You are on page 1of 13

3.

paralysis of upward gaze (setting-


sun) sign
4. prominent veins of the scalp
APGAR score
0 1 2
Appearance body blue body pink
complete
Ext. pale ext. blue
pink
Pulse 0 <100
>100
Grimace --- grimace GLASGOW COMA SCALE
sneeze, Adult Infant
cough, Eye Opening
cry 4 spontaneous
Activity limp flexion spontaneous
active motion 3 to speech
Respiration --- slow/irreg to speech
good/strong 2 to pain to pain
Cry 1 none none
INDICATION for PPV: Best Verbal Response
1. Apnea 5 oriented
2. CR<100 oriented
3. Persistent central cyanosis 4 confused
PREMATURITY POINTERS: wrds/confused
1. temp. management 3 inappropriate vocal
2. immature lungs sounds
3. ICH 2 non-spec sounds
4. hypoglycaemia cries
5. NEC 1 none none
6. O2 injury Motor Response
6 follows command
5 localizes pain
4 w/draws frm pain
localizes pain
3 abnormal flexion
VITAL SIGNS: NORMAL VALUES flexion
2 abnormal ext ext
Temp: rectal ↑ by 10C 1 none none
Oral – 0-6 months = 9 6mos – 1 yr
Axillary ↓ by 10C = 10
RR = 40-60 1-2yrs = 12 2-5 yrs = 13
CR = 120-160 awake, 70-80 asleep >5yrs = 14

FONTANELLE, Closure:
Anterior= 9-12 mos
Posterior= 2-4 mos MNEMONICS:
URINE OUTPUT= 1.5-3cc/kg/H WEIGHT: birth = 3000gm
CVP= 2-8cmH20 <6mo .= age in mo. X 600 +
Spec. Grav.= 1.008-1.015 BW
↑ICP: 6-12mo. = age in mo. X 500 +
1. bulging anterior fontanelles BW
2. separated sutures 1-6yr = age in yrs. X 2 + 8
12yr = age in yrs X 7 – 5
2
HEIGHT: birth = 50cm
Add: 9cm = birth-3mos 8cm = 3- To: Rate PIP PEEP IT
6mos FIO2
5cm = 6-9mos 3cm = 9- ↑PaCO2 ↓ ↓ NA
12mos NA NA
Age in years X 5 + 80 = ht. in cm ↓PaCO2 ↑ ↑ NA
Age in years X 2 + 32 = ht. in inches NA NA
WATERLOWE CLASSIFICATION ↑PaO2 NA ↑ ↑
Stunting ↑ ↑
Wasting ↓PaO2 NA ↓ ↓
Normal >95% >90% NA ↓
Mild 90-95% 80-
90% ANAPHYLAXIS
Moderate 80-90% 70- 1. Epinephrine 0.01ml/kg
80% SQ(MAX=0.3ml)
Severe <80% <70% Repeat q 15 min prn
SERUM OSMOLALITY 2. O2, IVF
NV = 208-300mOsm/L 3. Diphenhydramine 1-2mkd IM, IV, PO
2(Na) + BUN mg/dL + glucose mg/dL 4. Corticosteroid: methylprednisolone
mOsm/L = BUN/2.8 2mg/kg
Glucose/18
BRONCHOSPASM
1. Nebulize w/ salbutamol 0.05-
0.15mg/kg
2. aminophylline 6mg/kg IV

HYPOTENSION
1. Trendelenberg
2. PNSS 20cc/kg IV
URINE OSMOLALITY: 3. Epinephrine 0.01mg/kg IV q 2-5min
Nv = 400-600mOsm/H
(USG-1) (40,000)
BLADDER CONTENT
<1 yr = wt X 7
>1 yr = age in yrs + 2 X 30
Gastric capacity: wt X 10
ALBUMIN: 20-25gm/100cc (20-25%)
= 1-2gm/kg X 2H or (4.5cc)(wt) or
Wt X dose X 100/20 or 25cc X 2H
INTRALIPID: 10-20% CPAP:
= Wt x dose x 100/10-20 Ca=100-desired FIO2 X CPAP/79 = ans
= 3gm/kg/D X PEEP
= ↑0.5g/kg/D, ↑0.5g daily until O2=CPAP-CA CA=ans
pH = ans CA
3gm/kg/D is reached
Pp: 10-20gm/100cc (1.1-1.9cal/cc) FIO2=CA X 0.21 X FIO2/TFR X 100
UMBILICAL CATHETERIZATION: VBG = ↓ph ↑pCO2
Wt X 3 + 9/2 +8 DAILY FLUID REQUIREMENT
SURFACTANT = 1cc/kg/quadrant DAY PT T SGA VLBW
No suctioning after 1 hour 1 80 60 60 40/60
ISOLETTE: <1800gm 2 90 70 80 50
3 100 80 100 60
4 110 90 150 70
5 120 100 180 80
6 130 110 200 90
7 140 120 220 100
8 150 130 240 110 (Gaspar & Woo)
D5IMB=total - d50w – AA - Ca gluc – TE –
= Wt X DFR MVS
24 hrs D50W=total + AA + Ca gluc + TE + MVS
+ 11
• If with other IVF: (-) to total DFR (D10; ↑6D12 5)
• If with phototherapy: (-) 25% Amino acids = total X 3 X 100/9(pp:5%)
Ca gluc = wt X 2
Trace elements = 0.5-1gm
MVS = 0.5-1gm

DAILY CALORIC INTAKE

AGE cal/day CHON in


grams
0-6m 110-115 2.5
7-12m 110-115
2.5-3 FLUIDS
1-3y 110 2-2.5 IVF Na K CL Ca
4-6y 90-100 2.25 kcal/L
7-9y 80-90 1.5-2 D5W - - - -
10-12y 70-80 1.5-2 170
13-15y 55-65 1.5 D10W - - - -
16-19y 45-55 1-1.5 340
0.9NaCl 154 - - -
TOTAL CALORIC REQUIREMENT -
= wt X caloric requirement 0.3Na Cl 51 - - -
Protein = 1gm/kg(4) -
Carbohydrates = TCR-Protein X 60% D5LR 130 4 109 3
Fats = rest as fats 170
Rate = TCR/TFR X wt PLR 130 4 109 3
↑feeding 1-2cc/K/D 170
D5IMB 20 - 22 -
170
D5NM 40 13 40 -
-

DEHYDRATION <10KG >10KG


Mild 0.3 NaCl 50cc/K 30cc/K
Moderate 100cc/K 60cc/K
D5LR(1/4 X 1-2H); D50.3NaCl(3/4 X 6-7H)
Severe 150cc/K 90cc/K
D5LR(1/3 X 1-2H); D50.3NaCl(2/3 X 6-7H)
TOTAL PARENTERAL NUTRITION

Vamin = wt X gm X 100/24
%

Pp: 9%, 6%
Aminosteril = wt X gm X 100/24
%
Pp: 6%, 8%
MAINTENANCE

Ludans: Hypocalcemia = wt X 1-2cc/kg q 8H


0-3kg 100cc/k/D Max correction = 100cc/dose
3-10kg 75/cc/k/D Prophylactic = 100-200mEq/kg/D
10-20kg 100cc/k/D Therapeutic = 300-400mEq/kg/D
20-30kg 60cc/k/D
30-40kg 50cc/k/D DEXTROSITY = desired – 5
45
Holiday-Segar GIR = dextrosity X 10 X IVF rate/H
0-10kg 100cc/k 60 X wt
10-20kg 1000+50cc/k >10kg = glucose gm X 1000/wt
>20kg 1500+20cc/kg 1440min
>20kg
1st 10kg 4cc/k/H BSA (body surface area)
2nd 10kg 2cc/k/H = wt X 4 + 9
>20kg 1cc/k/H 100
= wt X ht
3600
0-5kg = wt X 0.05 + 0.05
6-10kg = wt X 0.04 + 0.1
10-20kg = wt X 0.03 + 0.2
20-40kg + wt X 0.02 + 0.4
>40kg =

ELECTROLYTE DEFICIT
Hyponatremia:
Deficit (Ideal-actual) X wt X 0.6 =
+ maintenance: 2mEqs/kg = TFR=BSA X 400 - 600cc/m2 + UO/24H(cc)
----------------- Oliguric, no accurate UO = BSA X
Total 800cc/m2
1st shift: ½ of deficit/2.5 w/ accurate UO, oliguric, edematous, on
= cc of NaCl, 2.5mEq/cc Furo:
2nd & 3rd shift: ¼ of deficit/2.5 BSA X 400 – 600cc/m2 + ½ UO in 24H
= cc of NaCl, 2.5mEqs/cc Oliguric, edematous, no diuretic:
NEWBORN: wt X 10 X 0.6 BSA X 400 – 600cc/m2 + UO in 24H
Hypokalemia: = wt X 2 mEqs/24H
Deficit = wt X TBK(50mEqs/kg) x K BLOOD VOLUME
k = serum K <3=0.5 Term = wt X 80
<2.5=0.1 Preterm = wt X 90
<2=0.2 Adult = wt X 60 or 70
Maintenance= 2-3mEqs/kg/D ABL = blood vol X 10%
Max infusion rate= 0.2-0.3mEq/kg/D ABO incompatibility:
mEq = x PRBC and FWB = mother’s blood type
100cc/H Platelet conc & FFP = patient’s blood type
If >0.3meq/kg/H  cardiac monitor
required BLOOD TRANSFUSION:
Peripheral line = 6mEq/100cc IVF PRBC = 10cc/kg X 4H
Central line = 8mEq/100cc IVF FFP = 15cc/kg X 1-2H
Platelet conc = 15cc/kg
FWB = 20cc/kg
Cryoppt = 1ug/6kg/dose PP: 250&500mg IV, 125mg/5ml,
250&500mg cap
CO-AMOXICLAV (Augmentin, Amoclav)
RD: 20-40mkD q 12H PO
50-100mkD q 8H IV
PP: 300, 600mg, 1.2g IV
156.2mg/5ml, 312.5mg/5ml,
228.8mg/5ml, 457mg/5ml
PHLEBOTOMY: Wt X 80 X .16 or 375mg, 625mg TAB
BV X wt X (desired Hct – Actual Hct)
Actual Hct

Use FFP or PNSS


PNSS = BV X 0.5 = cc PNSS
Actual Hct – desired Hct X BV FLUCLOXACILLIN (Stafloxin)
Actual Hct RD: 25-50mkD q 6H
½ FD prior to phlebo; ½ drip while ongoing PP: 250, 500, 1 gm vial; 125mg/5ml
phlebo SULBACTAM-AMPICILLIN (Unasyn)
Hgb, HCT 6H post phlebo RD: 50-100mkD q 8H IV
PP: 375, 750mg, 1.5g IV;
EXCHANGE TRANSFUSION 250mg/5ml; 375, 750mg TAB
80 X wt X 2(DVET)FT AMINOGLYCOSIDES
100 X wt X 2(DVET)PT AMIKACIN (Amikin, Amikacide)
RD: 15mkD
PP: 100, 250, 500mg
TOBRAMYCIN (Tobrex)
RD: 6-8mkD
PP: 80mg/2ml, 1.2 gm
VANCOMYCIN (Vancocin)
RD: LD = 15mk
MD: 10mk IV q 6-12H
PP: 500mg IV
GENTAMYCIN (Garamycin)
RD: 5-8mkD
PP: 20, 40, 60, 80mg IV

PENICILLIN:
PENICILLIN G (Pen G)
RD: 50,000-100,000mkD
PP: 1.4MU, 2.4MU
AMPICILLIN (Ampicin, Pensyn)
RD : 50-100mkD q 12H IV KANAMYCIN
30-50mkD TID PO RD: 30-50mkD q 12H IV
PP: 250mg, 500mg IV PP: 1gm
100mg.ml, 125ml, 250mg/5ml, 500mg/cap NETILMICIN (Netromycin, Keunmixin)
AMOXICILLIN (Himox, Maxillin, RD: 6-8mkD IV q 8-12H
Pediamox) PP: 150mg/1.5ml; 50mg/2ml, 100mg/2ml
RD: 50-100mkD q 8H IV CLINDAMYCIN (Dalacin-C, Lincyn, Myclin)
40-50mkD TID PO RD: 8-16mkD – mod
PP: 500mg IV, 100mg/ml, 16-20mkD – severe
125&250mg/5ml, PP: 150, 300mg/cap; 750/5ml granules;
250&500mg cap 150mg/amp
CLOXACILLIN (Prostaphlin-A, Pharex) IMIPENEM (Anipen, Tienam)
RD: 50-100mkD q 12H RD: 50mkD q 12H IV
PP: 500mg IV
CHLORAMPHENICOL (Chloromycetin) • 2nd generation
RD: 50-100mkD IV/PO CEFACLOR (Ceclor, Xelent)
PP: 1gm IV; 125mg/5ml; 250, 500mg/cap RD: 20-40mkD BID PO
COTRIMOXAZOLE (Trizole, Septrin, PP: 50mg/ml; 125mg/5ml, 250mg/5ml;
Trihexal) 250mg/cap, 500mg/cap
RD: 5-8mkD q 12H PO CEFAMANDOLE (Mandol)
PP: 40mg/5ml, 45mg/5ml, 80mg/5ml; RD: 50-100mkD IV
80mg/tab, 160mg/tab PP: 1gm
CEFOXITIN (Mefoxin)
RD: 20-40mkD IV BID
PP: 1 gm
CEFPROZIL (Procef)
RD: 15-30mkD BID
PP: 125mg/5ml, 250mg/5ml; 250mg/cap,
500mg/cap

MACROLIDES
ERYTHROMYCIN (Ilosone, Ertythrocin)
RD: 30-50mkD TID PO
PP: 100mg/ml; 125mg/5ml, 250mg/5ml;
500mg/tab
CLARITHROMYCIN (Klaricid) CEFUROXIME (Zinacef, Zinnat)
RD: 14mkD BID PO RD: 50-100mkD IV q 8H (q 6H)
PP: 125mg.5ml; 250mg/tab, 500mg/tab PP: 250mg, 750mg/tab; 1.5gm/vial;
ROXITHROMYCIN (Macrol, Rulid, 125mg, 250mg/5ml;
Thromin) 125mg, 250mg, 500mg/cap
RD: 5-8MKd BID PO • 3rd generation
PP: 100mg, 150mg, 300mg TAB CEFOPERAZONE (Cefobis)
TETRACYCLINE (Moncyclin) RD: 50-200mkD IV q 12H
RD: 25-50mkD TID PO PP: 500mg IV, 1 gm IV
PP: 125mg/5ml; 250mg/cap, 500mg/cap CEFOTAXIME (Claforan)
CIPROFLOXACIN (Cipromax, Ciclodin) RD: 80-100mkD IV
RD:10-20mkD IV q 12H PP: 250mg, 500mg vial
20-30mkD PO q 12H CEFTRIAXONE (Rocephin, Forgram)
Adult: 200-400mg/dose q 12H IV RD: 50-100mkD
250-750mg/dose q 12H PO PP: 250mg, 500mg, 1gm/vial
CEFTAZIDIME (Fortum, Zeptrigen)
RD: 50-100mkD IV BID, TID
Neonates: 25-60mkD BID IV
PP: 250mg, 500mg, 1gm IV

CEPHALOSPORINS
• 1st generation
CEFALEXIN (Cefalin, Ceporex)
RD: 50-100mkD TID IV
30-50mkD BID PO CEFOTIAM (Ceradolan)
PP: 100mg/ml; 125mg/5ml, 250mg/5ml; RD: 40-48mkD TID
50mg/cap, 500mg/cap PP: 200mg TAB; 500mg, 1gm IV
CEFAZOLIN (Cloviz, Cifoxim) CEFIXIME (Zefral, Tergecef)
RD: 50-100mkD IV RD: 15-18mkD BID (EF)
PP: 500-1gm 6-14mkD BID (sepsis)
PP: 20mg/ml susp; 50mg/gm sachet;
100mg/5ml susp;
100mg, 200mg/cap
• 4th generation
CEFEPIME (Cepimax) ET size Wt. AOG
RD: 50-100mkD level
PP: 500mg, 1gm, 2gm (ET size X 3)
2.5 <1kg <28 7.5
TOTAL FLUID INTAKE 3 1-2kg 28-34
MF= cc X # of feedings/24H 9
IVF = cc X 24 3.5 2-3kg 34-38
Total/24 10.5
3.5-4 >3kg >38 12

EXTUBATION:
1. Dexamethasone at 0.2mkD q 8H X 3
doses
2. Racemic epinephrine:
0.3 ml epi + 4.7 ml PNSS nebulize X 3
doses,
15 min interval post extubation.
3. Chest X-ray
4. ABG
TOTAL CALORIC INTAKE 5. O2 at 10L prn via face mask, gradually
MF = total X 20(T)24(PT)/30 decrease
IVF = Total X dextrosity X 3.4
Total/birth weight
Amino = total X 0.24

ARTERIAL BLOOD GAS


pH pCO2 pO2 HCO3 ABE
Term 7.32-7.38 35-45 80-95 24-26
3
30-36w 7.30-7.35 35-45 60-80 22-25
3
<30w 7.27-7.32 38-50 45-60 19-22
4
Adult 7.25-7.35 27-40 54-95 20-22
2 ANALGESIC/ANTIPYRETICS
PARACETAMOL (Biogesic,Tempra)
pH pCO2 RD: 10-15mkd
HCO3 PP: 60mg/0.6ml; 120mg/5ml, 150mg/5ml
Metabolic acidosis ↓ ↓ 236mg IV, 300mg IV;
↓ 325mg tab, 500mg tab, 600mg tab
Metabolic alkalosis ↑ ↑ MEFENAMIC ACID (Ponstan, Tempra,
↑ Revalon)
Respiratory acidosis ↓ ↑ RD: 0.5mkD
↑ PP: 50mg/5ml; 250mg/cap, 500mg/cap
Respiratory alkalosis ↑ ↓ IBUPROFEN (Dolan, Advil)
↓ RD: 5-8mkD
PP: 100mg/5ml; 200mg/tab
ASPIRIN
RD: RHD=80mkD
Kawasaki = 80-100mkD
Antithrombotic = 3-5mkD
PP: 30mg, 80mg, 100mg, 300mg TAB HYDRALAZINE (Apresoline)
NALBUPHINE (Nubain) RD: 0.15mkD IV
RD: 0.1-0.2mkD not >10mg 1-3mkD PO q 4-6H
PP: 10mg/ml PP: 20mg/ml amp; 10mg, 25mg, 50mg/tab
NIFEDIPINE (Adalat, Calcibloc)
RD: 0.25mkD PO
PP: 5mg, 10mg TAB, Retard tab: 20mg/tab
GITS tab: 20mg, 30mg, 60mg
CHLORTHIAZIDE
RD: 10mkD

ANTICONVULSANT
PHENOBARBITAL (Luminal)
RD: LD = 10mkD ; MD = 5mkD
PP : 130mg/amp
Gr ¼ = 15mg DIAZOXIDE (Hypestat)
Gr ½ = 30mg RD: 5mkD IV
Gr ¾ = 60mg HYDROCHLOROTHIAZIDE (Vascase,
Gr 1 = 90mg Ziac)
PHENYTOIN (Dilantin) RD: 1mkD BID
RD: LD = 10-20mkD; MD = 5mkD PP: 2.5mg/6.25mg TAB, 5mg/6.25mg TAB,
PP: 130mg/amp; 10mg/6.25mg TAB, 12mg/6.25mg TAB
30mg/5ml, 125mg/5ml; 30mg/cap, FUROSEMIDE (Lasix)
100mg/cap RD: 1-2mkD q 6-12H
MIDAZOLAM (Dormicum) PP: 20mg/amp; 20mg, 40mg TAB
RD: 0.2-0.5mkD SPIRONOLACTONE (Aldactone)
PP. 15mg/3ml, 5mg/ml, 5mg/5ml amp; RD: 1mkD BID-TID
15mg/tab PP: 25mg, 50mg, 100mg TAB
DIAZEPAM (Valium) MANNITOL (Lacryvisc)
RD: 0.2-0.8mkD RD: 0.25-1mkD IV q 6H or 5cc/kg/d
PP: 5mg/amp; 2mg, 5mg, 10mg/tab ANTIHISTAMINE
CARBAMAZEPINE (Tegretol) CHLORPHENIRAMINE MALEATE
RD: LD = 10-20mkD (Antamin,
MD = 5mkD RD: 0.2-0.35mkD Histacort,
PP: 200mg, 400mg TAB; 20mg/ml syr Neozep)
Antamin: <20kg = ½ amp
>20kg = 1 amp
PP: 5mg/ml, 2mg/5ml; 4mg/tab
DIPHENHYDRAMINE HCl (Allerin,
Benadryl)
RD: 1mkD IV, 5mkD QID
PP: 50mg/ml in;, 12.5mg/5ml syr; 25mg,
CLONAZEPAM (Rivotril) 50mg/cap
RD: 0.3mkD
PP: 2mg/tab
VALPROIC ACID (Depakene)
RD: 15 mkD ↑ by 5-10mkdD @ 1 wk
interval
Max 60 mkD
PP: 250mg/5ml HYDROXIZINE HCl (Iterax)
ANTIHYPERTENSIVE RD: 1mkD BID
PROPANOLOL (Inderal) PP: 2mg/ml syr; 10mg, 25mg/tab
RD: 0.1mkD IV CETIRIZINE (Virlix, Allerkid-5mg/5ml syr)
1-2mkD PO BID-TID RD: 0.2mkD
PP: 10mg, 20mg, 40mg, 80mg TAB PP: 10mg/ml drps; 1mg/ml soln; 10mg/tab
CETIRIZINE diHCl (zyrtec) RD : 0.5mkD (↑ ICP)
RD: 0.2mkD 0.3-1mkD (laryngeal edema)
PP: 10mg/ml drps; 1mg/ml soln; 10mg/tab 0.25mkD q 8H
LORATADINE (Claritin) PP: 5mg/ml; 600mg/tab
RD: <30kg = 1tsp OD HYDROCORTISONE (Solu-Cortef)
>30kg = 2 tsp OD RD: LD = 10mkD
PP:5mg/5ml; 10mg/tab MD = 5mkD not >100mg
BRONCHODILATORS (5mkD-Dr. Estepar)
AMINOPHYLLINE PP : 100mg/2ml, 250mg/2ml, 500mg/2ml
RD: 3-5mkD PREDNISONE (Prolix, Pred 1/5/10)
Neonates: 1mkD q 12H RD: 1mkD
PP25mg/ml PP: 10mg/5ml; 2.5mg, 5mg, 7.5mg,
THEOPHYLLINE (Asmasolon) 10mg/tab
RD: 1mkD q 6H IRON DEFICIENCY ANEMIA
PP: 80mg/15ml; 125mg, 175mg, 250mg ELEMENTAL IRON
TAB RD: Prophylaxis: 1mkD
Therapeutic: 6mkD
PP: Hemarate 105mg/tab; 30mg/5ml
Iberet: 105mg/tab, 26.25mg/5ml
Incremin: 30mg/5ml
Sangobion: 15mg/5ml
TERBUTALLINE (Bricanyl)
RD: 0.075mkD
PP: 0.3mg.ml syr; 2.5mg, 5mg TAB;
5mg/2ml neb; 0.5mg/ml amp
SALBUTAMOL (Asmalin, Combivent,
Ventolin)
RD: 0.13-0.15mkD FOLIC ACID
PP: 2mg/5ml; 2mg/tab; 2.5mg/2.5ml neb RD: 50ug/day
MUCOLYTIC PP: 50mg/cap
CARBOCISTEINE (Solmux, Loviscol) EMPIRIC DOSES
RD: 30-50mkD <6m = ¼ tsp 6m-2y = ½ tsp
PP: 40mg/ml drops; 100mg/5ml, 2-6y = 1 tsp 6-9y = 1 ½ tsp
200mg/5ml, 9-12y = 2 tsp
500mg/5ml susp; 500mg/cap CALCIUM CLUCONATE, 10%
AMBROXOL (Ambrolex, Mucosolvan) Cardiac arrest : 100-200mkD
RD: 1.2-1.8mkD TID Tetany/ decreased Ca = 100-200mkD IV
PP: 7.5mg/ml; 100mg/5ml, 200mg/5ml; SD,
30mg/tab; 75mg/cap Then 500mkD X 24H infusion
BAMBUTEROL (Bambec) Correction: 1-2cc/kg/D q 12-8H
RD: 0.27 mkD X 1wk IVIG:
PP: 1mg/ml; 10mg/tab Kawasaki: 2g/kg
PROCATEROL HCl (Meptin) GBS: 400mgD X 5d
RD: 0.25mkD OD or BID PP: 500mg/vial, 2.5g/vial, 5g/vial
PP: 5ug/ml; 25ug/tab, 50ug/tab; 10ug/puff NEPHROTIC SYNDROME
BROMPHENIRAMINE MALEATE Furosemide: 1-2mkD
(Dimetapp) Albumin, 25%: 1g/kg/34H
RD: 0.15mkD q 3H 5-6y = 5ml Prednisone: 1-2mkD q 8H; max = 60mg
2-4y = 4ml 7-12y = 7.5ml

STEROIDS
DEXAMETHASONE
CHEMOTHERAPY:
VINCRISTIN: MANNITOL, 20%
RD: 0.4-1.4mg/m2 RD: 3-5cc/kg/d ; max : 100cc/d
<10kg: 0.05mg/m2 (BSA) Calcium Chloride:
>10kg: 1.5-2mg/m2 RD 0.15-0.3 mkD(0.2-0.4mEq/kg/d)
DOXORUBICIN: PP: 100mg/ml in 10ml amp
RD: 0-75 mg/m2 SD IV q 21 days 1ml = 1.36mEq Ca
30-4 mg/m2 q 3 weeks GLUCAGON:
20mg/m2 q wk RD: 0.03mkD
20-30mg/m2 OD X 3d q 3-4wks LIDOCAINE,1%:
CD: 550mg/m2 RD: 1-2mkD IV X 1-3d
PP: 10mg/ml, 50mg/ml Inf: 20-50ug/kg/min
L-ASPARAGINASE DOPAMINE
RD: 50u/kg IV OD q other day Wt X RD X 60
PP: 10,000ku/vial 800 or 1600
ALLOPURINOL PP: 200mg/250ml+D5W
RD: 10-20mkD q 8H RD: 2-20ug/kg/min
DOBUTAMINE
Wt X RD X 60
2000
PP: 250mg/20ml
RD: 2-20ug/kg/min

EMERGENCY DRUGS
NaHCO3
ABE X Wt X 0.3 DOBUTAMINE
Emp: 1-2mEqs/kg/d RD X wt. X 60 = (A)cc/h
NB: ABE X Wt X 0.3 1000
2 250mg/20ml in 250cc D10W = (A)
ATROPINE 250mg/20ml in 125cc D10W = (A/2 = B)
RD: 0.04mk SQ 250mg/20ml in 62.5cc D10W = (B/2 = C)
0.01-0.02mk IV /IT DOBUTAMINE 1 amp + 16.4 D5W at 1cc/H
min: 0.1mg; max: 0.5mg(c) 1mg(A) DOPAMINE:
LANOXIN Wt X RD X 1440 = 200mg/250ml = cc
Elixer: wt X .04/10 = cc q 12H 800
0.05 DOBUTAMINE
PP: 0.05mg/ml Wt. X RD X 1440 = 250mg/20ml = cc
PP tab: wt. X .04 = mg q 12H 12500
10 24 – total = ___ + D5W X 1cc/H
PP: 0.25mg/ml REG. INSULIN:
IV: RD: 0.05-0.1g/kg/H IV
EPINEPHRINE: PP: 100iu/ml
RD: 0.01mkD q 3-5min GLUCOSE
Drip: 0.1 = 1.5ug/kg/m RD: 2-5ml/kg/(0.2-0.5gm/kg) D10W IV and
ET: 0.1mk or
PP: 10ug/1.8ml Constant infusion of D10W @
100cc/kg/24H
(8mg glucose/kg/min)
Inf = 2ml QID
Ch = 1-2Mu/D; 4-6ml QID
A = 1-2 tab TID; 4-6ml QID
PP: 500,000U/tab; 100,000U/ml

DIAZOXIDE:
RD: 1-2mkD = 15-30sec
Hypertensive crisis: max 5mk
HYDRALAZINE (Apresoline)
RD: 0.1-0.5mk  2mk IV q 3-6H AMOEBICIDES:
PP: 20mg/ml/amp METRONIDAZOLE (Flagyl,Anaerobia,
10mg, 25mg, 50mg Triconex)
NALOXONE RD: 7.5mkD LD, then 7.5mkD q 12H IV
RD: <5y or < 20kg = 0.1mk, titrate PP: 500mg IV
>5y or >20kg = 2mg 30-50mkD PO TID
NB: 0.02mg/ml 500mg/tab; 125mg/5ml, 1 gm supp
PP: IV 0.4mg/ml FURAZOLIDONE (Furoxone)
ANTIVIRAL RD: 4-7mkD
ACYCLOVIR (Zovirax) PP: 100mg/tab; 16.7mg/5ml
RD: 20mkD x 5 days ETOFAMIDE (Kitnos)
PP: 200mg, 400mg, 800mg tab; 250mg IV RD: 15-20mkD BID
METHISOPRINOL (Isoprinosine) PP:200mg, 500mg TAB, 100mg/5ml
RD: LD = 100mkD DILOXANIDE FUROATE (Furamide)
MD = 50mkD RD: 15-20mkD TID
PP: 250mg/5ml, 500mg tab PP: 125mg/5ml; 500mg/tab
AMANTADINE HCl (Symmetril) NIFUROXAZIDE (Ercefuryl)
RD: 4.4-8.8mkD RD: <6m = 1 tsp BID
PP: 50mg/5ml; 100mg TAB >6m = 1 tsp TID
PP: 200mg/cap; 220mg/5ml
PAROMOMYCIN (Humagel)
RD: 20-30mkD
PP: 150mg/5ml; 150mg/cap
RIBAVIRIN (Rebetion)
RD: 10mkD
PP: 200mg/cap
ANTIFUNGAL
FLUCONAZOLE (Diflucan)
RD: 3-6mkD OD ANTIHELMINTHICS:
PP: 50mg, 150mg, 200mg/cap; 2mg/ml MEBENDAZOLE (Antiox)
vial RD: 100mg BID X 3 days
KETOCONAZOLE (Nizoral) PP: 500mg, 100mg TAB; 50mg/ml,
RD: <15kg = 50mkD 20mg/ml
>15-30kg = 100mkD PYRANTEL PAMOATE (Combantrin)
Adult = 1-2 tabs OD RD: 11mkD SD
AMPHOTERICIN B (Fungizone) PP: 125mg, 250mg TAB, 125mg/5ml
RD: 15mk ALBENDAZOLE (Zentel)
D1 = 0.05mk + D5W(10 X mg givenmax RD: 75mkD
50ml) PP: 400mg/tab; 200mg/5ml
D2 = 0.1mk ANTI-EMETICS
D3 = 0.25mk METOCLOPRAMIDE (Plasil)
D4 = 0.5mk RD: IV = wt X 0.25 = cc q 8H prn
D5 = 1mk thereafter until 15mk 6
NYSTATIN (mycostatin) PO = wt. X 0.5 = cc
RD: NB = 400,000U/D Freqcy
PP: 10mg/tab; 5mg/ml; 10mg/2ml amp ETHAMBUTOL
DOMPERIDONE (Motilium) RD: 15mkD OD
RD: 5ml/10kg
PP: 10mg/tab; 1mg/ml

ANTISPASMODIC:
DICYCLOVERINE (Relestal)
RD: 1-5y = 2.5ml
6-12y = 5ml RECOMMENDED DOSE:
HYOCINE-N-BUTYLBROMIDE
(Buscopan) Oral = Wt. X RD X Prep (ml)
RD : 0.3-0.6mkD ___mg____
PP : 20mg/amp ; 10mg/tab freq
ANTACIDS:
CIMETIDINE (Tagamet) IV = Wt. X RD
RD: 5mkD Freq
PP: 200mg/2ml; 300mg/ml; 100mg/5ml;
200mg/tab, 400mg/tab ACTUAL DOSE:
RANITIDINE (Zantac)
RD: 0.75-1.5mkD IV Oral = Amt. given X freq X mg
3-8mkD PO ml__
PP: 150mg, 75mg, 300mg/tab; 50mg/2ml, Wt.
MAALOX
RD: 2-4tab or 1-4tsp QID IV = Amt. given X freq
PP: 200mg TAB; 225mg/5ml Wt.
PANTOPRAZOLE (Pantoloc)
RD: 1 tab H. Pylori
PP: 20mg, 40mg TAB; 40mg IV

FAMOTIDINE
RD: 10-20 mg/day
PP: 20mg/ml; 10, 20, 40mg/tab
SUCRALFATE (Iselpin)
RD:1gm QID
PP: 1gm/tab
ANTI TB DRUGS:
RIFAMPICIN
RD: 10-15mkD OD pre-breakfast
PP: 100mg/5ml, 200mg/5ml
ISONIAZID
RD: 10-15mkD OD pre-breakfast
PP: 100mg/5ml, 200mg/5ml
PYRAZINAMIDE
RD: 25-20mkD TID
PP: 250mg/5ml
ABO incompatibility 15 Electrolyte Deficit 13
ABG 24 Emergency Drugs 35
Acid/Base 7 Exchange Transfusion 16
Albumin 6 Extubation 25
Aminoglycosides 18 Flucoxacillin 18
Amoebicides 40 Fluids 11
Analgesics/Antipyretics 26 Fluid Intake (Total) 23
Anaphylaxis 7 Fluid Maintenance 12
Antacids 42 Fluid Requirement Daily 8
Anticonvulsants 27 Fontanelle 2
Antiemetics 41 GIR 14
Antifungal 39 Glasgow Coma Scale 3
Antihelminthics 41 Height 5
Antihistamine 29 Hypotension 7
Antihypertensive 28 ICP 2
Antispasmodics 42 Insulin 37
Anti TB drugs 43 Intralipid 6
Antiviral 38 Iron Deficiency Anemia 32
APGAR score 1 Isolette 6
Bladder Content 6 IV Ig 33
Blood Trannsfusion 15 Macrolides 20
Blood Volume 15 Mucolytic 31
Bronchodilator 30 Nephrotic Syndrome 33
Bronchospasm 7 Osmolality Serum 5
BSA 14 Osmolality Urine 6
Calcium Gluconate 33 Parenteral Nutrition (Total) 10
Caloric Intake (Daily) 9 Penicillin 17
Caloric Intake (Total) 24 Phelobotomy 16
Caloric Requirement (Total) 9 PPV 1
Cepahlosporins 21 Prematurity Pointers 1
Chemotherapy 34 Specific Gravity 2
CPAP 8 Steroids 32
CVP 2 Surfactant 6
Dehydration 11 Umbilical Catheterization 6
Dextrosity 14 Urine Output 2
Dose (Recommended&Actual) 45 Vital Signs 2
Waterlow Classification 5
Weight 5