FLUIDS and ELECTROLYTES:

>5y;>30 kg- D5LR

>3y;>15kg-D5NM

>15kg- D5LRS
<15kg-D5 0.3 NaCl,
D5IMB
*to hydrate: wt x deficit / 8hrs
not to hydrate: wt x deficit/8hrs
DEFICIT
MILD
MOD
SEV

<10kg
50
100
150

>10kg
30
60
90

MAINTENANCE (24H)
0-3 kg- 75cc/kg
3-10 kg- 100
10-20 kg - 75
20-30 kg - 60
30-40 kg - 50
>40 kg - 40

NEONATAL PNEUMONIA
Pls admit
TPR Q4H and record
breastfeeding w/( strict aspiration
precaution)
Labs:
CBC,CXR,U/A,F/A, Bld CS
IVF:
MEDS
Ceftazidime
Oxacillin
Amikacin
PAI w/ Salb
S/O:
MIO Q shift and record
Monitor VS Q4H and record
TSB for fever
W/o for persistence of fever, episodes of
tachypnea and other untoward s/sx
Standby O2 at bedside
Refer prn
AGE w/ mild DHN
Pls admit
TPR Q4H and record
NPO x 4 H (if w/ vomiting)
IVF:
D5 0.3 NaCl 500cc x ___cc/H + 2 meqs
Kcl/100cc IVF postvoiding
Labs:
CBC,APC; U/A; F/A; S.Na,K,Ca
Meds:
S/O:
FD 100cc PLR now
MIO Q shift and record
Monitor VS Q4H and record
Vomitus and stool ct sheet @ bedside
TSB for fever
W/o for persistence of fever and any
untoward s/sx
Replace GI losses vol/vol w/ PLR
Refer prn
t.y.

NEWBORN
0-1day old- 80cc/kg/hr
290
3100
4110
5120
6130
7140
8150
MILD DHN:
30-50 cc/kg/6H D50.3NaCL
MODERATE DHN:
60-90cc/kg/6H
of computed deficit give D5LRx 2 hrs,
the to be given for the next 6 hrs
D50.3NaCl
SEVERE DHN:
>100cc/kg/6H
1/3 with D5LR x 2 H then 2/3 with
D5O.3NaCl x 6H

BRONCHIAL ASTHMA
Pls admit
TPR Q4H and record
Diet: NPO if RR>/= 50cpm
Labs:
CBC,APC;U/A; F/A; Chest X-ray PAL view
IVF:
D5 0.3NaCl 500cc
Meds:
para
hydrocortisone ( 5 mkdose Q4H)
S/O:
MIO Q shift and record
Monitor VS Q4H and record
TSB for fever
W/o for persistence of fever, episodes of
tachypnea and other untoward s/sx
Standby O2 at bedside
Refer prd
t.y.

DENGUE FEVER
Pls admit
TPR Q4H and record
DAT w/ no colored foods
IVF:
D5LR 1L x ___cc/H
Labs:
CBC,APC; U/A; F/A; PT,APTT
BT w/ Rh typing
DNS1AG
Meds:
none temp
S/O:
MIO Q shift and record
Monitor VS Q4H and record
W/o for , narrow pulse pressure,
bleeding episodes and other untoward s/sx
Refer prn
t.y.

BPN:
Pls admit
TPR Q4H and record
Diet for age ( if not tachypneic)
Labs:
CBC,CXR,U/A,F/A
IVF:
D5 0.3NaCl 500cc x
MEDS:
Para p.o/IV (10mg/kg)
Ampi ( 50-100 Q8H)
S/O:
MIO Q shift and record
Monitor VS Q4H and record
TSB for fever
W/o for persistence of fever, episodes of
tachypnea and other untoward s/sx
Standby O2 at bedside
Refer prn
t.y.

AMOEBIASIS
Pls admit
TPR Q4H and record
NPO x 4 H (if w/ vomiting)
IVF:
D5LR 1L x ___cc/H
Labs:
CBC,APC; U/A; F/A; S.Na,K,Ca
Meds:
Metro ( 30-50 mkday p.o Q8H)
7.5mkdose iv
15mkdose-loading dose
Diloxanide ( 20-40mkday x 10 days Q8H)
S/O:
MIO Q shift and record
Monitor VS Q4H and record
Vomitus and stool ct sheet @ bedside
TSB for fever
W/o for persistence of fever and any
untoward s/sx

DHF III
Pls admit
TPR Q2H and record
DAT w/ no colored foods
IVF:
Labs:
CBC,APC; U/A; F/A; PT,APTT
DNS1Ag; BT w/ Rh typing
Meds:
para
Rani (0.8-1mkdose IV Q8-12H)
0.75-1.5mkdose p.o
S/O:
Fd 150 cc of present IVF
MIO Q 2H and record
Monitor VS QH and record
Request 500cc of FFp of px bldtype after
proper crosmatching
W/o for , narrow pulse pressure,
bleeding episodes and other untoward s/sx
Refer prn
t.y.

NEONATAL SEPSIS
Pls admit
TPR Q4H and record
Cont. breastfeeding
IVF:
D50.3 NaCL 500cc x ___cc/H
Labs:
CBC,APC; U/A; F/A; S.Na,K,Ca
Meds:
Ampi ( 50-100 Q8H)
Ceftazidime 95mgIVTT
S/O:
MIO Q shift and record
Daily cord care w/ NSS
W/o for persistence of fever, jaundice
and any untoward s/sx
Phototherapy
Refer prn
t.y.

RHEUMATIC FEVER

Pls admit
TPR Q4H and record
DAT
Labs:
CBC,APC ESR, CRP
IVF:
D5IMB 500cc x
Meds:
Pen G Q6H IVTT ANST ( 92,000)
s/o:
MIO Q4H and record
Monitor V/S Q 4H and record
Complete bedrest w/ no bathroom
privileges, cyanosis Refer for
persistence of chest pain
refer prn.

ANALGESICS/ANTIPYRETIC
PARACETAMOL(Q4H) MEFENAMIC ACID (Q6-8H)
RD: 10-15mkdose po
RD: 5-8mkdose
10mkdose IV
susp: 50mg/5ml
15mkdose-BFC
125mg/5ml
Drps: 100mg/ml
Cap: 250mg/500
60mg/0.6mk
Syrup: 120mg/5ml
ASPIRIN (Q4-6H)
125mg/5ml
RD: 10-15mg/kg/dose
350mg/5ml
upto 60-80mg/kg/24H
Tab: 325mg/tab
anti-inflam:
250mg/tab
60-100mg/kg/24H po
500mg/tab
Kawasaki: 80-100mkday
Amp: 150mg/ml
300mg/ml
NIMESULIDE ( BID)
IBUPROFEN
RD: 2.5-5mkdose
RD: 5-10mg/kg/dose
100mg/tab
po Q6-8H
susp: 100mg/5ml
forte: 200ng/5ml
cap: 200mg

BFC
Pls admit
TPRQ4H and record
NPO temp
Labs:
CBC,APC; U/A;F/A; hgt now then Q6H
while NPO
IVF:
D5 0.3NaCl 500cc + 2 meqs KCL/100cc
IVF postvoiding
Med:
Para; Ibup; diazepam ( 0.2 mkdose)
S/O:

SEIZURE DISORDER
Pls admit
TPRQ4H and record
NPO temp
Labs:
CBC,APC; U/A;F/A; hgt now then Q6H
while NPO
IVF:
D5 0.3NaCl 500cc + 2 meqs KCL/100cc
IVF postvoiding
Med:
none temp
S/O:

MIO q shift and record

monitor VS Q4H and NVS Q H and record
Seizure precaution at bedside
Standby O2, padded tongue depressor at
bedside
Replace GI losses vol/vol w/ PLRS as sidedrip
Refer prn

MIO q shift and record

monitor VS Q4H and NVS Q H and record
Seizure precaution at bedside
Standby O2, padded tongue depressor at
bedside
Replace GI losses vol/vol w/ PLRS as sidedrep

LP ORDERS
flat on bed x 4H
NPO x 4H
send the ff sp to lab as follows:
TT#3-CSF cell ct, diff ct
TT#2-CSF,sugar and protein
TT#1-CSF, Gs/CS, AFB, KOH
RBS now
monitor VS Q15mins until stable
Refer px for any untoward s/sx
S/P EXTUBATION ORDERS
Nebulize w/ Racemic epi now
extubate px now
neb w/ racemic epi Q15 mins x 3 doses
suction secretions
neb w/ salb, 1 neb Q6H
NPO x 6H
CXR, ABG 6H post extubation
O2-6-10 lpm
WOF retractions,tachypnea, and other s/sx,
Racemic Epi: PNSS-4.7 Epi: 0.3(?)ml/5ml

ANTACIDS
RANITIDINE (Q8-12H)
FAMOTIDINE
RD: 0.75mkdose p.o
(Q12H/ IV-Q8H)
0.8-1 mkdose IV
RD: O.2mkdose
Amp: 25mg/ml
amp: 25mg/2ml
50mg/5ml
tab: 20mg/40
Tab: 150mg/300mg
CIMETIDINE (Q4-6H)
RD: 10-15mkday
<1y.o: 20mkday
1-12y.o- 20-25mkday
liquid: 100mg/5ml
Amp:150mg/ml
100mg/ml
tab: 200mg
400mg
AlMg (Maalox)- Q6H
2-4tabs
*Take 30 minutes-1 hour after meal at bedtime
susp: 180 ml; 355ml
Tab: Chewable
f w/ flatulence- AlMG + dimeticone (maalox plus)

Refer prn

MTV:
ASCORBIC ACID
drops 100mg/ml:
<3mos- 0.3ml/day
3-12mos- 0.6ml/day
1-2y.o-1.2 ml/day
syrup: 100mg/ml
2-6y.o- 5ml/day
7-12y.o- 10ml/day
Vit b complex + lysine + beclizine (Appebon
Syrup)
2-6y.o- 1-2tsp OD
7-14y.o-2-4 tsp OD
IRON
1mkday OD-prophylactic
3-6mkday BID-therapeutic
ZINC
10mg-infants
20mg->2y.o
VITAMIN A
6-11mos-100,000IU- 1 dose
12-71mos-200,000IU

ANTI-EMETIC/ANTI-SPASMODIC
METOCLOPRAMIDE
NIFUROXIDE (Ercefuryl)
RD: 0.5mkdose po
<6mos- 10ml
O.2mkdose IV
>6mos-5ml
Amp: 10mg/2ml,
Adult- 1 cap Q6H
5mg/2ml
Susp: 220mg/5ml
syr: 5mg/5ml
Cap: 200mg
tab: 10 mg
DICYCLOVERINE HCl
HYOSCINE N-BUTYL
(Q8H)
BROMIDE(Q6-8H)
RD: 2.5-5mg/kg/day
RD: 0.15mkdose
6mos-2y.o- o.5-1ml
Amp: 20mg/ml
2yo-5yo- 2.5-5ml
tab: 10 mg
drops: 5mg/ml, 15mg/ml
syr: 2mg/ml, 10mg/ml
tab: 10 mg
DOMPERIDONE (motilium)-Q8H *15
RD: O.3mkdose
dyspepsia: Adult-1 tab/2tsp Q8H
susp: 1mg/ml
children; 2.5ml Q8H
tab 10mg
N/V: Adult-2tab/4tsp Q6-Q8H
Children 5ml Q6-Q8H
dyspepsia
n/v
10kg
2.5ml
5ml
20kg
5ml
10ml
30kg
7.5ml
15ml
Adult
1 tab
2 tabs
*to take 15 mins before meals

ANTI-DIARRHEALS
PAROROMYCIN (Humagel)
RD: 20-30 mkday 3-4 divided dose
150mg/cap, 150mg/5ml
RACECADOTRIL (Hidrasec)
1 mos onwards
RD: 1.5mg/kg/day Q8H
BW hidrasec
sachet
<9kg
10mg
1 sachet
9-13kg 10mg
1 sachet
13-27
30mg
1 sachet
>27kg
30mg
2 sachet
Adult 100mg/cap Q 8H
ERCEFLORA- Bacillus clausii
>1mos- 1-2 vials/day
2-11y.o- 1-2 vials/day
Adult- 2-3 vials/day
NIFUROXAZIDE (Ercefuryl)
<6mos- 1 tsp BID
>6mos-1tsp TID

ANTIHISTAMINE

DESLORATADINE
Q12H x 5 days
(Aerius)
RD: 1mg/kg/day
6-11 mos- 2 ml
OR wt /4
1-5yo- 2.5ml
Syrup: 2mg/ml
6-11yo-5ml
Tab: 10 mg; 25mg
>/=12yo- 10ml
amp:5mg/ml
syr: 2.5ml/5ml
CHLORPHENAMINE MALEATE
tab: 5 mg
HYDROXYZINE HCL ( Iterax)

Q8H
RD: 0.2mkdose
Amp: 10mg/ml
vial: 10mg/ml
syrup: 2mg/5ml
tab: 4 mg
*20kg-1/2 amp IM
>20kg- 1 amp IM
CETIRIZINE diHCL- OD-BID
RD: 0.25-0.27 mkdose
drops: 10mg/ml
2.5mg/ml
soln: 1mg/ml
syr: 5mg/5ml
tab: 10 mg

DIPHENHYDRAMINE HCL
RD: 3-5mkdose PO
1mkdose IV
syr: 12.5mg/5ml
Cap: 25mg, 50mg
IV/IM: 50mg/ml

AMINOGLYCOSIDES
GENTAMYCIN- OD-BID
5-8mkday
AMIKACIN OD-BID
RD: 12-15mkday- 15mkdose OD
VANCOMYCIN: RD: 15mkday
ANTIHYPERTENSIVE
FUROSEMIDE
RD: 0.5-1mkdose
Amp: 20mg/2ml
Tab: 4omg
HYDRALAZINE
RD: 0.1-0.2mkdose
Amp: 20mg/ml
tab: 10mg; 15mg;50mg
ASPIRIN
75-100mkday
NIFEDIPINE-Q4-6H
RD: 10mkdose
max: 10mg/kg/24H
SPIRONOLACTONE
1-3.3mkday QID p.o

ANTIHELMINTHICS
MEBENDAZOLE
500mg/tab single dose
100mg/tab or 5 ml BID x 3 consecutive days
20mg/ml susp: 5 ml BID x 3 consecutive days
50mg/ml susp: 10ml SD
Enterobiasis ( 100mg or 5 mg SD rpt 2 or 4 wks)
Susp: 20mg/ml, 50mg/ml
Tab: 100mg;500mg
*deworm @ 2-4 years old
PYRANTEL PAMOATE
RD: 10-20 mkdose
Susp: 125mg/5ml
tab: 125mg; 850 mg
ALBENDAZOLE
RD: 75 mkday
susp: 200mg/5ml
tab: 400mg
QUINOLONES
CIPROFLOXACIN-BID
vial: 100mg/50ml
200mg/100ml
400mg/200ml
tab: 250mg, 500mg

MUCOLYTIC
CARBOCISTEINE- Q8H-Q12h
RD: 30-50mkday
drops: 50mg/5ml
Syr: 100mg/5ml
250mg/5ml
Susp: 250mg/5ml
Cap: 500mg
<3mos- 0.25ml
3-5mos- 0.5
6-8mos-0.75
9-12mos- 1
5y.o- 5 ml
AMBROXOL-Q8H
RD: 1.2-1.8mkday
liq: 15mg/5ml ; 30mg/5ml
Soln for inhalations: 15ml/2ml
Amp: 15mg/2ml
Ped drops: 6mg/ml
tab: 30mg; retard cap 75
ERDOSTEINE- Q12H
RD: 10mkday
10-20kg, 2-6yo- 2.5ml
21-30kg, 7-12yo- 5ml
>30kg, >12yo-5ml TID/ 7.5ml BID

AMEBICIDES
METRONIDAZOLE- Q6H
RD: 30-50 mkday po
7.5 mkdose IV
15 mkdose- loading dose
vial-5mg/ml
IV infusion: 500mg/100ml
Susp: 125mg/5ml
200mg/5ml
FURAZOLIDONE
RD: 4-7 mkday
Liquid: 16.7mg/5ml
Susp:50mg/ml
PARAMOMYCIN
RD: 20-30 mkday
susp: 150mg/15ml
ETOFAMIDE ( kitnos)
RD: 15-20mkday x 3 days Q 12H
Susp: 100mg/5ml
Tab: 200mg; 500mg

BRONCHODILATORS
SALBUTAMOL-TID
RD: 0.13-0.15 mkdose
Syr: 2mg/5ml
100mg/5ml
amp: 1mg/ml
tab: 2 mg
TERBUTALINE- BID-TID
1-15yo-2.5ml
<3yo- 0.075 mkdose
syr: 1.5mg/5ml
soln; 2.5mg/5ml
amp: 0.5mg/ml
tab: 2.5mg
BAMBUTEROL
6-12yo- 5mkdose
oral soln: 1mg/ml
Tab: 10mg
AMINOPHYLLINE/THEOPHYLINE
3-5mkdose
80mg/5ml; 125mg/tab,175mg/tab

susp: 115mg/ml; cap: 300 mg

STEROIDS
PREDNISONE-BID
AMINOPHYLLINE
RD: 1 mkday BID; 2mkday OD
LD: 5-7mkdose
susp: 10mg/5ml
MD:3-5mkdose
syr: 15mg/5ml; 20mg/5ml
Tab: 1mg, 5mg,10,20,30,50
DEXAMETHASONE
RD: 0.5-1mkdose
0.3mkdose initial, then 0.1 mkdose
1-2mg/kg Q6H x 4 doses
rd
*xtubate on 3 dose
COMBIVENTHYDROCORTISONE
200ug Ipatropium
RD:5mkdose Q6-8H
>2y.o-5-8drps
LD: 10mkdose
2Y-3-3 drps
MD: 5 ( max 100)
>4y.o-20drps
Vial inj: 100mg; 250mg; 500mg
PROCATEROL (Meptin)-BID-TID
RD: 0.25mkdose OR 0.25x wt.
syr: 5 meq/ml
tab: 25meq, 50meq
ERDOSTEINE (Ectrin/Zertin)
175mg/5ml-10mkday BID; 300mg/cap BID

ANTI-TB DRUGS
I-10;R-15;S-20;E-25;P-30
ISONIAZID
RD: 5-10
syr: 100mg/5ml
200mg/5ml
tab: 100mg;200mg;300mg
RIFAMPICIN
RD: 10-15mkday
drops: 100mg/ml
Cap: 300; 450mg
PYRAZINAMIDE
RD: 15-30mkday
susp: 250mg/5ml
tab: 500mg
ETHAMBUTOL:
RD:15-25mkday
Syr; 125mg/5ml
tab: 400mg
STREPTOMYCIN
RD: 15-20mg/kg/day
vial: 1gm

ANTI-TB DRUGS
I-10;R-15;S-20;E-25;P-30
ISONIAZID
AMANTADINE HCL
RD: 5-10
RD: 4.4-8.8mkday
syr: 100mg/5ml
syr: 50mg/5ml
200mg/5ml
tab:100mg
tab: 100mg;200mg;300mg
RIFAMPICIN
RIBAVIRIN
RD: 10-15mkday
RD: 10mkdose
drops: 100mg/ml
Syr; 50mg/5ml
Cap: 300; 450mg
Tab: 100mg
PYRAZINAMIDE
RD: 15-30mkday
susp: 250mg/5ml
tab: 500mg
ETHAMBUTOL:
RD:15-25mkday
Syr; 125mg/5ml
tab: 400mg
STREPTOMYCIN
RD: 15-20mg/kg/day
vial: 1gm

CEPHALOSPORINSl
1st Gen:
CEFALEXIN-Q6H
RD: 30-50 mkday po
50-100mkday IV

CEFAMANDOL
RD: 50-100mkday
CEFOXITIN
RD: 50-100mkday IV
CEFPROZIL
RD: 20-40mkday
drops: 100mg/ml
powder: 125mg/5ml
Susp: 125mg/ml
250mg/5ml
250mg/5ml
tab: 250mg; 500mg
Cap: 250mg; 500mg
CEFOTIAM
CEFAZOLIN
RD: 50-100mkday
RD: 50-100mkday IV
tab: 200mg
x 3 doses
vial: 0.5g; 1 gm
vial: 250mg
CEFIXIME-Q12H
Inj: 500mg; 1 g
RD: 3-6mkday po
2nd gen:
15mkday
CEFACLOR-Q8H
drops: 20mg/ml
RD: 20-40mkday
SUSP: 100MG/5ML
drops: 50mg/ml
Cap: 100mg; 200mg
susp: 125mg/5ml
CEFDINIR
250mg/5ml
RD: 9-18mkday
Tab: 315mg; 750mg (BID)Cap: 100mg
rd
Cap: 500mg
3 GEN
CEFUROXIME-Q6-8H
CEFOPERAZONE
RD: 20-40mkday po
RD: 100-150mkday IV
50-100mkday IV
Vial: 1.5g
susp: 125mg/5ml
250mg/5ml
tab: 250mg; 500mg
inj: 250mg; 750mg; 1.5 g
DOPAMINE DRIP
(200mg/250ml-800conc) 0.0375/26.6
(400mg/250ml-1600conc)0.075/13.3
wt X RD X 60 ( 0.075)
Shortcut:
wt x RD
13.3 (800-conc)
wt x RD
26.6 (1600-conc)

Dobu- premix
0.06-1000=250/250in D5W
0.03-2000

to Check: AD: dose given x Prep/60/wt

OR wt x RD x 140D/ 1600/24
LEVOPHED
4mg/4ml; 2mg/ml
e.g 2mg/ml
2/100 x 1000=20concn
(Wt x dose x 60) = ml
concn
To check: ml x conc/60/15=dose

C'EFTRIAXONE-BID
RD: 50-100mkday
Vial: 500mg; 1g;
250mg
CEFTAZIDIME
RD: 30-50mkday IV
Vial: 250mg; 500mg;
1g; 2g
CEFPODOXIME
3-10mkday
susp: 50mg/5ml
tab: 100mg
4th Gen
CEFEPIME-OD-BID
RD:50-100
Vial: 500mg; 1 gm;
2gm

ANTIFUNGAL
NYSTATIN-Q6H
adult and children: 4-6ml
infant: 2ml
tab: 500,000 U
Susp: 100,000U/ml
AMPHOTERICIN B
RD: ).3-0.7mkday
slow IV infusion
*250mcg/kg/day-1 mg/kg/day
Vial 50mg/5ml; 2mg/ml
Cap: 50mg; 100mg; 200mg
FLUCONAZOLE-OD
RD: 3-6mkday
vial 3 mg/ml
Cap: 50, 150mg, 300mg
GRISEOFULVIN
Tab: 125mg/500mg
KETOCONAZOLE x 5 days OD
Adult 200mg/tab
5-12y 100mg/tab
1-4y
50mg/tab

ANTICONVULSANTS/SEDATIVES

MACROLIDES
ERYTHROMYCIN-Q8H
RD: 35-50mkday
granules: 200mg/5ml
400mg/5ml
drops: 100mg/ 2.5ml
tab: 250mg; 500mg
CLARITHROMYCIN-Q12H
RD: 7.5 mkdose

COTRIMOXAZOLE-BID
RD: 5-8mkday
8-UTI; !0-BPN
susp: 200mg/40mg/5ml(40mg/5ml) (wt/2)
400mg/80mg/5ml(80mg/5ml) (wt/4)
tab: 400mg/80mg
800mg/100mg

15mkday
Susp: 125mg/5ml
tab: 250; 500mg
ROXITHROMYCIN-OD-BID
Adult: 150mg/tab; 300mg/tab Q12H
children: >40kg
kiddie tab: 100mg
AZITHROMYCIN-OD-BID
RD: 15-20mkday
susp: 200mg/5ml
tab: 250mg; 500mg
vial: 500mg
CHLORAMPHENICOL-Q6H
RD: 50-100mkday
75 mkday ( Enteric fever)
FT infant>/= 2wk- 25-50mg/kg/day
PT- 25mg/kg/day
vial-1g
susp: 125mg/5ml
cap: 250mg; 500mg

DRIP FORMULA
PHENOBARBITAL
LD: 10mkday
MD; 5 mkday ( max 25 mkdose)

MIDAZOLAM
RD:0.2mkdose
tab: 15mg
amp: 5mg/ml, 5/5,15/3

DIAZEPAM
RD: O.2-O.8mkdose

PHENYTOIN
LD: 10mkdose
MD: 5 mkday
Susp: 30/5,125/5
Cap 30,100

DOBUTAMINE DRIP
2.5-15 mcg/kg/min(max: 40mcg/kg/min)
peak effect:10-20min
prep:
12.5mg/ml x 20ml/vial=250mg/250ml (vial)
Premix: 1000mcg/ml in 250ml=250mg/250ml(1mg/ml)
2000mcg/ml in 250 ml= 500mg/250ml (2mg/ml)
Dobu- premix
wt x RD x60
0.06-1000=250/250in D5W
2000
0.03-2000
OR
wt x dose x 0.06/0.03
wt x RD x 1400/12500
OR
6 x wt in kg=___mg in 100ml(1mcg/kg/min)
e.g:
250mg in D%W 250cc(1mg/ml)
mcgtts/min=(wt x DD)/16.6
= wt x DD xO.O6
500mg in D5W 250cc(2mg/ml)
ugtts/min=(wt xDD)/33.2
=wt x DD x 0.03
*to check: :7.5- Actual x 2000/60/wt
actual x conc/60/wt

6 x wt (kg)xmcg/kg/min= mgin100ml of
D5W/NS
Ml/H
isoproterenol/Epinephrine/Norepi:
.6 x wt (kg)= mgin100ml o
* 1 ml/H will deliver o.1 mcg/kg/min
Dopamine/dobutamine/amrinone/Nitropr
usside
6 x bodywt in kg= mg in 100ml
*. 1 ml/H will deliver 1 mcg/kg/min
dopa/dobu:
6 x body wt (kg) =# mg to add to diluents
to make 100ml volume

FUROSEMIDE DRIP
20mg/2ml
**4ml +20cc PNSS to run @ 1cc/H
(wt)15 x (Dose)0.1 x 24
36 x 2/20=3.6
3.6/4ml=.9 or 1 cc
Prep: 10mg/ml amp ( 2 m)
Dose:
-infant and child-0.05mg/kg/H (titratr to clinical effect)
-adult 0.1mg/kg/H (max: 0.4mg/kg/H)
wt(kg) x dose x 24= mg in 24 ml of NS
to make: 1 ml/H=0.1mg/kg/H
wt(kg) x dose x 24 x 5= mg in 120 ml NS
to make: 5 ml/H=0.1mg/kg/H
*20mg furo + 20cc distilled water to make
conc of 1 mg/ml
infusion rate: 0.05 x wt
e.g:
0.05 x mgx 1=4cc

EPINEPHRINE DRIP
wt x 0.6mg=mg added to 100mgD5W
1cc/H= 0.1 ug/kg/min
5cc/H-0.5cc/min
10cc/H-1mg/kg/min

AMIODARONE DRIP
prep:50mg/ml ampule
Dose;infant and child
5mg/kg over 30 min followed by infusion starting at
5mcg/kg/min
Max dose: 10mcg/kg/min or 20 mg/kg/H
must be diluted in D5W
Infusion concentration should not exceed 2 mg/ml

ml/H= wt x dose x 60
conc
0.1mkd/.1cc/kg/dose
INSULIN DRIP
0.1- 1cc or ml/H
wt x 0.1 x 24= # of ml/cc of insulin to be added to NSS to
make 24 ml soln to run for 24H
MIDAZOLAM DRIP
prep: 5mg/ml amp
Dose:
intermittent 0.05-0.15mg/kg/dose
continuous 1-2mcg/kg/dose
6 x wt (kg) x mcg/kg/min= mg in 100ml of D5W/NS
ml/H
max total dose: 10mg (intermittent)
Can cause respiratory dpression,hypotension,bradycardia

IVIG
dose: 2 g/kg in 12 H or 400mg/kg/dose x 5d
2.5g/vial,dilute w/ 50 ml diluents to make
50mg/ml,administer the ff:
Test dose:
0.5 ml/kg/H x 15 min
NAHCO3
1 ml/kg/H x 15 min
BE x wt. x 0.3 or 1 meq/kg
1.5 ml/kg/H x 15 min
can be given IV push or drip
2 ml/kg/H x 15 min
50mcg/kg
2.5 ml/kg/H x 15 min
Na >1-2 neq/kg
3 ml/kg/H x 15 min
3.5 ml/kg/H x 15 min
4 ml/kg/H x 15 min
If tolerated infuse the rest at ___cc/H for 10H
watch out for headache,flushing,hypotension,fever and
chills
AMINOSTERIL
0.5/kg- inc until 3g/kg

wt (kg) x dose x 60 x 50= mg in 50ml of D5W

1000
to make: 1ml/H=1mcg/kg/min
INSULIN DRIP
prep:1U/ml ampule
Dose:
infant and child 0.1Ukg/H (titrate to clinical effect)
glucose drop=80-100mg/dl/H
wt (kg) x dose x 24 = U in 24ml NS
to make: 1ml/H=0.1 U/kg/H
OR
wt(kg) x dose x 24 x 5= U in 120ml of NS
to make: 5ml/H=0.1U/kg/H
NICARDIPINE DRIP
prep: 2.5mg/ml= 25mg/10ml ampule
Dose:
child 0.5-5mcg/kg/min (titrate to clinical effect)
Adult: start
with 5mg/H, increase dose as needed by
Correction
of hyponatremia
2.5mg/Hmeqs
Q 5-15
min (max dose:15mg/h) decrease by
1ml=2.5
NaCl
3mg/H
as needed to maintain desired response
wt=
1.8kg
S.Na=131.4
d- A x wt x 0.6 (140-131.4x1.8 x0.6=9.2meqs)
+ wt x 3=maintenance ( 1.8 x 3= 5.4)
-4.6 1.8-6.4
-2.3- 1.8-4.1
- 2.3-1.8-4.1

HYPONATREMIA
D-A x wt x 0.6 + (2-3)
maintenance

1st shift:
D5w-6.6
D5IMB-50
NaCL-2.5?
Hypokalemia
D-A x wt x 0.3 + (wt x 2) ?

HYPOCALCEMIA
K/K(?)- 0.1 to 0.3meqs/k/H
N K of body=50meqs
K/R-meqs KCL/# hrs/wt

wt x 0.2 x 8 x 3 x 2 x wt
SK- <3-5%-.05
<2.5-10%-0.10

wt x RD x 100/6%/24
OR
wt. x RD /o.694
* start 1 g x 48H then resume at 2g(?)

NICARDIPINE DRIP
prep: 2.5mg/ml= 25mg/10ml ampule
Dose:
child 0.5-5mcg/kg/min (titrate to clinical effect)
Adult: start with 5mg/H, increase dose as needed by
2.5mg/H Q 5-15 min (max dose:15mg/h) decrease by
3mg/H as needed to maintain desired response
AMINOPHYLLINE DRIP
LD: 5mg/kg BW in 30cc D5W in a soluset (if px is not
maintained on oral theophylline)
Or
25 mg/vial dilute 1 ml + 4ml NSS to make 5 mg/ml
solution. Aspirate ___ml give per i.v. infusion for 30 min
as LD ( 5mg/kg)
D5w 250 cc + Aminophylline 250mg/amp at __ugtts/min
maint drip; 0.4-0.8 mg/kg/H
formula ugtts/min=dose x BW
Note: maintenance infusion ratemust be induced to 0.20.3mg/kg/H for elderly patients, pregnant patients and
those in CHF,liver disease or cor pulmonale
watch out for hypoglycemia and tachycardia

DUET (double vol exchange transfusion)

bld vol- 80cc/kg
e.g wt- 3kg
3 x 80 x 74-60/74=3360/74
45cc to be exchanged
160-180cc/kg/FWB
mothers bld type-wt 80 x 2
INDICATIONS:
S-sepsis
S-S.biliruubin >20mg/dl
H-hypoxia and acidosis
H-Hemolytic dose of NB
A-ABO incomoatibility
P-Prematurity
COMPLICATIONS:
V-Vascular embolism
I-Infection
C-Cardiac arrhythmia
vol overdose
CP arrest
E-Electrolyte imbalance

Consider
photo

photo

Exchange
transfusion
if
Extensive
photo

FiO2- 100% target FiO2 x TFR (S)

79

Exchange
transfusion
if
INtensive
photo

</=24d
25-48

49-72

>72

>/=12
(170)

>/=15
(260)

>/=17
(290)

>/=15
(260)

>/=18
(310)

>/=20
(340)

>/=20
(340)

>/=25
(430)

>/=25
(430)

CORRECTED WBC:
e.g
RBC=7500=75000/500-15
for evry RBC=1 WBC
WBC=37-15=22 corrected
RBC

wt x 0.05 x 50 + wt x (2 /maintenance)

ABG-no correction if <10 B.D

*O
Age

ABG-no correction if <10

B.D

>/=25
(430)

>/=30
(510)

>/= 30
(510)

RESPONSE TO PHOTO *check rebound B2 for 12-24H after disccharge

Bil

Age

Action

<18

Wean to singl photo

</=18

D/C home

</=14

49-7//2

D/Cphoto

</=15

>72

D/C photo

Age in hrs

TSB (mg/dl)

24-48H

<15

15-<20

20-<25

>/=25

49-72

<18

18-<24

25-<30

>/=30

>72

<20

20-<25

25-</=30

>/=30

Tx/rec

OPD

PHOTO

INTENSIVE
PHOTO

PHOTO/ exc trans