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    PEDIATRIC DRUG DOSAGES (Neonatal Doses Are Different) : Nebulisations

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    Avi Khanna
    This document provides pediatric drug dosages for various medications organized by category. Some key points: - Nebulized medications like salbutamol, ipratropium bromide, and budesonide have different dosages based on a child's weight being under or over 18kg. - Oral steroids like prednisolone are dosed at 1mg/kg/day divided into two or three doses. - Antibiotics for conditions like diarrhea, skin infections, UTIs, and respiratory infections include oral medications like amoxicillin, cefixime, and azithromycin. - Injectable antibiotics and their dosages based on weight are

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    PEDIATRIC DRUG DOSAGES (Neonatal Doses Are Different) : Nebulisations

    Uploaded by

    Avi Khanna
    82 views9 pages
    This document provides pediatric drug dosages for various medications organized by category. Some key points: - Nebulized medications like salbutamol, ipratropium bromide, and budesonide have different dosages based on a child's weight being under or over 18kg. - Oral steroids like prednisolone are dosed at 1mg/kg/day divided into two or three doses. - Antibiotics for conditions like diarrhea, skin infections, UTIs, and respiratory infections include oral medications like amoxicillin, cefixime, and azithromycin. - Injectable antibiotics and their dosages based on weight are

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    This document provides pediatric drug dosages for various medications organized by category. Some key points: - Nebulized medications like salbutamol, ipratropium bromide, and budesonide have different dosages based on a child's weight being under or over 18kg. - Oral steroids like prednisolone are dosed at 1mg/kg/day divided into two or three doses. - Antibiotics for conditions like diarrhea, skin infections, UTIs, and respiratory infections include oral medications like amoxicillin, cefixime, and azithromycin. - Injectable antibiotics and their dosages based on weight are

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    82 views9 pages

    PEDIATRIC DRUG DOSAGES (Neonatal Doses Are Different) : Nebulisations

    Uploaded by

    Avi Khanna
    This document provides pediatric drug dosages for various medications organized by category. Some key points: - Nebulized medications like salbutamol, ipratropium bromide, and budesonide have different dosages based on a child's weight being under or over 18kg. - Oral steroids like prednisolone are dosed at 1mg/kg/day divided into two or three doses. - Antibiotics for conditions like diarrhea, skin infections, UTIs, and respiratory infections include oral medications like amoxicillin, cefixime, and azithromycin. - Injectable antibiotics and their dosages based on weight are

    Copyright:

    © All Rights Reserved
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    of 9

    PEDIATRIC DRUG DOSAGES (neonatal doses are

    different)*
     Nebulisations
    Salbutamol <18 kg- 0.5 ml >18kg- 1ml
    Ipravent <1 yr- 0.5 ml >1 yr- 1 ml
    Budecort <6m-0.25 mg >6m-0.5 mg
    (croup-2 mg)
    Levolin <18kg-0.63 mg >18kg-1.25 mg
    Adrenaline(1:1000) neb. - 0.2 ml/kg (max 5 ml) in
    bronchiolitis, 0.5 ml/kg (max 5 ml) in croup
    (dilute with 2-3 ml NS in all cases, cardiac disease avoid
    adrenaline and salbutamol)
     T. Prednisolone 10mg, Syr. Kidpred, omnacortil (5/5)-
    1 mg/kg/day 2-3 divided doses or 1 mg/kg stat dose
     T. Montair 6m-4yr -4mg DT >4yr- 5mg
     Syp. Cetrizine(5/5) 1-4yr -2.5ml OD/BD
    >4yr- 5ml (5 mg tab)
    Syp. Levocet (2.5/5)- same ml as cetrizine
     Syp. Deriphylline(50/5)- 5mg/kg/dose TDS
     Diarrhea

    ORS- no dehyd-10ml/kg/motion ORS

    Some dehyd-75ml/kg ORS over 4hrs+ ongoing loss


    correction

    Darolac sachet- 6m-1yr- ½ sachet BD, >1yr -1 sachet BD

    Syp. Zinc(20/5) 2-6 m- 2.5ml(10mg/day) OD >6m- 2.5ml


    BD(20mg/day)
    Redotil (racecadotril) (10 mg) sachet- 1.5mg/kg/dose BD or
    TDS

    Cadotril(15 mg) sachet

     Syp. Cefixime(50/5,100/5)- 5mg/kg/dose BD


     Paracetamol- (suppository 80,170,250 mg), Syr.
    (125/5,250/5)- 15 mg/kg/dose Q8H or Q6H or SOS( avoid in
    liver disease)
     Syp. Atarax(10/5)- 2mg/kg/day 3-4 divided doses (give for 4-
    5 days in urticaria)
     Syp. Rantac (75/5),150mg tab- 2-3 mg/kg BD PO
     Cough
    syp.salb(2/5) 0.1mg/kg/dose TDS
    T.salb 2mg,4 mg
    Syp.levolin(1/5) 0.05mg/kg/dose TDS
    Syr.Terbutaline (bricanyl)(1.5/5), 2.5,5 mg tab- 0.05
    mg/kg/dose TDS
    Expectorants(ascoril) ( can be used in >5yrs or
    expectorating capacity is expected) – 5yrs- 3 ml, 12yrs-
    5ml
    Mucolite- (drops,syr) 8 drops TDS for <6 m, 1 ml >6m-
    1 yr, 2.5 ml 1-5 yrs, 4-5 ml tds thereafter
     Syp. Amox (125/5, 250/5) 15mg/kg/dose TDS
     Syp. Azithral(100/5,200/5) 10mg/kg/dose OD
     Syp. Cefpodoxime(50/5,100/5) 5mg/kg/dose BD
     Syp. Amoxiclav(228.5/5, 457/5),625mg- 20mg/kg/dose BD
    (titrate with amoxicillin)
     Syp. Cefalexin(125/5),250mg- 15-17mg/kg/dose TDS
     Syp. Cefadroxyl(125/5),250mg- 15mg/kg/dose BD
     Syp. Cefuroxime(125/5),250mg- 15mg/kg/dose BD
     Syp. Tonoferon pediatric(25/1, 80/5) 3-6mg/kg OD
     T. Doxophylline 400mg- 6mg/kg/dose BD
     Syp. Sucralfate(500/5)- 20mg/kg/dose TDS
     T. Frisium (5 mg, 10 mg)- 0.75mg/kg 2 divided doses(SFS-
    3days)
     Syp. Albendazole(400/10), 400mg
    1-3 yr -200mg(5ml HS)
    >3 yr -400mg(10 ml HS) rpt after 2wks
     Syp. Avil(15/5), 25 mg- 0.5mg/kg/dose
     Syp. Domstal (1/1),(10/1), 10mg tab- 0.2 mg/kg/dose BD or
    TDS
     Syp. Synclar (125/5), 250 mg(for atypical organisms)-
    7.5mg/kg/dose BD x 5-7days
     Syp. Septran (40+200)( titrate with trimethoprim),
    tab(80+400), (20+100)- 5mg/kg/dose BD
     Oral Diazepam- 0.3mg/kg oral, rectal (2.5 mg suppository)
     Oral Dicyclomine- 10mg,20mg tab, Syr. (10/5)-
    0.5mg/kg/dose
     Oral Lasix 10,20,40 mg- 1-2mg/kg/dose
     Syp. Brufen(100/5), 200, 400mg- 10mg/kg/dose BD or TDS
     Syp. Meftal(125/5) 8mg/kg/dose TDS
     Syp. Looz (lactulose) 1-4yr -2.5ml HS
    5-10yrs - 5-7.5ml HS
    >10yrs – 10-15 ml HS
     Syp. Zincovit/Delices/Becosules- 1yr-1 ml, 4yr -4ml, 5yr -5ml
    OD
     T.Pantop 20,40mg- 1mg/kg/dose
     T.Junior lanzoprazole 15 mg- 1mg/kg/dose
     Intasporin(neomycin) powder for L/A –balanitis
     Nifidipine(5,10,20mg tab)- 0.5mg/kg/dose Q6H or sos
     Syp. Pyrantel pamoate(nemocid)(250/5) (used in <1 yr for
    deworming if needed)- 11mg/kg/dose HS (single dose/ for
    3days)
     Sedation
    Syr. Pedichloryl- wt/2 ml stat
    Syr. Phenergan(5/5)- 0.3 mg/kg stat

    DROPS

     Calpol (100/1)
     Amoxicillin (100/1)
     Amoxiclav (91.4/1)
     Domstal(1/1,10/1)
     Colicaid 1m-4drops
    6m-6drops
    8m-8drops
    1yr-1ml, 2yr- 2 ml

    INJECTIONS

    Antibiotics( always maintain upper ceiling dose/adult dose, test dose


    as required)

    Ampicillin-50 mg/kg/dose Q6H

    Cefotaxim- 50 mg/kg/dose Q8H (or 150 mg/kg/day 4 divided doses)


    Cefuroxime- 50 mg/kg/dose Q8H

    Vancomycin- 15 mg/kg/dose Q8H

    Azithromycin- 10 mg/kg/ dose OD

    Ceftriaxone- 50mg/kg/dose BD

    Crystalline penicillin- 50,000 IU/kg/dose Q6H

    Cloxacillin- 37.5 mg/kg/dose Q6H (thrombophlebitis is a complication)

    Gentamicin- 2.5 mg/kg/dose BD or 5 mg/kg/dose OD

    Amikacin- 7.5 mg/kg/dose BD

    Clindamycin- 10 mg/kg/dose Q8H

    Linezolid- 10 mg/kg/dose BD

    Piptaz- 37.5 mg/kg/dose Q6H or 50 mg/kg/dose Q8H

    Meropenam- 20 mg/kg/dose Q8H

    Metrogyl- 7.5 mg/kg/dose Q8H

    Antiviral

    Acyclovir-10 mg/kg/dose Q8H

    Asthma

    Inj. Hydrocortisone- 10mg/kg/dose stat followed by 4 mg/kg/dose


    Q6H(if needed)

    Inj.Tebutaline-0.01 ml/kg/dose s/c

    Inj. Adrenaline- 0.01 ml/kg/dose s/c (1:1000)


    Inj. Methyl pred- 2 mg/kg bolus followed by 1 mg/kg/dose Q8H( if
    needed)

    Inj. Magnesium sulphate- 0.1 ml/kg of 50% solution in 50 ml NS over 30


    min

    IVF in shock- rapid correction-initial bolus

    20 ml/kg NS over 5 min/as fast as possible

    Maintenance fluid

    Holliday segar formula- 100ml/kg for initial 10 kgs, 50 ml/kg for next 10
    kgs, 20 ml/kg therafter. This is for 24 hours, for 6 hours divide it by 4.

    Eg. For 25 kg- (1000+500+100) = 1600 ml over 24 hrs or 400ml over 6


    hrs

    Antiepileptics

    Lorazepam- 0.1 mg/kg/dose

    Midazolam- 0.15 mg/kg/dose

    Diazepam( preferred least)- 0.2 mg/kg/dose

    Phenytoin- 20 mg/kg/bolus over 20 min followed by maintenance dose


    of 2.5 mg/kg/dose BD

    Fosphenytoin- 30 mg/kg/bolus over 20 min followed by maintenance


    dose of 7.5 mg/kg/day 2 divided doses

    Valproate- 20 mg/kg/bolus over 20 min followed by maintenance dose


    of 10 mg/kg/dose BD
    Pheno-20 mg/kg/bolus over 20 min followed by maintenance dose of
    2.5 mg/kg/dose BD

    Levetiracetam- 20 mg/kg/bolus over 20 min followed by maintenance


    dose of 10 mg/kg/dose BD

    Gastritis(inj)

    Pantoprazole- 1 mg/kg/dose OD or BD

    Ranitidine- 1-2 mg/kg/dose BD

    Anaphylactic shock-

    Adrenaline (1:1000)- 0.01 ml/kg/dose i.m

    Hypoglycemia-

    5 ml/kg D10 or 2 ml/kg D25

    Cardiac arrest-

    Adrenaline (1:1000)- 0.01 ml/kg/dose i.v

    Atropine- 0.02 mg/kg/dose (minimum 0.1mg, maximum 1mg)

    Diuretics(inj)

    Furosemide- 1 mg/kg/dose

    Vomiting

    Inj. Emeset- 0.1 mg/kg/dose

    Raised ICT

    Mannitol 2.5 ml/kg/dose


    Blood transfusions

    Usually 10 ml/ kg/dose

    Skin inf
    cefixime, cephalexin, cefadroxyl, moxclav

    UTI

    Cephalexin, cefixime

    GIT

    Cefixime, cefotaxim

    Sinusitis, pharyngitis, otitis

    Amoxicillin, amoxiclav, azithromycin

    Resp inf

    amox, amoxiclav, cefuroxime, cefpodoxime, cefotaxim, clarithromycin

    Meningitis

    Ceftriaxone( avoid in < 2mon), cefotaxime(in <2mon), vancomycin

    (avoid oral antibiotics except azithromycin if meningitis is suspected.)

    Acute Urticaria

    Rule out anaphylaxis, shock, wheeze

    Atarax(hydroxyzine)/ cetirizine/CPM for 4 days minimum, Rantac,


    steroids
    *For HS posted in Dept. of Pediatrics.

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