GLASGOW COMA SCALE

APGAR score Adult Infant

0 1 2 Eye Opening
Appearance body blue body pink complete 4 spontaneous spontaneous
Ext. pale ext. blue pink 3 to speech to speech
Pulse 0 <100 >100 2 to pain to pain
Grimace --- grimace sneeze, 1 none none
cough, Best Verbal Response
cry 5 oriented oriented
Activity limp flexion active motion 4 confused wrds/confused
Respiration --- slow/irreg good/strong 3 inappropriate vocal sounds
Cry 2 non-spec sounds cries
INDICATION for PPV: 1 none none
1. Apnea Motor Response
2. CR<100 6 follows command
3. Persistent central cyanosis 5 localizes pain
PREMATURITY POINTERS: 4 w/draws frm pain localizes pain
1. temp. management 3 abnormal flexion flexion
2. immature lungs 2 abnormal ext ext
3. ICH 1 none none
4. hypoglycaemia 0-6 months = 9 6mos – 1 yr = 10
5. NEC 1-2yrs = 12 2-5 yrs = 13
6. O2 injury >5yrs = 14

MNEMONICS:
WEIGHT: birth = 3000gm
VITAL SIGNS: NORMAL VALUES <6mo .= age in mo. X 600 + BW
6-12mo. = age in mo. X 500 + BW
Temp: rectal ↑ by 10C 1-6yr = age in yrs. X 2 + 8
Oral – 12yr = age in yrs X 7 – 5
Axillary ↓ by 10C 2
RR = 40-60 HEIGHT: birth = 50cm
CR = 120-160 awake, 70-80 asleep Add: 9cm = birth-3mos 8cm = 3-6mos
5cm = 6-9mos 3cm = 9-12mos
FONTANELLE, Closure: Age in years X 5 + 80 = ht. in cm
Anterior= 9-12 mos Age in years X 2 + 32 = ht. in inches
Posterior= 2-4 mos WATERLOWE CLASSIFICATION
URINE OUTPUT= 1.5-3cc/kg/H Stunting Wasting
CVP= 2-8cmH20 Normal >95% >90%
Spec. Grav.= 1.008-1.015 Mild 90-95% 80-90%
↑ICP: Moderate 80-90% 70-80%
1. bulging anterior fontanelles Severe <80% <70%
2. separated sutures SERUM OSMOLALITY
3. paralysis of upward gaze (setting-sun) sign NV = 208-300mOsm/L
4. prominent veins of the scalp 2(Na) + BUN mg/dL + glucose mg/dL
mOsm/L = BUN/2.8
Glucose/18
URINE OSMOLALITY: CPAP:
Nv = 400-600mOsm/H Ca=100-desired FIO2 X CPAP/79 = ans X PEEP
(USG-1) (40,000) O2=CPAP-CA CA=ans pH = ans CA
BLADDER CONTENT FIO2=CA X 0.21 X FIO2/TFR X 100
<1 yr = wt X 7 VBG = ↓ph ↑pCO2
>1 yr = age in yrs + 2 X 30 DAILY FLUID REQUIREMENT
Gastric capacity: wt X 10 DAY PT T SGA VLBW
ALBUMIN: 20-25gm/100cc (20-25%) 1 80 60 60 40/60
= 1-2gm/kg X 2H or (4.5cc)(wt) or 2 90 70 80 50
Wt X dose X 100/20 or 25cc X 2H 3 100 80 100 60
INTRALIPID: 10-20% 4 110 90 150 70
= Wt x dose x 100/10-20 5 120 100 180 80
= 3gm/kg/D 6 130 110 200 90
= ↑0.5g/kg/D, ↑0.5g daily until 3gm/kg/D is reached 7 140 120 220 100
Pp: 10-20gm/100cc (1.1-1.9cal/cc) 8 150 130 240 110
UMBILICAL CATHETERIZATION:
Wt X 3 + 9/2 +8 = Wt X DFR
SURFACTANT = 1cc/kg/quadrant 24 hrs
No suctioning after 1 hour
ISOLETTE: <1800gm • If with other IVF: (-) to total DFR
• If with phototherapy: (-) 25%

To: Rate PIP PEEP IT FIO2

↑PaCO2 ↓ ↓ NA NA NA DAILY CALORIC INTAKE
↓PaCO2 ↑ ↑ NA NA NA
↑PaO2 NA ↑ ↑ ↑ ↑ AGE cal/day CHON in grams
↓PaO2 NA ↓ ↓ NA ↓ 0-6m 110-115 2.5
7-12m 110-115 2.5-3
ANAPHYLAXIS 1-3y 110 2-2.5
1. Epinephrine 0.01ml/kg SQ(MAX=0.3ml) 4-6y 90-100 2.25
Repeat q 15 min prn 7-9y 80-90 1.5-2
2. O2, IVF 10-12y 70-80 1.5-2
3. Diphenhydramine 1-2mkd IM, IV, PO 13-15y 55-65 1.5
4. Corticosteroid: methylprednisolone 2mg/kg 16-19y 45-55 1-1.5

BRONCHOSPASM TOTAL CALORIC REQUIREMENT

1. Nebulize w/ salbutamol 0.05-0.15mg/kg = wt X caloric requirement
2. aminophylline 6mg/kg IV Protein = 1gm/kg(4)
Carbohydrates = TCR-Protein X 60%
HYPOTENSION Fats = rest as fats
1. Trendelenberg Rate = TCR/TFR X wt
2. PNSS 20cc/kg IV ↑feeding 1-2cc/K/D
3. Epinephrine 0.01mg/kg IV q 2-5min
TOTAL PARENTERAL NUTRITION
MAINTENANCE
Vamin = wt X gm X 100/24
% Ludans:
0-3kg 100cc/k/D
Pp: 9%, 6% 3-10kg 75/cc/k/D
Aminosteril = wt X gm X 100/24 10-20kg 100cc/k/D
% 20-30kg 60cc/k/D
Pp: 6%, 8% 30-40kg 50cc/k/D

(Gaspar & Woo) Holiday-Segar

D5IMB=total - d50w – AA - Ca gluc – TE – MVS 0-10kg 100cc/k
D50W=total + AA + Ca gluc + TE + MVS + 11 10-20kg 1000+50cc/k >10kg
(D10; ↑6D12 5) >20kg 1500+20cc/kg >20kg
Amino acids = total X 3 X 100/9(pp:5%) 1st 10kg 4cc/k/H
Ca gluc = wt X 2 2nd 10kg 2cc/k/H
Trace elements = 0.5-1gm >20kg 1cc/k/H
MVS = 0.5-1gm

ELECTROLYTE DEFICIT
FLUIDS Hyponatremia:
IVF Na K CL Ca kcal/L Deficit (Ideal-actual) X wt X 0.6 =
D5W - - - - 170 + maintenance: 2mEqs/kg = -----------------
D10W - - - - 340 Total
0.9NaCl 154 - - - - 1st shift: ½ of deficit/2.5
0.3Na Cl 51 - - - - = cc of NaCl, 2.5mEq/cc
D5LR 130 4 109 3 170 2nd & 3rd shift: ¼ of deficit/2.5
PLR 130 4 109 3 170 = cc of NaCl, 2.5mEqs/cc
D5IMB 20 - 22 - 170 NEWBORN: wt X 10 X 0.6
D5NM 40 13 40 - - Hypokalemia: = wt X 2 mEqs/24H
Deficit = wt X TBK(50mEqs/kg) x K
DEHYDRATION <10KG >10KG k = serum K <3=0.5
Mild 0.3 NaCl 50cc/K 30cc/K <2.5=0.1
Moderate 100cc/K 60cc/K <2=0.2
D5LR(1/4 X 1-2H); D50.3NaCl(3/4 X 6-7H) Maintenance= 2-3mEqs/kg/D
Severe 150cc/K 90cc/K Max infusion rate= 0.2-0.3mEq/kg/D
D5LR(1/3 X 1-2H); D50.3NaCl(2/3 X 6-7H) mEq = x
100cc/H
If >0.3meq/kg/H  cardiac monitor required
Peripheral line = 6mEq/100cc IVF
Central line = 8mEq/100cc IVF
Hypocalcemia = wt X 1-2cc/kg q 8H PHLEBOTOMY: Wt X 80 X .16 or
Max correction = 100cc/dose BV X wt X (desired Hct – Actual Hct)
Prophylactic = 100-200mEq/kg/D Actual Hct
Therapeutic = 300-400mEq/kg/D
Use FFP or PNSS
DEXTROSITY = desired – 5 PNSS = BV X 0.5 = cc PNSS
45 Actual Hct – desired Hct X BV
GIR = dextrosity X 10 X IVF rate/H Actual Hct
60 X wt ½ FD prior to phlebo; ½ drip while ongoing phlebo
= glucose gm X 1000/wt Hgb, HCT 6H post phlebo
1440min
EXCHANGE TRANSFUSION
BSA (body surface area) 80 X wt X 2(DVET)FT
= wt X 4 + 9 100 X wt X 2(DVET)PT
100
= wt X ht
3600
0-5kg = wt X 0.05 + 0.05
6-10kg = wt X 0.04 + 0.1
10-20kg = wt X 0.03 + 0.2
20-40kg + wt X 0.02 + 0.4
>40kg =

TFR=BSA X 400 - 600cc/m2 + UO/24H(cc) PENICILLIN:

Oliguric, no accurate UO = BSA X 800cc/m2 PENICILLIN G (Pen G)
w/ accurate UO, oliguric, edematous, on Furo: RD: 50,000-100,000mkD
BSA X 400 – 600cc/m2 + ½ UO in 24H PP: 1.4MU, 2.4MU
Oliguric, edematous, no diuretic: AMPICILLIN (Ampicin, Pensyn)
BSA X 400 – 600cc/m2 + UO in 24H RD : 50-100mkD q 12H IV
30-50mkD TID PO
BLOOD VOLUME PP: 250mg, 500mg IV
Term = wt X 80 100mg.ml, 125ml, 250mg/5ml, 500mg/cap
Preterm = wt X 90 AMOXICILLIN (Himox, Maxillin, Pediamox)
Adult = wt X 60 or 70 RD: 50-100mkD q 8H IV
ABL = blood vol X 10% 40-50mkD TID PO
ABO incompatibility: PP: 500mg IV, 100mg/ml, 125&250mg/5ml,
PRBC and FWB = mother’s blood type 250&500mg cap
Platelet conc & FFP = patient’s blood type CLOXACILLIN (Prostaphlin-A, Pharex)
RD: 50-100mkD q 12H
BLOOD TRANSFUSION: PP: 250&500mg IV, 125mg/5ml, 250&500mg cap
PRBC = 10cc/kg X 4H CO-AMOXICLAV (Augmentin, Amoclav)
FFP = 15cc/kg X 1-2H RD: 20-40mkD q 12H PO
Platelet conc = 15cc/kg 50-100mkD q 8H IV
FWB = 20cc/kg PP: 300, 600mg, 1.2g IV
Cryoppt = 1ug/6kg/dose 156.2mg/5ml, 312.5mg/5ml,
228.8mg/5ml, 457mg/5ml
375mg, 625mg TAB
FLUCLOXACILLIN (Stafloxin) MACROLIDES
RD: 25-50mkD q 6H ERYTHROMYCIN (Ilosone, Ertythrocin)
PP: 250, 500, 1 gm vial; 125mg/5ml RD: 30-50mkD TID PO
SULBACTAM-AMPICILLIN (Unasyn) PP: 100mg/ml; 125mg/5ml, 250mg/5ml; 500mg/tab
RD: 50-100mkD q 8H IV CLARITHROMYCIN (Klaricid)
PP: 375, 750mg, 1.5g IV; RD: 14mkD BID PO
250mg/5ml; 375, 750mg TAB PP: 125mg.5ml; 250mg/tab, 500mg/tab
AMINOGLYCOSIDES ROXITHROMYCIN (Macrol, Rulid, Thromin)
AMIKACIN (Amikin, Amikacide) RD: 5-8MKd BID PO
RD: 15mkD PP: 100mg, 150mg, 300mg TAB
PP: 100, 250, 500mg TETRACYCLINE (Moncyclin)
TOBRAMYCIN (Tobrex) RD: 25-50mkD TID PO
RD: 6-8mkD PP: 125mg/5ml; 250mg/cap, 500mg/cap
PP: 80mg/2ml, 1.2 gm CIPROFLOXACIN (Cipromax, Ciclodin)
VANCOMYCIN (Vancocin) RD:10-20mkD IV q 12H
RD: LD = 15mk 20-30mkD PO q 12H
MD: 10mk IV q 6-12H Adult: 200-400mg/dose q 12H IV
PP: 500mg IV 250-750mg/dose q 12H PO
GENTAMYCIN (Garamycin)
RD: 5-8mkD
PP: 20, 40, 60, 80mg IV

CEPHALOSPORINS
KANAMYCIN • 1st generation
RD: 30-50mkD q 12H IV CEFALEXIN (Cefalin, Ceporex)
PP: 1gm RD: 50-100mkD TID IV
NETILMICIN (Netromycin, Keunmixin) 30-50mkD BID PO
RD: 6-8mkD IV q 8-12H PP: 100mg/ml; 125mg/5ml, 250mg/5ml;
PP: 150mg/1.5ml; 50mg/2ml, 100mg/2ml 50mg/cap, 500mg/cap
CLINDAMYCIN (Dalacin-C, Lincyn, Myclin) CEFAZOLIN (Cloviz, Cifoxim)
RD: 8-16mkD – mod RD: 50-100mkD IV
16-20mkD – severe PP: 500-1gm
PP: 150, 300mg/cap; 750/5ml granules; 150mg/amp • 2nd generation
IMIPENEM (Anipen, Tienam) CEFACLOR (Ceclor, Xelent)
RD: 50mkD q 12H IV RD: 20-40mkD BID PO
PP: 500mg IV PP: 50mg/ml; 125mg/5ml, 250mg/5ml;
CHLORAMPHENICOL (Chloromycetin) 250mg/cap, 500mg/cap
RD: 50-100mkD IV/PO CEFAMANDOLE (Mandol)
PP: 1gm IV; 125mg/5ml; 250, 500mg/cap RD: 50-100mkD IV
COTRIMOXAZOLE (Trizole, Septrin, Trihexal) PP: 1gm
RD: 5-8mkD q 12H PO CEFOXITIN (Mefoxin)
PP: 40mg/5ml, 45mg/5ml, 80mg/5ml; RD: 20-40mkD IV BID
80mg/tab, 160mg/tab PP: 1 gm
CEFPROZIL (Procef)
RD: 15-30mkD BID
PP: 125mg/5ml, 250mg/5ml; 250mg/cap, 500mg/cap
CEFUROXIME (Zinacef, Zinnat) TOTAL CALORIC INTAKE
RD: 50-100mkD IV q 8H (q 6H) MF = total X 20(T)24(PT)/30
PP: 250mg, 750mg/tab; 1.5gm/vial; IVF = Total X dextrosity X 3.4
125mg, 250mg/5ml; Total/birth weight
125mg, 250mg, 500mg/cap Amino = total X 0.24
• 3rd generation
CEFOPERAZONE (Cefobis) ARTERIAL BLOOD GAS
RD: 50-200mkD IV q 12H pH pCO2 pO2 HCO3 ABE
PP: 500mg IV, 1 gm IV Term 7.32-7.38 35-45 80-95 24-26 3
CEFOTAXIME (Claforan) 30-36w 7.30-7.35 35-45 60-80 22-25 3
RD: 80-100mkD IV <30w 7.27-7.32 38-50 45-60 19-22 4
PP: 250mg, 500mg vial Adult 7.25-7.35 27-40 54-95 20-22 2
CEFTRIAXONE (Rocephin, Forgram)
RD: 50-100mkD pH pCO2 HCO3
PP: 250mg, 500mg, 1gm/vial Metabolic acidosis ↓ ↓ ↓
CEFTAZIDIME (Fortum, Zeptrigen) Metabolic alkalosis ↑ ↑ ↑
RD: 50-100mkD IV BID, TID Respiratory acidosis ↓ ↑ ↑
Neonates: 25-60mkD BID IV Respiratory alkalosis ↑ ↓ ↓
PP: 250mg, 500mg, 1gm IV

CEFOTIAM (Ceradolan) ET size Wt. AOG level

RD: 40-48mkD TID (ET size X 3)
PP: 200mg TAB; 500mg, 1gm IV 2.5 <1kg <28 7.5
CEFIXIME (Zefral, Tergecef) 3 1-2kg 28-34 9
RD: 15-18mkD BID (EF) 3.5 2-3kg 34-38 10.5
6-14mkD BID (sepsis) 3.5-4 >3kg >38 12
PP: 20mg/ml susp; 50mg/gm sachet;
100mg/5ml susp; EXTUBATION:
100mg, 200mg/cap 1. Dexamethasone at 0.2mkD q 8H X 3 doses
• 4th generation 2. Racemic epinephrine:
CEFEPIME (Cepimax) 0.3 ml epi + 4.7 ml PNSS nebulize X 3 doses,
RD: 50-100mkD 15 min interval post extubation.
PP: 500mg, 1gm, 2gm 3. Chest X-ray
4. ABG
TOTAL FLUID INTAKE 5. O2 at 10L prn via face mask, gradually decrease
MF= cc X # of feedings/24H
IVF = cc X 24
Total/24
ANALGESIC/ANTIPYRETICS CLONAZEPAM (Rivotril)
PARACETAMOL (Biogesic,Tempra) RD: 0.3mkD
RD: 10-15mkd PP: 2mg/tab
PP: 60mg/0.6ml; 120mg/5ml, 150mg/5ml VALPROIC ACID (Depakene)
236mg IV, 300mg IV; RD: 15 mkD ↑ by 5-10mkdD @ 1 wk interval
325mg tab, 500mg tab, 600mg tab Max 60 mkD
MEFENAMIC ACID (Ponstan, Tempra, Revalon) PP: 250mg/5ml
RD: 0.5mkD ANTIHYPERTENSIVE
PP: 50mg/5ml; 250mg/cap, 500mg/cap PROPANOLOL (Inderal)
IBUPROFEN (Dolan, Advil) RD: 0.1mkD IV
RD: 5-8mkD 1-2mkD PO BID-TID
PP: 100mg/5ml; 200mg/tab PP: 10mg, 20mg, 40mg, 80mg TAB
ASPIRIN HYDRALAZINE (Apresoline)
RD: RHD=80mkD RD: 0.15mkD IV
Kawasaki = 80-100mkD 1-3mkD PO q 4-6H
Antithrombotic = 3-5mkD PP: 20mg/ml amp; 10mg, 25mg, 50mg/tab
PP: 30mg, 80mg, 100mg, 300mg TAB NIFEDIPINE (Adalat, Calcibloc)
NALBUPHINE (Nubain) RD: 0.25mkD PO
RD: 0.1-0.2mkD not >10mg PP: 5mg, 10mg TAB, Retard tab: 20mg/tab
PP: 10mg/ml GITS tab: 20mg, 30mg, 60mg
CHLORTHIAZIDE
RD: 10mkD

ANTICONVULSANT DIAZOXIDE (Hypestat)

PHENOBARBITAL (Luminal) RD: 5mkD IV
RD: LD = 10mkD ; MD = 5mkD HYDROCHLOROTHIAZIDE (Vascase, Ziac)
PP : 130mg/amp RD: 1mkD BID
Gr ¼ = 15mg PP: 2.5mg/6.25mg TAB, 5mg/6.25mg TAB,
Gr ½ = 30mg 10mg/6.25mg TAB, 12mg/6.25mg TAB
Gr ¾ = 60mg FUROSEMIDE (Lasix)
Gr 1 = 90mg RD: 1-2mkD q 6-12H
PHENYTOIN (Dilantin) PP: 20mg/amp; 20mg, 40mg TAB
RD: LD = 10-20mkD; MD = 5mkD SPIRONOLACTONE (Aldactone)
PP: 130mg/amp; RD: 1mkD BID-TID
30mg/5ml, 125mg/5ml; 30mg/cap, 100mg/cap PP: 25mg, 50mg, 100mg TAB
MIDAZOLAM (Dormicum) MANNITOL (Lacryvisc)
RD: 0.2-0.5mkD RD: 0.25-1mkD IV q 6H or 5cc/kg/d
PP. 15mg/3ml, 5mg/ml, 5mg/5ml amp; 15mg/tab ANTIHISTAMINE
DIAZEPAM (Valium) CHLORPHENIRAMINE MALEATE (Antamin,
RD: 0.2-0.8mkD RD: 0.2-0.35mkD Histacort, Neozep)
PP: 5mg/amp; 2mg, 5mg, 10mg/tab Antamin: <20kg = ½ amp
CARBAMAZEPINE (Tegretol) >20kg = 1 amp
RD: LD = 10-20mkD PP: 5mg/ml, 2mg/5ml; 4mg/tab
MD = 5mkD DIPHENHYDRAMINE HCl (Allerin, Benadryl)
PP: 200mg, 400mg TAB; 20mg/ml syr RD: 1mkD IV, 5mkD QID
PP: 50mg/ml in;, 12.5mg/5ml syr; 25mg, 50mg/cap
 STEROIDS
HYDROXIZINE HCl (Iterax) DEXAMETHASONE
RD: 1mkD BID RD : 0.5mkD (↑ ICP)
PP: 2mg/ml syr; 10mg, 25mg/tab 0.3-1mkD (laryngeal edema)
CETIRIZINE (Virlix, Allerkid-5mg/5ml syr) 0.25mkD q 8H
RD: 0.2mkD PP: 5mg/ml; 600mg/tab
PP: 10mg/ml drps; 1mg/ml soln; 10mg/tab HYDROCORTISONE (Solu-Cortef)
CETIRIZINE diHCl (zyrtec) RD: LD = 10mkD
RD: 0.2mkD MD = 5mkD not >100mg
PP: 10mg/ml drps; 1mg/ml soln; 10mg/tab (5mkD-Dr. Estepar)
LORATADINE (Claritin) PP : 100mg/2ml, 250mg/2ml, 500mg/2ml
RD: <30kg = 1tsp OD PREDNISONE (Prolix, Pred 1/5/10)
>30kg = 2 tsp OD RD: 1mkD
PP:5mg/5ml; 10mg/tab PP: 10mg/5ml; 2.5mg, 5mg, 7.5mg, 10mg/tab
BRONCHODILATORS IRON DEFICIENCY ANEMIA
AMINOPHYLLINE ELEMENTAL IRON
RD: 3-5mkD RD: Prophylaxis: 1mkD
Neonates: 1mkD q 12H Therapeutic: 6mkD
PP25mg/ml PP: Hemarate 105mg/tab; 30mg/5ml
THEOPHYLLINE (Asmasolon) Iberet: 105mg/tab, 26.25mg/5ml
RD: 1mkD q 6H Incremin: 30mg/5ml
PP: 80mg/15ml; 125mg, 175mg, 250mg TAB Sangobion: 15mg/5ml

TERBUTALLINE (Bricanyl)
RD: 0.075mkD FOLIC ACID
PP: 0.3mg.ml syr; 2.5mg, 5mg TAB; RD: 50ug/day
5mg/2ml neb; 0.5mg/ml amp PP: 50mg/cap
SALBUTAMOL (Asmalin, Combivent, Ventolin) EMPIRIC DOSES
RD: 0.13-0.15mkD <6m = ¼ tsp 6m-2y = ½ tsp
PP: 2mg/5ml; 2mg/tab; 2.5mg/2.5ml neb 2-6y = 1 tsp 6-9y = 1 ½ tsp
MUCOLYTIC 9-12y = 2 tsp
CARBOCISTEINE (Solmux, Loviscol) CALCIUM CLUCONATE, 10%
RD: 30-50mkD Cardiac arrest : 100-200mkD
PP: 40mg/ml drops; 100mg/5ml, 200mg/5ml, Tetany/ decreased Ca = 100-200mkD IV SD,
500mg/5ml susp; 500mg/cap Then 500mkD X 24H infusion
AMBROXOL (Ambrolex, Mucosolvan) Correction: 1-2cc/kg/D q 12-8H
RD: 1.2-1.8mkD TID IVIG:
PP: 7.5mg/ml; 100mg/5ml, 200mg/5ml; Kawasaki: 2g/kg
30mg/tab; 75mg/cap GBS: 400mgD X 5d
BAMBUTEROL (Bambec) PP: 500mg/vial, 2.5g/vial, 5g/vial
RD: 0.27 mkD X 1wk NEPHROTIC SYNDROME
PP: 1mg/ml; 10mg/tab Furosemide: 1-2mkD
PROCATEROL HCl (Meptin) Albumin, 25%: 1g/kg/34H
RD: 0.25mkD OD or BID Prednisone: 1-2mkD q 8H; max = 60mg
PP: 5ug/ml; 25ug/tab, 50ug/tab; 10ug/puff
BROMPHENIRAMINE MALEATE (Dimetapp)
RD: 0.15mkD q 3H 5-6y = 5ml
2-4y = 4ml 7-12y = 7.5ml
CHEMOTHERAPY: MANNITOL, 20%
VINCRISTIN: RD: 3-5cc/kg/d ; max : 100cc/d
RD: 0.4-1.4mg/m2 Calcium Chloride:
<10kg: 0.05mg/m2 (BSA) RD 0.15-0.3 mkD(0.2-0.4mEq/kg/d)
>10kg: 1.5-2mg/m2 PP: 100mg/ml in 10ml amp
DOXORUBICIN: 1ml = 1.36mEq Ca
RD: 0-75 mg/m2 SD IV q 21 days GLUCAGON:
30-4 mg/m2 q 3 weeks RD: 0.03mkD
20mg/m2 q wk LIDOCAINE,1%:
20-30mg/m2 OD X 3d q 3-4wks RD: 1-2mkD IV X 1-3d
CD: 550mg/m2 Inf: 20-50ug/kg/min
PP: 10mg/ml, 50mg/ml DOPAMINE
L-ASPARAGINASE Wt X RD X 60
RD: 50u/kg IV OD q other day 800 or 1600
PP: 10,000ku/vial PP: 200mg/250ml+D5W
ALLOPURINOL RD: 2-20ug/kg/min
RD: 10-20mkD q 8H DOBUTAMINE
Wt X RD X 60
2000
PP: 250mg/20ml
RD: 2-20ug/kg/min

EMERGENCY DRUGS
NaHCO3 DOBUTAMINE
ABE X Wt X 0.3 RD X wt. X 60 = (A)cc/h
Emp: 1-2mEqs/kg/d 1000
NB: ABE X Wt X 0.3 250mg/20ml in 250cc D10W = (A)
2 250mg/20ml in 125cc D10W = (A/2 = B)
ATROPINE 250mg/20ml in 62.5cc D10W = (B/2 = C)
RD: 0.04mk SQ DOBUTAMINE 1 amp + 16.4 D5W at 1cc/H
0.01-0.02mk IV /IT DOPAMINE:
min: 0.1mg; max: 0.5mg(c) 1mg(A) Wt X RD X 1440 = 200mg/250ml = cc
LANOXIN 800
Elixer: wt X .04/10 = cc q 12H DOBUTAMINE
0.05 Wt. X RD X 1440 = 250mg/20ml = cc
PP: 0.05mg/ml 12500
PP tab: wt. X .04 = mg q 12H 24 – total = ___ + D5W X 1cc/H
10 REG. INSULIN:
PP: 0.25mg/ml RD: 0.05-0.1g/kg/H IV
IV: PP: 100iu/ml
EPINEPHRINE: GLUCOSE
RD: 0.01mkD q 3-5min RD: 2-5ml/kg/(0.2-0.5gm/kg) D10W IV and or
Drip: 0.1 = 1.5ug/kg/m Constant infusion of D10W @ 100cc/kg/24H
ET: 0.1mk (8mg glucose/kg/min)
PP: 10ug/1.8ml
DIAZOXIDE:
RD: 1-2mkD = 15-30sec AMOEBICIDES:
Hypertensive crisis: max 5mk METRONIDAZOLE (Flagyl,Anaerobia, Triconex)
HYDRALAZINE (Apresoline) RD: 7.5mkD LD, then 7.5mkD q 12H IV
RD: 0.1-0.5mk  2mk IV q 3-6H PP: 500mg IV
PP: 20mg/ml/amp 30-50mkD PO TID
10mg, 25mg, 50mg 500mg/tab; 125mg/5ml, 1 gm supp
NALOXONE FURAZOLIDONE (Furoxone)
RD: <5y or < 20kg = 0.1mk, titrate RD: 4-7mkD
>5y or >20kg = 2mg PP: 100mg/tab; 16.7mg/5ml
NB: 0.02mg/ml ETOFAMIDE (Kitnos)
PP: IV 0.4mg/ml RD: 15-20mkD BID
ANTIVIRAL PP:200mg, 500mg TAB, 100mg/5ml
ACYCLOVIR (Zovirax) DILOXANIDE FUROATE (Furamide)
RD: 20mkD x 5 days RD: 15-20mkD TID
PP: 200mg, 400mg, 800mg tab; 250mg IV PP: 125mg/5ml; 500mg/tab
METHISOPRINOL (Isoprinosine) NIFUROXAZIDE (Ercefuryl)
RD: LD = 100mkD RD: <6m = 1 tsp BID
MD = 50mkD >6m = 1 tsp TID
PP: 250mg/5ml, 500mg tab PP: 200mg/cap; 220mg/5ml
AMANTADINE HCl (Symmetril) PAROMOMYCIN (Humagel)
RD: 4.4-8.8mkD RD: 20-30mkD
PP: 50mg/5ml; 100mg TAB PP: 150mg/5ml; 150mg/cap

RIBAVIRIN (Rebetion)
RD: 10mkD ANTIHELMINTHICS:
PP: 200mg/cap MEBENDAZOLE (Antiox)
ANTIFUNGAL RD: 100mg BID X 3 days
FLUCONAZOLE (Diflucan) PP: 500mg, 100mg TAB; 50mg/ml, 20mg/ml
RD: 3-6mkD OD PYRANTEL PAMOATE (Combantrin)
PP: 50mg, 150mg, 200mg/cap; 2mg/ml vial RD: 11mkD SD
KETOCONAZOLE (Nizoral) PP: 125mg, 250mg TAB, 125mg/5ml
RD: <15kg = 50mkD ALBENDAZOLE (Zentel)
>15-30kg = 100mkD RD: 75mkD
Adult = 1-2 tabs OD PP: 400mg/tab; 200mg/5ml
AMPHOTERICIN B (Fungizone) ANTI-EMETICS
RD: 15mk METOCLOPRAMIDE (Plasil)
D1 = 0.05mk + D5W(10 X mg givenmax 50ml) RD: IV = wt X 0.25 = cc q 8H prn
D2 = 0.1mk 6
D3 = 0.25mk PO = wt. X 0.5 = cc
D4 = 0.5mk Freqcy
D5 = 1mk thereafter until 15mk PP: 10mg/tab; 5mg/ml; 10mg/2ml amp
NYSTATIN (mycostatin) DOMPERIDONE (Motilium)
RD: NB = 400,000U/D RD: 5ml/10kg
Inf = 2ml QID PP: 10mg/tab; 1mg/ml
Ch = 1-2Mu/D; 4-6ml QID
A = 1-2 tab TID; 4-6ml QID
PP: 500,000U/tab; 100,000U/ml
ANTISPASMODIC:
DICYCLOVERINE (Relestal) RECOMMENDED DOSE:
RD: 1-5y = 2.5ml
6-12y = 5ml Oral = Wt. X RD X Prep (ml)
HYOCINE-N-BUTYLBROMIDE (Buscopan) ___mg____
RD : 0.3-0.6mkD freq
PP : 20mg/amp ; 10mg/tab
ANTACIDS: IV = Wt. X RD
CIMETIDINE (Tagamet) Freq
RD: 5mkD
PP: 200mg/2ml; 300mg/ml; 100mg/5ml; ACTUAL DOSE:
200mg/tab, 400mg/tab
RANITIDINE (Zantac) Oral = Amt. given X freq X mg
RD: 0.75-1.5mkD IV ml__
3-8mkD PO Wt.
PP: 150mg, 75mg, 300mg/tab; 50mg/2ml,
MAALOX IV = Amt. given X freq
RD: 2-4tab or 1-4tsp QID Wt.
PP: 200mg TAB; 225mg/5ml
PANTOPRAZOLE (Pantoloc)
RD: 1 tab H. Pylori
PP: 20mg, 40mg TAB; 40mg IV

FAMOTIDINE
RD: 10-20 mg/day
PP: 20mg/ml; 10, 20, 40mg/tab
SUCRALFATE (Iselpin)
RD:1gm QID
PP: 1gm/tab
ANTI TB DRUGS:
RIFAMPICIN
RD: 10-15mkD OD pre-breakfast
PP: 100mg/5ml, 200mg/5ml
ISONIAZID
RD: 10-15mkD OD pre-breakfast
PP: 100mg/5ml, 200mg/5ml
PYRAZINAMIDE
RD: 25-20mkD TID
PP: 250mg/5ml
ETHAMBUTOL
RD: 15mkD OD
 Electrolyte Deficit 13
ABO incompatibility 15 Emergency Drugs 35
ABG 24 Exchange Transfusion 16
Acid/Base 7 Extubation 25
Albumin 6 Flucoxacillin 18
Aminoglycosides 18 Fluids 11
Amoebicides 40 Fluid Intake (Total) 23
Analgesics/Antipyretics 26 Fluid Maintenance 12
Anaphylaxis 7 Fluid Requirement Daily 8
Antacids 42 Fontanelle 2
Anticonvulsants 27 GIR 14
Antiemetics 41 Glasgow Coma Scale 3
Antifungal 39 Height 5
Antihelminthics 41 Hypotension 7
Antihistamine 29 ICP 2
Antihypertensive 28 Insulin 37
Antispasmodics 42 Intralipid 6
Anti TB drugs 43 Iron Deficiency Anemia 32
Antiviral 38 Isolette 6
APGAR score 1 IV Ig 33
Bladder Content 6 Macrolides 20
Blood Trannsfusion 15 Mucolytic 31
Blood Volume 15 Nephrotic Syndrome 33
Bronchodilator 30 Osmolality Serum 5
Bronchospasm 7 Osmolality Urine 6
BSA 14 Parenteral Nutrition (Total) 10
Calcium Gluconate 33 Penicillin 17
Caloric Intake (Daily) 9 Phelobotomy 16
Caloric Intake (Total) 24 PPV 1
Caloric Requirement (Total) 9 Prematurity Pointers 1
Cepahlosporins 21 Specific Gravity 2
Chemotherapy 34 Steroids 32
CPAP 8 Surfactant 6
CVP 2 Umbilical Catheterization 6
Dehydration 11 Urine Output 2
Dextrosity 14 Vital Signs 2
Dose (Recommended&Actual) 45 Waterlow Classification 5
Weight 5