BETA LACTAMS

50-100 mkD q6
100,000-200,000 ukD q12
50,000-100,000 ukD q8/q12 (< 7days)
75,000-150,000 ukD q6-q12 (>7days)
500,000 u/K single dose
(Early Syphilis)
50,000 u/K max dose 2.4 M u/dose
(Syphilis)
50 mkD q6

Penicillin
Pen G Crystalline

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

Sumapen
Phenoxymethyl penicillin
125/5 200,000 u/5mL
250/5 400,000 u/5mL
D: 125mg/1.25mL
S: 125mg/5mL, 250mg/5mL
C: 250mg, 500mg
V: 125mg, 250mg, 500mg, 1gm

Ampicillin-Sulbactam
Sultamicillin (Unasyn)

50-100 mkD q6/q8 (N = neonates)

100-200 mkD q4/q6
100-150 mkD q8-q12 (meningitis, N)
200-400 mkD q4/q6 (meningitis)
100-200 mkD q8 IV
1.5-12gm/day IV
50mkD q12 (<30kg)
2.25gm (single dose, gonorrhea)

S: 250mg/5mL
C: 375mg, 750mg
V: 750mg, 1.5gm

Amoxicillin

30-50 mkD q8

D: 100mg/mL
S: 125mg/5mL, 250mg/5mL
C: 250mg, 500mg V: 1gm

30-50mkD q8 po
50-100mkD q8 IV

S: 156.25/5 (125), 228.5/5 (200),

312.5/5 (250), 457/5 (400)
T: 375mg, 625mg
V: 600mg (500), 1.2gm (1000)

Aztreonam
V: 1gm

Meropenem
V: 500mg, 1gm

Imipenem
V: 500mg

V: 500mg, 1gm

20-50mkD q6-q8
100mkD (severe infection)

Cefaclor 2nd gen

20-40 mKD q8

D: 50mg/mL
S: 125mg/5mL, 250mg/5mL
C: 250mg, 500mg

30-50mkD q8 po
50-100mkD q8 IV

20-40 mkD q12

50-100 mkD q8 IV

S: 125mg/5mL, 250mg/5mL
T: 250mg, 500mg,
V: 750gm, 1.5gm

Cefoxitin 2nd gen

80-160 mkD q4-q6 (max 12gm/D)

20-40 mkD (infants)
100-150 mkD q8 IV

V: 500mg, 1gm

Ceftazidime 3rd gen

V: 250mg, 500mg, 1gm, 2 gm

Ceftriaxone 3rd gen

50-100 mkD OD IV

V: 250mg, 500mg, 1gm, 2gm

rd

Cefotaxime 3 gen

100-200 mkD q4-q6

V: 250mg, 500mg, 1gm

3-8 mkD q12

D: 20mg/mL
S:100mg/5mL
C: 100mg, 200mg

Cefepime 4th gen

50mkD q8-12 x 10 days

500mg-1gm q12 (>12 y/o)

V: 500mg, 1gm, 2gm

S: 250mg/5mL,
T:500mg
V: 500/250mg , 1000/500
V: 4gm/500mg, 2gm/250mg

Cefazolin 1st gen

Cefixime 3rd gen

Amoxicillin-Clavulanic Acid
(Co-Amoxiclav)

Piperacillin-Tazobactam

D: 100mg/mL
S: 125mg/5mL, 250mg/5mL,
C: 250mg, 500mg, 1gm

Cefuroxime 2nd gen

Ampicillin

Amoxicillin-sulbactam
(Ultramox)

CEPHALOSPORINS
25-50 mkD q6 (max 4gm/D)

Cefalexin 1st gen

MACROLIDES
30-50 mkD q8-q12 (max 1gm)

Erythromycin
D: 100mg/2.5mL
S: 200mg/5mL, 400mg/5mL,

200-300 mkD q6
150-300 mkD q8 (<6months)
50 mkD q6-q8 (children)
30 mkD q6-q8 (1wk-2y/o)
20 mkD q12 (septic)
40 mkD q12 (meningitic)
15 mkD (max 2gm/D)
50 mkD/ 1-2 gm q6-q8
(max 4gm/D; adult)

Clarithromycin

15 mkD q12 (max 1gm/D)

S: 125mg/5mL, 250mg/5mL
T: 250mg, 500mg
V: 50mg/mL

Azithromycin
S: 200mg/5mL
C: 250mg, 500mg
V: 500mg

10 mkD x 3 days
10 mkD 1st day, 2 mkD 2nd-5th day

AMINOGLYCOSIDES
15 mkD LD
V: 50mg/mL, 125mg/mL,
10 mkD q12 (MD)
Amikacin
250mg/mL

Gentamycin

5-8 mkD q8-q12

V: 40mg/mL, 80mg/2mL

Neltilmicin

Ciprofloxacin
6-8 mkD OD

V: 50mg/mL, 75mg/mL

T: 250mg, 500mg
V: 2mg/mL infusion

Levofloxacin

Tetracycline

TETRACYLINE
25-50 mkD

FLUOROQUINOLONES
7.5-15 mkD
8mkD q12 (250mg max)

T: 250mg, 500mg
V: 5mg/mL infusion

C: 250mg, 500mg

Doxycycline
C: 100mg

4.4 mkD
2.2 mkD

OTHERS
50-100 mkD q6-q8 PO
50 mkD q6 IV
25 mkD q6 (neonates)

Chloramphenicol
S: 125mg/5mL
C: 250mg, 500mg
V: 1gm

Co-trimoxazole

5-8 mkD q12

S: 40mg/5mL (200), 80mg/5mL

(400), 160mg/5mL (800)
T: 400mg/80mg, 800mg/160mg

Clindamycin
S: 75mg/5mL granules
C: 150mg, 300mg
V: 150mg/mL SIVP in 30mins

Vancomycin
V: 500mg

Metronidazole
S: 125mg/5mL
T: 500mg
V: 5mg/mL

Pyrantel Pamoate
S: 125mg/5mL
T: 125mg

Mebendazole

S: 200mg/5mL
T: 200mg, 400mg, 800mg
V: 250mg

Amantadine
T: 100mg, 250mg
V: 500mg

Methisoprinosol
(Isoprinosine)

200 - 500 mkD OD single dose

S:20mg/mL, 50mg/mL
T: 100mg, 500mg

x
NB: 5mkD q8-12 po
Infant/child:
15-25mkD q6 IV
20-30 mkD q6 PO
<1200g (0-4wks) 15mkdose OD
>1200g (0-1wk) 20mkdose OD
(1-4wks) 30mkdose OD
Infant/child:
20mkdose q8 PO
60mkD q8 1-3 hr infusion
30-50 mkD q8-q12 PO
15 mkD LD, 7.5 mkD q8

ANTI-HISTAMINES
6mons-1y/o 1mL OD
D: 2.5mg/mL, 10mg/mL
1-2 y/o 2.5 mg BID (5 drops BID)
S: 1mg/mL, 5mg/5mL
1mL OD or BID
T: 10mg
2-5 y/o tab BID or tab OD
5mL OD or 2.5mL BID
6-12 y/o tab BID
10mL OD or 5mL BID
>12 y/o 1 tab OD
Diphenhydramine
1-2 mg/kg IV (max 100mg/dose)
Cetirizine

S: 12.5mg/5mL
C: 25mg, 50mg
V: 50mg/mL

Hydroxyzine HCl

Acyclovir

ANTI-PARASITIC
11 mkD x 3 doses OD

ANTI-VIRALS
10-20 mkD q6
200mg 5x daily (adult, children, >
2 y/o)
adult dose (children < 2 y/o)
5-9 mkD q12 (<8y/o)
100-200mg (>8 y/o; not >
200mg/D)
50 mkD q6-q8

S: 250mg/5mL
T: 500mg

S: 2mg/mL
T: 10mg, 25mg

Loratadine
S: 1mg/mL, 5mg/5mL
T: 10mg

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

Promethazine HCl
(Phenergan)

3-5 mkD PO
2-6 y/o 2.5 mL q6/q8
6-12 y/o 5mL q6/q8
1-2 mkD q12 PO
Adult: 25mg BID -QID
1-2 y/o 2.5mL OD
2-12 y/o <30kg 5mL
>30kg 10mL
>12y/o: 1 tab OD
<1y/o: 2.5mL TID
1-3y/o: 2.5-5mL TID
>6y/o: 5mL TID
7-12y/o: tab TID
Adult: 1 tab TID or 2 tsp TID
IV/IM: 1mL OD
1mg/kg IM

V: 25mg/mL

ANTI-FUNGAL
12 mkD LD
6 mkD MD

Fluconazole
T: 50mg, 100mg, 150mg
200mg
V: 2mg/mL

Ketoconazole

5 mkD OD (<15kg)
100 mkD OD (>20kg)
200 mkD OD (>30kg)
10 mkD

T: 200mg

Griseofulvin
T: 125mg, 500mg

Amphotericin B

MD 0.5-1 mkD OD

V: 5mg/mL, 50mg/10mL

Rifampicin (R)

ANTI-TUBERCULOSIS
10-20 mkD OD AC

D: 100mg/5mL
S: 200mg/5mL
C: 150mg, 300mg, 450mg

Isoniazid (H)

10-20 mkD OD AC

120mg OD

T: 120mg, 180mg

Betamethasone
T: 500mcg
V: 1mL, 2mL

Dexamethasone
T: 500mcg, 750mcg, 4mg
(forte tab)
V: 2mg/mL, 4mg/mL,
5mg/mL

Hydrocortisone
T: 20mg
V: 100mg, 200mg, 250mg,
400mg, 500mg

Prednisone

S: 200mg/5mL
C: 75mg, 100mg, 200mg,
300mg, 400mg

Pyrazinamide (Z)

Fexofenadine

S: 10mg/5mL
T: 5mg, 20mg

STEROIDS
0.0178-0.25 mkD q6-q8 (max
9mg/D)
0.5-1mkD for ICP
1 mkD q4-q6 for cerebral edema
0.2-0.5 mkd for bacterial
meningitis
5mg 10mg iv q6 (adult dose)
10-15 mkD LD, 4-6 mkD q6-q8 MD
(asthma)
3-4 mkD (Dengue)
1-2 mkD q12
BSA x 60 mkD (Nephrotic)
z

15-30 mkD OD PC

S: 250mg/5mL
C: 400mg, 500mg

Ethambutol (E)
C: 275mg, 400mg, 800mg

Streptomycin (S)

15 mkD OD
5-25mKD (<2 months)
10 mkD OD Q 48 or EOD

V: 1gm

ANALGESIC & ANTI-PYRETIC

60-80 mkD
T: 80mg, 100mg, 325mg
RHD: 100mkD (1st 2 wks), 75 mkD
(4 wks)
Anti-inflammatory: 60-90 mkD
Kawasaki: 80-100mkD q6
Indomethacin
1-2 mkD x 3 (PDA)
Aspirin

COUGH & COLDS

Chlorpheniramine maleate
0.2-0.3 mkD
S: 2mg/5mL
>12 y/o: 5mL TID or 1 tab TID
T: 4mg
V: 10mg/mL

Ambroxol
30mg/tab
Syrup (15mg/5mL)

C: 100mg

Ibuprofen

6-8 mkd q6

D: 100mg/2.5mL
S: 100mg/5mL, 200mg/5mL
C: 200mg, 800mg

Mefenamic Acid

Infant drops (6mg/mL)

6.5 mkd q6

Syrup (100mg/5mL)

Meperidine
Midazolam

0.1-0.2 mkd q6 (max 15mg)

Carbocisteine

S: 50mg/5mL
C: 250mg, 500mg

0.1-0.2 mkd IM, IV

Erdosteine

5-7 mkD q8-q12 (>2y/o)

S: 175mg/5mL
C: 300mg

6 mkD/ 0.5-1 mkD

0.2 mkd

T: 15mg
V: 1mg/mL, 5mg/mL

Morphine

Syrup (250mg/5mL)

Drops (50mg/mL)

T: 10mg, 30mg, 60mg,

100mg
V: 10mg/mL
V: 10mg/mL

Naproxen
T: 275mg, 550mg

Paracetamol
D: 100mg/mL
S: 120mg/5mL, 250mg/5mL
T: 80mg, 500mg
V: 150mg/mL, 300mg/2mL
Supp: 125mg, 250mg

10-15 mkd q4

Procaterol (Meptin)
S: 5mcg/mL
T: 25mcg, 50mcg

Salbutamol + Guaifenesin

Acetylcysteine (Fluimucil)
Sachet: 100mg, 200mg
S: 100mg/5mL
T(effervescent): 600mg

Guaifenesin
S: 100mg/5mL
C: 200mg

Phenylpropan
olamine

Nalbuphine

Drops (6.25mg/mL)

Syrup (12.5mg/5mL)

>10y/o
1 tab TID
5-10 y/o tab TID
>10y/o
10mL TID
6-10 y/o 5mL BID-TID
2-5 y/o
2.5mL BID
1-2 y/o
1.25mL BID
7-12 mos 1mL BID
<6 mos
0.5mL BID
2-3 y/o 5mL TID
4-7 y/o 10mL TID
8-12 y/o 15mL TID
2-3 y/o 2.5mL TID
4-7 y/o 5mL TID
8-12 y/o 7.5 mL TID
<2 mons
0.3mL TID
3-6 mons 0.6mL TID
7-12 mons 0.9mL TID
13-24mons 1.2mL TID
>30kg
10mL BID
20-30kg 5mL TID
15-19kg 5mL BID
< 5y/o 0.25mKD BID-TID
>6y/o 5mL or 25mcg/tab OD-BID
Adult 20mL or 50mcg/tab OD-BID
>12 y/o 10mL TID, 1 cap BID-TID
6-12 y/o 1tsp TID
2-6 y/o -1tsp TID
Children: 100mg BID-QID
Adult: 200mg BID-TID, 600mgOD
6-12 y/o 5mL TID-QID
Adult: 5-10mL TID-QID
1-2cap TID-QID
1-2 y/o
1mL QID
7-12 mos 0.75mL QID
4-6 mos
0.5mL QID
1-3 mos
0.25 mL QID
2-6 y/o
2.5mL QID
7-12 y/o
5mL QID

GASTRO MEDS & ANTI-ULCERS

Al Mg (OH)3 (Maalox)
2-4 tabs 20 mins pre meal and HS
Al Mg (OH)3 +
2-4 tsp or tab QID
dimethicone
Bisacodyl (Dulcolax)
5-10 mg (6-12 y/o)
T: 5mg
10-15 mg (>12 y/o)
Supp: pedia 5mg, adult
10mg

Hyoscine-N-butylbromide
(Buscopan)
T: 10mg
V: 20mg

Cimetidine

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

100mg/day
Infants & young children 0.3-0.6
mkD
5 mkD q6 LD, 5-10 mkD q6

T: 200mg, 400mg
V: 100mg/mL, 150mg/mL

Ranitidine
T: 75mg, 150mg, 300mg
V: 25mg/mL

Dicycloverine
D:5mg/mL
S: 10mg/5mL
T: 10mg

Domperidone

1 mkD q8
Adult: 150mg BID or 300mg OD
6 mons-2 y/o 0.5-1mL QID
2-5 y.o 2.5-5mL QID
6-12 y/o 5 mL QID
0.2mL kg/dose q8

D: 5mg/mL
S:1mg/mL 5mg/5mL
T:10mg

Erceflora
Lactulose
Omeprazole

1 vial BID x 5 days

2mL/kg/dose q6
0.6-0.7 mkD OD

C:20mg,40mg
V: 40mg

Nitrofuroxide
(Ercefuryl)

<6 mons: 1 tsp BID

>6 mons: 1tsp TID

S:218g/5mL
C:200mg

Prozinc
Drops 0.5-1mL OD
(1mL= 10mg elemental Zn)
Syrup 2.5-5mL OD
(5mL =20mg elemental Zn)

Racecadotril (Hidrasec)

NEPHRO MEDICATIONS
Nephrotic: >40mg/day
Hypoalb: <2.5mg/dL
60mkD x 4-6 weeks then 40mkD
(am) x 2-3 months
Alternate day dose
If steroid resistant: +2 protein q8
weeks
If steroid dependent: relapse
within 28 days
Frequent relapse: relapse> 12x
per month
Cyclophosphamide
2-3 mkD single dose 8-12 weeks
Prednisone

<6 mons: 10mg

>6 mons: 20mg

<9kg:
9-13kg:
13-27kg:
>27kg:
Adults:

10mg/sachet TID
10mg/2sachet TID
30mg/sachet TID
30mg/2sachet TID
100mg/cap TID

RESPIRATORY MEDICATIONS & BRONCHODILATORS

Aminophylline
3-5 mkD (0.6-0.9mk/hr)
5mg/mL
LD: 3-6mg/kg x 20-30mins
MD: 2mkd q8
MD: 1-9y/o 0.8
1-1.2hr
9-12 y/o: 0.7
0.9hr
2-16 y/o 0.5
q6-8
Eg
20kg = (wt x dose) / preparation
(20 x 5) / 5 = 20cc SIVP as LD
(20 x 2) / 2 = 8cc SIVP q8 as MD
Hydrocortisone (Solu10mkd LD, 4-9mkd MD
Cortef)
10-20 mkD LD
V: 100mg, 200mg, 250mg
5-6 mkD q8 MD (asthma)
3-5m mk/dose IV
Salbutamol
0.15-0.30 mkD q6
S: 2mg/5mL
T: 2mg

Terbutaline
1.5mg/5mL syrup,
5mg/2minebule

0.075 mkd q6 PO
0.01 mkd (max 0.5cc)

NEUROLEPTICS & ANTI-CONVULSANTS

0.2-0.3 mkD
T:,5mg,10mg/tab
Max dose: <5y/o: 5mg;
V: 5mg/mL, 10mg/mL
>5y/o: 10mg
Drip: 50mg (10cc) + 250cc 0.9 NSS
to run at 1cc/kg/hr
Carbamazepine
20-60mg/day inc by 20-60mg OD
(Tegretol)
(<4 y/o)
100mg/day inc by 100mg weekly
(4y/o)
10-20 mk MD
Mannitol 20%
2.5-5cc/kg q6-q8
Phenobarbital
10-20 mkd LD
20mg/5mL; grain 1=60mg
5 mkD q12 MD
T: 15mg, 30mg, 60mg, 90mg
Max: 1-2gms (300mg)
Diazepam

V: 130mg/mL

Phenytoin (Dilantin)
S: 30mg/5mL, 125mg/5mL
V: 50mg/mL

Valproic Acid
S: 250mg/5mL
V: 100mg/mL

10-20 mkd LD
5 mkD q12 MD
Max: 1 gm
15mkD (LD) OD/BID
20mKD q8 (MD)

ANTI-HYPERTENSION / CARDIAC/ DIURETIC/ EMERGENCY

MEDICATION
Aldactone
2-3.5 mkD
Amiodarone
10mkd 30min-1hr LD
Aspirin
65 mkD
st
RHD: 1 2 weeks 100mkD
4 weeks 75mkD
Anti-inflammatory 60-90 mkD
Kawasaki: 100 mkD,q6
(-) Fever: 8-10 mkDs
Acetazolamide
20 mkD
(Diamox)
250 375 mg/day
T: 250 mg

Captopril
Ca Gluconate

0.5-1 mkD q8
25 mkd q8
Dilute 1 mL n 2 mL sterile water
0.33/kg (27mg ca/cc)
30-50 mkd q8
0.05 mg/kg IV/IM
5mg rapid IV push
1 mkd q6-12 IV

V: 100mg/mL

Ca Chloride
Ca Carbonate
Digoxin
Diazoxide
Furosemide

DOBUTAMINE DRIP
Wt x 60 x desired dose
Conc. of dobu drip
Desired dose
Renal: 2-5
Cardiac: 5- 10 (6-15)
Adrenergic: 7-8
Concentration Dopa
125
6
250
12.5
500
25
1000 (Premix) 11
Ex. Start Dobu drip
Dopa
D5W

D5W
43
37.5
25
29

12.5
37.5
50cc x 4-5ugtts

T: 20,40,60mg
V: 20mg/mL

Hydralazine
T: 10mg, 25mg, 50mg
V: 20mg

Nifedipine

0.15-0.3 mkdose q4-6 IV

1-3mkD q4-6 po
0.25 mkD q4-q6 PO

C: 5mg, 10mg

Amlodipine

5mg/tab OD-BID

T: 5mg, 10mg

Propranolol

1-2 mkD q6-12

T: 5mg, 10mg

EPINEPHRINE DRIP
Prep: 1mg/ml
Dose: 0.1 1mkdose

DRIPS

(Wt x dose x 6) x 0.1(running rate)

DOPAMINE DRIP

Dopamine
1-2 mcg/kg/min
DOPA DRIP
Wt x 60 x desired dose
Conc. of dopa drip

1 cc
99 cc
100 cc x ____ugtts/min

OR
Dose: 0.5-1mkdose
Wt x 60 x dose
20

Desired dose
Renal: 2-5
Cardiac: 5- 10
Adrenergic: 7-8

Ex. Start Epi drip

Epi
D5W

Concentration Dopa
100
6.25
200
12.5
400
25
800 (Premix) 11
Ex. Start Dopa drip
Dopa
D5W

Ex. Start Epi drip

Epi
D5W

D5W
43.75
37.5
25
39

12.5
37.5
50cc x 4-5ugtts

1 cc
49 cc
50 cc x ___ugtts/min

Titrate by 0.1 dose

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

LIDOCAINE DRIP
Dose: 2-10mkdose OR 0.5-1.0mkd q10mins, max 5mg/kg
Bolus: 1-2mkdose
Wt x 60 x dose = running rate
4000
Ex. Start Lidocaine drip
Lidocaine
D5W

Lanoxin

10cc
40cc
50cc x ____ugtts

TDD: 0.035 x wt
LD: TDD x 4 doses q6
MD 1/10 TDD x 2 doses q12

OR
Wt x 0.004 x 2
0.05 (elixir)
* should not exceed weight of px
0.04/kg loading divide by 4doses
0.04 maintenance/ dose
0.5max/day
Elixir 0.05 mg/ml
Tab 0.25mg/tab
IV 0.025mg/ml or 0.5mg/2cc

AMINOPHYLLINE PUSH
Prep: 25 mg/ml
Dilute 25 mg/ml vial in 4cc PNSS to make 25 mg/5ml
concentration
Then get 1cc to have 5 mg/ml concentration
Neonates
LD: 4-6
MD: 1.5-3mkdose q8-12
Order: give 2.4cc of aminophylline as loading dose + EAD
then after 12 hours give 1.2 cc IV q8
OR
3-5mkD (0.6-0.9mk/hr)
LD 3-6mg/kg x 20-30mins
MD
2mkdose q8
MD
1-9y/o 0.8- 1-1.2hr
9-12y/o 0.7- 0.9hr
12-16y/o 0.5
q6-8 (5mg/ml)
Ex: 20kg

wt x dose = 20x5 = 20cc SIVP as LD

Prep
5
8cc SIVP q8

NITROGLYCERIN DRIP
Dose: 0.25-5ug/kg/min dose; can start at 0.15
Prep: 10mg/ml or 100mg/10ml
Running rate = Wt x 60 x dose
100
Ex. Start Nitroglycerin drip
NTG
5 cc
D5W
45 cc
50 cc x ___ugtts/min

MILRINONE DRIP
Dose: 0.3-5ug/kg/min
Prep: 10mg/ml

AMINOPHYLLINE DRIP
Dose: 0.2-0.4
wt x dose = 3 x 0.4 = 0.6cc
2
2
Ex.
Aminophylline 0.6 cc
D5 W
99.4 cc
100cc OR 80cc to run for 12 hours at 8- 9
ugtts/min

TERBUTALINE DRIP

Running rate = Wt x 60 x dose

200
Ex. Start Milrinone drip
Mil
10 cc
D5W
40 cc
50 cc x ___ugtts/min (5cc/hr)

(0.1-0.4ug) x wt. x 60 x 8 =___

500ug/ml
Ex.
Terbutaline =
D5W = ___
80cc OR 100cc x 10 ugtts/min (8hrs)

Defibrillation: 2.5joules/kg x 3

BRICANYL DRIP
Dose: 30-40ug
Wt x dose = in cc
500
Ex.
Bricanyl =
D5W = _____
120cc x 24 hours

Tonic-Clonic

Absence
Myoclonic
Partial
Undentifiable

Carbamazepine
Clonazepam
Ethosuximide
Phenobarbital
Phenytoin
Valproic acid
Gabapentin
Lamotrigine
Topiramate
Leviteracitam
Oxcarbazepine

ANTI-SEIZURE DRUG
st
nd
1 line
2 line
Valproic Acid,
Lamotrigine
Carbamazepine,
(Lamictal)
Phenytoin
Oxycarbazepine
(Trileptal)
Valproic Acid
Exthosuximide
Lamotrigine
Na valproate
Lamotrigene
Carbamazepine
Lamotrigene
Phenytoin
Oxacarbazepine
Valproic acid
Na valproate
Lamotrigene

MULTIVITAMINS
<3 months: 0.3mL OD
3-12 months: 0.6mL OD
1-2 y/o: 1.2mL OD
2-6 y/o: 2.5mL OD
7-12 y/o: 5mL OD
>12 y/o: 20mL or 1 tab OD

ANTI-SEIZURE DRUGS
10-30 mkd bid- tid
0.1-0.3 mkd tid-qid
15-40 mkd tid-qid
2-5 mkd bid-tid
5-8 mkd bid,tid
30-80 mkd od,bid,tid,qid
15-45 mkd tid
5-15 mkd bid, tid
5-9 mkd bid
20-40 mkd bid
8-10 mkd bid

Rh Immunoglobulin: WinRho
Dengue
Dose: 50ug/kg/dose
Prep: 300ug/vial
I vial x 9-10mins
Dilute to complete 8.5cc to run for 10mins/vial
Use D5W to dilute
Kawasaki
Dose: 75ug/kg as single dose
Contraindication: hct <100, Rh+
Request CBC PC OD after 24hrs x 3days

FLUIDS
IVF

Dext

Na

Cl

D5W

50g

170

D10W
D20W
D50W
LRS
NSS
D5 0.9NaCl
D5
0.45NaCl
D5 0.3 NaCl
PLR
D5LR
D5IMB

100g
200g
500g

340
680
170
Ca-3

130
154
154
77

109
154
154
77

50
50

51
130
130
25

51
110
110
22

43
4
20

D5NM

50

40

40

13

D5NR

50

140

98

50
50
50

Lac

28

27
23

Kcal/L

<10
Ca: 3
170
Mg: 3
PO4: 3
170
Mg: 3
Mg: 3,
Gluc: 23

HCO3

DESFERAL
Dose: 20-45 per/kg/dose
infuse in 100cc PNSS then give before and after BT to run
for 6hrs
5cc/kg prbc x 2hrs x 4doses q8 or as ordered

Fentanyl
Prep: 100mcg/2ml
Dose: 1-4mcg/kg dose q2-4 SIVP; 5-10 for anesthesia

27
27
23

Ex: Wt 1kg
Dilute 100mcg/2ml solution in 8cc sterile water to make a
concentration of 10mcg/ml,
then give 0.1cc (1mcg/kg) q4 SIVP

16

Amphotericin B
Prep: 50mg/vial,
Dose: 0.1mkD, max 30-35mk in 3wks
Should be properly covered
Dilute 50mg vial in 10cc D5W to make a concentration of
5mg/10ml,
then aspirate 1cc + 4ccD5W = 5mg/ml,
then aspirate from the solution, 1cc + 9cc D5W = 1mg/ml,
then aspirate from the solution 1cc to make 0.1mg/ml
Wt 1kg
Test dose: 0.1mk
1cc of the solution + 19cc D5W x 30mins
Day1 0.25mk: 2.5cc + 17.5cc D5W x 4hrs
Day2 0.5mk: 5cc + 15cc D5W x 4hrs
Day3 0.75mk: 7.5cc + 12.5cc D5W x 4hrs
Day4 1mk: 10cc + 10cc D5W x 4hrs then OD

IVIG transfusion
Prep: 2.5gm,5gm,2500mg,/50ml vial
Dose: 2g/kg single dose
Pre-meds: diphen & hydrocort
Ex: wt 10kg
Wt x dose = # vials x 50ml = ___ ml in 12hrs
prep
test dose: wt x 0.01 x 30 mins