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    Pedia Drugs and Dosages Slides

    Uploaded by

    Wipaporn Chaengsri
    Please note that the frequency for Ampicillin should be q8h and not q12h for neonatal sepsis.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Pedia Drugs and Dosages Slides

    Uploaded by

    Wipaporn Chaengsri
    247 views25 pages
    Please note that the frequency for Ampicillin should be q8h and not q12h for neonatal sepsis.

    Original Description:

    Pediatric dosage calculation

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    © © All Rights Reserved

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    Please note that the frequency for Ampicillin should be q8h and not q12h for neonatal sepsis.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    247 views25 pages

    Pedia Drugs and Dosages Slides

    Uploaded by

    Wipaporn Chaengsri
    Please note that the frequency for Ampicillin should be q8h and not q12h for neonatal sepsis.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 25

    Abbreviations

    • Dosage
    – RD (Recommended Dose)
    – GD (Given Dose)
    – AD (Actual Dose)
    • Routes of Administration
    – PO (per orem; oral)
    – IV (intravenous)
    – IM (intramuscular)
    – Sc or Sq (subcutaneous)
    – IO (intraosseous)
    Abbreviations
    • Frequency
    – OD (once a day)
    – BID (twice a day)
    – TID (thrice a day)
    – QID (four times a day)
    ** better to indicate: every ____ hours
    – PRN (as needed)
    – Stat (immediately)
    Conversion
    • 1 teaspoon - 5 mL
    • 1 tablespoon - 3 tsp ; 15 mL
    • 1 ounce - 30 mL
    • 1 cup - 180 mL
    • 1 glass - 200 mL
    1 1 Name of Affiliated Institution and
    Contact details
    2 Physicians Name and PRC Lic No
    2 3, 4, 5 Patient’s Name, Age/Sex, Weight
    4 5 6 Patient’s Address
    3
    6 7 Date
    7
    8 Generic Name
    8 9 10 11 9 Brand Name
    12 13 14 10 Preparation
    11 Quantity
    15 16 12 Volume to give
    13 Route of Administration
    14 Frequency of dosing
    15 Duration of treatment
    16 Actual Dose
    17 17 Signature of Prescribing
    18 physician
    18 Special Licenses for
    Special drugs
    Beta-Lactams
    • Oral
    – Amoxicillin: 40 – 60 mkD in 3DD
    • Parenteral
    – Ampicillin (septic):
    • 50 – 100 mkD in 2DD (infant)
    • 100 – 200 mkD in 4DD (children)
    – Ampicillin (meningitic):
    • 100 – 200 mkD in 2DD (infant)
    • 200-400 mkD in 4DD (children)
    Beta-Lactams + BLIC
    • Oral
    – Co-amoxiclav: 40 – 60 mkD in 2DD
    – Sultamicillin: 25 mkd q 12 hours
    • Parenteral
    – Ampicillin-sulbactam: 100 – 200 mkD in 4DD
    Cephalosporin
    • 1st Gen
    – PO:
    • Cefalexin 25 – 100 mkD in 4DD
    – IV:
    • Cefazolin 50 – 100 mkD in 3-4DD
    Cephalosporin
    • 2nd Gen
    – PO:
    • Cefaclor 20 – 40 mkD in 3DD
    • Cefuroxime 20 – 30 mkD in 2DD
    – IV:
    • Cefuroxime 100 – 150 mkD in 3DD
    Cephalosporin
    • 3rd Gen
    – PO:
    • Cefixime 8 mkD in 2DD
    – IV:
    • Ceftriaxone 50 – 75 mkD OD
    • 4th Gen
    – IV:
    • Cefepime 100 mkD in 2DD
    Macrolides
    • PO
    – Clarithromycin: 15 mkD in 2DD
    – Azithromycin: 10mkD OD (3 days only)

    Aminoglycosides
    • IV
    – Amikacin: 10 – 15 mkD OD
    Anti-Amoebic
    • Oral
    – Metronidazole: 35 – 50 mkD in 3DD

    Quinolones
    • Oral and IV
    – Ciprofloxacin: 20 mkD in 2DD
    Analgesic/Antipyretic
    • PO
    – Paracetamol 10 – 15 mkd q 6 hours
    – Ibuprofen 5 - 10 mkd q 6 hours
    • IV
    – Paracetamol 10 – 15 mkd q 6 hours

    **Rectal prep of PCM 250 mg/supp,


    125 mg/supp
    Antihistamine
    • PO
    – Cetirizine 0.25 mkd q 24 hours
    – Diphenhydramine 3 – 5 mkD in 3DD
    • Parenteral
    – Diphenhydramine 1 - 2 mkd q 8 hours
    Other Respiratory Drugs
    • PO
    – Salbutamol 0.12 - 0.15 mkd q 6-8 hours
    – Ambroxol 1.2 – 1.5 mkD in 2 DD

    Anti-seizure Drugs
    • IV
    – Diazepam 0.2 – 0.4 mkd
    – Phenobarbital 20 mkd (Loading Dose)
    then 3 – 5 mkd q 8 -12 hours
    (maintenance Dose)
    Other Drugs
    • Zinc
    – <6 months: 10 mg elemental Zinc
    – >6 months: 20 mg elemental Zinc

    • Drops 27.5 mg/mL (10 mg elemental zinc/mL)


    • Syrup 55 mg/5 mL (20 mg elemental zinc/5 mL)
    • Iron
    – Therapeutic dose: 3 – 5 mkD OD
    – Prophylactic dose: 1 – 2 mkD OD
    Given Dose
    • PO medications:
    1
    RD x weight in kilograms x
    GD = preparation
    frequency

    • IV medications:
    RD x weight in kilograms
    GD =
    frequency
    Actual Dose
    • PO medications:
    GD x preparation
    AD = x frequency
    weight in kilograms

    • IV medications:
    GD
    AD = x frequency
    weight in kilograms
    Problem # 1
    TV, a 7 year old male child, weighing 22 kg
    was brought to the CVGH OPD for cough
    and fever and was diagnosed with Pediatric
    community acquired pneumonia – low risk.
    Prescribe Amoxicillin and Paracetamol.
    Problem # 1
    ANSWER:
    Amoxicillin 250 mg/ 5mL , give 7.5 mL TID
    PO x 7 days
    (range: 5.8 mL – 8.8 mL)

    Paracetamol 250 mg/5 mL, give


    5 mL PO PRN q 6 hours
    (range: 4.4 mL – 6.6 mL)
    Problem #2
    • SK, a 3 day old 38-week AOG female
    neonate, weighing 3 kg, was diagnosed
    with Neontal sepsis-early onset. Write the
    orders for Ampicillin and Amikacin IV.
    Problem # 2
    ANSWER:
    Ampicillin (Ampicin) 150 mg IV q 12 hours
    (AD 100 mkD)

    Amikacin (Amikacide) 45 mg IV q 24
    Hours (AD 15 mkD)

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