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BETA LACTAMS FLUOROQUINOLONES

Penicillin 50-100 mkD q6 Ciprofloxacin 7.5-15 mkD


Pen G Crystalline 100,000-200,000 ukD q12 T: 250mg, 500mg
50,000-100,000 ukD q8/q12 V: 2mg/mL infusion
(< 7days) Levofloxacin 8mkD q12 (250mg max)
T: 250mg, 500mg
75,000-150,000 ukD q6-q12
V: 5mg/mL infusion
(>7days)
Benzathine Penicillin 500,000 u/K single dose (early
1.2 m.u., 2.4 m.u/vial
AMINOGLYCOSIDES
syphilis)
Amikacin 15 mkD LD
50,000 u/K max dose 2.4 M
V: 50mg/mL, 125mg/mL, 10 mkD q12 (MD)
u/dose (syphilis) 250mg/mL
Sumapen 50 mkD q6 Gentamycin 5-8 mkD q8-q12
Phenoxymethyl penicillin V: 40mg/mL, 80mg/2mL
125/5 – 200,000 u/5mL
Neltilmicin 6-8 mkD OD
250/5 – 400,000 u/5mL
V: 50mg/mL, 75mg/mL
Ampicillin 50-100 mkD q6/q8 (neonates)
D: 125mg/1.25mL 100-200 mkD q4/q6
S: 125mg/5mL, 250mg/5mL OTHERS
100-150 mkD q8-q12 (meningitis
C: 250mg, 500mg Chloramphenicol 50-100 mkD q6-q8 PO
neonates)
V: 125mg, 250mg, 500mg, S: 125mg/5mL 50 mkD q6 IV
1gm 200-400 mkD q4/q6 (meningitis) C: 250mg, 500mg 25 mkD q6 (neonates)
Ampicillin-Sulbactam 100-200 mkD q8 IV V: 1gm
Sultamicillin (Unasyn) 1.5-12gm/day IV Co-trimoxazole 5-8 mkD q12
S: 250mg/5mL 50mkD q12 (<30kg) S: 40mg/5mL (200), 80mg/5mL
C: 375mg, 750mg (400), 160mg/5mL (800)
2.25gm (single dose, gonorrhea) T: 400mg/80mg, 800mg/160mg
V: 750mg, 1.5gm
Amoxicillin 30-50 mkD q8
D: 100mg/mL
Clindamycin NB: 5mkD q8-12 po
S: 125mg/5mL, 250mg/5mL S: 75mg/5mL granules Infant/child:
C: 250mg, 500mg V: 1gm C: 150mg, 300mg 15-25mkD q6 IV
V: 150mg/mL SIVP in 30mins
Amoxicillin-Clavulanic 30-50mkD q8 po 20-30 mkD q6 PO
Acid (Co-Amoxiclav) 50-100mkD q8 IV Vancomycin <1200g (0-4wks) 15mkdose OD
S: 156.25/5 (125), 228.5/5 V: 500mg >1200g (0-1wk) 20mkdose OD
(200), 312.5/5 (250), 457/5 (1-4wks) 30mkdose OD
(400) Infant/child:
T: 375mg, 625mg
V: 600mg (500), 1.2gm
20mkdose q8 PO
(1000) 60mkD q8 1-3 hr infusion
Amoxicillin-sulbactam 30-50mkD q8 po Metronidazole 30-50 mkD q8-q12 PO
(Ultramox) 50-100mkD q8 IV S: 125mg/5mL 15 mkD LD, 7.5 mkD q8
S: 250mg/5mL, T: 500mg
T:500mg V: 5mg/mL
V: 500/250mg , 1000/500
Piperacillin-Tazobactam 200-300 mkD q6 ANTI-VIRALS
V: 4gm/500mg, 2gm/250mg 150-300 mkD q8 (<6months) Acyclovir 10-20 mkD q6
Aztreonam 50 mkD q6-q8 (children) S: 200mg/5mL 200mg 5x daily (adult, children, >
V: 1gm T: 200mg, 400mg, 800mg 2 y/o)
30 mkD q6-q8 (1wk-2y/o)
V: 250mg
Meropenem 20 mkD q12 (septic) ½ adult dose (children < 2 y/o)
V: 500mg, 1gm 40 mkD q12 (meningitic) Amantadine 5-9 mkD q12 (<8y/o)
Imipenem 15 mkD (max 2gm/D) T: 100mg, 250mg 100-200mg (>8 y/o; not >
V: 500mg V: 500mg 200mg/D)
50 mkD/ 1-2 gm q6-q8 (max
4gm/D; adult) Methisoprinosol 50 mkD q6-q8
(Isoprinosine)
S: 250mg/5mL
CEPHALOSPORINS
T: 500mg
Cefalexin 1st gen 25-50 mkD q6 (max 4gm/D)
D: 100mg/mL
S: 125mg/5mL, 250mg/5mL, MACROLIDES
C: 250mg, 500mg, 1gm Erythromycin 30-50 mkD q8-q12 (max 1gm)
Cefazolin 1st gen 20-50mkD q6-q8 D: 100mg/2.5mL
V: 500mg, 1gm 100mkD (severe infection) S: 200mg/5mL, 400mg/5mL,
Clarithromycin 15 mkD q12 (max 1gm/D)
S: 125mg/5mL, 250mg/5mL
Cefaclor 2nd gen 20-40 mKD q8 T: 250mg, 500mg
D: 50mg/mL
V: 50mg/mL
S: 125mg/5mL, 250mg/5mL
C: 250mg, 500mg Azithromycin 10 mkD x 3 days
Cefuroxime 2nd gen 20-40 mkD q12
S: 200mg/5mL 10 mkD 1st day, 2 mkD 2nd-5th day
C: 250mg, 500mg
S: 125mg/5mL, 250mg/5mL 50-100 mkD q8 IV V: 500mg
T: 250mg, 500mg,
V: 750gm, 1.5gm
Cefoxitin 2nd gen 80-160 mkD q4-q6 (max 12gm/D) ANTI-FUNGAL
V: 500mg, 1gm 20-40 mkD (infants) Fluconazole 12 mkD LD
T: 50mg, 100mg, 150mg 6 mkD MD
Ceftazidime 3rd gen 100-150 mkD q8 IV
200mg
V: 250mg, 500mg, 1gm, 2 gm
V: 2mg/mL
Ceftriaxone 3rd gen 50-100 mkD OD IV Ketoconazole 5 mkD OD (<15kg)
V: 250mg, 500mg, 1gm, 2gm T: 200mg 100 mkD OD (>20kg)
rd
Cefotaxime 3 gen 100-200 mkD q4-q6 200 mkD OD (>30kg)
V: 250mg, 500mg, 1gm
Griseofulvin 10 mkD
rd
Cefixime 3 gen 3-8 mkD q12 T: 125mg, 500mg
D: 20mg/mL Amphotericin B MD 0.5-1 mkD OD
S:100mg/5mL V: 5mg/mL, 50mg/10mL
C: 100mg, 200mg
Cefepime 4th gen 50mkD q8-12 x 10 days
V: 500mg, 1gm, 2gm 500mg-1gm q12 (>12 y/o) ANTI-PARASITIC
Pyrantel Pamoate 11 mkD x 3 doses OD
S: 125mg/5mL
T: 125mg
Mebendazole 200 - 500 mkD OD single dose
TETRACYLINE
S:20mg/mL, 50mg/mL
Tetracycline 25-50 mkD T: 100mg, 500mg
C: 250mg, 500mg
Doxycycline 4.4 mkD
C: 100mg 2.2 mkD
ANTI-TUBERCULOSIS COUGH & COLDS
Rifampicin (R) 10-20 mkD OD AC Chlorpheniramine 0.2-0.3 mkD
D: 100mg/5mL maleate >12 y/o: 5mL TID or 1 tab TID
S: 200mg/5mL S: 2mg/5mL
C: 150mg, 300mg, 450mg T: 4mg
Isoniazid (H) 10-20 mkD OD AC V: 10mg/mL
S: 200mg/5mL Ambroxol
C: 75mg, 100mg, 200mg, 30mg/tab >10y/o 1 tab TID
300mg, 400mg
5-10 y/o ½ tab TID
Pyrazinamide (Z) 15-30 mkD OD PC
S: 250mg/5mL
C: 400mg, 500mg
Syrup (15mg/5mL) >10y/o 10mL TID
6-10 y/o 5mL BID-TID
Ethambutol (E) 15 mkD OD
C: 275mg, 400mg, 800mg 2-5 y/o 2.5mL BID
5-25mKD (<2 months)
Streptomycin (S) 10 mkD OD Q 48 or EOD
V: 1gm Infant drops (6mg/mL) 1-2 y/o 1.25mL BID
7-12 mons 1mL BID
<6 mons 0.5mL BID
Carbocisteine
ANTI-HISTAMINES
Syrup (100mg/5mL) 2-3 y/o 5mL TID
Cetirizine 6mons-1y/o 1mL OD
4-7 y/o 10mL TID
D: 2.5mg/mL, 10mg/mL 1-2 y/o 2.5 mg BID (5 drops BID)
S: 1mg/mL, 5mg/5mL 8-12 y/o 15mL TID
1mL OD or BID
T: 10mg
2-5 y/o ¼ tab BID or ½ tab OD
Syrup (250mg/5mL) 2-3 y/o 2.5mL TID
5mL OD or 2.5mL BID
4-7 y/o 5mL TID
6-12 y/o ½ tab BID
8-12 y/o 7.5 mL TID
10mL OD or 5mL BID
>12 y/o 1 tab OD
Drops (50mg/mL) <2 mons 0.3mL TID
Diphenhydramine 1-2 mg/kg IV (max 100mg/dose) 3-6 mons 0.6mL TID
S: 12.5mg/5mL
C: 25mg, 50mg
7-12 mons 0.9mL TID
3-5 mkD PO 13-24mons 1.2mL TID
V: 50mg/mL
2-6 y/o 2.5 mL q6/q8
Erdosteine >30kg 10mL BID
6-12 y/o 5mL q6/q8 S: 175mg/5mL 20-30kg 5mL TID
Hydroxyzine HCl 1-2 mkD q12 PO C: 300mg 15-19kg 5mL BID
S: 2mg/mL Adult: 25mg BID -QID
T: 10mg, 25mg Procaterol (Meptin) < 5y/o 0.25mKD BID-TID
S: 5mcg/mL >6y/o 5mL or 25mcg/tab OD-BID
Loratadine 1-2 y/o 2.5mL OD T: 25mcg, 50mcg
S: 1mg/mL, 5mg/5mL 2-12 y/o <30kg 5mL Adult 20mL or 50mcg/tab OD-BID
T: 10mg >30kg 10mL Salbutamol + >12 y/o 10mL TID, 1 cap BID-TID
>12y/o: 1 tab OD Guaifenesin 6-12 y/o 1tsp TID
Chlorphenamine <1y/o: 2.5mL TID 2-6 y/o ½-1tsp TID
maleate 1-3y/o: 2.5-5mL TID Acetylcysteine Children: 100mg BID-QID
S: 2mg/5mL >6y/o: 5mL TID (Fluimucil) Adult: 200mg BID-TID, 600mgOD
T: 4mg Sachet: 100mg, 200mg
7-12y/o: ½ tab TID
V: 10mg/mL S: 100mg/5mL
Adult: 1 tab TID or 2 tsp TID T(effervescent): 600mg
IV/IM: 1mL OD Guaifenesin 6-12 y/o 5mL TID-QID
Promethazine HCl 1mg/kg IM S: 100mg/5mL Adult: 5-10mL TID-QID
(Phenergan) C: 200mg 1-2cap TID-QID
V: 25mg/mL
Phenylpropanolamine
Fexofenadine 120mg OD
Drops (6.25mg/mL) 1-2 y/o 1mL QID
T: 120mg, 180mg
7-12 mons 0.75mL QID
4-6 mons 0.5mL QID
1-3 mons 0.25 mL QID
ANALGESIC & ANTI-PYRETIC
Aspirin 60-80 mkD Syrup (12.5mg/5mL) 2-6 y/o 2.5mL QID
T: 80mg, 100mg, 325mg RHD: 100mkD (1st 2 wks), 75 mkD 7-12 y/o 5mL QID
(4 wks)
Anti-inflammatory: 60-90 mkD
Kawasaki: 80-100mkD q6
Indomethacin 1-2 mkD x 3 (PDA) NEUROLEPTICS & ANTI-CONVULSANTS
C: 100mg Diazepam 0.2-0.3 mkD
Ibuprofen 6-8 mkd q6 T:,5mg,10mg/tab Max dose: <5y/o: 5mg;
D: 100mg/2.5mL V: 5mg/mL, 10mg/mL >5y/o: 10mg
S: 100mg/5mL, 200mg/5mL Drip: 50mg (10cc) + 250cc 0.9 NSS
C: 200mg, 800mg to run at 1cc/kg/hr
Mefenamic Acid 6.5 mkd q6 Carbamazepine 20-60mg/day inc by 20-60mg OD
S: 50mg/5mL
(Tegretol) (<4 y/o)
C: 250mg, 500mg
100mg/day inc by 100mg weekly
Meperidine 6 mkD/ 0.5-1 mkD
(4y/o)
Midazolam 0.2 mkd
T: 15mg
10-20 mk MD
V: 1mg/mL, 5mg/mL Mannitol 20% 2.5-5cc/kg q6-q8
Morphine 0.1-0.2 mkd q6 (max 15mg) Phenobarbital 10-20 mkd LD
T: 10mg, 30mg, 60mg, 20mg/5mL; grain 1=60mg 5 mkD q12 MD
100mg T: 15mg, 30mg, 60mg, 90mg Max: 1-2gms (300mg)
V: 10mg/mL V: 130mg/mL
Nalbuphine 0.1-0.2 mkd IM, IV Phenytoin (Dilantin) 10-20 mkd LD
V: 10mg/mL S: 30mg/5mL, 125mg/5mL 5 mkD q12 MD
Naproxen 5-7 mkD q8-q12 (>2y/o) V: 50mg/mL Max: 1 gm
T: 275mg, 550mg Valproic Acid 15mkD (LD) OD/BID
Paracetamol 10-15 mkd q4 S: 250mg/5mL 20mKD q8 (MD)
D: 100mg/mL V: 100mg/mL
S: 120mg/5mL, 250mg/5mL
T: 80mg, 500mg
V: 150mg/mL, 300mg/2mL
Supp: 125mg, 250mg
GASTRO MEDS & ANTI-ULCERS RESPIRATORY MEDICATIONS & BRONCHODILATORS
Al Mg (OH)3 (Maalox) 2-4 tabs 20 mins pre meal and HS Aminophylline 3-5 mkD (0.6-0.9mk/hr)
Al Mg (OH)3 + 2-4 tsp or tab QID 5mg/mL LD: 3-6mg/kg x 20-30mins
dimethicone MD: 2mkd q8
Bisacodyl (Dulcolax) 5-10 mg (6-12 y/o) MD: 1-9y/o 0.8 1-1.2hr
T: 5mg 10-15 mg (>12 y/o) 9-12 y/o: 0.7 0.9hr
Supp: pedia 5mg, adult 2-16 y/o 0.5 q6-8
10mg Eg
Hyoscine-N-butylbromide 12 y/o: 1-2 tab 3-5x a day, max 20kg = (wt x dose) / preparation
(Buscopan) 100mg/day (20 x 5) / 5 = 20cc SIVP as LD
T: 10mg Infants & young children 0.3-0.6
V: 20mg (20 x 2) / 2 = 8cc SIVP q8 as MD
mkD Hydrocortisone (Solu- 10mkd LD, 4-9mkd MD
Cimetidine 5 mkD q6 LD, 5-10 mkD q6 Cortef) 10-20 mkD LD
T: 200mg, 400mg V: 100mg, 200mg, 250mg 5-6 mkD q8 MD (asthma)
V: 100mg/mL, 150mg/mL
3-5m mk/dose IV
Ranitidine 1 mkD q8
T: 75mg, 150mg, 300mg Salbutamol 0.15-0.30 mkD q6
Adult: 150mg BID or 300mg OD
V: 25mg/mL S: 2mg/5mL
T: 2mg
Dicycloverine 6 mons-2 y/o 0.5-1mL QID
D:5mg/mL Terbutaline 0.075 mkd q6 PO
2-5 y.o 2.5-5mL QID
S: 10mg/5mL 1.5mg/5mL syrup, 0.01 mkd (max 0.5cc)
6-12 y/o 5 mL QID 5mg/2minebule
T: 10mg
Domperidone 0.2mL kg/dose q8
D: 5mg/mL ANTI-HYPERTENSION / CARDIAC/ DIURETIC/ EMERGENCY
S:1mg/mL 5mg/5mL MEDICATION
T:10mg
Aldactone 2-3.5 mkD
Erceflora 1 vial BID x 5 days
Amiodarone 10mkd 30min-1hr LD
Lactulose 2mL/kg/dose q6
Aspirin 65 mkD
Omeprazole 0.6-0.7 mkD OD
RHD: 1st 2 weeks 100mkD
C:20mg,40mg
V: 40mg 4 weeks 75mkD
Nitrofuroxide <6 mons: 1 tsp BID Anti-inflammatory 60-90 mkD
(Ercefuryl) >6 mons: 1tsp TID Kawasaki: 100 mkD,q6
S:218g/5mL (-) Fever: 8-10 mkDs
C:200mg Acetazolamide 20 mkD
Prozinc <6 mons: 10mg (Diamox) 250 – 375 mg/day
Drops 0.5-1mL OD (1mL= >6 mons: 20mg T: 250 mg
10mg elemental Zn) Captopril 0.5-1 mkD q8
Syrup 2.5-5mL OD (5mL Ca Gluconate 25 mkd q8
=20mg elemental Zn)
V: 100mg/mL Dilute 1 mL n 2 mL sterile water
Racecadotril (Hidrasec) <9kg: 10mg/sachet TID
Ca Chloride 0.33/kg (27mg ca/cc)
9-13kg: 10mg/2sachet TID
Ca Carbonate 30-50 mkd q8
13-27kg: 30mg/sachet TID
>27kg: 30mg/2sachet TID Digoxin 0.05 mg/kg IV/IM
Adults: 100mg/cap TID Diazoxide 5mg rapid IV push
Furosemide 1 mkd q6-12 IV
T: 20,40,60mg
NEPHRO MEDICATIONS V: 20mg/mL
Prednisone Nephrotic: >40mg/day Hydralazine 0.15-0.3 mkdose q4-6 IV
Hypoalb: <2.5mg/dL T: 10mg, 25mg, 50mg 1-3mkD q4-6 po
60mkD x 4-6 weeks then 40mkD V: 20mg
(am) x 2-3 months Nifedipine 0.25 mkD q4-q6 PO
Alternate day dose C: 5mg, 10mg
If steroid resistant: +2 protein q8
weeks Amlodipine 5mg/tab OD-BID
If steroid dependent: relapse T: 5mg, 10mg
within 28 days Propranolol 1-2 mkD q6-12
Frequent relapse: relapse> 12x T: 5mg, 10mg
per month
Cyclophosphamide 2-3 mkD single dose 8-12 weeks DRIPS
DOPAMINE DRIP
STEROIDS Dopamine
Betamethasone 0.0178-0.25 mkD q6-q8 (max 1-2 mcg/kg/min
T: 500mcg 9mg/D)
V: 1mL, 2mL DOPA DRIP
Dexamethasone 0.5-1mkD for ICP Wt x 60 x desired dose
T: 500mcg, 750mcg, 4mg 1 mkD q4-q6 for cerebral edema Conc. of dopa drip
(forte tab) 0.2-0.5 mkd for bacterial
V: 2mg/mL, 4mg/mL,
meningitis Desired dose
5mg/mL
5mg – 10mg iv q6 (adult dose) Renal: 2-5
Hydrocortisone 10-15 mkD LD, 4-6 mkD q6-q8 MD Cardiac: 5- 10
T: 20mg (asthma) Adrenergic: 7-8
V: 100mg, 200mg, 250mg, 3-4 mkD (Dengue)
400mg, 500mg Concentration Dopa D5W
Prednisone 1-2 mkD q12 100 6.25 43.75
S: 10mg/5mL BSA x 60 mkD (Nephrotic) 200 12.5 37.5
T: 5mg, 20mg
400 25 25
800 (Premix) 11 39

Ex. Start Dopa drip


AMINOPHYLLINE DRIP Dopa 12.5
Dose: 0.2-0.4 D5W 37.5
wt x dose = 3 x 0.4 = 0.6cc 50cc x 4-5ugtts
2 2
Ex.
Aminophylline 0.6 cc
D5 W 99.4 cc
100cc OR 80cc x 12 hours at 8- 9 ugtts/min
EPINEPHRINE DRIP AMINOPHYLLINE PUSH
Prep: 1mg/ml Prep: 25 mg/ml
Dose: 0.1 – 1mkdose
Dilute 25 mg/ml vial in 4cc PNSS to make 25 mg/5ml
(Wt x dose x 6) x 0.1(running rate) concentration
Then get 1cc to have 5 mg/ml concentration
Ex. Start Epi drip
Epi 1 cc Neonates
D5W 99 cc LD: 4-6
100 cc x ____ugtts/min MD: 1.5-3mkdose q8-12
OR
Dose: 0.5-1mkdose Order: give 2.4cc of aminophylline as loading dose + EAD
then after 12 hours give 1.2 cc IV q8
Wt x 60 x dose
20 OR

Ex. Start Epi drip 3-5mkD (0.6-0.9mk/hr)


Epi 1 cc LD 3-6mg/kg x 20-30mins
D5W 49 cc MD 2mkdose q8
50 cc x ___ugtts/min MD 1-9y/o 0.8- 1-1.2hr
9-12y/o 0.7- 0.9hr
Titrate by 0.1 dose 12-16y/o 0.5
q6-8 (5mg/ml)
Epinephrine 0.01 mg/kg (1:10,000 IV)
0.1 mg/kg q3-4mis (ET) Ex: 20kg wt x dose = 20x5 = 20cc SIVP as LD
0.1-0.5 ug/kg/min (drip) Prep 5 8cc SIVP q8
2 ½ amps +48.5cc D5W
0.5cc epi +1.5cc NSS q15 x 3 doses
pre-extubation then q4-6 TERBUTALINE DRIP
(racemic)
(0.1-0.4ug) x wt. x 60 x 8 =___
500ug/ml
LIDOCAINE DRIP Ex.
Dose: 2-10mkdose OR 0.5-1.0mkd q10mins, max 5mg/kg Terbutaline =
Bolus: 1-2mkdose D5W = ___
80cc OR 100cc x 10 ugtts/min (8hrs)
Wt x 60 x dose = running rate
4000
BRICANYL DRIP
Ex. Start Lidocaine drip
Lidocaine 10cc Dose: 30-40ug
D5W 40cc
50cc x ____ugtts Wt x dose = in cc
500
Lanoxin TDD: 0.035 x wt Ex.
LD: ¼ TDD x 4 doses q6 Bricanyl =
MD 1/10 TDD x 2 doses q12 D5W = _____
OR 120cc x 24 hours
Wt x 0.004 x 2
0.05 (elixir) MULTIVITAMINS
<3 months: 0.3mL OD
* should not exceed weight of px 3-12 months: 0.6mL OD
0.04/kg loading divide by 4doses 1-2 y/o: 1.2mL OD
0.04 maintenance/ dose 2-6 y/o: 2.5mL OD
0.5max/day 7-12 y/o: 5mL OD
>12 y/o: 20mL or 1 tab OD
Elixir 0.05 mg/ml
Tab 0.25mg/tab
ANTI-SEIZURE DRUG
IV 0.025mg/ml or 0.5mg/2cc
1st line 2nd line
Tonic-Clonic Valproic Acid, Lamotrigine
Carbamazepine, (Lamictal)
NITROGLYCERIN DRIP
Phenytoin Oxycarbazepine
Dose: 0.25-5ug/kg/min dose; can start at 0.15
(Trileptal)
Prep: 10mg/ml or 100mg/10ml
Absence Valproic Acid Exthosuximide
Lamotrigine
Running rate = Wt x 60 x dose
Myoclonic Na valproate Lamotrigene
100
Partial Carbamazepine Lamotrigene
Phenytoin Oxacarbazepine
Ex. Start Nitroglycerin drip
NTG 5 cc Undentifiable Valproic acid Na valproate
D5W 45 cc Lamotrigene
50 cc x ___ugtts/min
ANTI-SEIZURE DRUGS
Carbamazepine 10-30 mkd bid- tid
MILRINONE DRIP Clonazepam 0.1-0.3 mkd tid-qid
Dose: 0.3-5ug/kg/min Ethosuximide 15-40 mkd tid-qid
Prep: 10mg/ml Phenobarbital 2-5 mkd bid-tid
Phenytoin 5-8 mkd bid,tid
Running rate = Wt x 60 x dose Valproic acid 30-80 mkd od,bid,tid,qid
200 Gabapentin 15-45 mkd tid
Lamotrigine 5-15 mkd bid, tid
Ex. Start Milrinone drip Topiramate 5-9 mkd bid
Mil 10 cc Leviteracitam 20-40 mkd bid
D5W 40 cc Oxcarbazepine 8-10 mkd bid
50 cc x ___ugtts/min (5cc/hr)

Defibrillation: 2.5joules/kg x 3
FLUIDS ARTERIAL BLOOD GAS
IVF Dext Na Cl K Lac Kcal/L HCO3
Acidosis ph<7.35
D5W 50g 170 Alkalosis ph>7.45

D10W 100g 340 Respiratory Acidosis pCO2 >45


D20W 200g 680 Respiratory Alkalosis pCO2 <35
D50W 500g 170 Metabolic Acidosis HCO3 <24 dec BE
Metabolic Alkalosis HCO3 >24 inc BE
LRS 130 109 4 28 Ca-3
Hypoxemia pO2 <85
NSS 154 154
D5 0.9NaCl 50 154 154 Note:
D5 50 77 77 For every 10mmHg ↑ pCO2 = ↓ pH of 0.05
0.45NaCl For every 10mmHg ↓ pCO2 = ↑pH of 1
D5 0.3 NaCl 50 51 51
PLR 130 110 43 27 <10 27
D5LR 50 130 110 4 Ca: 3 27 pH HCO3 pCO2
D5IMB 50 25 22 20 23 170 23 Metabolic Acidosis ↓ ↓ ↓
Mg: 3, Metabolic Alkalosis ↑ ↑ ↑
PO4: 3 Respiratory Acidosis ↓ ↑ ↑
D5NM 50 40 40 13 170 16 Respiratory Alkalosis ↑ ↓ ↓
Mg: 3
D5NR 50 140 98 5 Mg: 3, MECHANICAL VENTILATOR
Gluc: 23 NICU: FiO2 100
Pip/PEEP: 18/4
Rh Immunoglobulin: WinRho TV:wt x 10 x 6 – 8
Dengue IT -0.5 – 18cc
Dose: 50ug/kg/dose
Prep: 300ug/vial Child:PEEP 2-4cm H2O
I vial x 9-10mins PIP = 20-30 cm H2O
Dilute to complete 8.5cc to run for 10mins/vial Rate – 16-20
Use D5W to dilute TV: 10-15ml/kg

Kawasaki Pressure Vent: Restrictive Lung Disease


Dose: 75ug/kg as single dose Volume vent: Non pulmo
Contraindication: hct <100, Rh+ TV : wt x 10
Request CBC PC OD after 24hrs x 3days
AC control: with peep
DESFERAL SIMV: back up
Dose: 20-45 per/kg/dose T piece: Fio2 only
infuse in 100cc PNSS then give before and after BT to run
for 6hrs Head Circumference (cm/mo) RDA (kcl/kg)
5cc/kg prbc x 2hrs x 4doses q8 or as ordered 0-3 months 2 115
FENTANYL 3-6 months 1 110
Prep: 100mcg/2ml 6-9 months 0.50 100
Dose: 1-4mcg/kg dose q2-4 SIVP; 5-10 for anesthesia 9-12 months 0.50 100
1-3 y/o 0.25 100
Ex: Wt 1kg 4-6 y/o 1cm/yr 90-100
Dilute 100mcg/2ml solution in 8cc sterile water to make a
concentration of 10mcg/ml, DESIRED WEIGHT
then give 0.1cc (1mcg/kg) q4 SIVP At birth 3kg (Filipino) or 3.25kg (Caucasian)
< 6 months (Kg) Age in months x 600 + birth weight
AMPHOTERICIN B >6 months (Kg) Age in months x 500 + birth weight
Prep: 50mg/vial, 2 – 6 years old (Kg) Age in years x 2 + 8
Dose: 0.1mkD, max 30-35mk in 3wks 6-12 years old (lbs) Age in years x 7 + 5
Should be properly covered
AGE OF INFANT IDEAL WEIGHT
Dilute 50mg vial in 10cc D5W to make a concentration of 4-5 months 2 x birth weight
5mg/10ml, 1 year old 3 x birth weight
then aspirate 1cc + 4ccD5W = 5mg/ml, 2 years old 4 x birth weight
then aspirate from the solution, 1cc + 9cc D5W = 1mg/ml, 3 years old 5 x birth weight
then aspirate from the solution 1cc to make 0.1mg/ml 5 years old 6 x birth weight
7 years old 7 x birth weight
Wt 1kg
10 years old 10 z birth weight
Test dose: 0.1mk
BLOOD GAS ANALYSIS
1cc of the solution + 19cc D5W x 30mins
Day1 0.25mk: 2.5cc + 17.5cc D5W x 4hrs NB & Infants Children & Adults
Day2 0.5mk: 5cc + 15cc D5W x 4hrs pH 7.25-7.45 7.35-7.45
Day3 0.75mk: 7.5cc + 12.5cc D5W x 4hrs pCO2 27-40 35-48
Day4 1mk: 10cc + 10cc D5W x 4hrs then OD pO2 54-95 83-100
HCO3 20-22 22-27
IVIG TRANSFUSION BE -10 to -2 -7 to -1 + 2
Prep: 2.5gm,5gm,2500mg,/50ml vial O2 sat 40-90 95-99
Dose: 2g/kg single dose
Pre-meds: diphen & hydrocort DESIRED LENGTH
At birth 50 cm
Ex: wt 10kg Birth to 3 months +9 cm 3cm/month
Wt x dose = # vials x 50ml = ___ ml in 12hrs 3-6 months +8 cm 2.67cm/month
prep 6-9 months +5 cm 1.6cm/month
test dose: wt x 0.01 x 30 mins 9-12 months +3 cm 2cm/month
1 year and above Age in years x 5 + 80
HEAD CIRCUMFERENCE HOLIDAY SEGAR
1-4 months + 5.08cm (1.27cm per month)
4 -12 months + 5.08cm (0.635cm per month) <10 Kg: 100 x Weight
1-2 years +2.54cm 24hours
3-5 years +3.81cm (1.27cm per month) >10Kg: Weight -10 x 50 + 1000
6-20 years +3.81cm (1.27cm per month) 24 hours
>20Kg:Weight-20 x20 + 500
WATERLOW CLASSIFICATION 24 hours
Wasting
IVF:
<20Kg: D5IMB (500cc is the only preparation)
Actual weight x 100
>20Kg: D5NM
Ideal weight for actual length/height
Add 10% if there are losses (Fever, vomiting, lbm…)
Classification: Normal 90%, Mild 80-90%, Moderate 70-80%, Severe 70%

Stunting WHO Hydration


Plan A
Actual Height/Length x 100 <24 months 50-100mL
Ideal Length/Height for Age 2-10 years old 100-200mL
>10 year old Ad libitum
Classification: Normal 95%, Mild 90-95%, Moderate 80-90%, Severe 80%
Plan B
AGE HR RR BP Weight (Kg) x 75mL to be given in 4 hours
Preterm 120-170 40-70 55-75/40-70
0-3 months 100-150 35-55 65-85 / 45-55 Plan C
3-6 months 90-120 30-45 70-90 / 50-65 Age 30cc/kg 70cc/kg
<12 months 1st hour 5 hours
6mons -1 y/o 80-120 25-40 80-100 / 55-65
>12 months 30 minute 2 ½ hours
1-3 y/o 70-110 20-30 90-105 / 55-70
3-6 y/o 65-110 20-25 95-110 / 60-75
6-12 y/o 60-95 14-22 100-120 / 60-75
ORAL REHYDRATION SOLUTIONS
12 y/o 55-85 12-18 100-135 / 65-85
Na Cl K Glucose
WHO/ DOH 90 80 20 111
ENDOTRACHEAL TUBE SIZE
Pedialyte 45 45 35 20 140
Oreges (250mL) 90 80 20 111
ET Size = age in years +4
Hydrite (2/200) 90 80 20 111
4
Size in mm= 16 + age in years /4 Glucolyte (per L) 63 50 20 126.53
Formulated ORS 50 50 20 20
ET Level= ET size x 3 OR Add 6 to infant’s weight Reformulated ORS 75 65 20 75

Weight Gesta age Tube size TOTAL FLUID REQUIREMENTS (TFR)


<1000 <28 2.5 0-1 150 mkD
1000-200028-34 3.0 1-3 140 mkD
2000-300034-38 3.5 4-6 120 mkD
>3000 >38 3.5-4.0 7-9 100 mkD
NB 3.0-3.5 10-12 90 mkD
Infant 3.5-4.0 13-15 70 mkD
1 year 4.0-4.5 16-17 50 mkD
3years 4.5-5.0
6years 5.0-5.5 BSA
10years 6.0-6.5
0-5 wt x .05+ .05
Adolescent 7.0-7.5
6-10 wt x .04+ .1
Adult 7.5-8.0
10-20 wt x .03+ .2
20-40 wt x .02+ .4
> 40 wt x .01+ .8
LUDAN’S HYDRATION Hema/Endo:
Square root of wt x ht
MILD MODERATE SEVERE
3600
<15 Kg 50 100 150
>15 Kg 30 60 90
FLUID LIMITATION
Mild
Wt x factor (50 or 30) = _ugtts/min D5 0.3 NaCl
ER: BSA X 500
6 or 8 hours
Wards: BSA X 400 + ½ UO in 24hrs
Moderate
Wt x Factor (100 or 60) = _cc
DEXTROSITY
1st hour: 1/4(PNSS or PLR) to run for 1 hour Example
Next 7hours: 3/4 (D50.3NaCl) to run for 7 hours
Incdextrosity from D5 to D7.5
Severe
Wt x Factor (150 or 90) = _cc TFR 210, d5imb 70cc x 8-9ugtts/min x 3doses
0.055 x 70 = 4cc
1st hour: 1/3 (PNSS or PLR) to run for 1 hour
Next 7hours: 2/3 (PNSS or PLR) to run for 7 hours D5imb = 66cc
D50-50 = 4cc
IVF 70cc x 8-9ugtts/min x 3doses
Use PLR if with UO, PNSS if without UO
Use D5.03 if 0-7 years old, D5LR if 8-10 years old

DEXTROSITY
D5 D7.5 D10 D12.5 D15 D17.5 D20 D50
0 .055 .11 .17 .22 .28 .33 1.0
NEWBORN WEIGHT GAIN MAGNESIUM SULFATE
Prep: 250mg/ml
Birth weight regained on 10th DOL; 2-3 wks preterm LD: 100-200mg/kg/dose over 30mins
MD: 20-30mg/kg/day
Preterm: 15-20gm/day
Term: 20-30gm/day Ex: wt = 3.2kg

Fullterm: age in days – 10 x 20 +BW Loading dose:Wt x 200


Preterm: age in days – 14 x 15 +BW = 3.2kg x 200 = 640mg / 250
= 2.56cc + EAD in 30mins
FLUIDS IN NEONATES
A. Term: Maintenance dose:Wt x 30
60cc/kg/day, inc daily by 10 until 150 = 3.2kg x 30 = 96mg x 24hrs
= 2304mg / 250
B. Preterm = 9.2ml in 24 hrs
AGA (>2.5kg) 70cc/kg/day
LBW (<2.5kg) 70CC/kg/day Order:
VLBW (<1.5kg) 80cc/kg/day Mg SO4 9.2ml + D5W 14.8ml to make 24cc to run at
ELBW (<1kg) 100cc/kg/day 1cc/hr for 24hrs
250mg/ml
C. Types of Fluids LD: 100-200mg/kg/dose over 30mins
1st 24hr : electrolyte free, D5W, D10W MD: 20-30mg/kg/day
Next 24hrs: with electrolytes, D5 0.3NaCl then D5imb

D. TPN CPAP
Electrolytes Preparation Normal Settings
FiO2 CA O2 PEEP
NaCl 2.5mEq/mL 2-4 mEq/kg/day 60% 3 3 6
KCl 2 mEq/mL 1-3 mEq/kg/day 80% 1.5 4.5
10% Cagluc100mg/mL 100-400 g/kg/d
7% AA 7g/100mL 0.5-3 g/kg/day FiO2 and PEEP = already set

NaCl: 3mEq/kg/day X wt / 2.5 mEq/ml X 1.1 / 3 1. Determine CA first


KCl: 2mEq/kg/day X wt / 2 mEq/ml X 1.1 / 3
Ca: 200g/kg/day X wt / 100g/ml X 1.1 / 3 CA = 100 – FiO2 X PEEP (60-80) x 4-6
AA: 3g/kg/day X wt 100 X 1.1 / 3 79 (K)
7 2. PEEP – CA = O2

DEXTROSITY Dr.Murallon CPAP


D10 = ___ml D50-50
D10 = 10 FiO2 = compressed air (0.21) + O2 (0-5lpm)
D7.5 = 7.5 compressed air + O2

D50-50 = (10 x TFR) – 5 (TFR – total electrolytes) ex. 5 (0.21) + 1 = 0.34


45 / 3 6

D5W = TFR – Electrolytes – D50 = ____ / 3 BPD regimen


Budesonide q8
To check, compute D10 Salbutamol q6
50 x D50-50 = Furosemide q12
5 x D5W = ______
Total divided by TFR SODIUM
If < 10: correct
Deficit: (desired-actual) x wt x 0.6
GLUCOSE INFUSION RATE 137 - 129 x 11 x 0.6 = 53
NB and Infants = 6-8mg/kg/min Maintenance:wt x (2-3meq)
Children = 4-6 mg/kg/min Deficit + Maintenance = total infusion
Give 50% - 1st 8 hours
GIR = 0.167 X Dextrosity X ugtts/min 25% - next 8 hrs
Weight 25% - next 8 hrs

Normal:135-145 meq/L
INTRALIPID Significant hyponatremia: 120 meq/L
Prep: 10% , 20% Maintenance dose: 2-3 meq/kg/24 hr
Dose: 0.5-3g/kg/day ; inc by 0.5 until 3 is reached
20% = 20g/100ml Prep: 2.5meq/ml/amp
Fast Correction: (values <120meq)
Ex: Wt 2.35kg 4ml/kg of 2.5 meq/ml prep
Wt x 3 x 100 x 1.1 (For every ml of NaCl = 4ccsterile water)
20

= 38cc x 20-24hrs at 1.9cc/hr CALCIUM


100-300 mg/kg/day
Prep: 100mg/ml
G-CSF (Granulocyte-Colony Stimulating Factor)
Ex 2.6kg
Brand:Filgrastim 2.6x100x 1= 2.6 /3 = 0.9cc in IVF for 8 hrs
Prep: 300mcg/ml 100
Dose: 5mcg/kg/day OD IV or SQ
0.9ml of 10% Cagluc add in 100 ml
To boost the immune system
Stimulates the production of WBC
POTASSIUM TOTAL PROTEIN SPILLAGE

Nephro =UTP / bsa - g/day


0.2-0.3meq/kg/hr =1000xUTP / BSA x 24hmg/m2/hr
Ex. Wt = 10kg
0.2 x wt (10) = 2meq x 24 hrs = 48meqs (deficit) N = <4mg/m2/hr or 100mg/m2/day
2 x wt (10) = 20meq (maintenance)
68 meqs For nephrotics
Prep: 2meq/ml =if >40mg/m2/hr or 4g/day
start pred at 60mg/m2
Intensivist
Wt x 50 x transcellular K = ____ / 3
ALBUMIN TRANSFUSION
Transcellular K = 50mmol/kg Prep: 12.5gm/50ml (25%) OR 10gm/50ml (20%)
2.5 – 3 0.05 (5%) Dose: 0.5 - 1gm per day;
2 – 2.5 0.10 (10%) 1ml = 0.25gmto run for 2-4hrs as q12 or OD
1.5 – 2 0.20 (20%)
Wt 0.81
Cardio Wt x 50 = 3.2ml
Desired – actual x wt x 0.3 = deficit 12.5
Wt x 2 meq/kg/day = maintenance
Ca Carbonate (TUMS)
Deficit + Maintenance = total infusion q8 Prep: 500mg tab
3 Dose: 50mkD
40meq/day/L = maximum; excess will cause arrhythmia CaGluconate
Prep: 10cc/vial
Max 10cc vial + EAD q8 SIVP in 30mins
NaHCO3 Alkalka
Base excess x wt x 0.3 (half correction) Prep: 10mg tab = 10meq
X 0.6 (full correction) Dose: 1-2mkD
May give 2 tabs q8
To be given as 50% slow IV push K: 0.2-0.5kg/hr, inc to 0.5 if sx noted
50% incorporate in IVF to run 6-8hrs
1-2meqs/kg if deficit is too large NEPHORITIC SYNDROME
CHLORIDE: 5meq/100ml Prednisone
NEPHROLOGY >40mg/kg/day, hypoalb<2.5mg/dl
ESTIMATED GFR 60mg/kg/day x 4-6 weeks theN
Ht in cm x 0.55 /serum crea(mg/dl) 40mg/kg/day (am) x 2-3mos alternate day dose

Ht in cm x BSA x 0.48 /serum crea x 1.73 m2 If steroid resistant: +2protein q 8 weeks


steroid dependent: relapse within 28 days
Values: frequent relapse: relapse >12x per month
90-120mL/min Normal
< 89 mL/min Renal Insufficiency Cyclophosphamide
< 30 mL/min CRF (Chronic Renal Failure) 2-3mk/24hrs single dose 8-12wks
< 10 mL/min ESRD 500m/kg/m2/day x 3-5days
(max 1g/day x 3days)
CREATININE CLEARANCE
Methylprednisone: 30mkD x 3-5days (max 1gm)
Creatinine Clearance ml/min

For urine vol> 1liter 24 HOUR URINE PROTEIN


= TV ml x Ucr mg% x 1.73m2 Urine protein = 1.12
1440 min x Crea mg% x bsa
100mg/g x urine protein
For urine volume <1 liter BSA x 24 hours
= wt kg x [140-age] x 0.85
72 x Serum crea mg % x bsa Example
100 x 1.12 = 6.86 normal
Creatinine clearance 0.68 x 24
= K x height (cm)
Plasma crea (mmol/L)

K= 29 (<2.5 kg)
URINE CONCENTRATING ABILITY
40 (0-18mos)
49 (2-16yrs girls) Osmolality
49 (2-13yrs boys) Urine osmolality : more precise than usg
62 (13-16 yrs boys) Urine osmolality = (usg-1.000) x 40000
Normal = 400to 600 mOsm/L
Normal 80-120
Renal impairment 50-80 Serum osmolality = 2Na + {glucose (mg/dl)/18} + {bun
Renal insufficiency 20-50 (mg/dl)/2.8}
Renal failure5-20 Normal = 230 to 300 mOsm
Uremia <5
Urine Specific Gravity
To get % = creatinine clearance divided by 120 Each 15 mmol/L (2.7 g) glucose : inc USG by 0.001
Creatinine divided by 88.4; K in decimal point (0.29); Each 4 g/L Protein : inc USG by 0.001
if >3 renal failure
PHLEBOTOMY
ANION GAP
FFP transfusion:
Normal : 20  Wt x EBV (70-80) x 0.15 (.10-.15)
 Give ½ 30-1hr before phlebo, then remaining
Na - ( HCO3 + Cl ) during phlebotomy
134 – (12 + 98) = 24
PNSS can be also be used
1meq/kg NaHCO3 if with hypoxic spells
ACUTE GLOMERULONEPHRITIS DIABETIC KETOACIDOSIS2
TYPICAL COURSE Insulin drip:
Latent : few days- 3 wks >2yo = 0.1u/kg/hr
Oliguric : 7 - 10 days <2yo = 0.05u/kg/hr
Diuretic : 7- 10 days
Convalescent : 7 - 10 days make 5u in 50cc pnss or
10u in 100cc pnss to run __cc/hr (running rate is
NORMALIZATION OF URINE SEDIMENT equivalent to weight in kg)
Gross hematuria : 2 - 3 wks
Complement level : 6 - 8 wks  ECG
Protenuria : 3 - 6 mos  Na, K, Phos, Mg, Ca
Micro- hematuria : 6 - 12 mos  Hba1c
 FBS
Bladder Capacity: age x 2 oz x 30  BUN, Crea
 ABG
Normal bladder residual <5cc or 10% of bladder  Urine ketones
capacity means greater risk for UTI
Strict uo q1 with monitoring sheet at bedside
Clean catch : >100,000/ml
Catheter : >100/ml May start NaHCO3 at 1meq/kg sivp to run for 30 mins
Suprapubic : 1 col/ml
DIABETIC KETOACIDOSIS3

NEPHROTIC SYNDROME
If plasma glucose =14-17mmol/L (250-300) give PNSS
Remission: protein free/ edema free x 3-4 mos
Relapse: recurrence of edema & or proteinuria If less than 250 CBG give D5 0.45nacl to prevent rapid
Steroid Responsive: (-) protein after 4-6 weeks decrease in plasma glucose conc and hypoglycemia:
Steroid Resistant: (+) protein after 4-6 weeks of
continuous daily divided doses of prednisone (60mkd); 500 d5 0.9 nacl + 500 d5w = d5 0.45 nacl
use methyl prednisolone
If less than 100 CBG give D10 0.45 NaCl
Steroid Dependent:
- if you withdraw the tx, protenuria recur When rbs is decreasing by > or = 100mg/hr, may titrate
- 2 consecutive relapses occurring during therapy insulin drip by 25% until 0.05u/kg/hr
or w/in 14 days of completing steroid therapy
Frequent Relapser
- responds to corticosteroid treatment but DIABETIC KETOACIDOSIS4
experiences 2 relapses w/in 6 mos after the Transition of Insulin IV to SQ
initial response  Clinical improvement
- has 4 relapses w/in any 1 yr  No acidosis
 Oral intake

RENAL FAILURE STAGES to prevent rebound hyperglycemia, stop iv infusion only


DIMINISHED RENAL RESERVE after 60min of giving the 1st sq injection of regular
- GFR 50-80 insulin
- may still be asymptomatic
Split-mixed insulin injection:
CHRONIC RENAL INSUFFICIENCY <2yo =0.5u/kg/day
- GFR 30-50; >2yo = 1u/kg/day
- Hypocalcemia; decrease tolerance to stress pubertal = 0.8-1.5u/kg/day

CHRONIC RENAL FAILURE AM: 2/3 = 2/3 intermediate + 1/3 short


- GFR 10-30 PM: 1/3 = 2/3 intermediate + 1/3 short
- Anemia,hpn, bone problem, metab
disorder Fluids with the CBG of:
- dialysis  >300: PNSS 1L + 40meqs KCl x 28gtts/min
 100-300:
END STAGE RENAL DISEASE D5 0.45 NaCl x 28cc/hr (D5W 500 + D5 0.9 NaCl +
- GFR <10 40meqs KCl)
- Kidneys are small and contracted  <100:
- dialysis, kidney transplant D10 0.45 NaCl x 28cc/hr (D10W 500 + D5 0.9 NaCL
+ 40meqs KCl)
DIABETIC KETOACIDOSIS
Antibodies:
1CA, 1AA, GADA, 1A2
NUTRITION
(if + should wof development of dm in the future)
Approximate daily water requirements of filipino
Start of symptoms: infants and children
80-85% of islet cells have been destroyed
Age Water (ml/kg)
Diagnosis: (Signs and Symptoms +) 0-3days 120
 FBS more than or equal to 126 or RBS more than 10days 150
200 1-5mos 150
 heavy glycosuria (more than 55mmol/L) 6-12mos 150
 possible ketonuria 1-3yrs 140
4-6yrs 120
Additional workups: insulin levels, c-peptide 7-9yrs 100
10-12yrs 90
Management: 13-15yrs 70
Fluid requirement in 48hrs: 2 FM + deficit 16-19yrs 50
48
Deficit: wt x 30
48 hr maintenance dose: 2 x FM
NUTRITION
Daily requirements per kg desirable Body Weight
(Filipinos) for Calories and Proteins:

Age cal/kg protein g/kg


0-5 mos 115 3.5
6-11 mos 110 3.0
1-2yrs 110 2.5
3-6yrs 90-100 2.0
7-9yrs 80-90 1.5
10-12yrs 70-80 1.5
13-15yrs 55-65 1.5
16-19yrs 45-50 1.2

1g cho = 4 cal
1g chon =4 cal
1g fats = 8 cal
1000cal = 1kcal
1kcal = 4.184 kj

In general, the ave distribution of calories would be:


11% = proteins
35% = fats
60% = carbohydrates

ANALGESIC & ANTI-PYRETIC


Aspirin 60-80 mkD
T: 80mg, 100mg, 325mg RHD: 100mkD (1st 2 wks), 75 mkD
(4 wks)
Anti-inflammatory: 60-90 mkD
Kawasaki: 80-100mkD q6
Indomethacin 1-2 mkD x 3 (PDA)
C: 100mg
Ibuprofen 6-8 mkd q6
D: 100mg/2.5mL
S: 100mg/5mL, 200mg/5mL
C: 200mg, 800mg
Mefenamic Acid 6.5 mkd q6
S: 50mg/5mL
C: 250mg, 500mg
Meperidine 6 mkD/ 0.5-1 mkD
Midazolam 0.2 mkd
T: 15mg
V: 1mg/mL, 5mg/mL
Morphine 0.1-0.2 mkd q6 (max 15mg)
T: 10mg, 30mg, 60mg,
100mg
V: 10mg/mL
Nalbuphine 0.1-0.2 mkd IM, IV
V: 10mg/mL
Naproxen 5-7 mkD q8-q12 (>2y/o)
T: 275mg, 550mg
Paracetamol 10-15 mkd q4
D: 100mg/mL
S: 120mg/5mL, 250mg/5mL
T: 80mg, 500mg
V: 150mg/mL, 300mg/2mL
Supp: 125mg, 250mg

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