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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
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
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 .
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.
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.
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.
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.
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
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

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
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 .
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)
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
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
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.

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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.