BETA LACTAMS MACROLIDES

Penicillin 50-100 mkD q6 Erythromycin 30-50 mkD q8-q12 (max 1gm)

Pen G Crystalline 100,000-200,000 ukD q12 D: 100mg/2.5mL
50,000-100,000 ukD q8/q12 (< 7days) S: 200mg/5mL, 400mg/5mL,
75,000-150,000 ukD q6-q12 (>7days) Clarithromycin 15 mkD q12 (max 1gm/D)
S: 125mg/5mL, 250mg/5mL
Benzathine Penicillin 500,000 u/K single dose T: 250mg, 500mg
1.2 m.u., 2.4 m.u/vial (Early Syphilis) V: 50mg/mL
50,000 u/K max dose 2.4 M u/dose Azithromycin 10 mkD x 3 days
(Syphilis) S: 200mg/5mL 10 mkD 1st day, 2 mkD 2nd-5th day
Sumapen 50 mkD q6 C: 250mg, 500mg
Phenoxymethyl penicillin V: 500mg
125/5 – 200,000 u/5mL
250/5 – 400,000 u/5mL
Ampicillin 50-100 mkD q6/q8 (N = neonates)
D: 125mg/1.25mL 100-200 mkD q4/q6
S: 125mg/5mL, 250mg/5mL 100-150 mkD q8-q12 (meningitis, N)
C: 250mg, 500mg
200-400 mkD q4/q6 (meningitis)
V: 125mg, 250mg, 500mg, 1gm
Ampicillin-Sulbactam 100-200 mkD q8 IV OTHERS
Sultamicillin (Unasyn) 1.5-12gm/day IV Chloramphenicol 50-100 mkD q6-q8 PO
S: 250mg/5mL 50mkD q12 (<30kg) S: 125mg/5mL 50 mkD q6 IV
C: 375mg, 750mg 2.25gm (single dose, gonorrhea) C: 250mg, 500mg 25 mkD q6 (neonates)
V: 750mg, 1.5gm V: 1gm
Amoxicillin 30-50 mkD q8 Co-trimoxazole 5-8 mkD q12
D: 100mg/mL S: 40mg/5mL (200), 80mg/5mL
S: 125mg/5mL, 250mg/5mL (400), 160mg/5mL (800)
C: 250mg, 500mg V: 1gm T: 400mg/80mg, 800mg/160mg
Amoxicillin-Clavulanic Acid 30-50mkD q8 po
(Co-Amoxiclav) 50-100mkD q8 IV Clindamycin NB: 5mkD q8-12 po
S: 156.25/5 (125), 228.5/5 (200), S: 75mg/5mL granules Infant/child:
312.5/5 (250), 457/5 (400) C: 150mg, 300mg 15-25mkD q6 IV
T: 375mg, 625mg V: 150mg/mL SIVP in 30mins
20-30 mkD q6 PO
V: 600mg (500), 1.2gm (1000)
Vancomycin <1200g (0-4wks) 15mkdose OD
Amoxicillin-sulbactam 30-50mkD q8 po
V: 500mg >1200g (0-1wk) 20mkdose OD
(Ultramox) 50-100mkD q8 IV
S: 250mg/5mL, (1-4wks) 30mkdose OD
T:500mg Infant/child:
V: 500/250mg , 1000/500 20mkdose q8 PO
Piperacillin-Tazobactam 200-300 mkD q6 60mkD q8 1-3 hr infusion
V: 4gm/500mg, 2gm/250mg 150-300 mkD q8 (<6months) Metronidazole 30-50 mkD q8-q12 PO
Aztreonam 50 mkD q6-q8 (children) S: 125mg/5mL 15 mkD LD, 7.5 mkD q8
V: 1gm 30 mkD q6-q8 (1wk-2y/o) T: 500mg
V: 5mg/mL
Meropenem 20 mkD q12 (septic)
V: 500mg, 1gm 40 mkD q12 (meningitic)
Imipenem 15 mkD (max 2gm/D)
V: 500mg 50 mkD/ 1-2 gm q6-q8 ANTI-VIRALS
(max 4gm/D; adult) Acyclovir 10-20 mkD q6
S: 200mg/5mL 200mg 5x daily (adult, children, >
T: 200mg, 400mg, 800mg 2 y/o)
V: 250mg
½ adult dose (children < 2 y/o)
Amantadine 5-9 mkD q12 (<8y/o)
T: 100mg, 250mg 100-200mg (>8 y/o; not >
AMINOGLYCOSIDES V: 500mg 200mg/D)
Amikacin 15 mkD LD Methisoprinosol 50 mkD q6-q8
V: 50mg/mL, 125mg/mL, 10 mkD q12 (MD)
250mg/mL
(Isoprinosine)
S: 250mg/5mL
Gentamycin 5-8 mkD q8-q12 T: 500mg
V: 40mg/mL, 80mg/2mL
Neltilmicin 6-8 mkD OD
V: 50mg/mL, 75mg/mL
ANTI-FUNGAL
Fluconazole 12 mkD LD
T: 50mg, 100mg, 150mg 6 mkD MD
200mg
V: 2mg/mL
TETRACYLINE Ketoconazole 5 mkD OD (<15kg)
Tetracycline 25-50 mkD T: 200mg 100 mkD OD (>20kg)
C: 250mg, 500mg 200 mkD OD (>30kg)
Doxycycline 4.4 mkD Griseofulvin 10 mkD
C: 100mg 2.2 mkD T: 125mg, 500mg
Amphotericin B MD 0.5-1 mkD OD
V: 5mg/mL, 50mg/10mL

CEPHALOSPORINS ANTI-TUBERCULOSIS
Cefalexin 1st gen 25-50 mkD q6 (max 4gm/D) Rifampicin (R) 10-20 mkD OD AC
D: 100mg/mL D: 100mg/5mL
S: 125mg/5mL, 250mg/5mL, S: 200mg/5mL
C: 250mg, 500mg, 1gm C: 150mg, 300mg, 450mg
Cefazolin 1st gen 20-50mkD q6-q8 Isoniazid (H) 10-20 mkD OD AC
V: 500mg, 1gm 100mkD (severe infection) S: 200mg/5mL
C: 75mg, 100mg, 200mg,
300mg, 400mg
Cefaclor 2nd gen 20-40 mKD q8
Pyrazinamide (Z) 15-30 mkD OD PC
D: 50mg/mL
S: 250mg/5mL
S: 125mg/5mL, 250mg/5mL
C: 400mg, 500mg
C: 250mg, 500mg
Ethambutol (E) 15 mkD OD
Cefuroxime 2nd gen 20-40 mkD q12
C: 275mg, 400mg, 800mg 5-25mKD (<2 months)
S: 125mg/5mL, 250mg/5mL 50-100 mkD q8 IV
T: 250mg, 500mg, Streptomycin (S) 10 mkD OD Q 48 or EOD
V: 750gm, 1.5gm V: 1gm
Cefoxitin 2nd gen 80-160 mkD q4-q6 (max 12gm/D)
V: 500mg, 1gm 20-40 mkD (infants)
Ceftazidime 3rd gen 100-150 mkD q8 IV ANTI-PARASITIC
V: 250mg, 500mg, 1gm, 2 gm
Pyrantel Pamoate 11 mkD x 3 doses OD
Ceftriaxone 3rd gen 50-100 mkD OD IV S: 125mg/5mL
V: 250mg, 500mg, 1gm, 2gm T: 125mg
Cefotaxime 3rd gen 100-200 mkD q4-q6 Mebendazole 200 - 500 mkD OD single dose
V: 250mg, 500mg, 1gm S:20mg/mL, 50mg/mL
T: 100mg, 500mg
Cefixime 3rd gen 3-8 mkD q12
D: 20mg/mL x
S:100mg/5mL
C: 100mg, 200mg ANTI-HISTAMINES
Cefepime 4th gen 50mkD q8-12 x 10 days Cetirizine 6mons-1y/o 1mL OD
V: 500mg, 1gm, 2gm 500mg-1gm q12 (>12 y/o) D: 2.5mg/mL, 10mg/mL 1-2 y/o 2.5 mg BID (5 drops BID)
S: 1mg/mL, 5mg/5mL 1mL OD or BID
T: 10mg
2-5 y/o ¼ tab BID or ½ tab OD
5mL OD or 2.5mL BID

1
 6-12 y/o ½ tab BID
10mL OD or 5mL BID
>12 y/o 1 tab OD
NEPHRO MEDICATIONS
Diphenhydramine 1-2 mg/kg IV (max 100mg/dose)
S: 12.5mg/5mL
Prednisone Nephrotic: >40mg/day
C: 25mg, 50mg Hypoalb: <2.5mg/dL
3-5 mkD PO
V: 50mg/mL 60mkD x 4-6 weeks then 40mkD
2-6 y/o 2.5 mL q6/q8
(am) x 2-3 months
6-12 y/o 5mL q6/q8
Alternate day dose
Hydroxyzine HCl 1-2 mkD q12 PO
If steroid resistant: +2 protein q8
S: 2mg/mL Adult: 25mg BID -QID
T: 10mg, 25mg weeks
Loratadine 1-2 y/o 2.5mL OD If steroid dependent: relapse
S: 1mg/mL, 5mg/5mL 2-12 y/o <30kg 5mL within 28 days
T: 10mg >30kg 10mL Frequent relapse: relapse> 12x
>12y/o: 1 tab OD per month
Chlorphenamine <1y/o: 2.5mL TID Cyclophosphamide 2-3 mkD single dose 8-12 weeks
maleate 1-3y/o: 2.5-5mL TID
S: 2mg/5mL >6y/o: 5mL TID Drops (50mg/mL) <2 mons 0.3mL TID
T: 4mg 7-12y/o: ½ tab TID 3-6 mons 0.6mL TID
V: 10mg/mL 7-12 mons 0.9mL TID
Adult: 1 tab TID or 2 tsp TID
IV/IM: 1mL OD 13-24mons 1.2mL TID
Promethazine HCl 1mg/kg IM Erdosteine >30kg 10mL BID
(Phenergan) S: 175mg/5mL 20-30kg 5mL TID
V: 25mg/mL C: 300mg 15-19kg 5mL BID
Fexofenadine 120mg OD Procaterol (Meptin) < 5y/o 0.25mKD BID-TID
T: 120mg, 180mg S: 5mcg/mL >6y/o 5mL or 25mcg/tab OD-BID
x T: 25mcg, 50mcg Adult 20mL or 50mcg/tab OD-BID
Salbutamol + Guaifenesin >12 y/o 10mL TID, 1 cap BID-TID
6-12 y/o 1tsp TID
STEROIDS
2-6 y/o ½-1tsp TID
Betamethasone 0.0178-0.25 mkD q6-q8 (max
Acetylcysteine (Fluimucil) Children: 100mg BID-QID
T: 500mcg 9mg/D) Sachet: 100mg, 200mg Adult: 200mg BID-TID, 600mgOD
V: 1mL, 2mL
S: 100mg/5mL
Dexamethasone 0.5-1mkD for ICP T(effervescent): 600mg
T: 500mcg, 750mcg, 4mg 1 mkD q4-q6 for cerebral edema Guaifenesin 6-12 y/o 5mL TID-QID
(forte tab) 0.2-0.5 mkd for bacterial S: 100mg/5mL Adult: 5-10mL TID-QID
V: 2mg/mL, 4mg/mL,
meningitis C: 200mg 1-2cap TID-QID
5mg/mL
5mg – 10mg iv q6 (adult dose) Drops (6.25mg/mL) 1-2 y/o 1mL QID
Phenylpropan

Hydrocortisone 10-15 mkD LD, 4-6 mkD q6-q8 MD 7-12 mos 0.75mL QID
olamine

T: 20mg (asthma) 4-6 mos 0.5mL QID

V: 100mg, 200mg, 250mg, 3-4 mkD (Dengue)
400mg, 500mg 1-3 mos 0.25 mL QID
Prednisone 1-2 mkD q12 Syrup (12.5mg/5mL) 2-6 y/o 2.5mL QID
S: 10mg/5mL BSA x 60 mkD (Nephrotic) 7-12 y/o 5mL QID
T: 5mg, 20mg
z

ANALGESIC & ANTI-PYRETIC GASTRO MEDS & ANTI-ULCERS

Aspirin 60-80 mkD Al Mg (OH)3 (Maalox) 2-4 tabs 20 mins pre meal and HS
T: 80mg, 100mg, 325mg RHD: 100mkD (1st 2 wks), 75 mkD Al Mg (OH)3 + 2-4 tsp or tab QID
(4 wks) dimethicone
Anti-inflammatory: 60-90 mkD Bisacodyl (Dulcolax) 5-10 mg (6-12 y/o)
Kawasaki: 80-100mkD q6 T: 5mg 10-15 mg (>12 y/o)
Supp: pedia 5mg, adult
Indomethacin 1-2 mkD x 3 (PDA)
10mg
C: 100mg
Hyoscine-N-butylbromide 12 y/o: 1-2 tab 3-5x a day, max
Ibuprofen 6-8 mkd q6
(Buscopan) 100mg/day
D: 100mg/2.5mL
T: 10mg Infants & young children 0.3-0.6
S: 100mg/5mL, 200mg/5mL
V: 20mg
C: 200mg, 800mg mkD
Mefenamic Acid 6.5 mkd q6 Cimetidine 5 mkD q6 LD, 5-10 mkD q6
S: 50mg/5mL T: 200mg, 400mg
C: 250mg, 500mg V: 100mg/mL, 150mg/mL
Meperidine 6 mkD/ 0.5-1 mkD Ranitidine 1 mkD q8
Midazolam 0.2 mkd T: 75mg, 150mg, 300mg Adult: 150mg BID or 300mg OD
T: 15mg V: 25mg/mL
V: 1mg/mL, 5mg/mL Dicycloverine 6 mons-2 y/o 0.5-1mL QID
Morphine 0.1-0.2 mkd q6 (max 15mg) D:5mg/mL 2-5 y.o 2.5-5mL QID
T: 10mg, 30mg, 60mg, S: 10mg/5mL 6-12 y/o 5 mL QID
100mg T: 10mg
V: 10mg/mL Domperidone 0.2mL kg/dose q8
Nalbuphine 0.1-0.2 mkd IM, IV D: 5mg/mL
V: 10mg/mL S:1mg/mL 5mg/5mL
T:10mg
Naproxen 5-7 mkD q8-q12 (>2y/o)
T: 275mg, 550mg Erceflora 1 vial BID x 5 days
Paracetamol 10-15 mkd q4 Lactulose 2mL/kg/dose q6
D: 100mg/mL Omeprazole 0.6-0.7 mkD OD
S: 120mg/5mL, 250mg/5mL C:20mg,40mg
T: 80mg, 500mg V: 40mg
V: 150mg/mL, 300mg/2mL Nitrofuroxide <6 mons: 1 tsp BID
Supp: 125mg, 250mg (Ercefuryl) >6 mons: 1tsp TID
S:218g/5mL
C:200mg
Prozinc <6 mons: 10mg
Drops 0.5-1mL OD >6 mons: 20mg
(1mL= 10mg elemental Zn)
COUGH & COLDS Syrup 2.5-5mL OD
Chlorpheniramine maleate 0.2-0.3 mkD (5mL =20mg elemental Zn)
S: 2mg/5mL >12 y/o: 5mL TID or 1 tab TID Racecadotril (Hidrasec) <9kg: 10mg/sachet TID
T: 4mg 9-13kg: 10mg/2sachet TID
V: 10mg/mL
13-27kg: 30mg/sachet TID
Ambroxol
>27kg: 30mg/2sachet TID
30mg/tab >10y/o 1 tab TID Adults: 100mg/cap 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 NEUROLEPTICS & ANTI-CONVULSANTS
<6 mos 0.5mL BID Diazepam 0.2-0.3 mkD
T:,5mg,10mg/tab Max dose: <5y/o: 5mg;
Syrup (100mg/5mL) 2-3 y/o 5mL TID
V: 5mg/mL, 10mg/mL
Carbocisteine

4-7 y/o 10mL TID >5y/o: 10mg

8-12 y/o 15mL TID Drip: 50mg (10cc) + 250cc 0.9 NSS
to run at 1cc/kg/hr
Syrup (250mg/5mL) 2-3 y/o 2.5mL TID
Carbamazepine 20-60mg/day inc by 20-60mg OD
4-7 y/o 5mL TID
(Tegretol) (<4 y/o)
8-12 y/o 7.5 mL TID
100mg/day inc by 100mg weekly

2
 (4y/o) DOPAMINE DRIP
10-20 mk MD Dopamine
Mannitol 20% 2.5-5cc/kg q6-q8 1-2 mcg/kg/min
Phenobarbital 10-20 mkd LD
20mg/5mL; grain 1=60mg 5 mkD q12 MD DOPA DRIP
T: 15mg, 30mg, 60mg, 90mg Max: 1-2gms (300mg) Wt x 60 x desired dose
V: 130mg/mL Conc. of dopa drip
Phenytoin (Dilantin) 10-20 mkd LD
S: 30mg/5mL, 125mg/5mL 5 mkD q12 MD Desired dose
V: 50mg/mL Max: 1 gm Renal: 2-5
Valproic Acid 15mkD (LD) OD/BID Cardiac: 5- 10
S: 250mg/5mL 20mKD q8 (MD) Adrenergic: 7-8
V: 100mg/mL

Concentration Dopa D5W

100 6.25 43.75
200 12.5 37.5
400 25 25
RESPIRATORY MEDICATIONS & BRONCHODILATORS 800 (Premix) 11 39
Aminophylline 3-5 mkD (0.6-0.9mk/hr)
5mg/mL LD: 3-6mg/kg x 20-30mins Ex. Start Dopa drip
MD: 2mkd q8 Dopa 12.5
MD: 1-9y/o 0.8 1-1.2hr D5W 37.5
9-12 y/o: 0.7 0.9hr 50cc x 4-5ugtts
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
DOBUTAMINE DRIP
Hydrocortisone (Solu- 10mkd LD, 4-9mkd MD
Wt x 60 x desired dose
Cortef) 10-20 mkD LD
V: 100mg, 200mg, 250mg
Conc. of dobu drip
5-6 mkD q8 MD (asthma)
3-5m mk/dose IV
Desired dose
Salbutamol 0.15-0.30 mkD q6
Renal: 2-5
S: 2mg/5mL
T: 2mg Cardiac: 5- 10 (6-15)
Terbutaline 0.075 mkd q6 PO Adrenergic: 7-8
1.5mg/5mL syrup, 0.01 mkd (max 0.5cc)
5mg/2minebule Concentration Dopa D5W
125 6 43
250 12.5 37.5
500 25 25
1000 (Premix) 11 29

ANTI-HYPERTENSION / CARDIAC/ DIURETIC/ EMERGENCY Ex. Start Dobu drip

MEDICATION Dopa 12.5
Aldactone 2-3.5 mkD D5W 37.5
Amiodarone 10mkd 30min-1hr LD 50cc x 4-5ugtts
Aspirin 65 mkD
RHD: 1st 2 weeks 100mkD
4 weeks 75mkD
Anti-inflammatory 60-90 mkD
Kawasaki: 100 mkD,q6
(-) Fever: 8-10 mkDs
EPINEPHRINE DRIP
Acetazolamide 20 mkD
Prep: 1mg/ml
(Diamox) 250 – 375 mg/day
T: 250 mg
Dose: 0.1 – 1mkdose
Captopril 0.5-1 mkD q8
(Wt x dose x 6) x 0.1(running rate)
Ca Gluconate 25 mkd q8
V: 100mg/mL Dilute 1 mL n 2 mL sterile water
Ex. Start Epi drip
Ca Chloride 0.33/kg (27mg ca/cc)
Epi 1 cc
Ca Carbonate 30-50 mkd q8 D5W 99 cc
Digoxin 0.05 mg/kg IV/IM 100 cc x ____ugtts/min
Diazoxide 5mg rapid IV push OR
Furosemide 1 mkd q6-12 IV Dose: 0.5-1mkdose
T: 20,40,60mg
V: 20mg/mL
Wt x 60 x dose
Hydralazine 0.15-0.3 mkdose q4-6 IV
20
T: 10mg, 25mg, 50mg 1-3mkD q4-6 po
V: 20mg
Nifedipine 0.25 mkD q4-q6 PO Ex. Start Epi drip
C: 5mg, 10mg Epi 1 cc
D5W 49 cc
Amlodipine 5mg/tab OD-BID 50 cc x ___ugtts/min
T: 5mg, 10mg
Propranolol 1-2 mkD q6-12 Titrate by 0.1 dose
T: 5mg, 10mg
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)

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)

3
 500
* should not exceed weight of px Ex.
0.04/kg loading divide by 4doses Bricanyl =
0.04 maintenance/ dose D5W = _____
0.5max/day 120cc x 24 hours

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)
Phenytoin Oxycarbazepine
(Trileptal)
Absence Valproic Acid Exthosuximide
NITROGLYCERIN DRIP Lamotrigine
Dose: 0.25-5ug/kg/min dose; can start at 0.15 Myoclonic Na valproate Lamotrigene
Prep: 10mg/ml or 100mg/10ml Partial Carbamazepine Lamotrigene
Phenytoin Oxacarbazepine
Running rate = Wt x 60 x dose Undentifiable Valproic acid Na valproate
100 Lamotrigene

Ex. Start Nitroglycerin drip

NTG 5 cc
D5W 45 cc
50 cc x ___ugtts/min
ANTI-SEIZURE DRUGS
Carbamazepine 10-30 mkd bid- tid
Clonazepam 0.1-0.3 mkd tid-qid
Ethosuximide 15-40 mkd tid-qid
MILRINONE DRIP
Phenobarbital 2-5 mkd bid-tid
Dose: 0.3-5ug/kg/min
Phenytoin 5-8 mkd bid,tid
Prep: 10mg/ml
Valproic acid 30-80 mkd od,bid,tid,qid
Running rate = Wt x 60 x dose Gabapentin 15-45 mkd tid
200 Lamotrigine 5-15 mkd bid, tid
Topiramate 5-9 mkd bid
Ex. Start Milrinone drip Leviteracitam 20-40 mkd bid
Mil 10 cc Oxcarbazepine 8-10 mkd bid
D5W 40 cc
50 cc x ___ugtts/min (5cc/hr)
MULTIVITAMINS
Defibrillation: 2.5joules/kg x 3 <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
AMINOPHYLLINE PUSH 7-12 y/o: 5mL OD
Prep: 25 mg/ml >12 y/o: 20mL or 1 tab OD

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

concentration Rh Immunoglobulin: WinRho
Then get 1cc to have 5 mg/ml concentration Dengue
Dose: 50ug/kg/dose
Neonates Prep: 300ug/vial
LD: 4-6 I vial x 9-10mins
MD: 1.5-3mkdose q8-12 Dilute to complete 8.5cc to run for 10mins/vial
Use D5W to dilute
Order: give 2.4cc of aminophylline as loading dose + EAD
then after 12 hours give 1.2 cc IV q8 Kawasaki
Dose: 75ug/kg as single dose
OR Contraindication: hct <100, Rh+
Request CBC PC OD after 24hrs x 3days
3-5mkD (0.6-0.9mk/hr)
LD 3-6mg/kg x 20-30mins
MD 2mkdose q8
DESFERAL
MD 1-9y/o 0.8- 1-1.2hr
Dose: 20-45 per/kg/dose
9-12y/o 0.7- 0.9hr
infuse in 100cc PNSS then give before and after BT to run
12-16y/o 0.5
for 6hrs
q6-8 (5mg/ml)
5cc/kg prbc x 2hrs x 4doses q8 or as ordered
Ex: 20kg wt x dose = 20x5 = 20cc SIVP as LD
Prep 5 8cc SIVP q8
Fentanyl
Prep: 100mcg/2ml
Dose: 1-4mcg/kg dose q2-4 SIVP; 5-10 for anesthesia
AMINOPHYLLINE DRIP
Ex: Wt 1kg
Dose: 0.2-0.4
Dilute 100mcg/2ml solution in 8cc sterile water to make a
wt x dose = 3 x 0.4 = 0.6cc concentration of 10mcg/ml,
2 2 then give 0.1cc (1mcg/kg) q4 SIVP
Ex.
Aminophylline 0.6 cc
D5 W 99.4 cc
100cc OR 80cc to run for 12 hours at 8- 9
ugtts/min

Amphotericin B
Prep: 50mg/vial,
TERBUTALINE DRIP
Dose: 0.1mkD, max 30-35mk in 3wks
Should be properly covered
(0.1-0.4ug) x wt. x 60 x 8 =___
500ug/ml
Dilute 50mg vial in 10cc D5W to make a concentration of
Ex.
5mg/10ml,
Terbutaline =
then aspirate 1cc + 4ccD5W = 5mg/ml,
D5W = ___
then aspirate from the solution, 1cc + 9cc D5W = 1mg/ml,
80cc OR 100cc x 10 ugtts/min (8hrs)
then aspirate from the solution 1cc to make 0.1mg/ml

Wt 1kg
Test dose: 0.1mk
BRICANYL DRIP 1cc of the solution + 19cc D5W x 30mins
Day1 0.25mk: 2.5cc + 17.5cc D5W x 4hrs
Dose: 30-40ug Day2 0.5mk: 5cc + 15cc D5W x 4hrs
Day3 0.75mk: 7.5cc + 12.5cc D5W x 4hrs
Wt x dose = in cc Day4 1mk: 10cc + 10cc D5W x 4hrs then OD

4
 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

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 50 77 77
0.45NaCl
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 23
Mg: 3
PO4: 3
D5NM 50 40 40 13 170 16
Mg: 3
D5NR 50 140 98 5 Mg: 3,
Gluc: 23