WEIGHT

AT BIRTH
3-12 MOS

KILOGRAMS
3.25
(
)

POUNDS
7
Age (mos) + 11

1-6 YRS
7-12 YRS

Age (yrs) X 2 + 8
(
)

Age ( yrs) X 5 + 17
Age ( yrs ) X 7 + 5

HEIGHT
AT BIRTH
AT I YR
2 -12 YR

centimeter
50
75
Age ( yr) X 6 +77
BODY SURFACE AREA :
)
(
( )

Inches
20
30
Age (yr) X 2.5 + 30

AmpicillinSulbactam
(unasyn)

NB: 100mg/k/d q 12 (up tp 1 wk)

q8 (1-4 wks)
50-100mg/kg/day q6-8 IV,IM
30-50 mkday q8 (oral)

Bac-Ampicillin
(Bacacil,
Penglobe)

IN,CH: 25-50 mg/kg/day q 12 po

A: 800-1600mg/k/d q 12h

NB<2kg: 60mg/k/d q 12h IV/IM

(1st week)
90mg/k/d q 18h IV/IM
(1-4 weeks)
NB>2kg: 90mg/k/d q 8h IV/IM
(1st week)
120mg/k/d q 6h (14wk)
IN,CH: 90-120 mg/k/d q 6-8h
Severe or life threatening infxn:
2 gms IV q 6-8 h

500 mg,
1 g vial

Cloxacillin
(Orbenin,
Prostaphlin A)

IN,CH: 50-100 mg/kg/d q6-8 po

A: 2-4g/d q 6 po

Oxacillin

NB<1200g: 50 mkd q12 (04wks)

>1200g: 50-75 mkd q 8-12
(up to 1 week)
100-150mkd q6-8
(1-4wks) IM/IV over
15-30 min
IN,CH: 100-200 mkd q 6 IM/IV
(over 30 mins)
50-100mg/kg/day q6 IV
A: 2-12 g/d q4-6 IM/IV
(over 30mins)
NB: 40mg/k/d q12 IV (up to 1
wk)
60-80mg/k/d q 6-8h (14wks)
IN,CH: 100-200 mg/k/d q 4-6h
IV
50,000-100,000 U/kg/day q6
high dose: 150,000-200,000
U/kg/day q6 PO
(Megapan,Pantacillin, Sumapen,
medoxypen)
50,000-100,000 U/kg/day q6
meningitic dose: 200,000400,000 U/kg/day q6 IV

250, 500mg cap

125mg/5ml susp
250mg/5 ml susp
250 and 500 mg vial
250mg vial
500 mg vial

Aztreonam
(Azactam)

APGAR
Sign
Muscle tone
(Acticity)
Pulse
Reflex irritability
Grimace
Color
(Appearance)
Respiration

2
active

1
Some flex./ext

0
limp

>100
Sneeze/cough

<100
Some grimace
or
avoidance
Body pink, ext.
blue
Slow/irregular,
ineffective

No pulse
No response

All pink
Crying,
rhythmic
effective

blue/pale
absent

NEWBORN RESUSCITATION ( Outside Delivery Room)

1.
Warm, Position, Suction, Dry, tactile stimulation
2.
Oxygen (Blow by)
3.
Bag-Valve Mask Ventilation ( If heart rate < 100 Bmp or gasping
respiration
4.
Chest compression ( if heart rate < 60-80 bpm after ventilation
intiated)
5.
Medication Epinephrine (if heart rate continues to fall or
remains < 80 bpm)

Maneuver
Airway

Breathing
Initial

SUMMARY OF ABC MANEUVERS

Child
Infant
1 8 years old
<1 year old
Head tilt-chin lift
Head tilt-chin lift
( if trauma is
( if trauma is
present ,uses jaw
present ,uses
thrust )
jaw thrust )
2 breath at 1 to
2 breath at 1 to
1 sec/ breath
1 sec/ breath

Nafcillin
(Vigopen)

Newly Born
Head tilt-chin lift
( if trauma is
present ,uses
jaw thrust )
2 breath at
approximately 1
sec/breath

Subsequent

20 breath/min

20 breath/min

20 breath/min

FBAQ

Heimlich
maneuver

Back blows and

chest thrusts

Back blows and

chest thrsut

circulation
Pulse check

Carotic

Umbilical

Compression
landmarks

Lower half of
sternum

Brachial or
femoral
1 finger width
below
intermammary
line

1 finger width
below
intermammary
line

Compression
method

Heel of 1 hand

2 thumbencircled hands
( for 2 providers)
or 2 or 3 finger

2 thumbencircled hands
( for 2 providers)
or 2 or 3 finger

Compression
depth

Approximately 1/3
to depth of
chest

Approximately
1/3 to depth of
chest

Approximately
1/3 to depth of
chest

Compression
rate

100/min

>100min

120 events/min
( 90
compressions /30
breaths)

Compression
ventilation ration

5:1 ( pause for

ventilation until
trachea is
intubated)

5:1 ( pause for

ventilation until
trachea is
intubated)

3 :1

Pen V
(phenoxymeth
yl-penicillin)

Aqueous Pen
G

Benzylpenicilli
n
PENICILLIN G (PENADUR) = Wt x 100 /600
Benzathine
50,000 u/kg single dose IM
600,000-1.2 M u IM q3-4 wks
(Rheumatic Fever prophylaxis)

AmoxicillinClavulanic
Acid
or Coamoxiclav

30-50 mg/kg/day q 8 po

30-50mg/kg/day q8 IV,PO

250,500mg cap
100mg/ml drops
125, 250mg/5ml susp
(Moxicillin, pediamox,
sumoxil,wyamox)
Syrup: TID
156mg/5ml (125mg
amox)
312mg/5ml (250mg
amox)
Cap:
375mg/tab (250mg
amox)
625mg/tab (500mg
amox)
Vail:
300mg/vial (250mg
amox)
500mg/vial (500mg
amox)
1.2g/vial (1g amox)
Syrup BID
457 mg/5ml (4oo mg
amox) 228.5 mg/5 ml (
200 mg amox

Ampicillin
(Ampedia,
Ampicin)

NB: 50-100 mkd q 6-8 IM/IV

(up to 1 wk)
100-200mg/k/d q8 (1-4 wk)
IN,CH: 100-200 mkd q 4-6 IM/IV

Syrup:
125mg/5ml, 250mg/ml
cap:250mg, 500mg
vial: 100,125,500mg/vial

AmpicillinCloxacillin
(pensyclox,Am
piclox,Cloxami
cin)

Ampi 250mg + cloxa 250 mg

Same as ampicillin

250 mg cap
250mg/5ml syrup
75, 250, 500 mg vial

Drops:A60mg + C 30mg q 6
Infant vials: A50mg + C25mg q8

250mg/5ml susp
250 mg cap
500 mg and
1 g vial

125mg/5ml
(200,000u/5ml)
250mg/5ml
(400,000u/5ml)
500mg cap (800,000 u)
1,000,000 U/vial
5,000,000 U/vial

1.2 M & 2.4 M u vial

1M and 5M u vial

Crystalline

NB: 50,000-100,000 u/kg q 6

IV/IM
IN,CH: 100,000-250,000 u/kg q
4-6 IM/IV

Procaine

25,000-50,000ukd, IM q 12-24
Meningitic: 200,000-400,000
Skin infxn: 150,000u/k/d x 10
days

CEPHALOSPHORINS
1st GENERATION
Cephalexin
TD: 30-50 mg/k/d q6-8
monohydrate
OM: 75-100 mg/k/d

Cefalothin Na
Cefazolin

80-160 mg/k/d q 6h
life threatening: up to 2g/k/d q4
NB: 40mg/k/d q 12 (1st wk)
40-60mg/k/d q8-12 (1-4 wks)
IM/IV over 15-30 min
IN,CH: 50-100mg/k/d q8 IM/IV

2nd GENERATION
Cefaclor
IN,CH: 20-40mg/kg/day po q8
(ceclor)
A: 750mg-1.5g q8

PENICILLINS
Amoxicillin
(Amoxil,
Himox,
Jamox)

375 mg tab
375 mg vial
(A250mg + S125mg)
750 mg vial
(A500mg+ S250mg) 250
mg/5ml
200, 400, 800mg tab
200mg/5ml susp

Cefuroxime

100-150 mg/kg/d q8 IM/IV

10-15 mkday q12 oral
250mg/kg/d q 6 IV (for bacterial
meningitis)
OM: 40mg/k/d q 12
>5 yrs: 30 mkd q 12
>5 yrs: 40 mkd q 12
A: 250mg q 12

Cefetamet

CH<12 yrs: 10 mg/kg q 12

>12 yrs: 500 mg po q 12

Cefoperazone

CH: 100-150mg/k/d q 6-8

IM/IV
A: 2-12g/d IM/IV q 6-8
IN,CH: 50-100mg/k/d q 12-16h
A (gonorrhea): 500mg IM/IV SD

Cefotaxime

Cefoxitin

80-160 mg/kg/day IM/IV q 4-8

3rd GENERATION
Ceftriaxone
50-100mg/kg/day q12-24 IV
(3rd gen)
Typhoid:75-80mg/kg/day x
A: 1-4 g/d

Ceftazidime
(3rd gen)

Cefixime
( Tergecef
Zefral,
Ultraxime)

NB<2000g: 100mg/k/d q12

(up to 1 week)
150mg/k/d q8 (1-4 wk)
CH: 100-150 mg/kg/day q 8
A: 1-6 g/d q8 IM/IV
3-8 mkday q 12

(keflex)
100mg/ml drops
125mg/5ml susp,
250mg/5ml susp
250, 500 mg 1 g cap
250, 500 mg pulvule
1g/vial
(Keflin)
(Stancef)
500mg &
1 g vials

250, 500 mg cap

125mg/5 ml susp
250mg/5 ml susp
Zinacef:
250mg, 750mg,
1.5g vial; 125mg/ml
susp
125mg, 250mg,
500mg tab
Zinnat: 125, 250mg
sachet susp.,
125mg, 250mg,
500mg coated tab
(globocef)
250, 500 mg tab
250mg/5ml susp
(cefobis)
500 mg, 1 g vials
(Claforan)
250mg, 500mg, 1 g
vial
(Mefoxin) 1 g vial

(Rocephin)
IM: 250mg, 500mg,
1 g (inj. w/ lidocaine)
IV: 250mg, 500mg,
1 g (inj. w/ 1%
water)
(Fortum)
250mg,500mg
1g, 2g vials

Drops:20mg/ml
Susp:100mg/5ml
Cap:100mg, 200mg

Ceftizoxime (3rd
gen)

CH: 40-80 mg/k/d q 6-12

A: 500mg-2g/d q 6-12h IM/IV

Cefotaxime

100-200mg/kg/day q6-8 IV

Ceftazidime

90-150mg/kg/day q8 IV

MACROLIDES
Azithromycin

Clarithromycin

Erythromycin

Roxithromycin
(Rulid, Macrol)
QUINOLONES
Ciprofloxacin
(Ciprobay)
Norfolxacin

Ofloxacin
Uncom. UTI
Compl. UTI, Pn,
OM, sinusitis, skin
& soft tissue infxn
Gonococcus
Nongonococcus
GI infection

CH: 10mg/kg/day x 3 days or

alternatively for 5 days w/ a
single 10mg/kg dose on day 1
then 5 mg/kg on D2-5
CH: 15mg/kg q12 po
A: 500-1000 mg q12
Severe infxn: 2 tab BID x 6-14
days
IN,CH: 30-50mg/kg/day q6
po
15-30mg/k/d q6 SIV
infusion
A: 1-2 g/k/d q6 po
1-4gkd q6 IV
Int. antisepsis: 1 g/dose x 3
doses (1pm,2pm, 11pm) the day
before sx
A: 1 tab BID po 15-30 min before
meals

(Erycin, Macrodin,
Ilosone
125mg/5ml;
250mg/5ml)
100mg/2.5ml drops
250mg, 500mg cap
200mg/5ml susp
400mg/5ml susp
500 mg vial

CH: 20-40mg/kg/d qd IM x 2mos

(max 1 g/d)
A: 15-25 mg/kg/d or 1 g daily,
qd, IM

1 g vial

COLDS PREPARATION:
1-3mos: ml q 8
Disudrin
4-6mos: ml q 8
12.5mg/5ml syr
7-12 mos: ml q 8
6.25 mg/ml drops
1-2 yr: 1 ml q 8
2-6 yr: tsp q 8
7-12 yr: 1 tsp q 8
Combined Prep: Rondec, Drixine, Sudafed, Dimetapp, Decolsin, Triaminic,
Tridecon
Brompheneramine
1-3 mos: 0.25 cc
Dimetapp
maleate, phenylephrine,
4-6 mos: 0.5 cc
Per 5 ml syrup
phenylpropanolamine
7mos-2 yrs: 1 cc
Per infant drop
3-12 yrs: 1 tsp TID
Iron Supplement
Dose: 3-5 mg/kg/day (maintenance)
6 mg/kg/day ( therapeutic dose)
preparation: drops 15 mg/ml
syrup 30 mg/5 ml
Immuzinc
dose: 1-2 mg/kg/day
prep: 20 mg /5 ml syrup
10 mg/ml drops
Nifuroxazide (ercefuryl)
< 6 monts 1 tsp BID
> 6 months 1 tsp TID

100, 200mg tab

Calcium Gluconate
Dose: 200-300
Ex. WT x dose x prep
1.4 kg x 200 mg/ml = 290 mg/ml x 100mg /ml
= 2.9 ml

300-600mg as single dose

100-200mg BID x 7-14 days

Naloxone
Dose: 0.1 mg/kg/dose IV/IM/SC

200-300mg BID x 5-7 days

Theophylline
prep: 80 mg/ml
26.7 mg/ml
dose: 2.5 mg/kg/dose q12

NB<1200g: 10mg/k/d q 6
(1st 4 wks)
1.2-2kg: 15mg/k/d q8
>2g: 15mg/k/d q8 or
20mg/k/d q6
IN,CH: 10-40 mg/k/d q6
IN,CH>3mos: 15mg/k/d q6
A: 1-2 g IV infusion
*Crea clearnce of 15ml/min
should not receive unless
hemodialysis is instituted within
48 hrs
5-8 mg/k/d q 12

AMINOGLYCOSIDES
Amikacin (Amikin,
NB: 15 mkd q12 (1st wk)
Pediakin)
15-22.5 mkd q8-12
(1-4 wks) IM/IV (over 1-2h)
IN,CH,A: 15 mkd div q8 IM/IV
(over 30-60 min)
LD: 10 mg/k/dose
Gentamicin
NB:
(Garamycin,
<1200g: 2.5 mg/kg q 14-18 h (0Servigenta,
4 wks)
Progara)
<1200g: 5 mkd q 12 (1st wk);
7.5 mkd q 8 (1-4 wk) IM/IV
(over 1-2 h)
IN, CH:
5-8 mkd q8 IM/IV (over 1-2 h) 5
mkd
A: 3.5 mkd q 8 IM/IV (over -2h)
Netilmycin
2.5mg/kg/dose q8 IV,IM
(Netromycin)

6-7.5mg/kg/day q8 IV,IM

ANTI-TUBERCULOUS DRUGS
INH 5IN,CH: 10-20 mg/kg/d
10
(max: 300mg/d)qd
A: 8-10 mg/kg/d (max 300mg/d),
pre-breakfast
(pyridoxine: 10mg/100mg INH to
prevent S/E)
RIF
IN,CH: 10-20 mkd, OD 1-pre or 2
10-15
post meal
A: 600mg/d single daily dose
(max 600mg/d)
PZA
CH: 30-35 mkd (max 2g/d) qd po
15-30
A: 20-35 mkd po before meals

EMB
15-25

(Klaricid) 250mg tab

125mg/5ml susp

Inoflox, Qinolon
100mg BID po x 2-7 days
200mg BID po x 7-14 days

Clindamycin

Tobramycin
( Nebcin)

250mg cap
200mg/5ml powder
for oral suspension

A: 500mg-1.5 g po q12
100-200 mg as IV infusion for
30 min q12
UTI: 200-400 mg BID
GI infxn: 400 mg BID
Gonorrhea: 800mg SD

NB<1200g: 25mkd q 24h

(0-4 wks)
>1200g: 25-50mkd q12-24h, IV
over 15-30 min (1st week)
IN,CH: 50-100 mkd q6 po
IM/IV

Co-trimoxazole
(SMX-TMP)

Strepto
mycin
25

Phenylpropanolamine
(decongestant)

Chloramphenicol

ImipenemCilastatin

(Tergecin)
500mg
1 g vials
250mg, 500mg,
1g/vial Cloforan
250mg, 500mg,
1g/vial Fortum

15mg INH +125mg EMB/5ml

A: 15-25 mg/kg/d qd, po (not
>1.5g)

(pediachlor,
chlormycetin,
Chloramol,
chlorambid)
125mg/5ml susp
250mg, 500mg cap
1 g vial
(dalacin-C)
150mg, 300mg cap
150mg/ml amp

(Tienam)
500 mg imipenem
500 mg cilastatin, 1
amp

(Bactrim, Septrin,
Microbid)
40mg+200mg/5ml
Triglobe:
45mg+205mg/5ml
Bacidal
80mg+400mg/5ml
160mg+800mg forte
tab
80+400mg tab/cap
160mg+800mg tab

250mg/ml, (2ml) vial

125mg/ml, (2ml) vial
50 mg/ml (2ml) vial

20mg/2ml amp
60mg/1.5 ml amp
80mg/2ml amp

25mg/ml (2ml amp)

50mg/ml (2ml amp)
100mg/ml (1.5 or 2
ml vial)
10mg/ml
40mg/ml (2ml amp)

50mg/ml (trisovit)
100mg/m l(nicetas,pyrifort)
150mg/5m l(Odinah)
200mg/5ml
(comprilex,Trisofort)
100,300,400 mg tab
100 & 200mg/5ml
150, 300, 450, 600mg cap
600mg vial
250mg/5ml
500mg/tab

100mgtab (pyrifort,trisovit)
150mg tab (pyrina)
325mg, 400mg
125mg/5ml 500mg tab

ANALGESICS
Aspirin
Thrombolytic
RHD activity
Kawasaki

Mefenamic Acid

DOSE
65-130 mg/kg/d q 4-6 h
3-5 mg/k/day
75-100mg/k/day
80-100 mkd q 6h x 2wks
then 3-5 mg/kg x 6-8 wks
CH: 50 mg tab BID during or
after meals
A: 75-100 mg daily
6.5 mg/kg/dose q 6 h

Paracetamol

10-15 mg/kg/dose q 4-6 h

Diclofenac

BRONCHODILATORS
Aminophylline
3-5 mg/kg/dose or
0.6-0.9 mg/k/hr
LD: 5-7 mg/k/dose
MD: 3-5 mg/k/dose q 6 hr + 2
or 3 cc IVF to run for
20-30 min
Ipratropium +
7 yrs, A: 2-10gtts (0.1-0.5 ml)
Fenoterol
3-6x daily ( min interval: 2
(Berodual)
hours)
Salbutamol

0.1-0.15 mkd po q 6-8 or 2.5 ml

tsp q 6-8 ( 6 mos-3 y/o) or 5 ml
q 6-8 hrs
recommended dose: 0.1-0.3
mg/k/d

Nebulizer

0.01 ml/kg (max 1 ml) in 3ml

NSS or 5-10gtt in 2ml NSS q6

Terbutaline

0.1-0.18-5 mkd po q 8 or 0.075

mg/k dose q 6 hr; or 1 mcg SC
to rpt prn after 20 min once
daily

Nebulizer

0.01 ml/kg (max of 1 ml in 3 ml

NSS or 5-10 gtt in 2 ml NSS) q
6

Ketotifen

6mos-3 yrs: 1 drop BID or 0.25

ml syr BID
>3 yrs: 5 ml syrup BID
<6 mos: 1 ml drops
6-24 mos: 2 ml drops
1-2 yrs: 5 ml syr
2-4 yrs: 7.5 ml
4-6 yrs: 10 ml
6-12 yrs: 15 ml

Clenbuterol

PREPARATION
80 mg, 325 mg tab

25, 50 mg tab
100 mg tab (SR)
25mg/ml (3ml) amp
50 mg/5ml susp
(ponstan, tynostan)
250, 500 mg tab/cap
150mg/ml (2ml amp)
125, 250 mg susp
325, 500 mg tab
120, 250/5ml syrup
60mg/0.6 ml drops

25mg/ml (10ml) amp

80mg/15ml syr (nuelin)
125, 250 mg tab (nuelin,
phenedrine)
120mg tab (tedral)
MDI: 20mcg I + 50 mcg
F/10ml
250mcg I + 500 mcg F/
20ml inhalant
2mg/5ml syrup
(activent, librentin,
ventolin)
1mg/5ml expector
2mg tab
2.5mg/2.5ml neb or
5mg/2.5 neb
200ug rotacap
0.1mg/inhalation
(Asmalin)
5mg/ml resp soln
0.5mg/ml (2ml)amp
0.5mg/ml (1ml) amp
1.5mg/5ml syr (betalin,
bricanyl, pulmoxel,
terbulin)
2.5 mg tab
5 mg tab (ER)
2.5mg/ml (2ml) neb
0.5mg/d turbohaler, 100
d
(zaldec, Zadilen)
1mg cap
1mg/5ml syr
spiropent

COUGH PREPARATIONS
MUCOKINETICS
Ambroxol HCl
<1 yr: 12 mg/day
(bronchopront,
0.5ml BID (<6 mos)
Mucosolvan,
1ml BID (7-12 mos)
Mucovent,
1-2 yr: 15mg/day or 1.25mg BID
Muxal,Venteze
CH: 1.2-1.6 mg/kg/d
Therasolvan,
5-10 y/o: tsp BID-TID
Zobrixol)
CH>10 yrs, A: 1 tab TID or 1 tsp TID
Bromhexine HCl
<2 yrs: tsp TID-QID
2-5 yrs: tsp TID-QID
5-10 yrs: 1 tsp TID-QID
CH> 10 yr, A: 2 tsp TID-QID

15,30mg/5ml syr
6mg/ml drops
15mg/2ml inhln
soln
15 mg/2ml amp

Bisolvon 8mg
tab, 2 mg/ml
soln, 0.8 mg/ml
elixir, 4 mg amp
Bitussin,
Bronkose,
mucolyptus,
mucuspel
4mg/5ml syr,
8 mg tab

Carbocisteine
(Aflema,
Ameuslyn,Bronch
otus, Flemex,
Laxobron,Kramov
on, Simbron,
Solmux)

<2 mos: 0.25 ml QID

2-6 mos: 0.5 ml QID
7-12 mos: 1 ml QID
1-3 yrs: 5-7.5 ml TID
4-7 yr: 7.5-10 ml TID
8-12 yr: 10-15 ml TID
A: 1 capsule or 30 mll TID
Solmux: 1-3 yrs: 2.5 ml TID
4-7 yrs: 5 ml TID
8-12 yrs: 7.5 ml

100, 250 mg/5ml

susp
50mg/ml drops
500 mg cap
40 mg/ml drop
Solmux: 250mg/5
ml
500 mg/5ml
suspension

S-CARBOXYMETHYLCISTEINE (LOVISCOL,MUKINYL,VISCODEC)
Loviscol
<3 mos: 0.3 ml TID
50 mg/ml drop
3-6 mos: 0.6 ml TID
100mg/5ml,
7-12 mos: 0.9 ml TID
250mg/5ml susp
13-24mos: 1.2 ml TID
1-3 yrs: 1-1 tsp TID
4-7 yrs: 1 tsp TID
8-12 yrs: 2-3 tsp TID
Mucolytic + expectorant: bromulex, mucolex, bisolvon (bromhexine HCl),
Bronchicum, Cheryl IP (Guaifensin + Ipecac)
Antitussive: Bractus, Sinecod (Butamine citrate), Robitussin AC (Guaifenessin+
codeine phosphate + pheniramine maleate), Pertix, Protussa, Tuscalman Berna
Dextromethorphan
1-2 tbsp 3-4 hrly or
5mg/5ml syr
HBr
1-2 tabs q 4 hr
10 mg tab
(max: 12 tabs/day)
Expectorant + antitussive: mucolexin (Dextromethorphan + guiafenesin + Na
citrate), mucobran (Guiafenesin + Na citrate)
STEROIDS
Budesonide
(budecort)

Dexamethasone
Hydrocortisone
Status
Asthmaticus
Shock
Prednisone

ANTI-HISTAMINES
Acrivastin
Chlorpheniramine
(Antamine)
Clemastine
(Tavergyl)

Diphenhydramine
(Benadryl)
Hydroxyzine HCl
(Iterax)
Mequitazine
(primalan)
Terfenadine
(Teldane)

C: 200-400 mcg BID initial

MD: 100-200 mcg BID
(max: 800 mcg daily)
A: 400-800 mcg BID
MD: 200-400 mcg BID
0.023-0.33 mkd po
0.5-1 mkd (max 16mg/d) in 4 div
doses, IV (for ICP)
LD: 10mg/k/dose
MD: 4-8mg/k/dose
10-20 mkd q 6 then 4 mkd q 4
until (+) response
50 mg/kg initial then 50-75 mkd
q6
CH: 1-2 mg/k/d q 6
P: 40-60 mkd po ( for neoplasm)

1 tab TID po
0.35 mg/kg/day or
0.2 mg/kg/dose
2-6 yrs: 2.5-5ml BID
6-12 yrs: 5-10 ml BID
>12 yrs: 7.5 ml BID or
tab to 1 tab BID po or
0.025 mg/k IM
3-5 mg/kg/day q 6 po, IM, IV

10 mg OD or
1 mg/k/day BID
- 2 tabs/day accdg to age
15-30 mg BID

ANTI-CONVULSANTS
Carbamazepine

Clonazepam

Diazepam (anxionil,
trazepam, valium)
Diphenyl-hydantaoin

Phenobarbital

LD: 10-20 mg/kg

MD: 5 mg/kg/day
IN,C <10 yrs: 0.01-0.03
mg/kg/d
>10 yrs: 1- 2 mg/k/d
MD: <10 y: 0.05 -0.1 mkd
10-16y: 1.5 - 3 mkd
A: 2-4mg/k/d
mg-0.3mg/k/dose
0.2-0.4 mg/kg/dose
LD: 10-15 mg/kg/dose
MD: 4-8 mg/k/d q 8h
*push DW before and after
LD: 10-20 mg/k/d
MD: 5-10 mkd

Sedation/sleep:

2-3 mkd q 8-12

Long term anticonvulsant

start at 1.5 mkd q 12 to 4-6

mkd q 12 or as single daily
dose HS

Valproic acid

ANTI-EMETIC
Dimenhydrinate

ANTI-VERTIGO
Betahistine

Meclezine HCl

15 mg/kg/d div q 8-12 by 510 mg/kg/day weekly (max:

30 mg/kg/d q 8)

200mcg/dose
misthaler
200mcg turbohaler
250mcg/ml respul
0.5 mg, 4mg tab
5mg/ml amp(1ml)
4mg/ml vial(2ml)
50mg/ml, 2ml vial
125mg/ml, 2ml vial

5 mg tab

8 mg cap semprex
4 mg tab
10 mg/ml (1 ml) amp
0.5mg/ml syr
1mg tab
2mg/2ml amp

25mg, 50mg cap

12.5mg/5ml syr
50mg/ml (1ml) amp
0.2 mg/syrup
10, 25 mg tabs
5 mg tab
2.5mg/5ml syr
30mg/5ml syr
60mg tab

Tegretol 100mg/5ml
syr
200mg tab
Rivotril 2mg tab

10mg/2ml amp
2mg, 5 mg tab
Dilantin 125,
30mg/5ml susp
30, 100 mg cap
100g/2ml amp
16.25mg
32.5mg,65mg
97.5mg tablets
Na luminal:
130mg/ml amp
15,30,60,100 mg tab
20 mg/ml syr
gr = 15 mg
gr = 30 mg
gr 1 = 60 mg
Depakene
250mg/5ml susp
250mg tab

5mg/k/d QID
2-6 yrs: 2.5 ml BID-TID
6-8 yrs: 5-10 ml BID-TID
8-12 yrs: 10-20 ml BID-TID
Infant: supp
1-6 yrs: supp
6-12 yrs: 1 supp BID/TID

Dramamine
12.5mg/5ml syr
50 mg tab
Emes: 50 mg tab
Vomex: 50 mg supp

A: 1-2 tab TID po with meals

Serc, mension
6mg tab (mesylate)
8, 16 mg tab
(dihydrochloride)
Bonamine 25 mg tab
Bonadoxine 8 mg/ml
drops

12.5-50 mg/k/day TID/BID

<6 mos: 0.5 ml daily
2-6 yrs: 3 ml or
1-2 tabs daily

PROKINETIC (GASTRO-KINETIC DRUG)

Metoclopramide
0.5 mg/k/day
<1yr: 1 mg BID
1-3 yrs: 1 mg BID-TID
3-5 yrs: 2 mg BID-TID
5-14 yrs: 2.5 mg TID

Plasil
5 mg/5ml syrup
10 mg tab
10 mg/2ml amp

ANTI-ULCER
Antacid

Cimetidine (
tagamet)

2-4 tabs chewtab QID

1 hr after meals or
2-4 tsp QID susp
5-7.5mg/kg/dose q 6 po/IV or
10-20 mg/kg QID

Ranitidine
(Zantac)

2-4 mg/k/dose BID po or

1 mg/k/dose TID, IV

ANTI-SPASMODIC
Bentyl

2.5-10 ml TID

Dicycloverine
HCl, Simethicon

Hyoscine-N- butyl
bromide
(buscopan)
ANTI-FLATULENT
Dimethyl-polysiloxane

ANTI-HELMINTICS
Albendazole
Nematode
Capillariasis
Strongyloidiasis
Mebendazole
(Antiox)
Piperazine (Expelin,
Aloxin)
Pyrantel Pamoate

ANTI-DIARRHEALS
Nifuroxazide
( Ercefuryl)
Paromomycin +
kaolin + pectin
Bacterial diarrhea
Ameobiasis
Dysentery
Pre-op
Hepatic coma
Taeniasis
Giardiasis

IN: 0.5-1 ml gtt or tsp syr

QID/TID
1-5 yrs: 2.5-5ml TID/QID
6-12 yrs: 5 ml
IN: amp TID IM, SC or slow
IV
CH, A: 1-2 tabs 3-5 x daily

A: 1-2 tab TID po

Chewable tabs
250 and 500 ml susp
200,400,800 mg tab
100mg/ml (2ml) amp
100mg/5ml syrup
75,150, 300 mg tabs
150mg/5ml syrup
50mg/2ml amp

10 mg tab
10mg/5ml syrup
Relestal: 5 mg/ml drops
10mg/5ml syrup

10 mg tab
5 mg/5 ml syrup
20 mg/ml amp

40 mg tab
Disflatyl, Gascon

Zentel
200 mg/5ml syr
400 mg tab

400 mg po
200 mg BID x 10days
400 mg q day x 3 days
200 mg po BID x 3 days or
500 mg po one dose
75 mg/kg (max: 3.5g/d) q day
x 2 days (for ascariasis only)
11 mg/kg/day (max 1 g) x 3
days

100, 500 mg tab

100 mg/5 ml susp
1.25 mg/5 ml syr
62.5 mg/5 ml syr
Combantrin
250, 500 mg tab
125, 250 mg/5ml
Quatrel:
100 mg/5 ml
100 mg tab

<6 mos: 2 tsp daily

>6 mos: 3 tsp daily
A: 1 cap QID

200 mg cap
220mg/5ml syr
Humagel
150 mg cap
50mg/5ml susp

<3 yrs: 1 tsp q 4 h

4-14 yrs: 1 tbsp q 4h
25mg/kg q 6-8 hr x 5 days
35-60 mg/kg x > 6 doses
35 mg/kg x 4 consec days
75mg/kg
20-50 mg/kg/day x 5 days
20-30 mg/kg/day x 5-8 days

OPTICAL ANTI-INFECTIVES:
Chloramphenicol
1 gtt 2-4x/day (1 gtt/hr for acute
solution ointment
cases) Apply inside surface of
lower lid
Framycetin solution
ointment
Sulfacetamide
Tobramycin
Solution ointment

AMEOBICIDES
Diloxanide furoate
(furamide, elizol)
Etofamide
(kitnos)

1-2 gtts q 1-2h or 1-2 gtts 3-4x/day

(acute)
2-3 application daily or at bedtime
1-2gtts into lower conjunctival sac
2-3h
1-2 gtts q4
in ribbon into conjunctival sac 23x/day

20mg/k/day po TID x 10
days
CH: 15-20ml/kg/day or 2
tsp TID x 3 days
A: 5 tabs BID x 3 days or
1 forte tab BID

EAR PREPARATIONS:
1. Antiseptics with corticosteroids
Polymyxin
Cortisporin
B+Neomycin+HAA
Fluocinolone acetonide +
Aplosyn,
polymyxin B + neomycin
Synalar
Triamcinolone acetonide +
kenacomb
neomycin + gramicidine +
nystatin
2. Anti-Infectives and Antiseptics
Chloramphenicol
Chloromycetin
Polymycin B + glacial acetic Aerosporin
acid
Polymycin B + lidocaine
Lignosporin
3. Miscellaneous
Antipyrine +
Benzocaine +
glycerine dehydrated
Dousate sodium

Auralgan

otosol

0.25%, 0.5%, 1%
5 ml drops
0.1%,0.5%
3.5 g tube
0.5% 2.5ml
drops, 0.5% 2.5
g tube
10% 15% 5ml
drops
3mg/ml
(0.3%),5ml
3mg/g (0.3%)
3.5g tube

125mg/5ml
100mg/5ml susp
200mg tab
500 mg forte

3-4 gtts tid-qid

5ml drops

3-4 gtts tid-qid

5 ml drops

2-3 gtts tid-qid

7.5ml
drops

2-3 gtts bid-qid

3-4 gtts tid

(5%) 5ml
10ml
drops
10ml
drops

3-4 gtts tid

Moisten cotton plug with

solution then insert into
meatus tid-qid
Fill ear canal wit soln &
stay in position for 4-5
min then insert a cotton
wool plug x 2
consecutive nights

10ml,
15ml
drops
(0.5%) 10
ml drops

ANTI-FUNGAL
Amphotericin B

NB: 100ug-1mg/kg/d over 6 hrs

during 1st 4 wks of age
IN,CH:
1st day: 0.1mg/kg for 2hrs (test
dose)
2nd day: 0.25mg/k (increment of
0.125-0.25mg/kg), to 1 mg/k/d
as single infusion over 6-8h

5mg/ml(10ml)vial

9 mo

50mg
reconstituted with
10cc sterile water
to make 5mg/ml
Dose: 0.50.7mg/k/day

supine position
Pivots when
sitting, crawls
well, pulls to
stand, cruises

Uses immature
pincer grasp,
probes with
forefinger, holds
bottle, throws
objects
Uses mature
pincer grasp,
can make a
crayon mark,
releases
voluntarily

12
mo

Walks alone

15
mo

Creeps up
stairs, walks
back-wards
independently

18
mo

Runs, throws
objects from
standing
without falling

24
mo

Walks up and
down steps
without help

Imitates stroke
with pencil,
builds tower of 7
blocks, turns
pages one at a
time, removes
shoes, pants,
etc.

3 yr

Can alternate
feet when
going up steps,
pedals tricycle

4 yr

Hops, skips,
alternates feet
going down
steps

5 yr

Skips
alternating
feet, jumps
over low
obstacles

Copies a circle,
undresses
completely,
dresses partially,
dries hands if
reminded,
unbuttons
Copies a square,
buttons clothing,
dresses self
completely,
catches ball
Copies triangle,
ties shoes,
spreads with
knife

TD: 20-30 mg/k/day

LD: 6mg/k OD
MD: 3 mg/k OD
Candida
Fluconazole(diflucan)

Griseofulvin
Ketoconazole
Nystatin
(Mycostatin)

CH: 7.25 mg/kg/d OD,po

A: 0.33-).66g/d OD, po
CH: 5-10 mkd q12-24, po
A: 200-400 mg OD, po
NB:
<2kg: 200,000-400,000 u/d
q 4-6h po
>2kg: 400,000-800,000 u/d
q 4-6h

50, 150,
200mg/cap
2mg/mlvial
330 mg tab
200mg tab
100,000 units/ml
susp
500,000 u tab
100,000 u
vaginal tab

IN,CH: 400,000-800,000 u/d q 46 h, po

A: 800,000-2,000,000 u/d q 4-6h,
po

ANTI-VIRAL
Acyclovir
Premature

Term

Varicella-Zoster

Encephalitis
Amantadine HCl

Inosiplex

Methixoprinol
Linosine
Ribavirin
(virazole)

AMEOBICIDES
Furazolidone
(furoxone)
Metronidazole
Ameobiasis

Scribbles in
imitation, builds
tower of two
blocks in
imitation
Scribbles
spontaneously,
builds tower of 3
blocks, turns 23
pages at a time

200 and 400 mg tab

10mg/kg as 1hr IV infusion
of 12hrs x 10-21 days

250mg/ml (5ml) inj

10mg/kg as 1hr IV infusion of

8 x 10-21 days
2-12 yr: 20mg/kg (max:800)
qid x 5 days
>12 yrs: 800mg po 5x/day x 7
days
10mg/kg as 1 hr IV infusion of
8hrs x 4-21 days
CH: 5-8 mkd po (max150mg)
bid or tid
A: 200mg OD ir BID

100mg tab
50mg/ml

<6mos: 1 ml q 3-4hrs
6-12mos: 1.5ml q3-4
1-2yrs: 2ml
2-6yrs: 3ml
6-12yrs: 5ml
A: 1 tab
LD: 100mg/kg/day
MD: 50mg/kg/day

Says mama,
dada
indiscriminately,
gestures, waves
bye-bye,
understands no
Uses two words
other than
mama/dada or
proper nouns,
jargoning (runs
several
unintelligible words
together with tone
or inflection), onestep command
with gesture
Uses 46 words,
follows one-step
command without
gesture

Starts exploring
environment,
plays gesture
games (e.g., pata-cake)

Mature jargoning
(includes
intelligible words),
710 word
vocabulary, knows
5 body parts
Uses pronouns (I,
you, me)
inappropriately,
follows two-step
commands, has a
50 word
vocabulary, uses
two-word
sentences
Uses minimum of
250 words, 3word
sentences, uses
plurals, knows all
pronouns, repeats
two digits

Copies parent in
tasks (sweeping,
dusting), plays in
company of
other children

Knows colors,
says song or poem
from memory,
asks questions
Prints first name,
asks what a word
means

(Immunosine)
500mg tab
250mg/5ml
Age
(Isoprinosine)
500mg tab
250mg/5ml syr
200mg cap
20mg/ml syr
100mg/ml amp
6g/vial aero

CH: 15mg/kg/d in 3 or 4 div

doses
A: 800mg/day (1st day LD of
1600mg) q6

5-8mg/k/day QID
NOT FOR G6PD

50mg/15ml,
16.6mg/5ml
100mg tab
Flagyl

IN,CH: 35-50 mkd q8 x10 days

A: 750mg TID po x 5-10 days

250mg, 500mg
tab
125mg/5ml
susp
5mg/ml(100ml)vi
al
1g suppository

Trichomoniasis
C: 5 mkd q8 x 7 days
A: 250mg TID x 5 days
Giardiasis
C: 15 mkd q8 x 5 days
A: 250 mg TID x 5 days

Cal per kg
Prot g/kg
3.5
3.0
2.5
2.0
1.5
1.5
1.5
1.2

0.5 mos
6-11 mos
1-2 yrs
3-6 yrs
7-9 yrs
10-12 yrs
13-15 yrs
16-19 yrs

115
110
110
90-100
80-90
70-80
55-65
45-50

Age
<2 mo
2-12mo
1-5yo
6-8y/o

Normal respiratory rate

<60
<50
<40
<30

Anaerobic Infxn:
NB: 15mkd (initial) then 7.5 mkd
q12 IV
CH: 30 mkd (max 4g/d) q6 po/IV
A: 500mg q6 po/IV or 300mkd (max
4g/d) q6 po/IV
Intestinal
Antisepsis
Tetracycline
Vancomycin

A: 750mg x 3 doses 1 day before sx

25-50 mg/kg/day div q6 po
NB<1.2kg: 15mg/k/d OD
>1.2kg: 20mkd q12 (1st wk)
30mkd q8 (1-4wks)
IN,CH: 40mg/k/d q6-12h
A: 2mg/d IV q6-12h

DEVELOPMENTAL MILESTONES
Age
Gross Motor
VisualMotor/Problem
Solving
1 mo
Raises head
Birth: Visually
from prone
fixes
position
1 mo: Has tight
grasp, follows to
midline
2 mo
Holds head in
No longer
midline, lifts
clenches fists
chest off table
tightly, follows
object past
midline
3 mo
Supports on
Holds hands
forearms in
open at rest,
prone position,
follows in circular
holds head up
fashion,
steadily
responds to
visual threat
4 mo
Rolls over,
Reaches with
supports on
arms in unison,
wrists, and
brings hands to
shifts weight
midline
6 mo
Sits
Unilateral reach,
unsupported,
uses raking
puts feet in
grasp, transfers
mouth in
objects

250, 500mg cap

500mg/vial

Age (yr)
*
01
13
46
79
1014
1418
Age
NB
2y/o
4y/o
>6y/o

Language

Social/Adaptive

Alerts to sound

Regards face

Weight
IBW
preterm
term
At birth
3-12 mo
1-6y/o
7-12 y/o

Smiles socially
(after being
stroked or talked
to)

Recognizes
parent

Coos (produces
long vowel sounds
in musical fashion)

Reaches for
familiar people or
objects,
anticipates
feeding

Laughs, orients to
voice

Enjoys looking
around

Babbles, ah-goo,
razz, lateral
orientation to bell

Recognizes that
someone is a
stranger

Length
Ave BL
1 y/o
3y/o
4y/o
>2y/o

-- NORMAL RESPIRATORY RATES IN CHILDREN

Respiratory Rate (breaths/min)
2438
2230
2024
1824
1622
1420
Normal heart rate
110-150
85-120
75-115
60-110

kg
(# of days -14) x 15 + BW 9gms
(# of days -10 x 20 + BW 9 grms
3.25
Age in months + 9
2
(age in yrs x 2) + 8
(age in yrs x 7) 5
2

50 cm (20 in)
75 cm
3 ft.
BL x 2
(age in yrs x 5) + 80

Imitates actions,
comes when
called,
cooperates with
dressing

1518 mo: Uses

spoon and cup

Parallel play

Group play,
shares toys,
takes turns,
plays well with
others, knows
full name, age,
gender
Tells tall tales,
plays
cooperatively
with a group of
children
Plays
competitive
games, abides
by rules, likes to
help in
household tasks

= WBC (% neutrophils + % bands) x 1000

Holiday Segar
BW (kg)
1-10 y/o
11-20
>20

Fluid volume
100 ml/kg
1000 ml+ 50 ml/kg for each kg > 10kg
1500+ 20 ml/kg for each kg > 20 kg

Ludans method

Fluid Balance

<15 kg
<2 y/o
50
100

>15 kg
>2 kg
mild
30
moderate
60
PLR D50.9 6-7 hrs
severe
150
90
1/3 PLR x 1 hr
2/3 D5 0.3 or 0.9 6-7hrs
For every degree rise in temperature add 12% Of maintenance

TFB=Total fluid intake total fluid output

TFI ( TFO + (BSAxIWL))
TFI = parenteral (IVF/meds) + oral
TFO= IWL (400-700/m2) + urine output+ vomitus/ NGT output
TFR = BSA x IWL + U.O in 24 hours(if with diuretics )
If w/o diuretic use BSA x IWL + U.O in 24 hours

IVF components (meq/L)

Na
130
51
75
154
49
140
40
25
30
150
-

D5LRS
D5 0.3 Nacl
D5 0.45 Nacl
D5 0.9 NaCl
D5 mannitol
D5 NR
D5 NM
D5 IMB
NP
D5NSS
D5W

K
4
25
5
13
20
20
-

Cl
109
51
75
154
19
98
40
22
25
150
-

base
28
20
50
16
23
23
-

Mg
-

Albumin Transfusion
Dose: 0.5 -1 gm/kg
Preparation: 20% 10 gm
25 % 12.5 gm
Transfuse 1 vial to run for 2 hrs at 6-7 gtts/min
After 1 vial give furosemide (1 mkdose)
nd
Give 2 vial then furosemide
Mobitor VS q 15 mins while ongoing Infusion
IVIg Computation
# of vials needed = WT. x Dose (2g/kg)
preparation(g/ml)
Ex. 12 kg

WHO treatment plan (CDD)

Plan A
Age in yrs.
<2
2-10
>10

Give every after BM

50-100 ml (2-3oz)
100-200 ml (2-3 0z)
As much as tolerated

Plan B
Age
<4 mo
4-11
12-23 mo
2-4y/o
5-10
10-15 y/o

Weight
<5 kg
5-7.9
8-10.9
11-15.9
16-29.9
>30

Ml in 4 hours
200-400
400-600
600-800
800-1200
1200-2200
2200-4200

Plan C
Age
<12 mo
>12 mo
Using PLR for 4-6

30 ml/kg
1 hr
30 mins
hrs

50 ml/kg
5 hrs
2 hours

# of vials needed = 12 kg x 2g/kg

2.5 g
= 9.6 vials or 10 vials
Infusion Rate:
0.01-0.02 ml/kg/min for the first 30 mins. Via infusion pump if no adverse
reactions noted, may increase to maximum of 0.04 ml/kg/min
Ex: 12 kg wt
Infusion rate of 0.01
12 kg X 0.01 x 3o mins = 4 ml
* give for ml to run for 30 mins watchout for nausea, vomiting, chills fever,
dyspnea, malaise, hjeadache etc.
2. increase to infusion rate 0f 0.02 x 60 mins
12 x 0.02 x 60 = 15 ml to run for 60 min
3. remaining to run for 14 hours

Sodium (Na)
Normal value: 135-145 meq/L
A.
To compute for deficit
Desired Na (140 meq/l) - actual Na x 0.6 x Wt.
Ex. 140-121 x 0.6 x 10 kg
= 114 meq
B.
To compute for maintenance
Required K= deficit + maintenance
Wt. x 4 (constant)
Ex. 4x 10 kg = 40 meq
C.
required sodium for 24 hours
Add desired + maintenance
Ex : 114+ 40 meq = 154 meq
Running rate : < 0.5 meq/l/hr
(increased running rate can lead to osmotic demyelination)
st
Na correction: by 1 day the rest over 24-48 hours

Potasium (K)
Normal value: 3.5-4.5 meq/l

IVIg Preparation Available

10 ml (500mg/vial)
20 ml (1000 mg/vial)
50 ml (2500 mg/vial)
100 ml (5000 mg/vial)
200 ml ( 10000 mg/vial)

Haesteril 6%
<10 kg
= 10 cc/kg
<20 kg
= 20 cc/kg
> 20 kg
= 30 cc/kg/hr
Ex: WT: 72.9 kg
IVF: 3cc/kg/hr
72.9 kg x 3 cc/kg/hr x 24 hrs = 720 cc
total IVF/day 720 cc = 4528.8 ml
72.9 =
218 cc/hr = 54-55gtts/min (IVF) (-) 7-8 gtts/min (haes)
4
4
= 47-48 gtts /min (IVF rate)
Order:
Hook D5 0.9 Nacl/ D50.3 to run at47-48 gtts/min
Hook 6% haesteril as drip to run at 7-8 gtts per min
Excahnge Transfusion

A. To compute for deficit

(Desired actual) x wt. X 0.3
B. Maintenance
Wt x 4 meq
Running rate : 0.25-0.5 meq/m2/hr
IVF correction should not exceed 40 meq/L
ECG : tall/peaked T waves ; prolonged PR interval, decreased ST wave ;
diappearance of P wave
Serum K if > 6.5 meg/l
Mgt: glucose 0.5 1 g/kg + insulin 0.1-0.2 units/ kg over 30 minutes

total vol (ml) = Wt (kg) x 2 x 85 (bld vol)

Absolute vol. of RBCs needed
wt. x2 x 85
2
Absolute vol. (ml) of RBC needed
WTx2x85 = 0.7
_____ 2________
Actual vol. (ml) of FFP needed
= Wt. x 2 x 85 actual vol of RBC needed

Mannitol (20%)
Dose: 0.3-0.5 g/kg
20 g/100ml x 0.5 (wt)/ X = x
x= 0.5 (wt) (100)
20 gm
X = ________ ml q 6-8 hrs
Ex. 44kg dose 0.3 g/kg
202/100ml x15/x = x (20g) = 15 x 100
x= 1500/20 = 75 ml q6
Aminosteril Feeding
Rate: 0.5-2 grms/ kg/day
Ex. Wt x rate x prep. = ml/day
10 kg x 0.5 grms x 6 grms
kg.day
100 ml
5 gms x 100 ml = 83 ml/day
day
6 grms
= 83 ml = 3.45 ml/hr
Div doses

Bicarbonate Correction
Total Bicarbonate correction
= Wt. x 0.3 x base excess
Calcium Gluconate
Preparation 10% calcium gluconate
= 10 g
= 100 mg
100 cc
ml
maintenance = 150-200 mkday
Ex. Wt x desired ( 4.1 x 200 = 820mkday)
= 100
= 8.2 ml div into doses
X
ml
Blood Transfusion
FWB:
PRBC:
Plt Conc:
FFP:
Cryoppt:

10 cc/kg
10 cc/kg
1 unit/7 kg
10 15 cc/kg
1unit/5 kg

How to compute ANC

4-6 hours
4 hours
fast drip
2-4 hrs

Croup Scoring
score
ABG
pH
pCO2
pO2
HCO3
O2sat
BE +/-

Respi. Stridor
7.35- 7.45
35-45
80-100
22-26
94- 100%
2

Cough

Urine Anion Gap

= urine Na + Urine K U Cl - U HCO3
(+) = low H+ secretion and low ammonium excretion
(-) = urinary bicarbonate loss
Nutrition
TCR = IBW x RDA for age or
TCR = holiday segar method (in kcal/kg)
CHON : 2 gm/kg/day
Fats:
40%
CHO:
60 %
divided into 3 meals and 3 snacks

retraction

Dyspnea

color

none
audible stridor
when agitated
at rest
severe
none
when agitated
croup like at rest
severe
rest
mild
moderate
severe
none
mild
moderate
severe
normal
cyanosis at room air
cyanosis w/02

0
1
2
3
4
0
1
2
3
0
1
2
3
0
1
2
3
0
1
2

Intralipid
WT. x 0.5 /kg = x (gm)
x (g) x 100 ml/10 gm = x (cc)
Hypoxic Ischemic Encephalorathy (Sarnat Scoring)
To order: start intralipid 10% give __ cc
to run for 1 hr. (as test dose) then 14 cc to
run for 20 hrs via infusion/syringe pump
* insert another line
* intralipid should not be mixed with electrolyte containing IVF
Lipid
Dose: 0.5 - 2
Wt x dose x 100/ 20 (if 20% prep)
* add additional amount of D5W total of 24 cc to run at 1 cc/hr for 24 hrs via syringe
pump
* wrap tubing with carbon paper
Gomez Classification
Actual wt.
x 100%
Ht. for age
97-100% normal
st
76-96%
1 deg. Mal.
nd
61-75%
2 Deg. Mal
rd
<60%
3 deg mal.

I
alert
normal or hypertonic
+
active
exagerated
N or inc
N
reg.
N or tachy
dilated reactive

level of conciusness
muscle tone
myoclonus
seizure
suck reflex
moro reflex
grasp
dolls eye
respi.
CR
pupils

II
lethargy
hypotonic
+
+
weak
inc.
exag.
overactivity
varies
brady
aniso
reactive

III
coma
failed
+
absent
dec. 0r apneic
brady
aniso
nonreact.

TABLE 25-3 -- EVALUATION OF CEREBROSPINAL FLUID

WBC Count
Mean % PMNs
3
025 WBCs/mm
57%
3
022 WBCs/mm
61%
3
07 WBCs/mm
5%

Preterm
Term
Child

Waterlowe Classification
Stunting : actual wt. x 100%
Ideal Ht. for age
> 95 %
90-05%
80-90%
<80%

normal
mild
mod
severe

Wasting: Actual wt.

Ideal wt for ht
> 90 %
80-90%
70-80%

x 100%

normal
mild
mod

Preterm
Term
Child

GLUCOSE
2463 mg/dL
34119 mg/dL
4080 mg/dL

Preterm
Term
Child

CSF GLUCOSE/BLOOD GLUCOSE

55%105%
44%128%
50%

Normal range

1.33.5 mmol/L
1.96.6 mmol/L
2.24.4 mmol/L

LACTIC ACID DEHYDROGENASE

530 U/L (or about 10% of serum
value)

Dextrosity:
Desired - lowest x 1
Highest lowest
D10 D5 =
50-5
D7.5 5
50-5

D12.5-5 =
50-5

5 = 0.11
45

= D10

2.5 = 0.055 = D7.5

45
7.5 = 0.166 = D12.5
45

Ex. 59 cc x 0.11 = 6.49 (D5050)

59 - 6.49 = 52 cc
Reticulocyte Index
RI = actual Hct. X Retic. Ct.
desired hct
10
normal value: 1-1.5 normal
> 1 inc. erythropoeisis, inc BM activity, hemolysis
< 1 dec. erythropoeisis, BM failure
Hypoglycemia

premature
neonate
newborn:
1 day
>1 day
child
fasting
2 hours PP

normal glucose value (mg/dl)

20-60
30-60
40-60
50-90
60-100
70-105
<120

Treatment : 2 ml/kg of D10 (bolus)

IV bolus
Ex. BW
= 3 kg
3 x 2 ml
= 6 ml
6 x factor = 6 x 0.11
= 0.66 cc
order: 5.3 cc of present IVF (or D5W) + 0.7 cc of D50-50 to make D10 as bolus

PROTEIN
Preterm
65150 mg/dL
0.651.5 g/L
Term
20170 mg/dL
0.201.7 g/L
Child
540 mg/dL
0.050.40 g/L
CSF, cerebrospinal fluid; PMNs, polymorphonuclear lymphocytes; WBC, white
blood cell.
Modified from Oski FA: Principles and Practice of Pediatrics, 3rd ed. Philadelphia,
JB Lippincott, 1999.

TABLE 25-2 -- EVALUATION OF TRANSUDATE vs. EXUDATE (PLEURAL, PERICARDIAL,

OR PERITONEAL FLUID)
*

Measurement
Transudate
Exudate
Specific gravity
<1.016
>1.016
Protein (g/dL)
<3.0
>3.0
Fluid : serum ratio
<0.5
>0.5
LDH (IU)
<200
>200
Fluid : serum ratio (isoenzymes
<0.6
>0.6
not useful)

3
3
WBCs
<1000/mm
>1000/mm
RBCs
<10,000
Variable
Glucose
Same as serum
Less than serum

pH
7.47.5
<7.4
LDH, lactate dehydrogenase; RBCs, red blood cells; WBCs, white blood cells.
Note: Amylase >5000 U/mL or pleural fluid : serum ratio >1 suggests pancreatitis.
TABLE 1-2 -- MANAGEMENT OF CIRCULATION
*
Location
Rate
Compressions:
(per min)
Ventilation
Infants
1 fingerbreadth below
>100
5:1
intermammary line
Children
2 fingerbreadth below
100
5:1
(<8 yr)
intermammary line
Older
Lower half of stemum
100
15:2
children
(>8 yr)
TABLE 17-3 -- PREDICTED ENDOTRACHEAL TUBE SIZE AND EXPECTED BIRTH
*
WEIGHT BY GESTATIONAL AGE
Weight
ETT Size (mm)
ETT Depth of Insertion
(g)
(cm from upper lip)
700
2.5
7
900
2.5
7
1100
2.53.0
7
1350
3.0
7
1650
3.0
7
2100
3.5
8
2600
3.5
8

Gestational
Age (wk)
24
26
28
30
32
34
36
38

3000

3.54.0

INFANT GROWTH AND CALORIC REQUIREMENTS

Preterm Infants
Term Infants
1520 g/kg/day
Maintaining
weight

5075 kcal/kg/day

10 g/kg/day

Adequate
growth

115130 kcal/kg/day (may be up to 150

kcal/kg/day for VLBW infants)

100120 kcal/kg/day

LABORATORY DIFFERENTIATION OF OLIGURIA

Test
Prerenal
Renal
FENa
<1%
>3%
BUN/Cr ratio
>20 :1
<10 : 1
Urine specific gravity
>1.015
<1.010

TABLE 17-11 -- GUIDELINES FOR USE OF PHOTOTHERAPY IN PRETERM INFANTS <1

WEEK OF AGE
Weight (g)
Phototherapy (mg/dL)
Transfusion (mg/dL)
Consider Exchange
5001000
57
1215
10001500
710
1518
15002500
1015
1820
>2500
>15
>20
GUIDELINES FOR USE OF PHOTOTHERAPY IN PRETERM INFANTS <1 WEEK OF AGE
Weight (g)
Phototherapy
Transfusion (mg/dL) Consider Exchange
(mg/dL)
5001000
57
1215
10001500
710
1518
15002500
1015
1820
>2500
>15
>20

Pls. prepare the following :

French 5 feeding tube #2
3 way stopcock
syringe connector
sterile bottle 1L
10 cc syringe #2
betadine and alcohol
sterile cotton
sterile gauze #2
suture with needle
note: give calcium gluconate 10%
0.7 ml + 0.7 ml sterile water IV
push every 10 exchanges
> give furosemide after exchange
Pulse Cyclophosphamide Therapy
( for Systemic Lupus Erythematosus)
Pre hydration:
- D5W 750 ml to run for 1 hour alternate with D5 0.3 Nacl 750 ml to run for 1 hour
for 2 doses
- Ondansetron (zafran) 8 mg/4ml, 4 mg +50 ml D5W to run for 30 mins
- cyclphophamide 1gm (1000 mg) + 100 ml D5W to run for 1 hour
Post chemo/ cyclophosphamide hydration
- same regulation as pre chemo hydration
- ondansetron 4mg + 50 ml D5W for 30mins
- Prednisone 20 mg OD after breakfast
- TPR q4 and record pls.
- I and O q shift
- limit sodium intake to 2 g/day
- maintain on heplock after 10 hrs. therapy
Materials for Triple Intrathecal (TIT)

CALCULATION OF EXPECTED COMPENSATORY RESPONSE

Disturbance
Primary
pH
Expected Compensatory
Change
Response
Acute
PaCO2
pH
HCO3 by 1 mEq/L for
respiratory
each 10 mmHg rise in
acidosis
PaCO2
Acute
PaCO2
pH
HCO3 by 13 mEq/L for
respiratory
each 10 mmHg fall in
alkalosis
PaCO2
Chronic
PaCO2
pH
HCO3 by 4 mEq/L for
respiratory
each 10 mmHg rise in
acidosis
PaCO2
Chronic
PaCO2
pH
HCO3 by 25 mEq/L for
respiratory
each 10 mmHg fall in
alkalosis
PaCO2
Metabolic
HCO3
pH
PaCO2 by 1 to 1.5 fall in
acidosis
HCO3
Metabolic
HCO3
pH
PaCO2 by 0.251 rise in
alkalosis
HCO3

Lumbar Tap Orders

Please secure consent
Prepare the ff materials:
Sterile gloves size _____
Disposable needle q 23/24
Sterile Specimen bottles #4
Eye sheet
Sterile gauze/cotton
Betadine/Alcohol #1
Secure ___________ for sedation
For HGT prior to LT
Post Lumbar Tap Orders
>Flat on bed for 4 hours
>NPO temp for 2 hours then may feed once
fully awake with aspiration precaution
>Monitor VS q 15 min x 1 hour, q30 mins x
2 hours then q 1 till stable
>Send CSF Specimen to the lab as ff:
bottle #1 : GS/CS; AFB
#2 : RBC, WBC, diff ct.
#3 : protein/sugar
#4 phadebact ( test for strep B, H. I influ, strep Pn, N meningitides)

Blood transfusion Orders

Secure and transfuse (blood product ) to run for hours properly typed and x
matched
IVF to KVO while ongoing transfusion then
Resume present IVF once transfusion is finished
watch out for any untoward signs and symptoms such as fever, chills,
rashes, DOB, tachycardia
hook plain NSS while on BT to run at KVO
monitor vs q 15 minutes while ongoing BT
give paracetamol __ mg SIVP 1 hr prior to BT
Inform PROD once blood product is available
For repeat CBC 6 hours post BT (optional)
Furosemide at 0.5- 1 mg/kg/dose mid

For BMA Orders

prepare the ff Materials

gloves size_____
eye sheet
sterile cotton #1
sterile gauze # 2
glass slides #20
syringe 10 cc #2
5cc syringe #1
betadine #1
lidocaine 2% #2
70% alcohol
secure consent pls. and post BT (depends sa AP)

For exchange transfusion orders

> NPO temp. For 4-6 hours

> secure consent
> prepare the ff. materials:
- sterile gloves size_______
- sterile eyesheet
- sterile cotton balls
- sterile gauze
- sterile water 50 ml #1
- tuberculin syringe #3
- sterile specimen bottle #1
- 2.5 cc syringe #1
> sterile needle g 23 or ___

ACID PHOSPHATASE
(Major sources: prostate and erythrocytes)
Newborn
7.419.4 U/L
7.419.4 U/L
213 yr
6.415.2 U/L
6.415.2 U/L
Adult male
0.511.0 U/L
0.511.0 U/L
Adult female
0.29.5 U/L
0.29.5 U/L
ALANINE AMINOTRANSFERASE (ALT)
(Major sources: liver, skeletal muscle, and myocardium)
Neonate/infant
1345 U/L
1345 U/L
Adult male
1040 U/L
1040 U/L
Adult female
735 U/L
735 U/L
ALDOLASE
(Major sources: skeletal muscle and myocardium)
1024 mo
3.411.8 U/L
3.411.8 U/L
216 yr
1.28.8 U/L
1.28.8 U/L
Adult
1.74.9 U/L
1.74.9 U/L
ALKALINE PHOSPHATASE
(Major sources: liver, bone, intestinal mucosa, placenta, and kidney)
Infant
150420 U/L
150420 U/L
210 yr
100320 U/L
100320 U/L
Adolescent males
100390 U/L
100390 U/L
Adolescent females
100320 U/L
100320 U/L
Adult
30120 U/L
30120 U/L

AMMONIA
(Heparinized venous specimen on ice analyzed within 30 min)
Newborn
90150 g/dL
64107 mol/L
02 wk
79129 g/dL
5692 mol/L
>1 mo
2970 g/dL
2150 mol/L
Adult
050 g/dL
035.7 mol/L
AMYLASE
(Major sources: pancreas, salivary glands, and ovaries)
Newborn
565 U/L
565 U/L
Adult
27131 U/L
27131 U/L
ANTINUCLEAR ANTIBODY (ANA)
Not significant
<1 : 80
Likely significant
>1 : 320
Patterns with clinical correlation:
CentromereCREST
NucleolarScleroderma
HomogeneousSLE
ANTISTREPTOLYSIN O TITER
(4-fold rise in paired serial specimens is significant)
Preschool
<1 : 85
School age
<1 : 170
Older adult
<1 : 85
NOTE: Alternatively, values up to 200 Todd units are normal.
ASPARTATE AMINOTRANSFERASE (AST)
(Major sources: liver, skeletal muscle, kidney, myocardium, and erythrocytes)
Newborn
2575 U/L
2575 U/L
Infant
1560 U/L
1560 U/L
13 yr
2060 U/L
2060 U/L
46 yr
1550 U/L
1550 U/L
79 yr
1540 U/L
1540 U/L
1011 yr
1060 U/L
1060 U/L
1219 yr
1545 U/L
1545 U/L
BICARBONATE
Newborn
2 mo2 yr
>2 yr

1724 mEq/L
1624 mEq/L
2226 mEq/L
[7]

BLOOD GAS, ARTERIAL

1724 mmol/L
1624 mmol/L
2226 mmol/L

Newborn (birth)
Newborn (>24 hr)
Infant (124 mo)
Child (719 yr)
Adult (>19 yr)

Pao2
(mmHg)
60
70
90
96
90110

pH
7.267.29
7.37
7.40
7.39
7.357.45

Paco2
(mmHg)
55
33
34
37
3545

HCO3
(mEq/L)
19
20
20
22
2226

BILIRUBIN (TOTAL)
Cord
Preterm

<2 mg/dL

<34 mol/L

Term

<2 mg/dL

<34 mol/L

Newborn, >1 day

Child
>16 yr

5080 mg/dL
60100 mg/dL
74106 mg/dL

2.84.5 mmol/L
3.35.6 mmol/L
4.15.9 mmol/L

HEMOGLOBIN A1 C
Adult

5.07.5% total Hgb

<2.0
IRON
100250 g/dL
40100 g/dL
50120 g/dL
65175 g/dL
50170 g/dL

Newborn
Infant
Child
Adult male
Adult female

17.944.8 mol/L
7.217.9 mol/L
9.021.5 mol/L
11.631.3 mol/L
9.030.4 mol/L

01 days
Preterm

<8 mg/dL

<137 mol/L

Term

<8.7 mg/dL

<149 mol/L

12 days
Preterm

<12 mg/dL

<205 mol/L

Term

<11.5 mg/dL

<197 mol/L

Preterm

<16 mg/dL

<274 mol/L

Term

<12 mg/dL

<205 mol/L

MAGNESIUM
METHEMOGLOBIN
OSMOLALITY

Conventional Units
1.32.0 mEq/L
<1.5% total Hgb
275295 mOsm/kg

Sl Units
0.651.0 mmol/L
275295 mmol/kg

35 days

Older infant
Preterm

<2 mg/dL

<34 mol/L

Term

<1.2 mg/dL

<21 mol/L

Adult

0.31.2 mg/dL

521 mol/L

Neonate

<0.6 mg/dL

<10 mol/L

Infants/children

<0.2 mg/dL

<3.4 mol/L

BILIRUBIN (CONJUGATED)

CALCIUM (TOTAL)
Preterm
Full term <10 days
10 days24 mo
212 yr
Adult

6.211 mg/dL
7.610.4 mg/dL
9.011.0 mg/dL
8.810.8 mg/dL
8.610 mg/dL

1.62.8 mmol/L
1.92.6 mmol/L
2.32.8 mmol/L
2.22.7 mmol/L
2.22.5 mmol/L

Quantitative

KETONES (SERUM)
0.53.0 mg/dL

Newborn
Child
Venous
Arterial

LACTATE
Capillary blood
<27 mg/dL
520 mg/dL
520 mg/dL
514 mg/dL

Newborn
Child/adult

LIPASE
1085 U/L
9128 U/L
10150 U/L
10220 U/L

[8]

4.205.48 mg/dL
4.405.68 mg/dL
4.805.52 mg/dL
4.645.28 mg/dL

1.051.37 mmol/L
1.101.42 mmol/L
1.201.38 mmol/L
1.161.32 mmol/L

CHLORIDE (SERUM)
98113 mEq/L
98107 mEq/L

98113 mmol/L
98107 mmol/L

LIPIDS
Cholesterol (mg/dL)

Child/ado
lescent
Adult

CREATININE (SERUM)
0.61.2 mg/dL
0.31.0 mg/dL
0.20.4 mg/dL
0.30.7 mg/dL
0.51.0 mg/dL
0.71.3 mg/dL
0.61.1 mg/dL

Newborn
1 mo
25 mo
6 mo15 yr
Adult male
Adult female

FERRITIN
25200 ng/mL
200600 ng/mL
50200 ng/mL
7140 ng/mL
20250 ng/mL
10120 ng/mL

Newborn
Infant
216 yr
>16 yr

FOLATE (SERUM)
565 ng/mL
1555 ng/mL
521 ng/mL
320 ng/mL

Cord
Preterm
03 wk
3 wk3 mo
312 mo boy
312 mo girl
115 yr
Adult male
Adult female

Preterm
Newborn, <1 day

20200 ng/mL
200600 ng/mL
50200 ng/mL
7140 ng/mL
20250 ng/mL
10120 ng/mL

11147 nmol/L
34125 nmol/L
1148 nmol/L
745 nmol/L

-GLUTAMYL TRANSFERASE (GGT)

(Major sources: liver [biliary tree] and kidney)
19270 U/L
19270 U/L
56233 U/L
56233 U/L
0130 U/L
0130 U/L
4120 U/L
4120 U/L
565 U/L
565 U/L
535 U/L
535 U/L
023 U/L
023 U/L
1150 U/L
1150 U/L
732 U/L
732 U/L
GLUCOSE (SERUM)
2060 mg/dL
4060 mg/dL

1.13.3 mmol/L
2.23.3 mmol/L

>130

>240

<100

100159

>160

45

High

<200

200239

Newborn
10 days24 mo
24 mo12 yr
>12 yr

Newborn
Infant
Child
Adult

ERYTHROCYTE SEDIMENTATION RATE (ESR)

Term neonate
04 mm/hr
Child
420 mm/hr
Adult (male)
115 mm/hr
Adult (female)
425 mm/hr

Borderli
ne
110129

High

>200

Desira
ble
<110

HDL
(mg/dL)
Desirab
le
45

Borderli
ne
170199

Preterm
Newborn
Adult
53106 mol/L
2788 mol/L
1835 mol/L
2762 mol/L
4488 mol/L
62115 mol/L
5397 mol/L

LDL (mg/dL)

Desirabl
e
<170

CHOLESTEROL
(see Lipids)
C-REACTIVE PROTEIN
(Other laboratories may have different
00.5 mg/dL
reference values)
CREATINE KINASE (CREATINE PHOSPHOKINASE)
(Major sources: myocardium, skeletal muscle, smooth muscle, and brain)
Newborn
10200 U/L
10200 U/L
Man
15105 U/L
15105 U/L
Woman
1080 U/L
1080 U/L

Cord
Newborn
Infant
Child
Adolescent
Man
Woman

0.03.0 mmol/L
0.562.25 mmol/L
0.52.2 mmol/L
0.51.6 mmol/L

LACTATE DEHYDROGENASE (AT 37C)

(Major sources: myocardium, liver, skeletal muscle, erythrocytes, platelets, and lymph
nodes)
04 days
290775 U/L
290775 U/L
410 days
5452000 U/L
5452000 U/L
10 days24 mo
180430 U/L
180430 U/L
24 mo12 yr
110295 U/L
110295 U/L
>12 yr
100190 U/L
100190 U/L

090 days
312 mo
111 yr
>11 yr

CALCIUM (IONIZED)
Newborn <36 hr
Newborn 3684 hr
118 yr
Adult

530 mg/L

Newborn
16 mo
6 mo4 yr
46 yr
619 yr

PYRUVATE
RHEUMATOID
FACTOR

Preterm
Older

Infant
Adult

Newborn
3 mo10 yr
Adult

PHENYLALANINE
2.07.5 mg/dL
1.23.4 mg/dL
0.81.8 mg/dL
PHOSPHORUS
4.59.0 mg/dL
4.56.7 mg/dL
4.55.5 mg/dL
2.74.5 mg/dL
POTASSIUM
3.75.9 mEq/L
4.15.3 mEq/L
3.44.7 mEq/L
3.55.1 mEq/L

121454 mol/L
73206 mol/L
48109 mol/L

1.452.91 mmol/L
1.452.16 mmol/L
1.451.78 mmol/L
0.871.45 mmol/L

3.75.9 mmol/L
4.15.3 mmol/L
3.44.7 mmol/L
3.55.1 mmol/L

PREALBUMIN
739 mg/dL
834 mg/dL
236 mg/dL
1230 mg/dL
1242 mg/dL
Conventional Units
0.30.9 mg/dL
<30 U/mL

SODIUM
130140 mEq/L
133146 mEq/L

Sl Units
0.030.10 mmol/L

130140 mmol/L
133146 mmol/L

TOTAL IRON-BINDING CAPACITY (TIBC)

100400 g/dL
17.971.6 mol/L
250425 g/dL
44.876.1 mol/L
TRANSFERRIN
130275 mg/dL
203360 mg/dL
215380 mg/dL

1.302.75 g/L
2.033.6 g/L
2.153.8 g/L

UREA NITROGEN
325 mg/dL

1.18.9 mmol/L

Newborn

412 mg/dL

1.44.3 mmol/L

Infant/child

518 mg/dL

1.86.4 mmol/L

Premature (<1 week)

Adult

620 mg/dL

2.17.1 mmol/L

02 yr

URIC ACID
2.46.4 mg/dL

0.140.38 mmol/L

212 yr

2.45.9 mg/dL

0.140.35 mmol/L

1214 yr

2.46.4 mg/dL

0.140.38 mmol/L

Adult male

3.57.2 mg/dL

0.200.43 mmol/L

Adult female

2.46.4 mg/dL

0.140.38 mmol/L

VITAMIN A
(Retinol)
Preterm

1346 g/dL

0.461.61 mol/L

Full term

1850 g/dL

0.631.75 mol/L

16 yr

2043 g/dL

0.71.5 mol/L

712 yr

2049 g/dL

0.91.7 mol/L

1319 yr

2672 g/dL

0.92.5 mol/L

(Thiamine)

VITAMIN B1
5.37.9 g/dL

0.160.23 mol/L

(Riboflavin)

VITAMIN B2
424 g/dL

106638 nmol/L

VITAMIN B12
(Cobalamin)
Newborn

1601300 pg/mL

118959 pmol/L

Child/adult

200835 pg/mL

148616 pmol/L

(Ascorbic acid)

(1,25-dihydroxy-vitamin
D)

VITAMIN C
0.41.5 mg/dL

2385 mol/L

VITAMIN D3
1665 pg/mL

42169 pmol/L

VITAMIN E
<11 yr

315 mg/L

7.035 mol/L

>11 yr

520 mg/L

11.646.4 mol/L
ZINC

70120 mg/dL

Age
26-30 wk
28 wk
32 wk
Term ( cord )
1-3 D
2 wk
1 mo
2 mo
6 mo
6 mo - 2 yr
2 - 6 yr
6 12 yr
12 18 yr
Male
Female
Adult
Male
Female
Age
Birth
12 hrs
24 hrs
1 wk
2 wk
1 mo
6 mo
1 yrs
2 yrs
4 yrs
6 yrs
8 yrs
10 yrs
16 yrs
21 yrs

Hb (g%)
13.4
14.5
15
16.5
18.5
16.6
13.9
11.2
12.6
12
12.5
13.5

10.718.4 mmol/L

Age specific blood cell indices

Ht
WBC
41.5
4.4
45
47
51
18.1 ( 9-30)
56
18.9 (9.4-34)
53
11.4 (5-20)
44
10.8 (4-19.5)
35
36
11.9 (6-17.5)
36
10.6 (6-17)
37
8.5 (5-15.5)
40
8.1 (4.5-13.5)

Plt
254 (180-327)
275
290
290
192
252
150-350
150-350
150-350

14.5
14

43
41

7.8 (4.5-13.5)
7.8 (4.5-13.5)

150-350
150-350

15.5
14

47
41

7.4 (4.5-11)
7.4 (4.5-11)

150-350
150-350

Wbc
9-30
13-38
9.4-34
5-21
5-20
5-19.5
6-17.5
6-17.5
6-17
5.5-15.5
5-14.5
4.5-13.5
4.5-13.5
4.5-13
4.5-11