BCE

2-10 KG ---------60-80
10-15 KG---------45-65
15-25 KG---------40-45
25-35 KG---------35-40
35-60 KG---------30-35
>60 KG---------25-30

K+ INFUSION RATE

MF= BCE X WT X 15
24
= ugtts/min (: 4 = gtts/min)

COMPUTATION FOR
HYPERNATREMIA

K+ delivery = 0.02 0.04/hr

Not > 0.4/hr in ugtts/min
mEq K+
Total vol IVF

TBW X wt Actual serum Na 1

Desired serum Na
e.g. wt=6.3
ASNa=164 mEq
TBW=50%
DSNa=140 mEq

SURFACE AREA
0-5
kg= wt x 0.05 + 0.05
6.10
kg= wt x 0.04 + 0.1
10-15 kg= wt x 0.03 + 0.2
15-20 kg= wt x 0.02 + 0.4

0.5 x 6.3

164 -1
140
(3.15) (1.18-1)
=0.567 L = 567 cc
No. of hours:
At least 0.5 mEq dec in Na/hr
Or
12 mEq dec in Na/2h4H

Renal = SA x 400 + 24H UO

CHF/Cardiac = SA x 800
CNS = SA x 1,200
Meingitis = SA x 1,200
Fever : 12%
Hyperventilation: 15%
Phototherapy: 20%
FLUIDS
Na
D5IMB
25
D50.3%NaCl
51
D50.6%NaCl
102
D50.45%NaCl 77
D50.9%NaCl
154
Plain NSS
154
D5LR
130
Plain LR
130
D5NM
40
ORESOL
90
D5NR
40
Isolyte M
40
Isolyte P
25
PLP 48
25
Pedialye 90
90
Pedialyte Plain 45

K
20
4
4
13
20
30
35
20
20
20
20

X Rate / wt

Cl
20
51
102
77
154
154
109
109
40
80
40
20
22
80
36

Na+= 1 meq =23 mg

K+ = 1 meq = 39.1 mg
COMPOSITION OF FLUIDS
Na K Cl HCO3
Gastric
50 10-15 150
0
Pancreas 140
5 50-100 100
Bile
130
5
100
40
Ileostomy 130 15-20 120
25-30
Diarrhea
50
35
40
50
Blood
140 4-5 100
25
Urine
0-100 20-100 70-100 0
ELECTROLYTE COMPUTATION
N+ K+ deliverance = 0.1-0.4 meq/kg
Deficit= (KD_KA) x wt x 0.6
Maintenance= 2 x wt K
3 x wt Na
Total K def = deficit + maintenance
Full incorporation: 40 meq/L or
20 meq/500 cc
K incorporation:
EX: wt =11.5 kg
IVF= PLR at 100 ugtts/min
2
x
?
500
x 100 cc/hr
? = 0.4meq K /kg
therefore 0.4 x 11.5 kg = 4.6 to incorporate to IVF or 5
meq in 500 cc PLR
Order PLR 500 cc + 5 meq KCl at 100 cc/hr
Therefore: PLR = 2 meq/500cc
2 + 5 meq = 7 meq x ?
500 x 100
? = 1.4 meq/ hr
1.4 meq: wtof 11.5 kg =
0.12 meq/k/hr K+ deliverance

1|PediaNotes

164-140= 24 mEq = 48
0.5 mEq/hr
567 = 11.8 cc/hr +(I H2O loss)
48
20cc
=31.8 cc/hr
Plasma Osmolality:
(Serum Na x 2) + (glucose mg/dL)
18
Creatinine Clearance:
K= 0.55 x pt Ht in cm
Serum crea in mg/dL
Crea ummol/L = mg/dL
88.4
50-60 : UTZ
25-50 : ACUTE RENAL FAILURE
10-25 : CHRONIC RF
<10 : ESRD
GFR < 20 = PROD ANEMIA
BLOOD
VOLUME: Hb (DHb- AHb) x2 x wt
Hct (DHct AHct) x wt
Packed RBC = 10cc/kg in 4 hours
PRP
= 10-15 cc/kg in 2-4 H
Platelet con. = Fast drip 1u/10KBW
1 unit
= 30cc will raise platelet by 10,000
Fresh Whole Blood = 20cc/ max.
Volume: (D- AHb) x 2 x 3 x wt
Or
(D Ahct) x wt
Rate = vol. X 12 gtts/ml
60 min. x 4 H
= gtts/min.
Dextran : given not > 20cc/k/24H
DOUBLE VOLUME EXCHANGE
TRANSFUSION
= KBW x EST. Blood vol. X 2
Materials:
1.NGT Fr. 5 #1 (umbilic cath.)
Fr. 8#1 (for NGT)
2. three way stop cock
3. FWB
4. suture
5. 50 cc syringe
6. calcium gluconate
7. HGT strip
PARTIAL EXCHANGE TRANSFUSION
= KBW x EST. BLOOD VOL.
X (AHct DHct)
Actual Hct
* ( Arterial line)

may use Plain NSS or ideally, plasma

CONVERTION
o
o
C= ( F-32) x 5/9
o
F= (oC x 9/5) + 32
1 cc= 15 gtts
1 gtt = 4 ugtts
1 cc = 60 ugtts
ABSOLUTE RETIC COUNT
A Hct x retic
D Hct
Retic Index = ARC
2
> 2: Hemolysis
< 2: BM suppresson
WBC CORRECTION IN HEM TAP
PERIPH WBC
5M
= WBC
1000 RBC

1000

ABG INTERPRETATION
Rule #1: An acute change in PaCO2 of 1 mmHg is
asso w/ an inc or a dec in pH of 0.008 units thus, when
the PaCO2 increases by 10 mmHg will dec by 0.08
units (inversely proportional)
> determine the resp component of acid-base balance
To asses the resp component of acid- base balance:
1. calculate the amount by which the reported PaCO2
either falls below or exceeds 40 mmHg. Subtract the
patients PaCO2 from 40 mmHg
2. predict the pH based on the measured PaCO2 accdg
to rule # 1
3. compare the measured pH w/ the predicted pH
* if the predicted pH is equal to the measured pH, all
change in the pH are resp in origin
* if the measured pH is > than the predicted pH, an
asso. metabolic alkalosis is present
* if the measured pH is < than that predicted from the
PaCO2, an asso. metabolic acidosis is present.
Rule # 2: A pH change with 0.01 units is the result of
a base change of 0.67 mEq/L, therefore pH inc or dec
by 0.15 units, corresponding inc or dec in base by 10
mEq/L ( directly proportional)
> the diff bet calc pH & measured pH (ABG result) x
2/3 (0.66) mEq/L is equal to base excess
> if BE is >4 either +/- : AbN
+4 : met. alkalosis
- 4 : met. acidosis
BD/BE calculated by multiplying the difference
between the actual pH and predicted pH from the
PaCO2 by 67
The predicted pH is always subtracted from the actual
pH before multiplying the difference by 67. If the
actual pH is lower than the predicted pH, the
difference will be a number indicating a base deficit &
the presence of metabolic acidosis.
Rule # 3: The total body HCO3 deficit = base deficit x
pts wt (kg) x 0.3
NORMAL ABG VALUES
pH
pCO2
NV 7.35-7.45
35-45
Acid < 7.35
> 45
Alk
> 7.45
< 35
Ex: pCO2 = 50 mmHg
pH = 7.26
Rule # 1:

50 - 40 = 10
10 = 10
0.8
x
x = 0.08
N pH : 7.40 0.08 = 7.32

HCO3
22-26
< 22
> 26

Actual pH measured pH
7.26 7.32 = - 0.06
BD/BE = 0.06 x 67 = 4.02 ( met acidosis)
Total HCO3 deficit:
4.02 x wt x 0.03 = amt of HCO3 given as , ,
correction
METABOLIC ACIDOSIS
Expected pCO2 = HCO3 x 1.5 + 8.4
Limit = 10 mmHG
METABOLIC ALKALOSIS
Expected pCO2
= each mEq inc in HCO3 will inc pCO3
by 0.5 1 mmHg
limit = 55 mmHg
RESPIRATORY ACIDOSIS
Acute = HCO3 inc by 3-4 mEq/L
Limit = 30 mmHg
Chronic = each mmHg inc in pCO2 will inc
HCO3 by 0.4 mEq/L
RESPIRATORY ALKALOSIS
Acute = HCO3 dec by 2-4 mEq/L
Limit = 18 mmHg
Chronic = each mmHg dec in pCO2 will dec
HCO3 by 0.5 mEq/L
Limit = 12-15 mmHg
CPAP
TFR = wt x TV (10-15) x RR x I:E
Ratio (2) + 2000 (2L)
FiO2 = CA (0.2) + O2(I) x 100
TFR
CA = 100 FiO2 x TFR
79
O2 = FR CA
Materials needed:
Cardence
y-tubing
rubber tubings
glass tubings
1L bottle w/ calibration w/ glass
tubing inserted into the cover
Compressed air
Pulse oximeter
FORMULA:
F.R. = TV x wt x RR x I:E + 2000
1000
where: FR = flow rate
TV = tidal volume
NB: 6-10 cc/kg
Child: 10-15 cc/kg
Adult: 15 cc/kg
I:E = 2
Dead space = 2000
RR = 40-60 normal)
e.g. NB, PT, BW= 1.2 kg
FR = 6 x 1.2 x 40 x 2 + 2000
1000
=3
CA + O2 : determine FiO2 by assessing patient plus
CXR
If septic, showing white out on CXR increase FiO2
to 100%
If 90%:
CA = 100 FiO2 x FR
79
= 100- 90 x 3 = 0.4 L
79
O2 = FR CA
= 3 0.4
= 2.6 L/min
Technique:

2|PediaNotes

1. kink CA tube adjust O2 gauge,

read at puff bottle until 2.5 L (even
if gauge reads 6L)
2. open CA, adjust CA to make puff
bottle reach 3L
Normal PaO2: FT: 60-80%
PT: 50-60%
Monitor 1. ABGs after every
change in setting
if feasible
2. patients condition
* with PaO2 >100: dec FiO2 gradually while
checking patient rpt BGs after 15-30 min
GUIDELINES
1. initially CPAP is set at 6 cm
water. If there is no inc in PO2 in
15 min pressure must be
increased in 2 cm increments to a
maximum of 10 cm
(if by ETT) or by 12 cm (in other
method
2. I there is an inc in PaO2, reduce
pressure.
3. If 10-12 cm wter pressure is
attained and if PaO2 remains
under 50, FiO2 must be increased
by 5-10% increments
4. CPAP failure is evident if PaO2
remains less than 50 in 100%
FiO2 with 10-12 cm water
* If CPAP fails under noninvasivemethod, an
ETT must be inserted
* If CPAP fails w/ ETT, mechanical ventilation
is indicated
Trouble shooting:
1. poor entry inc flow rate
2. Retaining CO2 cannot tolerate
CPAP
- ambubag to blow off
excess O2
- always suction
before CPAP, ABG
Weaning from CPAP
1. dec FiO2 by 3-5% every time
PaO2 >70
2. with FiO2 of 40%, reduce
pressure by increments of 2 cm
water every 2-4H until pressure
of 2-3 cm is achieved
3. transfer patient to oxygen hood w/
FiO2 of 15-50%
Parameters to be Met Before Weaning
1. improvement in CXR
2. ABG showing PO2 >/= 50 mmHg
3. Blood pH >/= 7.3
4. PCO2 </= 55mmHg
5. Hgb 12-15 g% or hct 36-45
O2:CA Flow Rate (cm H2O)
FiO2 4cm 6
40 1:3 1..5:4.5
50 1.5:2.5 2:4
60
2:2
3:3
70 2.5:1.5 4:2
80
3:1 4:1.5
90 3.5:0.5 5:1

8
10
12
2:6 2.5:7.5 3:9
3:5 4:6 4.5:7.5
4:4 5:5
6:6
5:3 6:4 7.5:4.5
6:2 7:2.5 4:3
7:1 9:1 10.5:1.5

Arrangement of CPAP
Compressed air
\________
/
|
\
O2

Patient

Bottle

EMERGENCY MEDS
Atropine
IV/IM: 0.01-0.03 MKd Q 10-15 min
Max dose 0.04MKd

ETT: 0.01-0.03MKd ffd by 1 cc NSS

PO: 0.02-0.09 MKd q 4-6H
Naloxone 0.1 MKd
Plain 0.4/1
Neonatal 0.02/1
Captopril 0.01-0.05 MKd PO Q 12H
- administer 1H before feeding
Capoten 25 mg/tab
L-Carnitine 30-40 MKd q8H
Carnicor PO: 1g/10 cc; 330
IV: 1g/5
Hydralazine
IV: 0.1-0.5 MKd q6-8H
Max 2 MKd q6H
PO: 0.25-1 MKd q6-8H
Admin w/ food
Apresoline IV 20/amp
PO 10,25/tab
Lidocaine
Initial: 0.5-1MKd IV push x 5 min
Sld not exceed 5MKd
Maintenance IV infusion:
10-15 mcg/kg/min
Urecholine 2.9 mg/m2/d q8H PO
Nifedipine 0.5-1 MKd
Na Nitroprusside
Initial: 0.25-0.5 ug/k/min IV infusion
Maintenance: <2ug/k/min
Hypertensive crisis: up to 10 ug/k/min
Adenosine
Starting dose: 50 ug/k rapid IV push
Inc dose in 50 ug/k q2 min until return
Of sinus rhythm
Max dose: 250 ug/k
Adenocard 6 mg/2ml
Epinephrine 0.01ml/k/d
DOPAMINE DRIP
1-5 ug/k/min: VD; inc renal & splanchnic
circulation
5-10 ug/k/min: Inc heart contraction
10-20 ug/k/min: inc BP
Prep: Dopa 200/5 Docard: 40/ml
Conc
Dopa
D5W
S
800
1cc
49 cc
DS 1600
2 cc
48 cc
QS 3200
4 cc
46 cc
NB: mg dopa= 6 x wt x RD
Rate
Concentration:
200 = 0.25 cc dopa + 49.75 cc D5W
400 = 0.5 cc dopa + 49.5 cc D5W
800 = 1.0 cc dopa + 49 cc D5W
Rate = RD x wt x 60
Conc
DOBUTAMINE DRIP 250/2
1000
2000
4000

4 cc
8 cc
16 cc

46 cc
42 cc
34 cc

AD = rate x conc
Wt x 60
Rate = RD x wt x 60
Conc
DIAZEPAM DRIP
0.3MKH dilute in NSS to make
0.1 mg/ml
RD: 0.03-0.04 m/k/min
Prep: 10/2 ml
conc. Mg
ml NS
e.g.: wt=2.8 kg 100 cc/k/d ugtts/min
4 amps + 92 cc NS 40 = 0.4mg/ml
(8 ml)
Rate= RD x wt x 60
Conc
= 0.03 x 2.8 x 60
0.4
= 12.6 (12-13 ugtts/min)

AD= Rate x Conc

Wt x 60
= 12.5 x 0.4
2.8 x 60
= 0.029 0.03 m/k/min
EPINEPHRINE DRIP
0.1.1 M/K/MIN
Prep Conc = AMT EPI x 1000
AMT IVF
Conc:
20 = 1 amp epi + 49 cc D5W
40 = 2 amp epi + 48 ccD5W
60 = 3 amp epi + 47 cc D5W
INFANT: 6 x wt x RD
Rate
= cc epi to be added to 100 cc D5W
DIGITALIZATION
0.04-0.06 m/k TDD
not given if HR < 100/min
Lanoxin 0.05/ml elixir
0.25 tab
0.5/2 cc IV
e.g.
wt=2.65 kg
= 0.04 x 2.65 kg
4
=given 4x in 24H
(q 6H, of TDD)
=after 4 doses, give 1/10 of TDD q12H
++:
1st dose: TDD
2nddose: TDD (8H after)
3rddose: TDD (8H after)
12H after; start MD: 1/5 TDD OD
1/10 TDD BID
Ca gluconate 10%
IV MD 200-500 MKD q6H as drip;
Max 200 MKd in 10 min
IV 100/ml ( 9 elem Ca/ml or
0.45 mEq elem Ca/ml)
PO 500 (45 mg Ca); 650; 58.5
* 1-2 cc.k/dose q8H
*1 cc = 9 mg elem Ca
INDOMETHACIN
IV at 12-24 H interval
Initial: 0.2 m/kg
2nd < 48H = 0.1 mk
2-7 D = 0.2 mk
> 8 D = 0.25 mk
3rd < 48 H = 0.1 mk
2-7 D = 0.2 mk
> 8 H = 0.25 mk
ANTICONVULSANT
Diazepam 0.2-0.4 MKd
Max 2-5 mg
Valium 10/2
Trazepam 10/2
Phenobarbital LD 15-20 MKd
MD 5 MKD
Luminal IV 130/ml
PO 20/5
Gr I : 65 mg
,
Phynetoin LD 15-20 MKd
MD 5-8 MKD
Dilantin IV 100/2
PO 30/5; 125/5; 30; 100
*to be diluted w/ equal amt of dist
water, to be given very slow IVTT
while monitoring the heart rate.
Hold if w/ arrythmias. Flush dist
Water prior to & after giving
Dilantin.
Carbamazepine 10-20 MKD

3|PediaNotes

Tegretol 100/5; 200

Clonazepam 0.01-0.03 MKD
For Bael: LD 0.08 MKd
MD 0.08 MKD q12H
Rivotril 2/tab
Valproic Acid 15MKD
Depakene 250/5
Epival 250/tab
Lorazepam 0.05-0.1 MKd
Max 0.4 MK
Midazolam
IV: 0.05-0.15 MKd q 2-4H
IV infusion: 0.01-0.06 m/k/H
(10-60ug/k/H)
Intranasal: 0.2-0.3 MKd; 5mg/ml
Sublingual: 0.2-0.3 MKd; 5mg/ml
Oral: 0.3-0.5 MKd
Morphine 0.05-0.2 MKd q4H
IV infusion: LD 100 ug/k x 1H
MD 10-15 ug/k/H
Neostigmine
Myasthenia gravis: 0.1 mg IM
(give 30 min before feeding)
1 mg PO ( give 2H before
feeding)
Reversal of neuromuscular
blockade: 0.04-0.08 m/k IV,
in addition to atropine 0.02 m/k
Chloral hydrate 25-75 MKd
50 mg/ml; 100 mg/ml
324; 500; 648
Pentobarbital 2-6 MKd
50 mg/ml
PARACETAMOL 15-20 MKd
Afebrin 120/5; 325;500
Bigesic 100/ml;250/5;500
Calpol 120/5;250/5
Crocin 125/5;500
Defebrol 60/0.6;120/5
Naprex 250/5;300/2
Rexidol 150/5;600
Tempra 120/5;250/5
Tylenol 120/5
Winadol 120/5;500
Aeknil 300/2
Opegesic 125;250 supp
SALICYLATES
Anti-rheumatic: 65-130 MKD
Asaped: 81
Ascpitin: 325
Neo-Novaldin: 325
Superin: 180/5; 3 g
Aspirin: Gr V (1g = 65 mg)
ANALGESICS
Mefenamic acid 3-5 MKd
Ponstan 50/5
Nalbuphine 0.1-0.15 MKd
Nubain 10/ml
Pancuronium 0.04-0.15 MKd q1-2H
Fentanyl low: 2ug/k/d
mod: 2-20 ug/k/d
high: 20-50 ug/k/d
Infusion rate: 1-5 ug/k/H
Anesthesia 5-50 ug/k/d
Sublimaze (Janseen) 60 ug/2
Promethazine
Phenergan IV 50/2
PO i/I;10
Meperidine 0.5-1.5 MKd
Max 2 MKd IV; 4 MKd PO
Demerol
Ibuprofen10-15 MKD TID
Dolan 100/5
ANTI-ASTHMA
Aminophylline LD 4-6 MKd
MD 1.5-3 MKd
Q8-12H very slow IVTT to be diluted w/
equal amount of dist water. For older
infant, dosage may be inc to 25-30 MKD
q4-8H
*if changing IV to PO aminophylline,
inc dose by 20%
*from IV to PO Theophylline, no
adjustment
DRIP: 0.4-0.9 MKH

How to drip:
e.g. 5kg at 0.4 MKH in 8H drip
5 x 0.4 x 8 = 16 mg in 8H
if IVF rate is 5 cc/H, fill SS w/ 40 cc
IVF + 16 mg Amino (0.64 ml)
Theophylline 3-5 MKd q8H
Neullin 80/15; 50; 125;250
Terbutaline SQ 0.005 MKd
PO 0.075 MKd
Drip 0.003 MKH
Bricanyl IV 0.5/ml
PO 1.5/5; 2.5
Neb 5 mg/2
Salbutamol 0.15 MKd
Ventolin 2/5 syr; 1.2/5 exp; 2/tab
Neb 2.5 mg/2.5 ml
Librentin 2/5; 2/tab
Prox-S 2/5
Atrovent 4 gtts/ml NSS
0.4-1 ml TID-QID
Berodual neb 4-10 gtts + 3 cc NSS
alternate w/ Tertbutaline even up to q 2H
Bodecort neb q 12H
COUGH
Ambroxol 1.2-1.6 MKD q 12H
Mucosolvan 15/5; 7.5/5
Zobrixol 15/5; 6/1; 7.5/1.5
Ambrolex 15/5
Bromhexine 7-12 yo: 1 tsp TID
2-6 yo: tsp TID
Bromulex 4/5; 8mg/tab
Bisolvon 0.8 mg/ml elixir
2 mg/ml soln
4 mg amp
SCMC 20-30 MKD
Loviscol 50/ml drops
100/5
250/5
Solmux 40/ml drops
200/5 susp
Diphenhydramine 3-5 MKD
Benadryl 12.5/5 syr
50/ml amp
25 mg; 50 mg/tab
Phenylpropanolamine
Disudrin 6.25 g/ml drops
12.5/5 syr
RD: 1-3 mo: ml
4-6 mo: ml
7-12mo: ml
1-2 yo: 1 ml
2-6 yo: tsp
7-12 yo: 1 tsp
Nafarin A 12.5/ml
RD: 2-6 yo: tsp
7-12 yo: 1 tsp
Brompheneramine
Dimetapp 4/5ml syr
2/ml drops
RD: 0.1 ml/k/dose TID-QID
1-6 mo: 0.5 ml
7-24 mo: 1 tsp
3-12 yo: 1-2 tsp
ANTIBIOTICS
PCN G
NB: 50-100 T U q12
beyond NB: 100-200 T U q6H
Meningitis: 200-400 T U q6H
Congenital Syphillis: 50 TU
625 mg= 1M U
250/5 = 400TU
312.5/5= 500 TU
500 mg= 800 TU
Oral PCN 50-100 MKD
Pentacillin 50/5; 500
Sumapen 25/5; 250; 500
Megapen 50/ml drops
312/5
625
Amoxicillin 60-90 MKD q8H
Pediamox
Glamox
Himox
Moxillin
Amox/Clavulanic Acid 40-60 MKD

Augmentin 312.5/5 TID

228.5/5 BID
Amoclav 312.5/5
Nafcillin 100-200 MKD q 6H
25-50 MKd
29 wks (0-28days): q12H
(>28 days): q8H
30-36 wks (0-14 days): q12H
(>14 days): q8H
37-44 wks (0-7 days): q12H
(>7 days): q8H
45 wks: q6H
Stafloxin 100-200 MKD
Ampicillin 100-200 MKD Bacampicillin 25-50 MKD
Penglobe 200/5
Vancomycin 40-60 MKD
29 wks: 20 MKd q24H
30-33 wks: 20 MKd q18H
34-37 wks: 20 MKd q12H
38-44 wks: 15 MKd q8H
45 wks: 10 MKd q6H
* reconstitute 500 mg vial w/ 10 cc
sterile water for injection to make
a final conc of 50mg/ml. Soln is
stable for 14 days.
Oxacillin 50-100 MKD
25-50 MKd
29 wks (0-28 days): q12H
(>28 days): q8H
30-36 wks (0-14 days): q12H
(>14 days): q8H
37-44 wks (0-7 days): q12H
(>7 days): q8H
45 wks: q6H
* Reconstitute 1 g vial w/ 5.7 cc
sterile water to make a final
conc of 167 mg/ml. Soln is stable
for 3 days at room temp, 7 days
ref
Prostaphlin 125/5
Orbenin 125/5; 250; 500
CEPHALOSPHORINS
First Gen
Cephalexin 50-100 MKD
Ceporex 125/5; 250/5
Selzef; Keflex
Cefradoxil 25-50 MKD BID
Cefazolin 50-100 MKD q6-8H
Stancef 500 mg, 1 g vial
Cefradine 25-50 MKD q6H
Second Gen
Cefuroxime 50-100 MKD q8H IV
20 MKD q12 PO
Zinnat 125/5; 250/5
Zinacef 250; 750; 1.5 g
Cefamandole 50-100 MKD QID
Mandol 500 mg; 1 g vial
Cefaclor 20-40 MKD q12
Ceclor 50 mg/ml drops
125/5; 250/5 susp
250, 500 mg pulvule
Third Gen
Ceftazidime
> 3 mo-1 yo: 80 MKD BID
> 2 yo:160 MKD TID/QID
Adult: 1-6 g/day BID/TID
Neo-2mo: 90-100 MKD TID
30 MKd
29 wks (0-28 days): q12H
(>28 days): q8H
30-36 wks (0-14 days): q12H
(>14 days): q8H
37-44 wks (0-7 days): q12H
(>7 days): q8H
45 wks: q8H
Fortum 250; 500 mg; 1 g; 2 g
Ceftriaxone 50-100 MKd OD
Sepsis & disseminated GC:
50 MK q24H
Meningitis: 100 MK LD, then
80 MK q24H
Uncomplicated GC ophthalmia:
50 MK (max 125 mg) SD
Rocephin 250; 500 mg; 1 g vial
Cefotaxime 50 MKd
GC Infection: 25 MKd

4|PediaNotes

GC ophthalmia: 100MK SD
> 12 yo: 1 g BID
29 wks (0-28 days): q12H
(>28): q8H
30-36 wks (0-14 days): q12H
(>14 days): q8H
37-44 wks (0-7 days): q12H
(>7 days): q8H
45 wks: q 6H
Claforan 250;500 mg; 1; 2 g vial
Cefoperazone 100-150 MKD BID
Cefobis 0.5g & 1 g vial
Ceftizoxime 40-80MKD BID/QID:C
500 mg-2 g/day BID/QID: adult
Tergecin 500 mg; 1g vial
Ceftibuten 9 MKD BID/OD
Cedax 200; 400 mg cap
38 mg/ml susp; 180/5
Cefixime 3-6 MKD q12H
Tergecef 100/5; 20/ml
100mg/cap
50 mg/1g sachet
Cefprozil 20 MKD OD or
15 MKD BID
Procef 250/5
Cefoxitin 50-100 MKD
Mefoxin 1g vial
Cefdinir 9-18 MKD q8H
Omnicef 50 mg/sachet
100 mg/cap
Cefetamet 20 MKD q12H
Globocef 250/5
4th Gen
Cefepime
< 2 mos: 30 MKD BID
> 2 mos: 50 MKD BID
(w/o ref: 24 H; w/ ref: 7 D)
Cepimax 1g vial
AMINOGLYCOSIDES
Amikacin 10-15 MKD
OD in NB & Infants
< 27 wks: q 48H
28-30 wks: q 36H
31-33 wks: q 36H
> 34wks: q 24H
Amikacide 100/2; 250/2
Kanamycin 30-50 MKD
Netilmycin 30-50 MKD
Netromycin 50/2
Tobramycin 6-8 mKD
Gentamycin 4-8 MKD
<29 wks: 5 MKd q48H
30-33 wks: 4.5 MKd q48H
34-37 wks: 4 MKd q36H
>38 wks: 4 MKd q24H
Garamycin 20; 40; 80/2
SULFONAMIDES
RD: 8-10 MKD q12H
Bacidal 80/5
Trizole 80/5
Triglobe 45/5
Bactrim 40/5; 10, 80 mg/tab
Septrin 40/5; 160; 80 mg/tab
Synermed 40/5
Synerzole 40/5

(7 days): q6H
> 45 wks: q6H
MACROLIDES
Erythromycin 30-50 MKD
Erythrocin 100/2.5
DS 200/5
400/5
500/vial
Azithromycin 10 MKD OD x 3 days
Zithromax 600/ml; 1200/ml
Clarithromycin 15 MKD q12H
Klaricid 125/5
Roxithromycin 3-6 MKD q 12H
Macrol 150 mg/tab
Imepenem 60 MKD q6H
Neonate: 20-25 MKd q12H
Meropenem 20-40 MKd q12H
Sepsis: 20 MKd q 12H
Meningitis & Pseudomonas nfxn:
40 MKd q8H

Piperacillin
Less serious: 100-200 MKD q6H
Serious: 200-300 MKD
Neonate: 50-100 MKd
<29 wks (0-28 days): q12H
(28 days): q8H
30-36 wks (0-14 days): q12H
(>14 days): q8H
37-44 wks (0-7 days): q12H
(>7 days): q8H
>45 wks: q6H
ANTI-TB DRUGS
INH 15-20 MKD Tx
10-15 MKD Px
Trisovit 50/5
Nicetal 100/5
Primafort 100/5
Odinah 150/5
PyrobinH 150/5
Trisofort 200/5
Comprilex 200/5
Rifampicin 10-20 MKD
Natricin 200/5
Ricyn 200/5
Rimactane 100/5; 200/5
*Meningococemia
3mo-1 yo: 5 MK q12H x 4 doses
1 yo-12 yo: 10 MK q12 x 4 doses
adult: 600 MK q12 x 4 doses
Pyrazinamide 20-30 MKD TID pc
PZA-Ciba 250/5
Pharex PZA25/5
Ethambutol 15-20 MKD OD q8H ac
Ethambin 125/5; 200 mg/tab
Myambutol 200/5
Isoetam 150/5
Ethambin INH 125; 150/5
Pediambutol: Etham 125/5
INH 15/5
Pyridoxine 6/5
Streptomycin 20-30 MKD OD IM

Cholramphenicol 50-100 MKD q6H

Neonate: LD:20 mg/kg
MD: begin 12 after LD
PT < 1 mo 12.5 MKd q6H
FT <1 wk PT > 1mo 5 MKd q6
FT > 1wk: 12.5 MKd q6H
Pediachlor 125/5
Chloromycetin 125/5
Chloramol 125/5
Tetracycline 40-60 MKD
Clindamycin 30-50 MKD
NB: 5-7.5 MKd
<29 wks (0-28 days): q 12H
(28 days): q8H
30-36 wks (0-14 days): q12H
(>14 days): q8H
37-44 wks (0-7 days): q8H

IRON
Tx: 4-6 mkD
Px: 1-2 mkD
Fer-in-sol 15mg/0.6ml
18mg/5ml
Ferlin 30 mg/ ml
15 mg/ml
Iberet 500 mg
26.25/5ml
Incremin 30 mg/5ml
Odiron-C 50 mg/10ml
25 mg/5ml
Poly-vi-fer 10mg/ml
Propan 25 mg/5ml

ANTIDERMATOSIS
Hydrocotisone 1% TID x 2 wks
Hytone
Hydrotpic
Eczacort
Bethamethasone BID-TID
Betnovate
Diprolene
Diprosone
Fluocinolone acetonide BID-TID
Aplosyn 10, 25, HP
Synalar 10, 25, HP
Mometasone OD
Elica
Clobetasol propionate
Dermovate
Diflucortolone valerate
Nerisona
Mupirocin
Bactroban
Desoximethasone BID-TID
Esperson
Eumovate for < 3mos
Cutivate for > 3mos
Draoplene cream for diaper rash
ANTI-FUNGAL
Nystatin 0.5-1.0 ml TID-QID x 7D
1 ml(PT) 2 ml (FT) of 100 TU q6
Mycostain 100 TU/ml
500 TU/tab
Aphotericin B
Initial dose: 0.25-0.5 mg/kg
MD: 0.5-1 mg/k q24H to 48H
50 mg powder dilute in 10 ml
dist water
Griseofulvin 10 MK SD
Fluconazole
Systemic infxns inc meningitis:
LD: 12 mg/kg
MD: 6 mg/kg
<29 wks (0-14 D): q72H
(>14D): q48H
30-36 wks (0-14D): q48H
(>14D): q24H
37-44 wks (0-7D): q48H
(7D): q24H
>45 wks: q24H
Thrush: 6 MK day 1, then
3 MKd q24H PO
Diflucan 2mg/ml
50, 150, 200 mg/cap
Ketoconazole
>30 kg: 200 mg OD
15-30 kg: 100 mg OD
< 15 kg: 5 mg
Nizral 200 mg/tab
DIURETICS
Furosemide 1-2 MKd
Lasix 20/2; 40/2; 20; 40/tab
Frusema 20/2; 20,40/tab
Diaxozide 5-10 MKd
300mg/20ml
Acetazolamide 20-30 MKD
Diamox 250 mg/tab
Spironolactone 1.5-3.0 MKD
RD: edema: 100mg/day
Essen HPN: 50-100 mg/day
My. Gravis: 100-400 mg/day
Aldactone 25, 50, 100 mg/tab
Hydrochlorotiazide 1-2 MKD
Dichlotride 25, 50 mg/tab
MANNITOL 20% 1.5-2 gkd
or 5 c/kg
200 g/L; 1 g=5 cc
ALBUMIN 0.5-1 gk
Max: 6gld
Albumer, albutren
50/1 (5%); 250/1 (25%)

5|PediaNotes

ANTIVIRAL
Methisoprinosine 50-100 MKD
Isoprinosine 250/ml; 500 mg/tab
Inosinoplex 50 MKD
Immunosine 250/5
Amantadine 5-8 MKD
Symmetrel 50/5
Acyclovir 1-15 MKD q4
Zovirax 250/5; 200 mg/tab
Virazole 10MKD
ANTACIDS
Cimetidine 1-20 MKD q12
Tagamet syr 200/10
Tab 200; 400; 800
IV 200/2; 300/2
Ranitidine 4-5 MKD q8
Zantac IV 50/2
PO 150/ml; 150, 300/tab
Cisapride 0.2 MKD q8
Prepulsid 1 mg/ml
Maalox 10-15 cc 1 hr after meals & HS
Novalusid 1 Hr after meals & HS
Famotidine 0.5 MKd q24

ANTISPASMODIC
Dicycloverine 1 MKD
Relestal 5 mg/ml gtts
10 mg/5 ml syr
Bentyl 10/5
Hyoscine-N-butly bromide
Buscopan 1-3 tab TID
1-2 tsp TID
PO: 5mg/5ml; 10mg/tab
IV: 25mg/amp
Metoclopramide 0.5 MKD
Plasil 10 mg/tab; 5mg/ml susp
10 mg/2ml amp
ANTIHELMINTHICS
Oxantel pyrantel pamoate
RD: 10-20 MKd SD at HS
Quantrel 20 mg/ml; 100/5
100 mg/tab
Combantrin 125/5
125, 250/tab
RD: >15 yo: 500 mg
10-14 yo: 375 mg
5-9 yo: 250 mg
5 yo: 125 mg
Tetramizole 2.5-5 MKd SD
TMZ 12.5/2.5; 50; 100/tab
Mebendazole
100 mg BID x 3D
Antiox 20 mg/ml; 100; 500 mg/tab
ANTIAMOEBIC
Metronidazole 40-50 MKD
NB< 2kg: 15 MKD q12
NB>2kg, <7D: 15 MKDq8
NB >2 kg, >7D: 30 MKD q8
IV LD: 15 MK
MD: 7.5 MKd q8
Flagyl 125/5; 25; 500 mg
IV 500/100
Servizole 200/5
Tinidazole 50-60 MK OD x 3 days
Fasigyn 300; 500
Etofamide 15-20 MKD
Kitnos 40 mg/5 ml; 250; 500
Secnidazole
30 MK once w/in 4H or 12H for
children (4tabs)
Flagentyl 500 mg/tab
Furazolidone 5-7 MKD q8
Furoxone 16.7/5
Diloxanide furoate
RD: 20 MKD x 10 days
Furamide 125/5
ANTIHISTAMINES
Diphenhydramine
IV/IM: I MKD
PO: 3-5 MKD TID
Methdilazine 0.3 MKD q12-6H

Tacaryl 4/5; 4;8

Clemastine 0.05 MKD q12
Tavegyl 0.5/5; 1 mg/tab
2 mg/2 ml amp
Hydroxyzine 1 MKD
Iterax 2 mg/ml; 10; 25 mg/tab
Ceterizine
Virlix 10 mg/ml; 10 mg/tab
Loratadine
2-12 yo <30 kg: 1 tsp OD
>30 kg: 2 tsp OD
Claritin 5mg/5 ml; 10 mg/tab
Ketotifen o..25 MKd q12
Zadec 1 mg/ml;
Zaditen 0.2 mg/ml
STEROIDS
Dexametasone 0.15-0.4 MKd
Decadron 4 mg/ml
Hydrocortisone LD: 10 MK
MD: 5-8 MKd
Solu-cortef 100/2; 250/2;500
Predisolone 0.7 MKd
Solumedrol 125/2
Prednisone 1-2 MKD
B. Asthma: 1 MKD
Neph. Syn: 60 m/SA/24H
In 3-4 div doses
Prep: 5 mg; 10 mg;
Pred 10
VAMIN chon 2.4 gkD
Gluc 5-9 mgKm
Prep/L: chon 60 g
Cal 650 cal
Gluc 100 g
Start dose at chon, 0.5 gkD
e.g. wt =1 kg
1 x 0.5 x 1000 = 8.3 cc Vamin given
60
in 3 H
or wt x AD/0.06 = cc in 4H
INTRALIPID
10%: 10 G/100
20%: 20 G/100
e.g. wt =2 kg at lipid: 0.5 gkD
(prep. 10%)
2 x 0.5 x 100 = 10 ml (10% intralipid)
10
MORIAMIN S2 9 g CHON/100ml
RD x wt x 1000
90
to run in 8-10H
*565 kcal/L
VITAMIN A
< 5 mos..50,000 U
6 mos-1 yo.100,000 U
1 yo & up...200,000 U
* 1 pearl=50,000 U
NO DEFICIENCY
< 1yo: 100,000 U as SD
> 1yo: 200,000 U as SD
WITH DEFICIENCY
200,000 U of oil miscible Vit A PO
after dx, then give another 200,000 U
the ffg day then another 200,000 U
after 2-4 wks
Z-VITA 1 MKD
10mg/5 ml
PNEMONICS
Infant below 6 mos of age:
Wt in gms = age (mos) x 600 x BW
6-12 months:
wt in gms = age (mos) x 500 x BW
children 2-6 yrs:
wt in kg = age (yrs) x 2 + 8
wt in lbs = age (yrs) x 5 + 17
6-12 yo:
wt in lbs = age (yrs) x 7 + 5
2
3-12 mos:

wi in lbs = age (mos) + 10

IBW
2-12 mos = age in mos x 10 (in lbs)
4-5 mos = 2x BW
1 yo
= 3x BW
2 yo
= 4x BW
3 yo
= 5x BW
5 yo
= 6x BW
7 yo
= 7x BW
10 yo = 10x BW

D5 = 50 = 0.2 cal
D7.5= 75 = 0.3 cal = 0.059
D10 = 100 = 0.4 cal = 0.125
D12.5=12.5= 0.5 cal = 0.2
D15 =150 ..

GOMEZ CLASSIFICATION
IBW <1 yo
= (age in mos/2) + 3
>1 yo
= (age in yrs x 2) + 8
(ABW/IBW) x 100
N0
= 91-100%
1st degree = 75-90%
2nd dgree = 74-60 %
3rd degree = <60%

MILK DILUTION
Abbot = 1:2
MJ & Nestle = 1:1
Calories
EBM: 20 cal/oz
S26 LBW: 24 cal
Similac PM: 21
Enfalac: 21
Gain: 22
Lactum: 21.4
Lactogen free CHON: 20
CHON
S26 LBW: 2.4 g/dl
Gain: 2.8
Lactum: 3.42
EBM: 1.6

WATERLOW CLASSIFICATION
Wasting:
(ABW/IBW for Ht) x 100
N0
= >90%
Mild
= 80-90%
Mod
= 70-80%
Severe = <70%
Stunting: (Actual Ht/ Ideal Ht for age) x 100
N0
= >90%
Mild
= 90-95%
Mod
= 80-90%
Severe = <80%

SLIDING SCALE OF REGLAR INSULIN:

(Dr. J. UY)
0.5-1 IU x wt = Insulin reqt/day/5
*Monitor CBG 5x/day, pre-breakfast
pre-lunch
pre-snack
pre-supper
2AM
baseline CBG 150 mg/dl
*for every 50-75mg inc in CBG add 1 unit of
Regular Insulin

HEIGHT
Ht in cm = age (yr) x 5 + 80
Ht in inch = age (yr) x 2 + 32
1 yo = 20 in x BL
3 yo = 3 ft
4 yo = 40 in x BL
13 yo = 3 x BL
FLUIDS
W/ DHN:
<2 yo: Mild 50cc/kg x 8H
Mod.100cc/kg x 8H
Severe..150cc/kg x 8H
>2 yo Mild..30cc/kg x 8H
Mod.. 60cc/kg x 8H
Severe90cc/kg x 8H

e.g. wt=20 kg
30 x 0.5 = 15 IU/5 = 3 IU
>150 mg/dl = 3 IU
200-249 mg dl = 4 IU
250-299 mg/dl = 5 IU
300-349 mg/dl = 6 IU
350-399 mg/dl = 7 IU
400 mg/dl & = 8 IU
*Get the total 24H Insulin Reqt based on the
sliding scale then compute for the split dose
Insulin Theraphy.
U/A GLUCOSE: +4 = 20 U
+3 = 15 U
+2 = 5 U
trace= 0 U

ORS 75 cc/kg x 6H for some DHN

SEVERE DHN:
30 cc/kg FD: <1 yo x 1H
>1 yo x30 min
70 cc/kg : <1 yo x 5H
>1 yo x 2 H
DEXTROSITY
5
= _______________
100
# of ml in soln
50
100

= ________________
# of ml of D50W to
add to IVF in soln
then: numerator + numerator x 100
denominator denominator
Calories in IVF:
D5 : 5 gm = 1 gm = 20 = 0.2
100 ml 4 cal
100
D7.5 : 7.5 gm = 1 gm = 30 = 0.3
100 ml 4 cal 100
D10 : 10 gm = 1 gm = 40 = 0.4
100 ml
GLUCOSE INFUSION RATE (GIR)
Rate x Dextrosity x 10
Wt x 60
Or
Rate x Dextrosity
100
60 x 100
wt

COMPUTATION OF INSULIN
U= (CBG 200)/10 IF CRF = U
COMPUTATION OF DIABETIC DIET:
IBW = (HT in cm 100) 10% x (HT in cm
100)
TCR= IBW x BMR
BMR: 25= bedrest
30= mild
40= heavy
45= hyper
CALORIC REQT:
< 1 mo
110-140 cal/day
1-11 mo
110-115
1-2 yo
100-110
3-8 yo
90-100
7-9 yo
80-90
10-12 yo 70-80
13-15 yo 55-85
18-19 yo 45-50
0-6 mo
117 kcal/k
6-12 mo
108 kcal/k
1-3 yo
100 kcal/k
4-6 yo
90 kcal/k
7-10 yo
80 kcal/k
11-14 yo(M) 65 kcal/k
11-14 yo(F) 55 kcal/k
15-18 yo(M) 50 kcal/k
15-18 yo(F) 40 kcal/k
PROTEIN RDA:

6|PediaNotes

0-5 mo
8-11 mo
1-6 yo
7-12 yo
13-15 yo
18-19 yo

2.5 g/k/day
2.5-3.0
2.0-2.5
1.5-2.0
1.5
1.0-1.5

0-6 mo
6-12 mo
1-3 yo
4-6 yo
7-10 yo
11-14 (M)
15-18 (M)

2.2 g/k
2.0
1.8
1.5
1.2
1.0
0.8

Est. Caloric Reqt for catch-up growth:

Kcal/k/day = kcal/k req for wt-age x
ideal wt for ht/ actual wt
for age
CHON REQT
= CHON req for wt-age x ideal wt for
ht/ actual wt for age
CHF ACCDG TO:
Function:
I. asymptomatic
II. symptomatic only w/ ordinary
activity
III. asymptomatic at rest,
symptomatic w/ min activity
IV. symptomatic at rest
Therapeutic:
A. no restricion of activity
B. restriction of severe activity
C. restriction of mod activity
D. had restriction of ordinary
activity
E. restriction to complete rest in a
chair or in bed
LABS FOR MI:
Onset
CPK-MB 4-8H
SGOT 8-12H
LDH
12-24H

Peak
12-24H
38-48H
2-4 days

Duration
24-48H
3-5 days
7-10 days

TYPES OF MURMUR:
MIDSYS: Aortic & pulmo stenosis
PANSYS: MR & TR, VSD
DIASTOLIC: MS & AR
SYS/DIA: PDA, venous hum,
Pericarditis

GRADING OF MURMUR:
I very faint, need to tune in
II quiet but heard upon placing
stet on the chest
III moderately loud
IV loud
V very loud w/ stet partly off the
chest
VI heard w/o chest
GLASCOW COMA SCALE
Eye Opening
4
Spontaneous
4
Verbal command 3
To pain
2
NIL
1
Best Motor Response
N0 spont. movement
Localize pain
Withdraws to pain
Decorticate rigidity
Decerebrate rigidity
NIL

6
6
5
4
3
2
1

Best Verbal Response

Oriented, conscious 5
Disoriented
4
Inappropriate words 3

Incomprehensible
2
NIL
1
TOTAL 15
MODIFIED COMA SCORE
Eye Opening
4
Spontaneous
4
To speech
3
To pain
2
NIL
1
Best Motor Response
No spont movement
Withdraws to touch
Withdraws to pain
Abnormal flexion
Abnormal extension
NIL

6
6
5
4
3
2
1

Best Verbal Response

5
Coos, babbles
5
Irritable cries
4
Cries to pain
3
Moans to pain
2
NIL
1
TOTAL 15
Severe: 8 & above
Mod: 9-13
Slight: 14-15
SEGMENTAL LEVEL OF REFLEXES:
DTR: BICEPS C5-C8
TRICEPS C7-C8
KNEE
L2-L4
ANKLE S1-S2
SUPINATOR/BRACHIORAD=
C5-C8
SUPERFICIAL REFLEXES:
UPPER ABD
T8-T10
LOWER ABD
T10-T12
CREMASTERIC L1-L2
PLANTAR
L4-L5, S1-S2
SENSORY PATHWAYS:
SPINOTHALAMIC TRACT:
PAIN
TEMP
CRUDE TOUCH
POST COLUMN:
POSITION
VIBRATION
FINELY LOCALIZED
TOUCH
DERMATOME PATTERN:
C3 front & back
C8 thumb
C7 middle finger
C8 ring & little finger
T4 nipple
T10 umbilicus
L1 inguinal
L3 knee
L5 ant ankle & foot
S1 heel
S5 perianal

CUSHINGS TRIAD:
Initially: inc BP
dec HR
dec RR

0 no muscle contraction
1 barely detectable flicker
2 active movement of the body
w/ gravity limited
3 active movement against gravity
4 active movement against gravity w/
resistance
5 normal strength
CRITERIA FOR BRAIN DEATH:
1. absence of EEG evoke response
2. (-) relflexes & respiration
3. (-) cerebral perfusion
4. absence of responsive & receptive
DETN BET LMN & UMN LESION
LMN
UMN
Paralysis
present limited to Mx grp
Tone
spastic
flaccid
Reflex
hyper
(-) or hypo
Atrophy
(-)
(+)
Fasciculation none
present
BURNS
*LUND & BREWER CLASSIFICATION
0-1
1-4
5-9 10-14
15
Head
2.1
19
15
13
11
Trunk 15.5
15.5 15.5 15.5
15.5
UE
9.5
9.5
9.5 9.5
9.5
LE
14
15
17
18
19
Genitalia 1
1
1
1
1
AMERICAN BURN ASSN
PEDIA
ADULT
Head
18
9
UE
9
9
Trunk
18
18
LE
14
18
Genitalia
0
1

PEDIA
METER SQ OF ENTIRE BODY
SURFACE (M)
= (KGbw x 4 + 9) + 100
meter sq of area burned
= (% of burn x M2) + 100 (MB)
1st H fluid rqt
Nelson
Cc/day = (5000 x M2B) +
(2000 x M2)
Del Mundo
cc/day = (2cc x kg x %burn) +
(100 cc x kg)
cc/day = (70cc x M2 x %burn) +
(1500 x M2)
initially 20 cc/kg/H for 1-2H then
1st 8H = of total computed fluid
nxt 16H = remaining is given
2nd hr fluid reqt
Nelson
Cc/day = (4000 x M2 B) +
(1500 x M2)
Del Mundo
Cc/day = of the 1st 24H fluid &
Add 20-30 meq of K then
Start oral feesing

*if >10% BW is lost severe fld lost

* do not exceed 4-5 L of fluid
ETT SIZE
Age (yrs) + 4
4
PT 2.5-3.0 uncuffed
NB 3.0-3.5 uncuffed
6 mos 3.5-4 uncuffed
1yo 4-4.5 uncuffed
2 yo 4.5-5 uncuffed
4 yo 5-5.5 uncuffed
6 yo 5.5
uncuffed
8 yo 6.0 cuffed or uncuffed
10 yo 6.5 cuffed or uncuffed
12 yo 7.0 cuffed
adolescent 7-8 cuffed
Depth = internal dia x 3 mm
> 2yo= age (y) + 12
2
No BLD Values (Harriet Lane)
AGE
Hgb
HCT
WBC
26-30 wks 13.4
41.4
4.4
(11)
(34.9)
(2.7)
28 wk
14.5
45
32 wk
15.0
47
Term(cord) 16.5
51 18.1(9-10)
(13.5) (42)
1-3 dy
18.5
56 18.9(9.4-34)
(14.5) (45)
2 wk
16.6
53 11.4(5-20)
(13.4) (41)
1 mo
13.9
44 10.8(4-19.5)
(10.7) (33)
2 mo
11.2(9.4) 35 (28)
6 mo
12.6
36 11.9(6-17.5)
(11.1) (31)
6mo-2yr
12
36 10.6(6-17)
(10.5) (33)
2-6yr
12.5
37 8.5(5-15.5)
(11.5) (34)
6-12yr
13.5 40 8.5(4.5-13.5)
(11.5) (35)
12-18yr
M
14.5 43 7.8(4.5-13.5)
(13) (36)
F
14.0 41 7.8(4.5-13.5)
(12) (37)
Tx Regimen for H. pylori
PEDIA:
1. Omeprazole + Claritho + Metro
x 2 weeks
2. Metro x 2 wks + 4 wks Bismuth
subsalicylate
3. Amox + Bi x 6 wks
4. Amox + Tinidazole x 6 wks
ADULT:
1. Omeprazole 40 mg QD + Clarithro
TD x 2 wks then Omeprazole 20mg
QD x 2 wks
2. Ranitidine 400mg BD + Clarithro
TD x 2 wks, then Ranitidine
400mg BD x 2wks
3. Pepto-bismol 525mg QD + Metro
250 mg QD + Tetra 500mg QD +
H2RA x 4 wks
4. Lanzoprazole 30mg + Amox 1g +
Claritro 500mg BDx 2 wks
Asthma Wood Score
1
2
3
70-100,
<70
<70 w/
rm air
Fi0240
Cyanosis none
in rm air in
Fi0240
Insp. BS
N0 unequal
to
absent
Acc. Muscle none
mod maximal Use
Exp
none
mod marked
wheezing
Cerebral fxn N0 depressed coma
PaO2

Advance: dec BP
dec HR
dec RR

rd

3 hr fluid reqt
Do blood or plasma transfusion
Plasma deficit = bld vol RC vol + hct
RC vol = bld vol x 0.4

GRADING OF REFLEXES:
+4 hyperactive
+3 brisker than average
+2 average, normal
+1 hypoactive
0
no response
MUSCLE GRADING

7|PediaNotes

Urine output = M2 x ave UO x hr

Average UO = 25-30 cc/ sq meter/hr
Caloric Reqt = 4000 x M2 x %burn
X 0.576
Notes:
*if > 50% SA burn, compute up to 50% only
*start dangerous if >15% SA is involved

impending resp failure

plus Pa02 65- existing resp failure

8|PediaNotes