DERMA Sig.

Give __ mL once daily before bedtime Impacted cerumen Dequalinium paint/lozenge

Scabies
Permethrin lotion
Sig. Apply neck down before bedtime. Leave
overnight then rinse in the morning. Repeat after
7 days.
Hydroxyzine 2mkd (2mg/ml)
Sig. Give __ mL every 6 hours as needed for
pruritus. Treat all household members. Wash and
boil all linens. Avoid manipulation. Keep area
clean and dry
Pediculosis capitis
Permethrin shampoo
Sig. Apply on wet hair. Leave for 10-15 minutes.
Rinse afterwards. Use fine-toothed comb. Repeat
after 7 days.
Treat all household members. Avoid sharing of
hair accessories (combs, brushes, clips etc).
Furunculosis
Cloxacillin at 50-100 mkd
Sig. Give __ mL every 6 hours for 7 days on an
empty stomach (30 mins pre-meals or 2 hours
post-meals)Avoid manipulation. Keep area clean
and dry
Impetigo Contagiosa
Cloxacillin at 50-100 mkd
Sig. Give __ mL every 6 hours for 7 days on an
empty stomach or
Cefalexin at 25-100 mkd
Sig. Give __mL every 6 or 8 hours for 7 days
NSS compress
Sig. Wet gauze with NSS then apply over affected
area for 10-15 minutes 3x a day until lesions dry
up. Avoid manipulation. Keep area clean and dry.
Baby oil/Na Docusate otic drops Sig. Apply over affected area every 2-3 hours.
Topical Hydrocortisone Sig. instill 2-3 drops 3x a day for 5 days Avoid sweets or foods that may further irritate
Sig: Apply over affected area for no more than 7 Avoid ear manipulation. Keep area clean and dry the throat.
days
Allergic Rhinitis Mucositis
Petroleum Jelly 0.65% NaCl nasal spray NaCl nasal drops or spray
Sig : Apply over topical steroid twice a day Sig. Give 2-3 sprays per nostril then gently blow Avoid excessive (cause)
nose followed by
Acne Vulgaris Dental Caries
Adapalene Fluticasone nasal spray Advised dental consult; Regular brushing of teeth
Sig : Apply over affected area once daily. Sig. Give 1 spray per nostril once daily. Avoid every after meal; Avoid sweets
Avoid contact w/ eyes, mouth, angles of nose and exposure to smoke dust and pets
mucous membrane. Do not apply to broken skin, PULMO
eczematous skin, or severe acne, pregnancy, and Acute nasopharyngitis Pneumonia PCAP-A or B
lactation 0.65% NaCl nasal drops Amoxicillin at 40 mkd
Sig. Instill 2-3 drops per nostril then gently suction Sig. Give __ mL every 8 hours for 7 days
Cetaphil liquid wash for facial cleaning or dove secreetions every 6 hours or as needed for nasal
unscented soap congestion Paracetamol at 10-15mkdose (100drops/1ml,
Avoid manipulation of lesions. Perform gentle 120mg/5ml, 250mg/5ml)
cleaning of lesion 0.65% NaCl nasal spray Sig. Give __ mL every 4 hours as needed for
Sig. Give 2-3 sprays per nostril then gently blow temperature 38C and above
Allergic Reaction nose every 6 hours or as needed for nasal
Diphenhdyramine 5mkd (12.5mg/5ml) congestion. Salbutamol nebule
Sig: Give _ml every 6 hours. Sig. Nebulize every 6-8 hours for 5 days. Do gentle
Avoid exposure to smoke dust and pets. Increase chest physiotherapy every after nebulization.
Tinea versicolor OFI. WOF poor oral intake, difficulty of breathing, Avoid exposure to smoke dust and pets.
Sertaconazole nitrate cream poor activity, high-grade fever *If allergic, may use MACROLIDE:
Sig. Apply twice a day on affected area for 14
days. Phenylpropanolamine (6.25mg/1ml, Clarithromycin at 15 mkd
12.5mg/5ml) Sig. Give __ mL every 12 hours for 7 days
Ketoconazole cream 1-2 y 1ml
Sig. Apply once a day on affected area for 14 2-6 y 2.5 ml Salbutamol challenge
days. 7-12 y 5ml Salbutamol 100mcg/actuation
Sig. Give _ ml every 6 hours for 5 days. Sig. 2 puffs every 20 minutes, 3 doses
OPHTHA
Bacterial conjunctivitis Acute tonsillopharyngitis or exduative Bronchial Asthma in acute exacerbation
Tobramycin ophthalmic drops tonsillopharyngitis Salbutamol nebule
Sig. Instill 1 drop to affected area every 4 hours Amoxillin at 40 mkd Sig. Nebulize every 4 hours for 5 days. Do gentle
Avoid manipulation. Keep area clean and dry Sig. Give __mL every 8 hours for 10 days chest physiotherapy every after nebulization

Atopic Dermatitis HENT Co-amoxiclav 20-40mkd (125mg/37.25mg/5ml or Prednisone at 1-2 mkd

Cetirizine 5mg ( 6 mos. – 2 yrs )
Sig: Take ½ tab PO, OD for pruritus
Cetirizine 5mg ( 2-5 yr )
Sig: Take ½ tab PO, OD for pruritus.(If needed
may increase to 5mg/24 hr OD or divided BID)
Cetirizine 5mg( 6 years and above )
Sig: Take 1 - 2 tab PO, OD for pruritus
Cetirizine (2.5mg/ml, 5mg/5 ml)
<2 y 1ml
2-5y 5ml
>6y 10ml
Acute Otitis Media
Amoxicillin at 80-90 mkd
Sig. Give __ mL every 8 hours for 10-14 days
May do ear wicking. Keep area clean and dry
Avoid ear manipulation
Chronic Otitis Media/Circumscribed/Diffuse
Otitis Externa
Fluocinolone + Neomycin + Polymyxcin B
(Aplosyn) otic drops
Sig. Instill 3 drops on affected ear 3 x a day for 7-
10 days. Keep area clean and dry. Avoid ear
manipulation
250mg/32.5mg/5ml)
Sig. Give ___ ml every 8 hours for 7 days
Co-amoxiclav 25-45 mkd (200mg/28.5mg/5ml ot
400mg/57mg/5ml)
Sig. Give __ ml every 12 hours for 7 days
Paracetamol at 10-15 mkdose
Sig. Give __ mL every 4 hours as needed for
Temperature 38C and above
Hexeridine (Bactidol) mouthwash
Sig. Gargle twice a day.
Sig. Give __ mL twice daily for 5 days (8AM-4PM)
Avoid exposure to smoke dust and pets
WOF signs of respiratory distress, poor oral
intake, poor activity.
TB Drugs (to be given 30 minutes pre-breakfast)
Isoniazid 10-15 mkd (100mg/5ml, 200mg/5ml)
Max: 300 mg/day
Side Effect: Hepatotoxicity, dose-related
peripheral neuropathy
Rifampicin 10-20 mkd (100mg/5ml, 200mg/5ml)
Max: 600 mg/day
Side Effect: Orange coloration of urine, transient GERD Hand Foot and Mouth Disease
elevations of liver enzymes, GI upset, headache, Omeprazole 1mkd Paracetamol PRN for fever
dizziness 5-10kg 5mg Cetirizine or Hydroxyzine for pruritus;
10-20kg 10mg Increase OFI
Pyrazinamide: 30-40 mkd (250mg/5ml) >20kg 20 mg
Max: 2000 mg/day Mumps
Side Effect : GI upset, dosage-dependent Esomeprazole Paracetamol PRN for fever
hepatotoxicity, arthralgias, fatigue, fever, 1-11 y 10mg Avoid sour foods
Hyperuricemia >12 y 20-40mg Increase OFI

Ethambutol 15-25 mkd (200, 400) Sig: Take 1 capsule 30 minutes before breakfast, German Measles (Rubella)
Max: 2500 mg/day dose not to exceed 2500 once a day for 4 weeks. Raise head of bed during Paracetamol PRN for fever
mg/day sleep. Avoid oily, sour foods, caffeine-containing Cetirizine or Hydroxyzine for pruritus;
Side Effect: Retrobulbar Neuritis drinks. Increase OFI
Herpangina
Streptomycin 20-40 mkd IDA Kamillosan spray
FeSO4 3-6 mkd Sig. Instill 2 puffs thrice a day after meal.
GASTRO Sig : take ____ mg three times a day.Limit milk
Acute gastroenteritis with moderate intake Miconazole (Daktarin) oral gel
dehydration Sig. Apply on affected area thrice a day
ORS 75 GUT
Sig. Dissolve contents of one sachet in 200mL Urinary Tract Infection OTHERS
water. Replace losses volume per volume. Cefuroxime at 30 mkd
Sig: Give __ mL 2x a day for 7 days Multivitamins (QD)
Zinc sulfate 10mg/ml syrup (<6months) Increase OFI. Avoid delaying urination. Strict <3 mos 0.3 ml
Sig. Give 1ml once a day for 14 days. genital hygiene. 3-12 mos 0.6 ml
1-2 y 1.2 ml
Zinc sulfate 20mg/5ml syrup (>6months) VIRAL ILLNESSES 2-6 y 5 ml
Sig. Give 5ml once a day for 14 days. Acute Viral Illness 7-12 y 10 ml
Paracetamol at 10-15 mkdose
Bacillus clausii (Erceflora) Sig : Give ___ mL every 4 hours, as needed for
Sig. Mix 1 vial on any beverage twice a day for 5 temperature 38oC and above
days. Increase OFI
WOF : severe headache, abdominal pain,
Infectious diarrhea vomiting, diarrhea, signs of bleeding, poor oral
Cotrimoxazole 8-10mkd (200mg/40mg/5ml or intake, jaundice.
400mg/80mg/5ml) For CBC if febrile for 3 days
Sig. Give ___ml every 12 hours for 7 days
Varicella Chickenpox (for age >12 y)
Ciprofloxacin 20-30mkd NSS Compress
Sig. Give ___ml every 12 hours for 7 days Sig. Wet gauze with NSS then apply over affected
area for 10-15 minutes 3x a day until lesions dry
Functional constipation up

Lactulose 3.3g/5mL (1ml per kg) Oral Acyclovir 80mkd (given 48-72 hours from
* child upto 15 ml *adolescent upto 30 mL the time of eruption of lesions)
Sig: Give __ mL once daily before bedtime with Sig : Take ____ mg four times a day
decrement of 2 mL for BM 3x/day or more or if
with watery stools Measles (Rubeola)
Vitamin A
Glycerin suppository > 12 mos 200,000 IU PO
Sig: Insert ½ to 1 suppository if no BM for 1 day 6-11 mos 100,000 IU PO
Increase OFI <6mos 50,000 IU PO
Include whole grain, fruits and vegetables to diet Sig. Take one dose daily for 2 days.
Regular toilet habits (for toilet training) Increase OFI. IV rehydration for severe
dehydration