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- 1. ANTIBIOTICS
1. Azthromycin:
Dose: 10mg/kg/day once dialy (wt/4)
Syrup: 200mg/5ml
Tabs: 250 ,500 mg
2. Amoclan:
-dose: 20-45mg/kg/day BID for 7days
syrup:
-200mg/5ml (wt/2)
-400mg/ml(wt/4
-tabs: 1g -625mg – 325mg
3. Ampicloxcin:
-dose: 50-200mg/kg/day/6hourly for 5-7days .
-syrup: 250 mg/5ml (wt/4 or wt/2)
-caps :500mg
o inj : 250mg , 500mg
in firest week neonate BID
4. Erythromycin:
-dose: 50mg/kg/day 6hourly for 5-7 days
Syrup:
-125mg/5ml (wt/2)
-250mg/5ml (wt/4)
o tabs: 250 mg
in whooping cough for 14 days
5. Cefixime(suprax):
3-g
Dose: 8mg/kg/day (wt×0.4) once daily for 5-7 days
Syrup: 100mg /5ml
Caps: 200 ,400mg
- 2. 6. Cephalaxine:
firest generation
dose: 50 mg/kg/day 6hourly for 6-8 days
syrup: 125 mg/5ml(wt/2) , 250mg/5ml (wt/4).
caps: 250 , 500 mg
7. Cefoclor (midocef):
Second generation
Dose: 20-40mg/kg/day for 7 days
Syrup:125mg(wt/2) , 250mg (wt/4)
Caps: 250 ,500
8. Cefuroxine sodum (zinoxine,zinoximore):
Second generation
Dose: 20-100 mg/kg/day … BID for 7days
Inj: 750 mg , 1.5 gram
Caps : 500 mg
9. Ceftriaxone sodum (samixone , oncef):
dose : 20-100mg/kg/day(wt×50)
BID or once .
inj : 500mg , 1gm
10. Ceftaxime sodum :(ceftax):
80-200mg/kg/day (wt×50)+tds or bid
Inj : 500 mg ,1gm .
11. Benzyle penicillin:
Dose: 100000-400000 unit/kg/day
≤ 6month ↔1/4 million
6month – 1 year ↔1/2 million
≥ 1year ↔1 million
- 3. ANTIPYRETICS
12. Paracetamol:
dose: 20-40mg/kg/day 4-6hourly(wt/2)
syrup: 120mg/5ml
taps:500 mg
13. Mefnamic acid:
-dose:6-8mg/kg/dose 6-8 hourly
(wt/2 +1 or wt/2+2
- syrup:50mg/5ml
- tabs:250 ,500
-supp:
14. Diclofnac sodum(voltrex):
-dose:1.5 mg/kg/dose 8 hourly or BID or once
o inj: 75 mg/3ml
-supp: 12.5mg
o tabs: 25 , 100 mg
-caps: 75mg(divide) , 100mg
15. Ibuprofen:
Dose: 5-10mg/kg/dose 8 hourly
Syrup: 100mg/5ml (wt/2),2oo mg/5ml(wt/4).
Tabs:200 , 400 mg .
- 4. ANTICOUGH
16. Mini-guava:
Fast syrup:
oral drops .5-15 drops 8 hourly
17.Balasm syrup:
-2.5 – 10ml for children 8 hourly.
10-15ml for adult
18. Histalix syrup:
-for children : 7mg/5l.
for adult : 14 mg/5ml.
-dose:
≤2years = 2.5ml BID
2-6 years = 2.5-5 ml 8 hourly
≥6 years = 5-10 ml 8hourly
19. Ambolar syrup:
15 mg/5ml
Dose: 7.5-30 mg/dose
20. Palumocare syrup:
-Contra indication in ≤ 2years.
- 5. 21. Flagyl:
Dose: 7-15mg/kg/dose 8 hourly for 5-7 days.
Syrup: 200mg/5ml (wt/3)
Tabs:250mg
High dose in ameobiasis
22. Salbutamol :
Dose: 0.1-0.15mg/kg/dose 8 hourly for 3 days.
Syrup: 2mg/5ml.(wt×0.3)
23. Septrin :
Dose: 20mg/kg/dose
Syrup: 240 mg/5ml (wt/3) BID
24. Zinc syrup:
1-6 month =2cc BID
6 month -1year =3cc BID
≥1year = 4-5 cc BID.
25. Lactulose :
Syrup:10mg/5ml
Dose : 0.5-1 ml/kg/day BID.
26. Amoxicillin:
Dose: 20-50mg/kg/day
Syrup: 125 ,250 mg/5ml.
Caps: 250 ,500 mg.
27. Antihistamin:
Dose: wt × 0.3 BID.
Cntraindication in ≤ 1year.
1-2years ↔2mg BID
2-5 years ↔6mg
6-12years↔12mg 6 hourly.
- 6. 28. Folic acid:
Dose: 0.2mg/kg/day once dialy.
Tabs: 5mg (≤1year= ½ tab , ≥1 year =1tab dialy).
29. Fe sulphate :
Syrup: 50mg/ 5ml(saferon)
Threpeutic : 3-6 mg/kg/day 8-12 hourly.
Prophylactic: 1-2 mg/kg/day 8 hourly or BID.
30. Dxamethazone inj :
Dose: wt × 0.6 mg/kg , or wt × 6 by insulin syring .
In croup: single dose + adrenaline nebulizer.
In meningities: wt × 0.6 TDS
31. Hydrocortisone :
Inj 100 mg
Dose: wt×4 ,6 hourly.
Indication: severe athma , apnea , sc0rpng sting , aspiration
pneumonia .
32. Antihistamin inj 10mg:
- Dose: wt × 0.3( wt × 3 by insulin syring)
- Indication : blood transfusion , scorping sting ,allergic reaction.
33. Adrenaline inj:
- Dose: wt × 0.01
- Route : iv in heart proplems , neoblizer in bronchitis ,crup
- S/E: respiratory distress , cardiogenic sh≤ok ,bradycardia , B.T
reaction , allergic condition.
- 7. 34. Diazepam:
- Dose:
I.V: wt × 0.3 mg or wt × 6by insulin syring.
Perrectal: wt × 0.5 mg or wt × 10 by insulin syring.
C/I : in hepatic encephalopathy., respiratory proplems.
35. Aminophylline:
- Inj 25 mg
- Dose: wt × 5
- C/I: status asthmaticus, RR ≤ 7 CYCLE , pulmonary edema.
36. Lasix
- Inj: 20mg/2ml.
- Indication : CHF , blood transfusion
- c/i: dehydration ,
- dose : wt × 10 by insulin syring.
-
1.GE+excessive loss:
1. admission
2. canula
3. oncef inj BID
4. Zinc syrup
5. i.v fluid : mentinance tds
6. investigation : BFFM ,TWBCs ,SG.
- 8. 2.MALARIA:
- If p.f : no vomiting give :
- Artusunate tabs for 3 days:
-
Wt DAY 1 DAY 2 DAY3
≤10 kg ½+1/2 ½ ½
10-20kg 1+1 1 1
20-30kg 2+2 2 2
- If there is vomiting :
- Artemether inj wt ×o.6
- 80mg = wt × 2 + 2
- 40 mg = wt × 4 by insulin syrup .
quartum tabs :
Wt 1 6
hours
12
hours
12
hours
≤ 15 kg 1 1 11 11
15-25 2 2 22 22
25-30 3 3 33 33
≥30 4 4 44 44
In plasmodium vivax :
- Start by Artemether inj @after that give primaquine tabs 7.5mg ,,
15 mg for 14 day firest day (BID) other day (once /day).
- في تحل الحبه
5
ماء سي سي
- If 15 mg ↔ wt × 0.05 ↔ ml
- If 7.5 mg ↔ wt × 0.1 ↔ ml
- 9. 3.Tonsilities
- Macrolids { erythro , azthromyocine}
- Midocef
- Amoclan
4.URTI
- Macrolids
- Amoclan
- Ampiclox
5.Pneumonia
Out patient:
- ampiclox
- cephalexin
-midocef
in patient:
-B.penecilline
- ceftax
6.UTI + Diarrhea
cephalexin
cefixime
naldixic acid
midocef
septrin
- 10. 7.typhoid
cefixime
midocef
8.otities media
clamox 312 wt/3 TDS
Gentamycin Ear drops 6 hourly if pt C/O fever discharge
ear pain .
9.Eye problem
Chloramphenicol eye drop 6-8 huorly.
Tetracycline ointment BID.
10. Nasal congestion
Normal saline nasal drops 6-8 hourly.
11. 0ral thrush
Mycoheal oral gell
Gentian violet if ulcer.
Fungestatin
Mucostatin
- 11. 12. Diarrhea
ORS
≤ 2 year 50-100 ml after each loss
≥ 2 year 100- 200 ml after each emotion.
Flagyl syrup
Septrin
Zinc syrup.
13. Anemia
Out patient:
HB ≤ 8g/dl.
Folic acid tabs
Saferon syrupn
In patent:
Blood transfusion wt × 15-20 ml.
14. SURTI:
Admission
B.penicillin
Oxy gen
Antipyretics.
15. Febrile convulsion
- -addmision
- canula
- diazepam
- -Antibiotic (B. penicillin)
- dextrose 10% wt × 5 after sample taken.
- INV : BFFM , TWBCs , RBCs ,S –calsum , Hb % ,
If less than 18 month for lumber puncture.
Diazepam should be near the pt .
- 12. 16. Bronchiolitis
- Admission
- Interrupted oxygen
- B.penicillin
- NS. Neoblizer
- Antipyretics
17. Heart falure
-O/E : tachypnea , tachycardia , tender liver
- admission
- oxygen
- Lasix
18. Sickle cell anemia
- Admission
- Canula
- I.V fluid double mentenance ( firstly you must exclude
HF)
- Analgesia
- Antibiotic( B. penicillin)
- 13. 19. PEM
- addmission
- canula
- NG tube
- oncef inj
- multivitamin
- folic acid tabs
- Zinc syrup
- vit .A
* if pt dehydrate ↔ resomal wt × 5 ½ hourly for 2 hours .
Then wt × 10 every hour in alternative with F75
For 10 hours.
20. Sever pneumonia
- Admission
- B. penicillin
- Oxygen if dyspnic
- N.S neoblizer
- Antipyretic
ب طعام هلح
كل خار
3
/
1
ساعة
3
كل ثن هرات
2
ساعة
3
كل ثن هرات
4
ساعات
(لوذه.
10
) هره كل دقايق
- 14. 21. Neonatal sepsis
Addmission
Canula
Antibiotic combination {- ceftax wt × 50 BD @amiclox inj wt ×
25 6HOURLY}
vit.K prophylactic
D10 % wt × 5
if refuse feeding NGtube
- firest day : wt ×60 ÷ 12 every 2 hours
- second day : wt × 80 ÷ 12
- thired day : wt × 100 ÷12
- fourth day : wt × 120 ÷12
≥ 5 day next day wt × 150 ÷ 12
Alternative with mother milk
22. Jaundice
- Admission
- B. penicillin
- Maintenance D10%
- Lactulose syrup
- Multivitamin
23. Measle
- Admission ↔ isolation
- B. penicillin
- Vit.A
- Ibuprofen syrup
- 15. 24. Kersin poisning
- Admission
- Canula
- Antihistamin
- Hydrocortizon inj
- Antibiotic
- Plan for X-ray
Don’t induce vomiting . you can give antiemetic
25. Scorping sting
- Admission (48 hours)
- Pain killer (local anesthesia , lidocin gel evry 10 minut)
- Antihistamin inj
- Hydrocortizon inj
Keep the pt under hydration to prevent pulmonary edema.