid IV push D5W 37.5
Furosemide 1 mkd q6-12 IV 50cc x 4-5ugtts
T: 20,40,60mg
V: 20mg/mL
Hydralazine 0.15-0.3 mkdose q4-6 IV
T: 10mg, 25mg, 50mg 1-3mkD q4-6 po
V: 20mg
Nifedipine 0.25 mkD q4-q6 PO
C: 5mg, 10mg

Amlodipine 5mg/tab OD-BID

T: 5mg, 10mg
Propranolol 1-2 mkD q6-12 EPINEPHRINE DRIP
T: 5mg, 10mg Prep: 1mg/ml
Dose: 0.1 – 1mkdose

DRIPS (Wt x dose x 6) x 0.1(running rate)

DOPAMINE DRIP Ex. Start Epi drip

Dopamine Epi 1 cc
1-2 mcg/kg/min D5W 99 cc
100 cc x ____ugtts/min
DOPA DRIP OR
Wt x 60 x desired dose Dose: 0.5-1mkdose
Conc. of dopa drip
Wt x 60 x dose
Desired dose 20
Renal: 2-5
Cardiac: 5- 10 Ex. Start Epi drip
Adrenergic: 7-8 Epi 1 cc
D5W 49 cc
Concentration Dopa D5W 50 cc x ___ugtts/min
100 6.25 43.75
200 12.5 37.5 Titrate by 0.1 dose
400 25 25
800 (Premix) 11 39 Epinephrine 0.01 mg/kg (1:10,000 IV)
0.1 mg/kg q3-4mis (ET)
Ex. Start Dopa drip 0.1-0.5 ug/kg/min (drip)
Dopa 12.5 2 ½ amps +48.5cc D5W
D5W 37.5 0.5cc epi +1.5cc NSS q15 x 3 doses
50cc x 4-5ugtts pre-extubation then q4-6
(racemic)

5
 LIDOCAINE DRIP
Dose: 2-10mkdose OR 0.5-1.0mkd q10mins, max 5mg/kg
Bolus: 1-2mkdose

Wt x 60 x dose = running rate AMINOPHYLLINE PUSH

4000 Prep: 25 mg/ml

Ex. Start Lidocaine drip Dilute 25 mg/ml vial in 4cc PNSS to make 25 mg/5ml
Lidocaine 10cc concentration
D5W 40cc Then get 1cc to have 5 mg/ml concentration
50cc x ____ugtts
Neonates
Lanoxin TDD: 0.035 x wt LD: 4-6
LD: ¼ TDD x 4 doses q6 MD: 1.5-3mkdose q8-12
MD 1/10 TDD x 2 doses q12
OR Order: give 2.4cc of aminophylline as loading dose + EAD
Wt x 0.004 x 2 then after 12 hours give 1.2 cc IV q8
0.05 (elixir)
OR
* should not exceed weight of px
0.04/kg loading divide by 4doses 3-5mkD (0.6-0.9mk/hr)
0.04 maintenance/ dose LD 3-6mg/kg x 20-30mins
0.5max/day MD 2mkdose q8
MD 1-9y/o 0.8- 1-1.2hr
Elixir 0.05 mg/ml 9-12y/o 0.7- 0.9hr
Tab 0.25mg/tab 12-16y/o 0.5
IV 0.025mg/ml or 0.5mg/2cc q6-8 (5mg/ml)

Ex: 20kg wt x dose = 20x5 = 20cc SIVP as LD

Prep 5 8cc SIVP q8

NITROGLYCERIN DRIP
Dose: 0.25-5ug/kg/min dose; can start at 0.15
Prep: 10mg/ml or 100mg/10ml

Running rate = Wt x 60 x dose

100
AMINOPHYLLINE DRIP
Dose: 0.2-0.4
Ex. Start Nitroglycerin drip
NTG 5 cc wt x dose = 3 x 0.4 = 0.6cc
D5W 45 cc 2 2
50 cc x ___ugtts/min Ex.
Aminophylline 0.6 cc
D5 W 99.4 cc
100cc OR 80cc to run for 12 hours at 8- 9
MILRINONE DRIP ugtts/min
Dose: 0.3-5ug/kg/min
Prep: 10mg/ml

Running rate = Wt x 60 x dose TERBUTALINE DRIP

200
(0.1-0.4ug) x wt. x 60 x 8 =___
Ex. Start Milrinone drip 500ug/ml
Mil 10 cc Ex.
D5W 40 cc Terbutaline =
50 cc x ___ugtts/min (5cc/hr) D5W = ___
80cc OR 100cc x 10 ugtts/min (8hrs)
Defibrillation: 2.5joules/kg x 3

BRICANYL DRIP

Dose: 30-40ug

Wt x dose = in cc
500
Ex.
Bricanyl =
D5W = _____
120cc x 24 hours

6
 ANTI-SEIZURE DRUG
st nd
1 line 2 line
Tonic-Clonic Valproic Acid, Lamotrigine
Carbamazepine, (Lamictal)
Phenytoin Oxycarbazepine MULTIVITAMINS
(Trileptal) <3 months: 0.3mL OD
Absence Valproic Acid Exthosuximide 3-12 months: 0.6mL OD
Lamotrigine 1-2 y/o: 1.2mL OD
Myoclonic Na valproate Lamotrigene 2-6 y/o: 2.5mL OD
Partial Carbamazepine Lamotrigene 7-12 y/o: 5mL OD
Phenytoin Oxacarbazepine >12 y/o: 20mL or 1 tab OD
Undentifiable Valproic acid Na valproate
Lamotrigene

ANTI-SEIZURE DRUGS
Carbamazepine 10-30 mkd bid- tid
Clonazepam 0.1-0.3 mkd tid-qid
Ethosuximide 15-40 mkd tid-qid
Phenobarbital 2-5 mkd bid-tid Rh Immunoglobulin: WinRho
Phenytoin 5-8 mkd bid,tid Dengue
Valproic acid 30-80 mkd od,bid,tid,qid Dose: 50ug/kg/dose
Gabapentin 15-45 mkd tid Prep: 300ug/vial
Lamotrigine 5-15 mkd bid, tid I vial x 9-10mins
Topiramate 5-9 mkd bid Dilute to complete 8.5cc to run for 10mins/vial
Leviteracitam 20-40 mkd bid Use D5W to dilute
Oxcarbazepine 8-10 mkd bid
Kawasaki
Dose: 75ug/kg as single dose
Contraindication: hct <100, Rh+
Request CBC PC OD after 24hrs x 3days

FLUIDS
DESFERAL
IVF Dext Na Cl K Lac Kcal/L HCO3
Dose: 20-45 per/kg/dose
D5W 50g 170 infuse in 100cc PNSS then give before and after BT to run
for 6hrs
D10W 100g 340 5cc/kg prbc x 2hrs x 4doses q8 or as ordered
D20W 200g 680
D50W 500g 170
Fentanyl
LRS 130 109 4 28 Ca-3
Prep: 100mcg/2ml
NSS 154 154 Dose: 1-4mcg/kg dose q2-4 SIVP; 5-10 for anesthesia
D5 0.9NaCl 50 154 154
D5 50 77 77 Ex: Wt 1kg
0.45NaCl Dilute 100mcg/2ml solution in 8cc sterile water to make a
D5 0.3 NaCl 50 51 51 concentration of 10mcg/ml,
PLR 130 110 43 27 <10 27 then give 0.1cc (1mcg/kg) q4 SIVP
D5LR 50 130 110 4 Ca: 3 27
D5IMB 50 25 22 20 23 170 23
Mg: 3
PO4: 3
D5NM 50 40 40 13 170 16
Mg: 3
D5NR 50 140 98 5 Mg: 3,
Gluc: 23

7
 Amphotericin B
Prep: 50mg/vial,
Dose: 0.1mkD, max 30-35mk in 3wks
Should be properly covered

Dilute 50mg vial in 10cc D5W to make a concentration of

5mg/10ml,
then aspirate 1cc + 4ccD5W = 5mg/ml,
then aspirate from the solution, 1cc + 9cc D5W = 1mg/ml,
then aspirate from the solution 1cc to make 0.1mg/ml

Wt 1kg
Test dose: 0.1mk
1cc of the solution + 19cc D5W x 30mins
Day1 0.25mk: 2.5cc + 17.5cc D5W x 4hrs
Day2 0.5mk: 5cc + 15cc D5W x 4hrs
Day3 0.75mk: 7.5cc + 12.5cc D5W x 4hrs
Day4 1mk: 10cc + 10cc D5W x 4hrs then OD

IVIG transfusion
Prep: 2.5gm,5gm,2500mg,/50ml vial
Dose: 2g/kg single dose
Pre-meds: diphen & hydrocort

Ex: wt 10kg
Wt x dose = # vials x 50ml = ___ ml in 12hrs
prep
test dose: wt x 0.01 x 30 mins