General Pediatrics, The University of Chicago
Yingshan Shi, M.D. (773) 326-3500 07/98, 04/00, 07/04
Common Used Medications in Pediatric Primary Care
Penicillins
Cephosporins
Other
Amoxicillin- Amoxil
50mg/ml drops
125,200, 250, 400mg/5ml;
200,400mg/chewable tab
250,500mg/caps
500, 875mg/tabs
25-45/kg/day q8h
High dose 80-90mg/kg/day bid
Augmentin
125, 200, 250, 400mg/5ml susp;
125, 200, 250, 400mg chewable tab
250, 500, 875mg/tab
25-45/kg/day q12h
Augmentin ES 600
90-100/kg/day q12h
Bicillin L-A(G-Benzathine)
>1mo <27kg .6 MU
>27kg 1.2MU
Bicillin C-R (Benzathine+procaine)
Cloxacillin(Tegopen,Cloxapen)
125,250/5ml; 125, 250, 500/cap
<40kg, 12.5-25mg/kg/day;
>40kg 125-500mg q6po max4g/d
Dicloxacillin susp
62.5mg/5ml
25-50mg/kg/day q6h
PVK
125,250mg/5ml; 250,500mg/tab
25-50/kg/day q6-8h
Adult: 250-500mg q6-8h
Prophylaxsis: <=5yo 125mg bid,
>5yo 250mg bid
1st
Cephalexin(Keflex)
125, 250mg/kg/day
25-50/kg/day q6h
Cefadroxil-Duricef
250mg/5ml susp; 500mg/cap
30mg/kg/day q12 or 24h 10days
Adult: 1-2g/day q12 or 24h 10days
2nd
Ceclor-Cefaclor
20-40/kg/day q8-12 Max 2g/day
Ceftin-Cefuroxine Susp (bitter taste)
125,250mg/5ml; 125,500mg/tab
20-30/kg/day q12h
Cefzil -Cefprozil Susp
125, 250mg/5ml 30mg/kg/day q12h
3rd
Cefdinir -Omnicef
125mg/5ml, 300mg/cap
6mo-6yrs: max 600mg/day
7mg/kg q12h for 5-10days
14mg/kg q24h for 10days
(1tsp for 20Ib/day)
>=13yrs:
300mg/dose q12h 5-10days
600mg/dose q24h 10days
Cefixime-Suprax Susp (off market)
Cefpodoxime (Vantin)
50,100mg/5ml susp, 100,200mg/tab
2m-11yo 10mg/kg/day q12h 5-10days
Max: 200mg/dose
>=12yrs: take tabs with food
100-200mg/dose q12h 5-14days
Gonoccccal Infection:200mg 1 dose
SSSI: 400mg q12h 7-14days
Ceftibuten- Cedax
90mg/5ml susp, 400mg/cap
Take 2hys before or >= 1 hr after meal
>=6mo: 9mg/kg/day qd 10days
>45kg 400mg/dose qd
>=12yrs: 400mg qd 10days
Max: 400mg/day
Bactrim/Septra
SMX200mg/TMP40mg /5ml
SMX400mg/TMP80mg /SS tab
SMX800mg/TMP160mg /DS tab
>=2mo trimethoprim 8-10mg/kg/day
bid 5-10days
Adult 2SS or 1DS tab bid 5-10days
Nitrofurantoin susp Macrofantin
25/5ml, 5-7mg/kg/24 q8
50-100mg/cap q8-6 7d
Prevent 25mg or 1-2mg/kg qd
SS/DS
Primsol-TMP 10mg/kg50mg/50ml
Pyridium 100mg/tab tid
Sulfisoxazole
Lyme Disease
Adult: Doxcycycline
Child:
Amoxicillin 50mg/kg/day 20days
Cefuroxime 20mg/kg/day 20days
MRSA
Oral clindamycin or TMP/SMX
should consider when culture and
sensitivity reports are unavailable to
guide treatment
TB
Ethambutol Hcl
Ethionamide
INH-Isonaizid 10mg/ml 100, 300tab
10-15mg//day qd po Max 300 qd
LFT, pyridoxine-B6 25-50mg qd
Pyrazinamide,
Rifampin
IMIV
Cefuroxime
Cefotaxime-Claforan
Cefoxitin-Mefoxin
Ceftazidime-Fortaz
Ceftizoxime-Cefizox
Ceftriaxone-rocephin IM/IV
50-75mg/kg/day qd
Meningitis: 100mg/kg/day q12-24h
Adult:1-4g/day q12-2h Max: 4g/day
EES-Ery ethyl succinate Elixir
Clarithromycin-Biaxin susp
125,250mg/5ml
15mg/kg/day bid
Pediazole EES200
Zithromax susp
100,200mg/5ml
10mg/kg/day on day1 then
5mg/kg/day on day2-5 qd
Tetracycline >=8y
Lorabid-Loracarbef100-200mg/5ml susp
30mg/kg/day q12h
Adult:200-400mg q12h
Clindamycin-Cleocin
75mg/5ml, 75,150,300mg/cap
20-30mg/kg/day q6h max 1.8g/day
Adult: 150-450mg q6-8h
Ciprofloxacin-Cipro>18yo
250,500, 750mg/Tab
Viral
Amantadine,
Ganciclovir -CMV
Ribavirin-RSV
Valtrex – Valacyclovir HCL- Genital
Herpes
Suppression 1gm/ 500mg qd
Treatment
1 gm bid x 10 d initial
500mg bid 5days for recurrent
episodic
Herpes Zoster-Tx 1gm tid x 7d
Denavir cream -Penciclovir
Zovirax oint 5%
Acyclovir
Antifungal and other
Griseofulvin-microsize 125mg/5ml
>2 yo 20-25mg/kg/day qd or bid
Adult: 500-1000mg qd
Max 1gm/day with fatty food & milk
Avoid direct sunshine
Clotrimazole-Lotrimin-mycelex1% Cream 15,30,45g
Pediatric bid, Reevaluation if no
improvement after 4weeks
Pregnancy category B
Ketoconazole-Nizoral
2%cream 15,30,60g;
shampoo2% 120ml
Adult: qd to bid 2-4weeks
Pregnancy category C
Susp 100mg/5ml
>2yr 5mg/kg/day qd
Adult 200-400mg,
max800mg/24hrs qd
*Lamisil-Terbinafine
Tinea unguium- adult
Onychomycosis-nail fungus
*Loprox gel 0.77% 30,45g
>=16yr: bid 4wks (Tinea pedis,
cruris, corpiris, versicolor &
candidiasis).
>=10yrs: cream/sus
Lotrisone1%clotrima+.05%betamet
Miconazole-Monistat
Metrogel
Nystatin
cream/oint, powder 15g
Susp100,000u/ml
Nystop powder tid 15gm
Spectazole= Econazole 1%
Selsun lotion 2.5%
Terconazole-Terazol yeast .8% vag
Cream/80mg vag supp80 qhsx3
Clinidamycin-Cleocin2%vag cream
Qhsx7d-pregnancy-BV
Cefixime 400mg x1dose GC
Diflucan-Fluconazole
Vaginal yeast 150mgx1 dose,
Oral thrush->6 mon load 6mg/kg
d1,Then 3mg/kg qd d2-14 po
Oral susp 10/40mg/ml SE v/d/rash
Flagyl-Metronidazole
Gandnerella 250mg bidx7;
trichomoniasis 2gx1dose
Amebias 30-50mg/kg/24 tid 10d
*Furazolidone
diarrhea 5mg/kg/24qid 7-10d
also to Giardia
Vantin-Cefpodoxime
200mg x 1 dose GC
Mebendazol >2yo
Round worm-ascaris lumbricoides
100mg bid 3d
Pinworm - single dose, rpt in 2wk
Pyrantel pamoate 11mg/kg 1 dose
max1gm round/pinworm-rpt in 2 wk
Giardiasis, cryptosposidisis
Nitazoxamide (Alina) susp
100mg/5ml, 12mo-11yr
* New approved by FDA
Infection
General Pediatrics, The University of Chicago
Yingshan Shi, M.D. (773)326-3500 - ( Unfinished 09/2004)
Decongestion, antihistamine
Cough
Allegrafexofenadine
30, 60,180mg/tab
6-11yrs: 30mg qd-bid
>=12yrs: 60mg bid, 180mg qd
Pregnancy category C
Allegra-D fexofenadine HCl 60mg,
PseudoephedrineHCl 120mg/cap
Benadryl-diphenhydramine HCL
12.5mg/5ml
Benadryl-diphenhydramine citrate
19mg/tab=12.5mg HCL
Claritin loratadine 10mg/tab qd
Claritin-D loratadine 10mg qd
pseudoephedrine sulfate 120mg/t
Claritin-D 24 hr loratadine 10mg qd
pseudoephedrine sulfate 240mg/tab
Claritin-D 12 hr loratadine 5mg bid
pseudoephedrine sulfate 120mg/tab
Claritin Syrup loratadine 5mg/5ml
Zyrtec Cetirizine HCI 5, 10mg/tab qd
5mg/5ml ( 4 oz ) syrup
2-6y 2.5-5mg qd
FDA approve to 6mo
Zyrtec D12
Atarax- Hydroxyzine
10,25,50, 100mg/tab, 10mg/5ml,
0.5mg/kg/day
Actified w Codeine syrup
Antitussive,antihis triprolidine,pseudo
2-5y2.5ml;6-12y5ml;>12y 10ml tid
Atarax hydroxyzine HCI 10mg/5ml
Bromfed-DM Syrup pseudo
dextromethorphan,brompheniramine,
2-5y2.5ml;6-12 5ml;>12 10ml q6
Brontex codeine,guaifenesin
6-12y 10ml ; >12y1tab q4-6h
Codimal-L.A. chlorpheniramine
maleate8mg pseudoephedrine HCl
120mg /cap
Codimal-L.A.Half chlorpheniramine
maleate4mg pseudoephedrine 60mg
Dimetane DX syrup 2-6 2.5ml;
6-12 5ml, >12y 10ml q4-6h
Dimetapp DM 6-12y 5ml; >12 10ml
Dimetapp D/D+C infant drop
6-11mo 1 dropper 12-23mo 1.5dropp
Dimetapp Elixir /Dimetapp DM
6-11mo 1/2 tsp 12-23mo 3/4 tsp
Humibid DMGuai+dextromethorphan
2-6y 1/2tab; 6-12y 1tab,
>12y1-2tab q12h
Humibid LA Guaifenesin600mg /tab
2-6y1/2,6-12y1tab,>12y 1-2tab q12h
Humibid Sprinkle Guaifenesin300mg
/caps2-6y1cap, 6-12y2cap;
>12y2-4 q12h
PediaCare Children's Cold relive
0-3m 1/2 dpp 4-11m 1 dpp
12-23m 1 1/2 dpp 2-3y 2 dpp
PhenerganPromethazine HCl
syrup 6.25, 25mg/5ml;
0.1-0..5mg/kg/dose q4-6, qhs, prn
Phenergan DM
Phenergan VC w/Codeine
Polyhistine DM
2-6y 2.5ml;6-12y5ml;
>12y5-10ml q4-6h
Robitussin DM
Rondec=Cardec DM dpp 1-3m 1/4;
3-6m 1/2; 6-9m 3/4; 9-18m 1dpp
Syrup 18m-6y 1/2tsp; >6 y 1tsp q6h
Rynatuss
Rynatuss Peds Susp
Seldane terfenadine 60mg/tab
Seldane-D terfenadine 60mg
pseudoephedrine HCl 120mg/tab
Semprex-D acrivastine 8mg
pseudoephedrine HCl 120mg/tab
Triaminic DM /Sore throat
4m-1y1.25ml; 1-2y 2.5ml;2-6y 5ml; 612y 10ml;>12y10-20ml q4-6h
Trinalin
Vistaril hydroxyzine pamoate 25,
50, 100mg/cap
Asthma
Xopenex - levalbuterol
0.31, 0.63mg/neb 6-11yr
1.25mg/neb
Albuterol 083%, 5%
(ventolin, proventil)
Atrovent-Ipratropium
neb 0.25- 0.5mg q6h
Brethaire
Terbutaline sulfate
Combivent Ipratropium, albuterol
2 puffs q6h
*Foradil Aerolizer-Formoterol
Long acting beta 2 agonist
Intal-Cromolyn
Volmax -Albusulfat po 4mg/tab bid
Sngulair-Montelukast
>=15y 10mg tab qhs
6-14y 5mg chewable tab qhs
2-5y 4mg chewable tab qhs
Accolate-Zafirlukast 10,20mg/tab
------------- Steroid --------------Advair diskus
AeroBid-Flunisolide,Nasalide
Azmacort-Triamcindone
Beclomethasone-Bedovent-Vanceril
42 ,84ug/puff, 200p/Inhalor
Flovent-Fluticasone
44,110,220ug/puff
Hydrocortisone
Maxair autohaler
Methylprednisolone
Orapred 15mg/5ml 1-2mg/kg/24hrs
Pediapred 5mg/5 susp
Prednison syrup
Pulmicort-budesonide
Respules0.25-0.5mg 0.5-1mg/d qd,bid
Turbuhaler200-400mcg qd, bid >=6yo
Inhale 6-12mo
Solumedrol-Methylprednisone IM/IV
Decadron-Dexamethasone Croup
Racemic Epi
Anaphylaxis observe 4hr
(urticaria, angioedema,pruritis,
cricothyrotomy)
Epinephrine
Epi-pen 0.3mg
Epi-pen Jr. 0.15mg
Atarax-Hydroxyzine-Vistaril
10mg/5ml, 0.5-1mg/kg/dose
Adult:10-25mg, Max 100mg/dose
Benedryl 12.5mg/5ml
1-2mg/kg/dose, po im iv
max 100mg
Cimetidine
Ranitidine-Zantac
FEVER
Tylenol 80mg/.8ml ,160mg/5mlsusp
80-160mg/chew tablet,
Suppository 80,120,325mg
Motrin
Dropper 50mg/1.25ml;
Susp100mg/5ml
Resp
Mucomyst-Acetylcysteine
Aminephylline-Theophylline
Accolate antileucotrienes
Pulmozyme-clornase alfa
Omalizumab- Xolair

FDA approved for moderate to
severe allergic asthma 2003

Targets IgE

40-44% of able to completely d/c
inhaled steroid compared with
19% of those in placebo

12 -64 yo

Humanized conoclonal antibody
SC 1-2/wk

$433.00/vial

Malignancies 0.48% vs 0.22%
among the controls
Fever, Cold, Asthma, Rsp.
General Pediatrics, The University of Chicago
Yingshan Shi, M.D. (773)326-3500 - ( Unfinished 09/2004)
EYE/ophthalmic
--------Abx-------Bleph-10 sol- Sulfonamide >2mon
Oint 10%
Erythromycin oint 0.5% 3.5gm
Neosporin eye oint 3.5gm tube
(nyomy+polymyxin B+bacitracin)
Polysporin oint
Polytrim sol >2mon 0.1%
TMP+Poly,
CI-ophthalmia neonatorum
TobraDex 0.3%tobramycin oint
Levofloxacin(Quixin)sol quinolor
>=1yr
Ofloxacin (Ocuflox) sol 0.3% >1y,
5,10ml
Ciprofloxacin (Ciloxan)
0.3% so l>1yr; oint>2yo
*Moxifloxacin (Vigamox) sol 0.5%
1yr
*Gatifloxacin (Zymar)
*new generation
---------------Decongestion-----------Afrin oph sol .025% 30ml
Naphcon eye drops 0.01,0.02%antihistamine
Alomide 2 gtts tid-antihistamine
*Azelastine Hydrochloride
(Optivar,Muro) antihistaine+mast cell
stabilizer
Crolom-Cromolyn 4%
Patanol oph solu- 0.1% Olopatadine
Hcl, 5ml antihistamine & mast cell
stabiliz; >=3yr 1-2 drops bid
Zaditor eye sol 0.025% antihistamine
Ketotifenfumarate mast cell stablizer
3yo,
* Nedocromil eye sol 2% mast cell
stabilizer, relief symps within 2-15min
3yr
------------ Other --------------Artificial tears 1-2drops
Muro 128 oint=Nacl hypertonicity
Ophthalmic oit 5%- Corneal edema
Pain & Sedation
Amitriptylin Neuro pain
Chloral Hydrate 30min before
Dolophine-Methadine Hcl
Demerol-Meperidine Hcl IM
Fentanyl Lollipop anxiolytic
NasalNaSal= NS nasal spray
--------------- decongestion--------------Afrin-Oxymetazoline Pediatric drops
0.025% 20ml
Neo-Synephrine-Phenylephrine 1%
Naldecon Ped drops
Naldecon Ped syrup
Nasalcrom-Cromolyn sodium 4%
----------------Steroid---------------------Vancenase-Beclomethasone
Rhinocort -Budesonide Nasal Inhalor
50ug
Flonase-Fluticasone-50mcg/sp 0.05%
>=4yr
Nasonex-mometasone furoate
50mcg/sp >=2yr
AeroBid-Flunisolide,Nasalide- nasal
spray >6y 50ug
EAR/ otolaryngology
---------- cerumen Impection ---------*Cerumenex otis sol
Debrox drop
Hydrogen Peroxide dilute 1: 1with
warm water, 2-3min for wax softenthen take out with wire loop
Curette, irrigating with warm water
--------- Antibiotics ---Cortisporin otic-steroid+poly+neomy
Sol 10ml
Susp-TM perforation
Floxin otic 5,10ml
1-12y 5 drops,>12y10drops bid 10days
Otic-Ofloxacin >1yr
Neosporin susp
TobraDex 0.3% susp ear-pseudo
----------- Other --------------Vaporizer- inhaling steam
Humidifier
------------Pain ----------------Americaine otic pain, OM, OE 1yr
Auralgan otic 1yr
Cortic 1yr 5gtt tid
ACNE
OXY 5,10
Accutane-tetratogenic
Benzaclin gel
Benzoyl PeroxideGel
2.5, 5, 10% 45gm
Tretinoin-Retin-A/Avita.
025,.05,.1% cream, gel .01,.025%,
micro0.1% 20,45g qd
Azelaic acid-Azelex
20%cream 30g
Benzamycin
Eryt3%+BP5%, gel 23.3g
Cleocin T
1% gel 7.5,30g, sol 30, 60ml
Cleocin T pledgets
Erythromycin
2% gel,sol, swabs60g/ml
Retin-A Micro
gel 0.04%, 0.1% 12yr
Differin= adapalene gel 0.1%
Antiviral/antibiotics
Acyclovix-Zovirax cream
5% 12yrs
Valtrex= Valavyvlovir
Bactroban oint 2%
Bacitracin Oint, Xeroform
Neosporin oint/cream(Neomy+
polymy +bacitracin
Polysporin oint
Silver Sulfodiazine-Silvadene cream
/oint 1%
Silver Nitrate solu 5%
Topical dress for burn
Dry Skin /Lichen Nitidus
Aqurafur oit
Petroleum jelly
Eucerin Plus Alphahydroxy Crème
Eucerin Cre 8oz mix 30g
*Lac Hydrin 12% cream bid 2-11yr
Oatmeal-Aveeno lotion/bath/soap
Steroid
Elocon cream/oint 2yo
Hydrocortisone-Hyton 1%
Westcort oint/cream .2%
Tridesilon-Desonide cream.05% low
Fluocinolone-Synalar cream
.025%medium,.2% high 15-60gm
Triamcinolone 0.1%
Nonsteroid - Atopic
Protopic-Tacrolimus
oint. 0.03% 2-14yr, 0.1% 15yr bid
Elidel - Pimecrolimus
1% cream- 2yr bid
other
Ben-Gay oint
Calamine Lotion qid prn poison ivy
EMLA cream
Premarin cream bidx1-2wk+
Lice
----Remove nits T-combs
Genderm step 2- Creme rinse-lice
egg/hair nits 10min-rinse, step 2 comb
NIX -1%permethrin shampoo,crème
rinse 10min-ovicidal
Ovide lotion 0.5% >6yo
RID shamp/mousse-Pyrethrum
10min rpt7d
Kwell-lindane1% shampoo/lotion
For pubic also
Elimite-Permethrin cream5% 60g
Eyelashes-petrolatum tid 8-10d
Tinea pedis,/Unguium
Nizoral-Ketoconazole Shampoo
2% 2-3times/wk,
2% cream qd-bid 15/30/60gm
Selsun-Selenium SulfideShampoo
1%- Selsun Blue, 2.5%, 2-3times/wk
*Mentax- butenafine HCL cream
1% >12yr qdx2wk; for tinea pedis qd
4wk, Tinea versicolor, pedis, corporis,
cruriswash hand after apply meds,
avoid ENT and other mucosa
Avoid occlusive dressings
Onychomycosis
Griseofulvin 20mg/kg/day 2-3m
Fluconazole 3-6mg/kg 1/wk 3mohand, 6mo-foot
Wart
Corns,common plantar
Duct tape
17% salicytic Acid sol/gel
qd-bid up to 12wk not to normal skin
Sal-Acid plasters 40%
for corns also
Compound W- Salicylic acid
Cryo, curettage, Laser
ablation,,electrocautery,tretinoin,
Occlusive taping
Foot Care
Pedi-Pro Foot powder- antimicrobial
Pedi-DRI topical powder-Nystatin 2oz
Pedi-Boro soat paks-Burow's solu
12/100 box for irritations-poison ivy
Yeast-nail
Loprox gel 0.77% cream/ tid 4-8wk
>=10yr Tinea pedis,coporis,
versicolor, cruris,seb derma, candida
ENT, Skin
Cadiac
Endo
Hema
Formula
SVD >220bpm
Vagal-valsalva,knee to chest,ice-face
Carotid massage
Adenosine
Verapamil
Diltiazem
Cardizem
Propranodol
Digitalis
Overdrive Pacing(T-eso, T-venous)
Synchronized DC Cardioversion
Levothyroxine-synthroid
Tyroid Strom
PTU 50mg/tab 250mg q4-6
Propranolol 40mg po q6
Lugol's iodine 8drops=.6ml q6-8 12hr
later
Amicar-Aminocaproic AcidFibroriolysis inhibitory
Deferroxamine Mesplate
Transfuse
PRBC-10-15ml/kg 3hr Post H/H
PLT 10ml/kg
IV factor VIII 5000ux1 dose
CBC,PT, PTT
Enfacare 22cal/oz
Ensure 28cal/oz
Ensure with Fiber
Ensure pudding
Neosure 22cal/oz
Pediasure 1-10yr 29.6cal/oz
Pediasure with fiber 1-10y
Polycose 2kcal/ml +carbohy
ProMood-protein addition
Ricelyte
Isocal
Osmolite
PVC &VT
Underlying Cause
Lidocaine
Procainamide
Bretylium
Atropine
Overdrive Atrial or Ventricu pacing
Synchonized DC Cardioversion
SINUS BRADYCARDIA
Epi, atropine,Isoproterenl
A-Flutter
Digoxin, S-CV
Quinidine po
Atrial/esophageal overdrive pacing
Diuretic
Aldactazide
Flurosemide
Aldactone-Spironilactone susp
Hydrochlorothiazide
Inotropic
Digitalis/Digoxin (Lanoxin)
Dopamine/ Dobutamine/ Amrinone
Decreased Afterload
Hydralazine
Prazosin
Captopril
Nitropruside
AV Block
Epi,Atropine
Isoproterenol, Pacemaker
AV Dissociation& junctional Tachy
NO Epi, Digoxin, Decrease Temp,
Procainamide,Amiodaron
Hypertension
Wt, diet, exercise, stress, low sodium
Diuretics: thiazide, furosemide
ACE-I Captoril, Enalopril Lisinopril
CCB- Nifidipine, Nicardipine-cardene
Isradipine-Dynacirc
V-Dilation Hydralazine
B-A-B Atenolol, Propranolol
a-A-B Prazosin, Phenoxybenzamin
Central- Methyldopa, Clonidine
Minoxidil
HTN Crisis
Nicardipine po/IV
Diazoxide
Nitroprusside
Hydralazine
Labetelol CI-asthma, Bradycardia,
heart block, cardiac shock, Raynand's
Diabetics
Novolin rDNA 70/30; R-rerular
N-NPH; L-Lente
Humulin rDNA, 70/30; 50/50; L
Iletin interme beef/pork
Humalog (R IV 4min) 10 min-1-2hr
Glutose15,45 chewa tab 5gm 12/box
DKA-Transition
Insulin 0.1-0.25u/kg/dose q4-6h or
Previous 24 hr dose, sc regular
Glucose <60 no insulin
60-80
dec10% 120-180 inc10%
180-240 inc15% 240-300 inc20%
>300 inc 30% test ketone
Over 1-2days-+NPH
Glucose before BLD,HS
Urine before breakfast qd
VitD deficiency+
hypocalcemia
Vit D IM
Calciferol=ergocalciferol
Calcijex 0.2mcg
Calcitrol 0.25mcg
Calcium gluconate
Calcium glubionate
Drisdol
Rocaltrol 0.25mcg capsule
Hamophllius
FFP
Activated prothrombin complex
concentration or recombination
factor VIIIa
1 unit/kg= increase VIII 2%, IX 1%
Dose = desired level% xkgx0.5 VIII
x1.0 IX Humatep
DDAVP
Desferol
Humate P- vWF
5% Plasma Protein Fraction(human)
= Plasmanate adult: 250-500ml
CI: severe desrease BP/ anemia
CHF, increase blood volume
Anemia
Feosol Elixir 44mg/5ml, 65mg/tab
Fer-in sol 60mg/cap,
15mg/o.6ml dropper 50ml,
Syrup18mg/5ml 480ml
3-6mg/kg/day
SCD
Codine 0.5mg/kg/dose q4-6h po
Codeine Elixir
Tylenol 120mg+ Codeine 12mg/5ml
Demerol-Meperidine Hcl po/IM/IV
1-1.5mg/kg/dose q3-4h prn
Max 100mg
Dilaudid-Hydromorphine IM,IV SC
MS contin
Morphine 0.1-0.2mg/kg Max10-15mg
IV IM,SCq2-4 A:2-15mg/dose
Naproxen
Oxycontin-percocert
Oxycondon 5mg/tab
Toradol 15-30mg q8h IM,IV,
10mg po q6h
Tylenol w/Codeine
#1,2,3,4 Ace300mg+Codeine 7.5,15,
30,60mg 0.5-1mg/kg/dose of codeine
po q4-6 Max 60mg/dose
Vistaril-Hydroxycin.
5-1mg/kg IM,IV,Po
Adult: 25-100mg/dose q6-8h
Other
Flexeril 1 tab q6h
Folic Acid >1y 1mg po qd
Hydroxyurea
PCN 2m-5y
<3y-125mg bid, >3y 250mg bid
Other / Hema
Human globulin
Polyvisol & iron
Urokinase Flush-Porta cath 5000Iu
Warfarin-Coumadin
Nutropenia
A-Fibrillation/no P wave
Digoxin &/or B-B_Decre HR, CV
Abs Neutro>500- no meds
Neupogen-Filgrastim-G-CSF
Neocare or Neocare-1-plus
Elemental infant formula
Peptanin (elemental >4yr)
Alsoy
Jevity (soy fiber)
Vitaneed fiber
Enfamil- Mead Johnson
Prosobee
AR-thick up
Pregestimil -Casein hydrolysate
Nutrimigen
Similac-Ross
Isomil, Alimentum
Similac special care 20, 24, 27
Nutri Junior
DHA/ARA-long chain
polyunsaturated fatty acids
Better visual acuity/motor
scores/mental development
Esp. for preemies
Special
PKU-Lofenalac
*Modulen IBD-formula for
Crohn's disease-acid
processing of the casein
protein in cow's milk that
preserves the biologic activity
of the transforming growth
factor
Supplement
Met oil add 1ml to 1 oz
Rice cereal 15Kcal/Tab
HMF
Enfamil Human Milk fortifier
add 4 pack to 100ml BM= 24kcal/oz
Simethicone -Phazyme, Mylicon
drops 40mg/0.6ml
<2y 0.3ml
2-12y 0.6ml gid s/p meal or qhs
antiflatulent, gaseousness
Neupogen(GCSF)
CVS, Endo, Hema, SCD, GU, GYN, Formula
GI
Oral/Gastomatis
5% acyclovir oint-Zovirax 3, 15g
Antiseptic mouth rinse
Gly-Oxide oral liquid 15-60ml place
10 drops on affected area for 2-3min
Hydrogen Peroxide Mouthwash
2% viscous Lidocaine-Xylocaine
<3yr1.25ml apply,max 8doses/day
Maalox &Benadryl 5ml q4-6h
Baby Orajel teething gel
Peridex-chlorhexidine gluconate
0.12% 5ml oral swab or rinse prn
Vomiting / Diarrhea
Amphojel-Aluminum Hydroxide
Home made oral rehydration sol
8ozwater+1/2tsp surga+1/8tsp salt
Compazine5-10mg IM/IV prn
Kaolectrolyte
PeptoBismol-coating tab/sol
3-6y 5ml,
6-9y 10ml,
9-12y 15ml, >12 30ml qid - tid
Diarrhea
Loperamide-diarrhea
Kaopectate diarrhea & crampy
Probiotics
Culturelle
10 billion lactobacillus GG cells
Probiotica lemon flavored, chewable
OTC 100 million lactobacillus reuteri
cells/tablet
VSL#3 power, mixed with apple
sauce, or yogurt 450 billion cells
/packer, with 8 different organisms, 4
lactobacillus strains, 3 bifidobactrrium
strains, and streptococcus
thermophilus
Prophylaxis: one dose qd
Abx associated diarrhea qd-tid
Neonates or infants 1/2 dose
Constipation
Ulcer/ H.pylori
Hyperkalemia
Enemas
Fleet-1oz/10kg, max 4.5oz
Mineral oil 2oz/10kg max4.5oz
Milk & Molasses 50:50 mix Max 6oz
Phosphate>2yr 3-6ml/kg max135ml
Supp Glycerin infant Size prn
Cimitidine 200mg/tab
Emetrol-Phosphorated Carbo hydra
*Maalox-antiacid /anti gas **
Mylanta susp Antacid
Rolaids Antacid Tab Chew
Kayexalate 1mEq K per 1g resin,
Insulin 0.1u+glu 0.5g/kg/hr IV cont.
Calcium 15mg/kgIV-cardiotoxicity
NaHco3 1-2mEq/kg IV
Albuterol neb 2.5-5mg neb
Hemodialysis
Peritoneal dialysis
Osmolar
Lactulose 1-3ml/kg/day, 10gm/15ml,
Adult 10-20g,15-30ml/day qd with
fruit juice, milk, water 4oz
Kristalose
Enulose
Miralax
Sorbitol 1-3ml/kg/day
Barley malt extract
Magnesium Hydroxide 1-3ml/kg/day
400mg/5ml
Magnesium citrate
Milk of Magnesia
Lubricate
Mineral oil >1yr 1-3ml/kg/24hr bid,
Adult 30ml bid max 240ml/day
Senekot
Emollient Softene
Colace=Docusate Na 20mg/5ml,
50,100mg/Cap, po bid
<3y 10-40mg in 6-8oz milk/ fruit juice
3-6y 20-60mg, 6-12y 50-150mg,
>12y 100-300mg
Polyethylene Glycol 3350-chronic
Stimu- increase motility
Senna-Senokot Syrup
Ducolax-Bisacidyl
Crohn, ulcerative colitis
Sulfasalazine, Prednisone
Hytrocortisone enemas, colectomy
Aminosalicylates, Metronidazole,
Cyclosporine
Triple Tx 7days for H. pylori
80% bacterial eradication rate
Omeprazole(Prilosec) 10mg bid 1530kg; 20mg(max) bid >30kg
Amoxicillin 25mg/kg/dose bid
Max 1gm bid
Clarithromycin Max 500mg bid ;
7.5mg/kg/dose bid
3rdoption-metronidazole
20mg/kg/day, max 500mg bid
GERD
Reglanelixir -Metoclopramide syrup
5mg/5, 0.1mg/kg/dose up to qid
po,IM,IV
Zantac-Rantidine syrup 15mg/ml
2-4mg/kg/day = 1mg/kg/dose bid
max 6mg/kg/24h bid
A: 75-150mg/cap bid
*Pepcid chewable 10mg/tab
Proton Pump Inhibitors
(PPI)
parietal cell membrane-pH control
*Prilosec-omeprazole 2-16 yr
10,20,40mg cap 1mg/kg/day qd,bid
before meal
stomach ulcer/ gastritis/GER
Prevacid- Lansoprazole susp
1-11yr GERD 1.5mg/kg/day qd
15,30mg cap or 30mg/pk
Short term 6wk
Long term 6mo-theoretically could
lead to gastric hyperplasia, and gastric
polyps
Rabeprazole,
Pantoprazole,
Esomeprazole
Hypokalemia
KCL po
KCL extended release tab
600mg = 8 meq
Hypercalcemia
Glucocorticoid,
Increaase renal excre- NS
Lasix 1-2mg/kg/dose q6
Decrease Ca mobi from bone
Prednisone 1.5-2mg/kg qd
Mithramycin10-25ug/kg/24
Calcitonin 0.5-1 unit/kg q24
Pamidronate 60-90mg IV over 24 hr
Hypocalcemia
10%Ca gluconate
Hypoglycemia
D25W 2-4ml/kg
Hyperphosphatemia
Hydration, Alkalization,
Amphogel 30-50mg/kg tid
Hypophosphatemia
Nutro phosphate
28mmol add to 4 Oz juice po
Hyponatremia
3% saline=513mEq/L=0.5mEq/ml
Na deficit (mEq)=kg x .6 x (desiredSerum Na)
Fluid restriction in SIADH
Anti-poison
Gastric Lavage NS 15ml/kg
Activated Charcoal + 70% sorbitol
Small child: 1-2gm/kg
>12yr 50-60gm po
CI arsnic, lead, mercury, iron, lithium
Total Body Water TBW(L)=Kg x .6
Expected Body Water EBW (L) =
TBW x Present serum Na
Expected Na
Water Excess(WE) (L) =TBW-EBW
Other
HCO3 Bicitra 1mEq/ml,
Polycitra 2mEq/ml
Na bicarbonate 325mg=4 mEq/tab
Human Albumin
Lansinoh-sore nipple
Obesity
Orlistat 120mg tid
Reducing fat absorption
GI
GYN
GU
Tepid water Sitz bath
Enuresis-nocturnal-di
Imipramine 25-75mg prn <8y-<50mg
Desmopressin-20mcg for nocturnal
DDAVP 0.1-0.2mg/tab start 0.05mg to
0.2,0.4mg qhs fluid intake restriction
SE-water toxi, hyponetremia,headache
Anticholinergic-not for primary
For daytime or with DDAVP-nocturnal
Oxybutinin 5mg bid
Hyoscyamine-timecap 0.375mg bid
DUB
Premarin 0.625mg
Metroxyprogsterone 10mg
Provera 2.5mg
Provera- Medroxyprogesterone 10mg
Hg >12- iron
Hg 11-9: monophasic OCP q6h, iron
Hg <9: Ocp or IV estrogenm, D &C,Fe
1. Norethynodrel-Enovid 25mg po
2hr Nausea, taper 5mg/day
to5mg/d x total 21d.
next cycle- OCP
2. Alterbative-Ortho-Novum2mg
or norethynodrel 2.5mg q4h to
bleed slow or stop-bid to finish
the pack
Endometrial currettage
1.
2.
Provera 10mg qd 10-14d
Cyclic OCP 1-3mo, Heavy
bleeding 2-4 pills/d to one pill qd
3. Premaric 2.5mg gid x 21day +
provera 10mg/d on 17-21d
4. FeSo4
HCT drop
1. Premarin 5mg bid-qid po or IV
2. 20-40mg q4 for 24hrs +Provera
5-10mg qid
3. OCP qid x 4day, tid x 3d, bid
x2wk
Dysmenorrhea: NSAID, OCPs
Naproxen 250mg /tab
500mg 1st dose, then 250mg q6-8h
Mefenarnic
Valacydovir 200mg tid
Emergency Contraception
Ovral
Lo/Ovral
Levlen
Nordette
Triphasil
Tri-Levlen
Alesse
2tabs, 2tabs 12h later
4tabs, 4tabs 12h later
4tabs, 4tabs 12h later
4tabs, 4tabs 12h later
4yellow, 4tabs 12h later
4yellow, 4tabs 12h later
5tabs, 5tabs 12h later
OCP
Depo-Provena 150mg
Ortho-Cept 21,28 day 0.15/0.03
Ortho Tri-Cyclen 28’s /0.035
Ortho-Novum 1/50, 1/35, 7/7/7 28d
Allesse 28 /0.02
Loestrin /0.02
Vulvovaginitis
Eliminating harsh soaps/bubble baths
Shampoo form the bath water
Soak in clear water
White cotton underpants
Loose-fitting clothing
Balmax, Desitin, etc.
Recurrent- vaginal culture, antibiotics
Estrogen cream-building up skin in
vulvar area
Exam under anesthesia -r/o FB
DD- enteric, STD, pinworms, FB,
polyps, tumor, systemic
Neuro
Psy Anti-D
Headache
SSRI
Prozac-Fluoxetine
Zoloft- Sertraline
Butalbital 50mg-anxiolytic, M-ralaxant
Depakote
Fioracet
Fiorinal(Novatis)
Inderal-Propranolol
Inderal LA
Inderol, Elavi, Perictin, Ca channel
Blockers
Imitrex-Sumatriptan
Mellaril
Methyophenidate
Methylin 5,10,20mg
Paxil, Zoloft
Phenobarbital
Status Seisure
Thiamine
Glucose
Diazepam
0.25mg/kg IV/PR,T1/2-15mi
Phenytoin15-20mg/kg IV in NS
Ativan-Lorazepam 0.050.1mg/kg/dose Iover2-5m rpt
0.05/kgx1 in 10-15min
A: 4mg/dose Max 8mg/12hr IV/IM
Penobarbital
Phenytoin
No IV access
1. Rectal Diazepam 0.5mg/kg
Rectal gel 2.5,5,10mg q4-12h
2. IM Fosphenytoin long acting
Seizure
ADHD
Ritalin (short-acting) 5mg qd, bid
Dexedrine,DextroStat 2.5-5mg qd
Adderall 2.5-5mg qd
Cylert
Sumatriptan-seratonin
Extended release
Concerta- OROS methylphenidate
5mg MPH tid --- 18mg qd OROS
10mg MPH tid --- 36mg qd OROS
15mg MPH tid --- 54mg qd OROS
Ritalin SR-20mg gd 3-4hr
Metadate CD
Adderall XR
Other
Melatonin 5mg at 8pm reduces sleep
latency from 1.2hr to 0.7hr
Secretin for Autism
Research: improve in social, overall
symps, & receptive language
Sertraline for Obsessive-compulsive
Age 6-12 25-50mg/day initial
Stop Smoking
1-866-784-8937 (quit yes)
Nicoderm OTC patch 7mcg <1/2ppd;
14mcg 1/2ppd; 21mcg 1ppd
Zyban 1wk prior to quite date
150mg qd 3days, then bid for 2-3
months
Clonazepam-Klonopin
Crbatrol Sprinkle
Depakene
Depakote-Depakene-Valproic Acid
Depacon
Ethosuximide-Zarontin
Penobarbital
Phenytoin
Tegretol-Carbamazepine
Topomax
Valium oral suspation
Fibromyalgia
Flexeril 5mg qhs; Motrin day
Torticollis
Botulinum toxin
Baclofen
Carbamazepine
Diazepam, lorazepam, clonazepam
Muscle relaxants
Pain and Sedation
Ketamine
Medazolam-Versed anxiolytic
Paregonic
Mephobarbital-Mebaral ThioridazineMellaril
Vecuronium-Norcuron
Other
Beclofen/valium decre hypertonicity
Gyn, GU, Neuro, Psycha