Tickler Print Pedia

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BETA LACTAMS

Penicillin 50-100 mkD q6

Pen G Crystalline 100,000-200,000 ukD q12

50,000-100,000 ukD q8/q12 (< 7days) 75,000-150,000 ukD q6-q12 (>7days) Benzathine Penicillin

1.2 m.u., 2.4 m.u/vial

500,000 u/K single dose (Early Syphilis)

50,000 u/K max dose 2.4 M u/dose (Syphilis) Sumapen Phenoxymethyl penicillin 125/5 – 200,000 u/5mL 250/5 – 400,000 u/5mL 50 mkD q6 Ampicillin D: 125mg/1.25mL S: 125mg/5mL, 250mg/5mL C: 250mg, 500mg V: 125mg, 250mg, 500mg, 1gm 50-100 mkD q6/q8 (N = neonates) 100-200 mkD q4/q6 100-150 mkD q8-q12 (meningitis, N) 200-400 mkD q4/q6 (meningitis) Ampicillin-Sulbactam Sultamicillin (Unasyn) S: 250mg/5mL C: 375mg, 750mg V: 750mg, 1.5gm 100-200 mkD q8 IV 1.5-12gm/day IV 50mkD q12 (<30kg)

2.25gm (single dose, gonorrhea) Amoxicillin D: 100mg/mL S: 125mg/5mL, 250mg/5mL C: 250mg, 500mg V: 1gm 30-50 mkD q8 Amoxicillin-Clavulanic Acid (Co-Amoxiclav) S: 156.25/5 (125), 228.5/5 (200), 312.5/5 (250), 457/5 (400) T: 375mg, 625mg V: 600mg (500), 1.2gm (1000) 30-50mkD q8 po 50-100mkD q8 IV Amoxicillin-sulbactam (Ultramox) S: 250mg/5mL, T:500mg V: 500/250mg , 1000/500 30-50mkD q8 po 50-100mkD q8 IV Piperacillin-Tazobactam V: 4gm/500mg, 2gm/250mg 200-300 mkD q6 150-300 mkD q8 (<6months) Aztreonam V: 1gm 50 mkD q6-q8 (children) 30 mkD q6-q8 (1wk-2y/o) Meropenem V: 500mg, 1gm 20 mkD q12 (septic) 40 mkD q12 (meningitic) Imipenem V: 500mg 15 mkD (max 2gm/D) 50 mkD/ 1-2 gm q6-q8 (max 4gm/D; adult) AMINOGLYCOSIDES Amikacin V: 50mg/mL, 125mg/mL, 250mg/mL 15 mkD LD 10 mkD q12 (MD) Gentamycin V: 40mg/mL, 80mg/2mL 5-8 mkD q8-q12 Neltilmicin V: 50mg/mL, 75mg/mL 6-8 mkD OD TETRACYLINE Tetracycline C: 250mg, 500mg 25-50 mkD Doxycycline C: 100mg 4.4 mkD 2.2 mkD CEPHALOSPORINS Cefalexin 1st gen D: 100mg/mL S: 125mg/5mL, 250mg/5mL, C: 250mg, 500mg, 1gm 25-50 mkD q6 (max 4gm/D) Cefazolin 1st gen V: 500mg, 1gm 20-50mkD q6-q8 100mkD (severe infection) Cefaclor 2nd gen D: 50mg/mL S: 125mg/5mL, 250mg/5mL C: 250mg, 500mg 20-40 mKD q8 Cefuroxime 2nd gen S:125mg/5mL, 250mg/5mL T: 250mg, 500mg, V: 750gm, 1.5gm 20-40 mkD q12 50-100 mkD q8 IV Cefoxitin 2nd gen V: 500mg, 1gm 80-160 mkD q4-q6 (max 12gm/D) 20-40 mkD (infants) Ceftazidime 3rd gen V: 250mg, 500mg, 1gm, 2 gm 100-150 mkD q8 IV Ceftriaxone 3rd gen V: 250mg, 500mg, 1gm, 2gm 50-100 mkD OD IV Cefotaxime 3rd _gen V: 250mg, 500mg, 1gm 100-200 mkD q4-q6 Cefixime 3rd gen D: 20mg/mL S:100mg/5mL C: 100mg, 200mg 3-8 mkD q12 Cefepime 4th _gen V: 500mg, 1gm, 2gm 50mkD q8-12 x 10 days 500mg-1gm q12 (>12 y/o) MACROLIDES Erythromycin D:100mg/2.5mL S: 200mg/5mL, 400mg/5mL, 30-50 mkD q8-q12 (max 1gm) Clarithromycin S: 125mg/5mL, 250mg/5mL T: 250mg, 500mg V: 50mg/mL 15 mkD q12 (max 1gm/D) Azithromycin S: 200mg/5mL C: 250mg, 500mg V: 500mg 10 mkD x 3 days 10 mkD 1st day, 2 mkD 2nd-5th day FLUOROQUINOLONES Ciprofloxacin T: 250mg, 500mg V: 2mg/mL infusion 7.5-15 mkD Levofloxacin T: 250mg, 500mg V: 5mg/mL infusion 8mkD q12 (250mg max)

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OTHERS Chloramphenicol S: 125mg/5mL C: 250mg, 500mg V: 1gm 50-100 mkD q6-q8 PO 50 mkD q6 IV 25 mkD q6 (neonates) Co-trimoxazole S: 40mg/5mL (200), 80mg/5mL (400), 160mg/5mL (800) T: 400mg/80mg, 800mg/160mg 5-8 mkD q12 Clindamycin S: 75mg/5mL granules C: 150mg, 300mg V: 150mg/mL SIVP in 30mins NB: 5mkD q8-12 po Infant/child: 15-25mkD q6 IV 20-30 mkD q6 PO Vancomycin V: 500mg <1200g (0-4wks) 15mkdose OD >1200g (0-1wk) 20mkdose OD (1-4wks) 30mkdose OD Infant/child: 20mkdose q8 PO 60mkD q8 1-3 hr infusion Metronidazole S: 125mg/5mL T: 500mg V: 5mg/mL 30-50 mkD q8-q12 PO 15 mkD LD, 7.5 mkD q8 ANTI-VIRALS Acyclovir S: 200mg/5mL T: 200mg, 400mg, 800mg V: 250mg 10-20 mkD q6

200mg 5x daily (adult, children, > 2 y/o)

½ adult dose (children < 2 y/o) Amantadine T: 100mg, 250mg V: 500mg 5-9 mkD q12 (<8y/o) 100-200mg (>8 y/o; not > 200mg/D) Methisoprinosol (Isoprinosine) S: 250mg/5mL T: 500mg 50 mkD q6-q8 ANTI-FUNGAL Fluconazole T: 50mg, 100mg, 150mg 200mg V: 2mg/mL 12 mkD LD 6 mkD MD Ketoconazole T: 200mg 5 mkD OD (<15kg) 100 mkD OD (>20kg) 200 mkD OD (>30kg) Griseofulvin T: 125mg, 500mg 10 mkD Amphotericin B V: 5mg/mL, 50mg/10mL MD 0.5-1 mkD OD ANTI-TUBERCULOSIS Rifampicin (R) D: 100mg/5mL S: 200mg/5mL C: 150mg, 300mg, 450mg 10-20 mkD OD AC Isoniazid (H) S: 200mg/5mL C: 75mg, 100mg, 200mg, 300mg, 400mg 10-20 mkD OD AC Pyrazinamide (Z) S: 250mg/5mL C: 400mg, 500mg 15-30 mkD OD PC Ethambutol (E) C: 275mg, 400mg, 800mg 15 mkD OD 5-25mKD (<2 months) Streptomycin (S) V: 1gm 10 mkD OD Q 48 or EOD ANTI-PARASITIC Pyrantel Pamoate S: 125mg/5mL T: 125mg 11 mkD x 3 doses OD Mebendazole S:20mg/mL, 50mg/mL T: 100mg, 500mg 200 - 500 mkD OD single dose x ANTI-HISTAMINES Cetirizine D: 2.5mg/mL, 10mg/mL S: 1mg/mL, 5mg/5mL T: 10mg 6mons-1y/o 1mL OD

1-2 y/o 2.5 mg BID (5 drops BID) 1mL OD or BID 2-5 y/o ¼ tab BID or ½ tab OD 5mL OD or 2.5mL BID 6-12 y/o ½ tab BID 10mL OD or 5mL BID >12 y/o 1 tab OD Diphenhydramine S: 12.5mg/5mL C: 25mg, 50mg V: 50mg/mL 1-2 mg/kg IV (max 100mg/dose) 3-5 mkD PO 2-6 y/o 2.5 mL q6/q8 6-12 y/o 5mL q6/q8 Hydroxyzine HCl S: 2mg/mL T: 10mg, 25mg 1-2 mkD q12 PO Adult: 25mg BID -QID Loratadine S: 1mg/mL, 5mg/5mL T: 10mg 1-2 y/o 2.5mL OD 2-12 y/o <30kg 5mL >30kg 10mL >12y/o: 1 tab OD Chlorphenamine maleate S: 2mg/5mL T: 4mg V: 10mg/mL <1y/o: 2.5mL TID 1-3y/o: 2.5-5mL TID >6y/o: 5mL TID 7-12y/o: ½ tab TID Adult: 1 tab TID or 2 tsp TID IV/IM: 1mL OD Promethazine HCl (Phenergan) V: 25mg/mL 1mg/kg IM Fexofenadine T: 120mg, 180mg 120mg OD x z STEROIDS Betamethasone T: 500mcg V: 1mL, 2mL 0.0178-0.25 mkD q6-q8 (max 9mg/D) Dexamethasone T: 500mcg, 750mcg, 4mg (forte tab) V: 2mg/mL, 4mg/mL, 5mg/mL 0.5-1mkD for ICP

1 mkD q4-q6 for cerebral edema 0.2-0.5 mkd for bacterial meningitis 5mg – 10mg iv q6 (adult dose) Hydrocortisone T: 20mg V: 100mg, 200mg, 250mg, 400mg, 500mg 10-15 mkD LD, 4-6 mkD q6-q8 MD (asthma) 3-4 mkD (Dengue) Prednisone S: 10mg/5mL T: 5mg, 20mg 1-2 mkD q12 BSA x 60 mkD (Nephrotic)

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ANALGESIC & ANTI-PYRETIC

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

COUGH & COLDS Chlorpheniramine maleate

S: 2mg/5mL T: 4mg V: 10mg/mL

0.2-0.3 mkD

>12 y/o: 5mL TID or 1 tab TID

Ambroxol

30mg/tab >10y/o 1 tab TID 5-10 y/o ½ tab TID Syrup (15mg/5mL) >10y/o 10mL TID

6-10 y/o 5mL BID-TID 2-5 y/o 2.5mL BID Infant drops (6mg/mL) 1-2 y/o 1.25mL BID

7-12 mos 1mL BID <6 mos 0.5mL BID C ar bo ci st e in e

Syrup (100mg/5mL) 2-3 y/o 5mL TID 4-7 y/o 10mL TID 8-12 y/o 15mL TID Syrup (250mg/5mL) 2-3 y/o 2.5mL TID 4-7 y/o 5mL TID 8-12 y/o 7.5 mL TID Drops (50mg/mL) <2 mons 0.3mL TID

3-6 mons 0.6mL TID 7-12 mons 0.9mL TID 13-24mons 1.2mL TID Erdosteine S: 175mg/5mL C: 300mg >30kg 10mL BID 20-30kg 5mL TID 15-19kg 5mL BID Procaterol (Meptin) S: 5mcg/mL T: 25mcg, 50mcg < 5y/o 0.25mKD BID-TID >6y/o 5mL or 25mcg/tab OD-BID Adult 20mL or 50mcg/tab OD-BID Salbutamol + Guaifenesin >12 y/o 10mL TID, 1 cap BID-TID

6-12 y/o 1tsp TID 2-6 y/o ½-1tsp TID Acetylcysteine (Fluimucil) Sachet: 100mg, 200mg S: 100mg/5mL T(effervescent): 600mg Children: 100mg BID-QID Adult: 200mg BID-TID, 600mgOD

Guaifenesin S: 100mg/5mL C: 200mg 6-12 y/o 5mL TID-QID Adult: 5-10mL TID-QID 1-2cap TID-QID Phe ny lpr o pa n o la mi ne

Drops (6.25mg/mL) 1-2 y/o 1mL QID 7-12 mos 0.75mL QID 4-6 mos 0.5mL QID 1-3 mos 0.25 mL QID Syrup (12.5mg/5mL) 2-6 y/o 2.5mL QID

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GASTRO MEDS & ANTI-ULCERS

Al Mg (OH)3 (Maalox) 2-4 tabs 20 mins pre meal and HS Al Mg (OH)3 +

dimethicone

2-4 tsp or tab QID Bisacodyl (Dulcolax)

T: 5mg

Supp: pedia 5mg, adult 10mg 5-10 mg (6-12 y/o) 10-15 mg (>12 y/o) Hyoscine-N-butylbromide (Buscopan) T: 10mg V: 20mg

12 y/o: 1-2 tab 3-5x a day, max 100mg/day

Infants & young children 0.3-0.6 mkD Cimetidine T: 200mg, 400mg V: 100mg/mL, 150mg/mL 5 mkD q6 LD, 5-10 mkD q6 Ranitidine T: 75mg, 150mg, 300mg V: 25mg/mL 1 mkD q8 Adult: 150mg BID or 300mg OD Dicycloverine D:5mg/mL S: 10mg/5mL T: 10mg

6 mons-2 y/o 0.5-1mL QID 2-5 y.o 2.5-5mL QID 6-12 y/o 5 mL QID Domperidone D: 5mg/mL S:1mg/mL 5mg/5mL T:10mg 0.2mL kg/dose q8

Erceflora 1 vial BID x 5 days

Lactulose 2mL/kg/dose q6 Omeprazole C:20mg,40mg V: 40mg 0.6-0.7 mkD OD Nitrofuroxide (Ercefuryl) S:218g/5mL C:200mg <6 mons: 1 tsp BID >6 mons: 1tsp TID Prozinc Drops 0.5-1mL OD (1mL= 10mg elemental Zn) Syrup 2.5-5mL OD (5mL =20mg elemental Zn) <6 mons: 10mg >6 mons: 20mg

Racecadotril (Hidrasec) <9kg: 10mg/sachet TID 9-13kg: 10mg/2sachet TID 13-27kg: 30mg/sachet TID >27kg: 30mg/2sachet TID Adults: 100mg/cap TID

NEUROLEPTICS & ANTI-CONVULSANTS Diazepam

T:,5mg,10mg/tab V: 5mg/mL, 10mg/mL

0.2-0.3 mkD Max dose: <5y/o: 5mg; >5y/o: 10mg Drip: 50mg (10cc) + 250cc 0.9 NSS to run at 1cc/kg/hr Carbamazepine (Tegretol) 20-60mg/day inc by 20-60mg OD (<4 y/o)

100mg/day inc by 100mg weekly (4y/o) 10-20 mk MD Mannitol 20% 2.5-5cc/kg q6-q8 Phenobarbital 20mg/5mL; grain 1=60mg T: 15mg, 30mg, 60mg, 90mg V: 130mg/mL 10-20 mkd LD 5 mkD q12 MD Max: 1-2gms (300mg) Phenytoin (Dilantin) S: 30mg/5mL, 125mg/5mL V: 50mg/mL 10-20 mkd LD 5 mkD q12 MD Max: 1 gm Valproic Acid S: 250mg/5mL V: 100mg/mL 15mkD (LD) OD/BID 20mKD q8 (MD)

RESPIRATORY MEDICATIONS & BRONCHODILATORS Aminophylline 5mg/mL 3-5 mkD (0.6-0.9mk/hr) LD: 3-6mg/kg x 20-30mins MD: 2mkd q8 MD: 1-9y/o 0.8 1-1.2hr 9-12 y/o: 0.7 0.9hr 2-16 y/o 0.5 q6-8 Eg 20kg = (wt x dose) / preparation (20 x 5) / 5 = 20cc SIVP as LD (20 x 2) / 2 = 8cc SIVP q8 as MD Hydrocortisone (Solu-Cortef) V: 100mg, 200mg, 250mg 10mkd LD, 4-9mkd MD 10-20 mkD LD 5-6 mkD q8 MD (asthma) 3-5m mk/dose IV Salbutamol S: 2mg/5mL T: 2mg 0.15-0.30 mkD q6 Terbutaline 1.5mg/5mL syrup, 5mg/2minebule 0.075 mkd q6 PO 0.01 mkd (max 0.5cc) NEPHRO MEDICATIONS Prednisone Nephrotic: >40mg/day

Hypoalb: <2.5mg/dL

60mkD x 4-6 weeks then 40mkD (am) x 2-3 months

Alternate day dose

If steroid resistant: +2 protein q8 weeks

If steroid dependent: relapse within 28 days

Frequent relapse: relapse> 12x per month

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ANTI-HYPERTENSION / CARDIAC/ DIURETIC/ EMERGENCY

MEDICATION Aldactone 2-3.5 mkD Amiodarone 10mkd 30min-1hr LD Aspirin 65 mkD RHD: 1st _{2 weeks 100mkD} 4 weeks 75mkD Anti-inflammatory 60-90 mkD Kawasaki: 100 mkD,q6 (-) Fever: 8-10 mkDs Acetazolamide (Diamox) T: 250 mg 20 mkD 250 – 375 mg/day Captopril 0.5-1 mkD q8 Ca Gluconate V: 100mg/mL 25 mkd q8

Dilute 1 mL n 2 mL sterile water Ca Chloride 0.33/kg (27mg ca/cc)

Ca Carbonate 30-50 mkd q8

Digoxin 0.05 mg/kg IV/IM

Diazoxide 5mg rapid IV push

Furosemide T: 20,40,60mg V: 20mg/mL 1 mkd q6-12 IV Hydralazine T: 10mg, 25mg, 50mg V: 20mg 0.15-0.3 mkdose q4-6 IV 1-3mkD q4-6 po Nifedipine C: 5mg, 10mg 0.25 mkD q4-q6 PO Amlodipine T: 5mg, 10mg 5mg/tab OD-BID Propranolol T: 5mg, 10mg 1-2 mkD q6-12 DRIPS DOPAMINE DRIP Dopamine 1-2 mcg/kg/min DOPA DRIP Wt x 60 x desired dose

Conc. of dopa drip Desired dose Renal: 2-5 Cardiac: 5- 10 Adrenergic: 7-8 Concentration Dopa D5W 100 6.25 43.75 200 12.5 37.5 400 25 25 800 (Premix) 11 39 Ex. Start Dopa drip

Dopa 12.5

D5W 37.5

50cc x 4-5ugtts

DOBUTAMINE DRIP Wt x 60 x desired dose

Conc. of dobu drip Desired dose Renal: 2-5 Cardiac: 5- 10 (6-15) Adrenergic: 7-8 Concentration Dopa D5W 125 6 43 250 12.5 37.5 500 25 25 1000 (Premix) 11 29 Ex. Start Dobu drip

Dopa 12.5 D5W 37.5 50cc x 4-5ugtts EPINEPHRINE DRIP Prep: 1mg/ml Dose: 0.1 – 1mkdose

(Wt x dose x 6) x 0.1(running rate) Ex. Start Epi drip

Epi 1 cc D5W 99 cc 100 cc x ____ugtts/min OR Dose: 0.5-1mkdose Wt x 60 x dose 20 Ex. Start Epi drip

Epi 1 cc D5W 49 cc 50 cc x ___ugtts/min Titrate by 0.1 dose Epinephrine 0.01 mg/kg (1:10,000 IV) 0.1 mg/kg q3-4mis (ET) 0.1-0.5 ug/kg/min (drip) 2 ½ amps +48.5cc D5W 0.5cc epi +1.5cc NSS q15 x 3 doses pre-extubation then q4-6 (racemic)

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LIDOCAINE DRIP

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

Wt x 60 x dose = running rate 4000

Ex. Start Lidocaine drip Lidocaine 10cc D5W 40cc 50cc x ____ugtts Lanoxin TDD: 0.035 x wt LD: ¼ TDD x 4 doses q6 MD 1/10 TDD x 2 doses q12 OR Wt x 0.004 x 2 0.05 (elixir)

* should not exceed weight of px 0.04/kg loading divide by 4doses 0.04 maintenance/ dose 0.5max/day Elixir 0.05 mg/ml Tab 0.25mg/tab IV 0.025mg/ml or 0.5mg/2cc 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 Ex. Start Nitroglycerin drip

NTG 5 cc D5W 45 cc 50 cc x ___ugtts/min MILRINONE DRIP Dose: 0.3-5ug/kg/min Prep: 10mg/ml

Running rate = Wt x 60 x dose 200 Ex. Start Milrinone drip

Mil 10 cc D5W 40 cc 50 cc x ___ugtts/min (5cc/hr) Defibrillation: 2.5joules/kg x 3 AMINOPHYLLINE PUSH Prep: 25 mg/ml

Dilute 25 mg/ml vial in 4cc PNSS to make 25 mg/5ml concentration

Then get 1cc to have 5 mg/ml concentration Neonates

LD: 4-6

MD: 1.5-3mkdose q8-12

Order: give 2.4cc of aminophylline as loading dose + EAD then after 12 hours give 1.2 cc IV q8

OR 3-5mkD (0.6-0.9mk/hr) LD 3-6mg/kg x 20-30mins MD 2mkdose q8 MD 1-9y/o 0.8- 1-1.2hr 9-12y/o 0.7- 0.9hr 12-16y/o 0.5 q6-8 (5mg/ml)

Ex: 20kg wt x dose = 20x5 = 20cc SIVP as LD Prep 5 8cc SIVP q8 AMINOPHYLLINE DRIP Dose: 0.2-0.4 wt x dose = 3 x 0.4 = 0.6cc 2 2 Ex. Aminophylline 0.6 cc D5 W 99.4 cc

100cc OR 80cc to run for 12 hours at 8- 9 ugtts/min TERBUTALINE DRIP (0.1-0.4ug) x wt. x 60 x 8 =___ 500ug/ml Ex. Terbutaline = D5W = ___ 80cc OR 100cc x 10 ugtts/min (8hrs) BRICANYL DRIP Dose: 30-40ug Wt x dose = in cc 500 Ex. Bricanyl = D5W = _____ 120cc x 24 hours

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ANTI-SEIZURE DRUG

1st _{line 2}nd _line

Tonic-Clonic Valproic Acid, Carbamazepine, Phenytoin Lamotrigine (Lamictal) Oxycarbazepine (Trileptal)

Absence Valproic Acid Exthosuximide

Lamotrigine

Myoclonic Na valproate Lamotrigene

Partial Carbamazepine

Phenytoin

Lamotrigene Oxacarbazepine 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 Phenytoin 5-8 mkd bid,tid Valproic acid 30-80 mkd od,bid,tid,qid Gabapentin 15-45 mkd tid Lamotrigine 5-15 mkd bid, tid

Topiramate 5-9 mkd bid Leviteracitam 20-40 mkd bid Oxcarbazepine 8-10 mkd bid MULTIVITAMINS <3 months: 0.3mL OD 3-12 months: 0.6mL OD 1-2 y/o: 1.2mL OD 2-6 y/o: 2.5mL OD 7-12 y/o: 5mL OD >12 y/o: 20mL or 1 tab OD Rh Immunoglobulin: WinRho Dengue Dose: 50ug/kg/dose Prep: 300ug/vial I vial x 9-10mins

Dilute to complete 8.5cc to run for 10mins/vial Use D5W to dilute

Kawasaki

Dose: 75ug/kg as single dose Contraindication: hct <100, Rh+ Request CBC PC OD after 24hrs x 3days

DESFERAL Dose: 20-45 per/kg/dose

infuse in 100cc PNSS then give before and after BT to run for 6hrs

5cc/kg prbc x 2hrs x 4doses q8 or as ordered

Fentanyl Prep: 100mcg/2ml

Dose: 1-4mcg/kg dose q2-4 SIVP; 5-10 for anesthesia Ex: Wt 1kg

Dilute 100mcg/2ml solution in 8cc sterile water to make a concentration of 10mcg/ml,

then give 0.1cc (1mcg/kg) q4 SIVP FLUIDS

IVF Dext Na Cl K Lac Kcal/L HCO3

D5W 50g 170 D10W 100g 340 D20W 200g 680 D50W 500g 170 LRS 130 109 4 28 Ca-3 NSS 154 154 D5 0.9NaCl 50 154 154 D5 0.45NaCl 50 77 77 D5 0.3 NaCl 50 51 51 PLR 130 110 43 27 <10 27 D5LR 50 130 110 4 Ca: 3 27 D5IMB 50 25 22 20 23 170 Mg: 3 PO4: 3 23 D5NM 50 40 40 13 170 Mg: 3 16 D5NR 50 140 98 5 Mg: 3, Gluc: 23

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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