( ) Cost chart?
ANALGESICS
Analgesic combinations
( ) How to choose between?
( ) Relative Strength
( ) Levels of Control
Anacin
(caffeine/ASA)
1-2 PO q4h
Darvocet
(propox/acetamin)
1-2 PO q4h
[N-50,N-100]
Darvon Comp.
(propox/caff/ASA)
1-2 PO q4h
Esgic
(butalb/caff/acetamin) 1-2 PO q4h
Fioricet
(butalb/caff/acetamin) 1-2 PO q4h
Fiorinal
(butalb/caff/ASA)
1-2 PO q4h
Talwin Comp.
(pentaz/ASA)
1-2 PO q4h
Tylenol w/ Cod. (codeine/acetamin)
1-2 PO q4h
7.5 mg [#1],15 mg [#2], 30 mg [#3], 60 mg [#4])
Pediatric elixir (acetamin/cod)
5ml/dose if 3-6 yo,
10ml/dose if 7-12 yo
Lorcet
(hydrocod/acetamin)
1-2 PO q4-6h
Lortab
(hydrocod/acetamin)
1-2 PO q4-6h [5,7.5]
Vicodin
(hydrocod/acetamin)
1-2 PO q4-6h
Percodan
(oxycod/ASA)
1
PO q6h
Percocet
(oxycod/acetamin)
1
PO q6h
Tylox
(oxycod/acetamin)
1
PO q6h
Soma Comp.
(carisoprodol/ASA)
1-2 PO qid
Norgesic
(orphenadrine/caff/ASA) 1-2 PO tid/qid
Local anesthetics
( ) When to not use epi
( ) Allergic rxn common?
lidocaine (Xylocaine) 0.5,1,1.5,2,4,10,20% with epi 0.5,1,1.5,2%
Muscle relaxants
( ) How to choose between?
( ) Relative strengths
( ) Different in drowsiness
methocarbamol
(Robaxin) 1000-1500 mg PO
cyclobenzaprine (Flexeril) 10
mg PO
carisoprodol
(Soma)
350
mg PO
( ) Potentially addictive?
baclofen
(lioresal) Start 5
mg PO
diazepam
(Valium)
2-10
mg PO
dantrolene
(Dantrium) 25-50
mg PO
quinine:
260-300
mg PO
Commonly prescribed for leg cramps
( ) Actually effective for leg cramps?
qid
tid
tid/qid
[500,750]
[10]
[350]
tid, max 80mg/day. [10,20]
tid/qid
[2,5,10]
bid/qid
[25,50,100]
qhs
[200,260,300,325]
Narcotics (pure)
( ) Relative strengths
( ) Indications
codeine
hydromorphone (Dilaudid)
propoxyphene (Darvon)
Sust. release (MS Contin)
0.5
1-2
65
10-30
butorphanol
(Stadol)
fentanyl
(Sublimaze)
meperidine
(Demerol)
morphine sulfate
alfentanil
(Alfenta)
nalbuphine
(Nubain)
pentazocine
(Talwin)
naloxone
(Narcan)
1
mg IV increments or 1-4 mg IM q3-4h
IV increments of 2-3 ug/kg up to 50 ug. Lasts 1-2h
25
mg IV increments. 1-1.5 mg/kg up to 150mg IM/PO q3-4h. [tabs 50,100, syrup 50 mg/5ml]
0.1-0.2 mg/kg up to 2-5 mg increments IV.
5-20 ug/kg IV increments.
5-10
mg IV/IM q3-6h
30
mg IV/IM q3-4h
0.4-2.5 mg or more IV/IM/SC/ET. Antagonist
mg/kg up to 60 mg PO/IM
q4-6h
mg
PO/IM/PR q4-6h
mg
PO
q4h
mg
PO
q4-8h
Nonsteroidal anti-inflammatories
aspirin
(Ecotrin, Bayer, ASA)
ketorolac
(Toradol)
650
mg
10
mg
load 30-60 mg
Trilisate
(salicylate combo)
1
tab
ibuprofen
(Motrin, Advil, Nuprin) 300-800
mg
Peds
5-10
mg/kg
naprox sodium(Anaprox)
275
mg
indomethacin (Indocin)
25-50
mg
flurbiprofen (Ansaid)
50-100
mg
naproxen
(Naprosyn)
250-500
mg
dicloenac
(Voltaren, Cataflam)
50
mg
XR 100
mg
sulindac
(Clinoril)
150-200
mg
diflunisal
(Dolobid)
1g then 500 mg
nabumetone
(Relafen)
1000
mg
piroxicam
(Feldene)
20
mg
[15,30,60]
[1,2,3,4, supp 3]
[32,65]
[tabs 30,60 elixir 10 & 20 mg/5ml]
PO q4-6h
[65,75,81,325,500,650, supp 60,120,325,650]
PO q4-6h
[10]
IM, then 15-30 mg IM q6h.
PO q4-8h. [500,750,1000, liquid 500 mg/5ml]
PO qid.
[200,300,400,600,800]
PO q6h.
[100 mg/5ml]
PO tid/qid [275,550]
tid
[25,50, supp 50, susp 25mg/5ml]
PO bid/qid [50,100]
PO bid/tid [250,375,500, susp125 mg/5ml]
PO bid/tid [25,50,75]
PO qd
PO bid
[150,200]
PO bid
[250,500]
PO qd/bid [500,750]
PO qd
[10,20]
Other analgesics
acetaminophen
(Tylenol)
650 mg PO/PR q4h.
Peds: 15 mg/kg/dose. [tabs 80,160,325,500]
[supp 120,325,650]
[elixir 160 mg/5ml]
[drops 80 mg per 0.8 ml dropperful]
lidocaine, viscous (xylocaine 2%) 15 ml PO q3h.
Peds:
5ml per dose for a 20 kg child [50,100,450ml bottles]
phenazopyridine
(Pyridium)
200 mg PO tid for 2 days [100,200]
ANTIMICROBIALS
Aminoglycosides
gentamicin
neomycin
(Garamycin) Load 2 mg/kg IV/IM, maintenance 1 mg/kg q8h. Peak 4-6 ug/ml, trough 1-2 ug/ml
(Mycifradin) 1 g
PO q4h [tab 500, solution 125 mg/5ml]
300 mg IM q6h.
streptomycin: dosage varies
Antifungal agents
amphotericin B (Fungizone) Test dose 1 mg slow IV. Then begin 0.25 mg/kg IV qd and gradually advance to 1-1.5 mg/kg
clotrimazole
(Gyne-Lotramin
Mycelex-G)
Oral troches 5 times/day x 14 days
[10] vaginal candidiasis 1% cream bid for
7 days, or supp 100 mg qhs x 7 days or 200 qhs x 3d or 500 qhs x 1d [supp 100,500]
fluconazole
(Diflucan)
200-400
IV/PO first day, then 100-200 mg qd. [50,10,200]
griseofulvin
(Fulvicin)
500 mg
PO qd. Peds 11 mg/kg/day.
[tabs125,250,500, susp 125 mg/5ml]
ketoconazole
(Nizoral)
200-400 mg
PO qd
[200] Hepatic toxicity
miconazole
(Monistat)
Vagina 2% cream qhs x7d or 100 mg supp qhs x 7 days or 200 qhs x 3d [supp 100,200]
nystatin
(Mycostatin) 4-6 ml
PO swish + swallow qid
[100,000 units/ml] Infants: 2 ml/dose.
[50 ml bottle]
Vaginal supp
qhs for 14 days.
[100,000 units]
Antimalarial agents
chloroquine phos. (Aralen) Malaria prophylazis
exposure [250,500]
mefloquine
(Lariam) Malaria prophylaxis
after. Treatment 1250 mg PO single dose [250]
Fansidar
(pyrimethamine/sulfadoxine)
Acute malaria
quinine
(Quinamm)
8 mg/kg up to 500 mg PO qwk from 1 wk before exposure to 4 wks post
250
mg PO q week from 1 week before exposure to 4 weeks
2-3
tabs PO. Prophylaxis 1 tab PO q week. Dermal reactions.
650
mg PO tid [200,260,325]
Antiparasitic agents
mebendazole (Vermox)
Pinworm 100 mg PO single dose. Roundowrm,
whipworm, hookworm: 100 mg PO bid x 3 days [100]
Antituberculous agents
isoniazid (INH)
10-20 mg/kg up to 300 mg
PO qd
Consider supplemental pyridoxine 25 mg PO qd. Hepatic toxicity.
rifampin
(Rimactane) 10-20 mg/kg up to 600 mg
PO/IV qd
ethambutol (Myambutol) 15 mg/kg
PO qd
pyrazinamide
20-35 mg/kg/day
PO divided tid/qid
dapsone
50-100 mg
PO qd
[50,100,300, syrup 50 mg/5ml]
[150,300]
[100,400]
[500]
[25,100]
Antiviral agents
acyclovir (Zovirax)
Genital herpes:
Zoster:
Varicella:
amantadine (Symmetrel)
vidarabine (Vira-A)
zidovudine (AZT, Retrovir)
5-10 mg/kg
200 mg
800 mg
20mg/kg to
100 mg
constant
100-200 mg
IV
PO
PO
800mg PO
PO
bid
IV infusion
PO/IV q4h.
Cephalosporins - 1st generation
cephalexin (Keflex)
250-500 mg PO
Peds:
75-100 mg/kg/day
cefazolin (Ancef, Defzol) 0.5-2
g IV/IM
Peds: 25-100 mg/kg/day divided
q8h, each dose over 1h.
5 times/day for 10 days.
5 times/day for 7-10 days.
qid for 5 days [tabs 200,800, suspension 200 mg/5ml]
[100, syrup 50mg/5ml]
totalling 15 mg/kg/day
[tab 100, syrup 50 mg/5ml] Marrow suppression
qid.
[250, 500]
divided qid [elixir 125 & 250 mg/5ml]
q6-8h.
q6-8h.
Cephalosporins - 2nd generation
cefaclor (Ceclor) 250 mg PO
tid. [tabs 250,500]
Peds 20-40 mg/kg/day divided tid. [elixir 125,187,250, & 375 mg/5ml]
cefoxitin (Mefoxin) 1-2 g IV/IM q6-8h
Cephalosporins - 3rd generation
cefixime
(Suprax)
400 mg PO
qd or 200 bid [200,400]
Peds:
8 mg/kg/day divided qd/bid [susp 100 mg/5ml]
cefoperazone (Cefobid) 2-4 g IV
q12h. Clotting impairment.
cefotaxime
(Claforan) 1-2 g IV
q4-8h.
Peds:
50-180 mg/kg/day divided q4-6h IV.
Meningitis may require higher doses.
ceftazidime (Fortaz)
1-2 g IV
q8-12h.
ceftriaxone (Rocephin) 1-2 g IV/IM q24h.
Gonorrhea: 1 dose
250 mg IM.
Peds 50-75 mg/kg/day (max 2g) divided q12-24h.
100 mg/kg/day (max 4g) for meningitis.
Fluroquinolones
Ciprofloxacin (Cipro)
lomefloxacin
ofloxacin
250-750
200-400
(Maxaquin) 400
(Floxin)
200-400
200-400
mg
mg
mg
mg
mg
Macrolides
azithromycin (Zithromax) 500
mg
1000
mg
clathromycin (Biaxin)
250-500 mg
PO
IV
PO
PO
IV
bid [250,500,750]
q12h.
qd [400]
bid [200,300,400]
q12h, each dose over 1h.
PO first day, then 250 mg PO qd. [250]
PO single-dose for chlamydia.
PO bid
[250,500]
Pediazole
(EES/STX)
50 mg/kg/day PO divided qid (based on EES dose)
Penicillins - 1st generation (natural)
Penicillin V (Pen-Vee) 250-500 mg
PO qid.
Peds
25-50 mg/kg/day divided qid [125,250,500, elixir 125 & 250 mg/5ml]
penicillin G
12-24 million units/d IV divided q4-6h.
Procaine (Wycillin)
0.5-1.2 million units IM, duration 24 hrs.
Benzathine
1.2 million units
IM, duration 2-4 weeks
Penicillins cloxacillin
dicloxacillin
Peds:
methicillin
2nd generation (penicillinase-resistant)
(Cloxapen)
250-500 mg PO
qid [250,500, liq 125 mg/5ml]
(Dynapen)
125-500 mg PO
qid [tabs 125,250,500]
12-25 mg/kg/day divided qid [elixir 62.5 mg/5ml]
(Staphcillin) 1-2
g IV/IM
q4-6h
Penicillins - 3rd generation (aminopenicillins)
amoxicillin
(Amoxil)
250-500 mg PO
Peds:
40 mg/kg/day divided
amoxicillin clav
(Augmentin) 250-500 mg PO
Peds:
40 mg/kg/day divided
ampicillin
(Omnipen)
1-2g IM/IV
250-500 mg PO
Peds:
50-200 mg/kg/day div
ampicillin sulbactam (Unasyn) 1.5-3 g
IV
q6h
Penicillins 4th generation (extended spectrum)
piperacillin
(Pipracil) 3-4 g IV/IM
ticarcillin
(Ticar)
3-4 g IV/IM
Peds:
200-300 mg/kg/day div
ticarcillin clav (Timentin) 3.1 g IV
Sulfonamides
Bactrim, Septra (TMS)
Peds:
Pediazole
tid. [tabs 125,250,500]
tid. [elixir 125 & 250 mg/5ml]
tid. [tabs 125,250,500]
tid. [elixir 125 & 250 mg/5ml]
q4-6h
qid. [250,500]
qid [elixir 125 & 250 mg/5ml]
q4-6h
q3-6h
q4-6h
q4-6h
5 mg/kg
1 tab
IV q6h. (based on trimethoprim)
PO bid, single strength (80/400) or
DS
(160/800)
5ml elixir per 10 kg per dose PO bid [50/200 per 5ml]
(EES+ sulfisoxazole) 50 mg/kg/day (based on EES dose) PO divided qid.
Tetracyclines
doxycycline (Vibramycin) 200
mg IV/PO initially, then 50-100 mg q12h [tabs 50,100, syrup 25 & 50 mg/5ml]
tetracycline (Achromycin) 250-500 mg PO/IV/IM
qid [tabs 250,500, susp 125 mg/5ml]
Other antibiotics
clindamycin
Peds:
vancomycin
(Cleocin)
300-900
mg
IV
q6h.
150-450
mg
PO
qid.
8-40
500
500
Peds:
40
aztreonam
(Azactam)
0.5-2 g
chloramphenicol
(Chloromycetin) 50-100
Pediatric Meningitis
50-100
imipenem-cilastin (Primaxin)
250-1000
metronidazole
(Flagyl)
Load 1g or 15
250-750
Single dose for trich:
2g
nitrofurantoin
(Macrodantin)
50-100
Peds:
5-7
(Vancocin)
mg/kg/day
divided qid
[tabs 75,150, susp 75 mg/5ml]
mg
IV
q6h each dose over 1h.
mg
PO
qid.
mg/kg/day
[125,250]
IV/IM
q6-12h
mg/kg/day IV/PO divided q6h.
mg/kg/day
[250, syrup 150 mg/5ml] Aplastic anemia
mg
IV/IM
q6-8h, each dose over 20-60 min.
mg/kg
IV, maintenance 500 mg or 7.5 mg/kg 16h, each dose over 1h.
mg
PO
tid.
PO
[250,500]
mg
PO
qid.
mg/kg/day divided qid
[25,50,100, 25 mg/5ml]
----------------------------------------------------------------------------------------------------------------------CARDIOVASCULAR
ACE inhibitors
enalapril (Vasotec) 1.25
mg IV q6h
5-40
mg PO qd or divided bid. [5,10,20]
captopril (Capoten) 6.25-25 mg PO bid/tid
[12.5,25,50,100]
benazepril (Lotensin) 10-40
mg PO qd
[5,10,20,40]
fosinopril (Monopril) 10-40
mg PO qd
[10,20]
lisinopril (Zestril) 10-40
mg PO qd
[5,10,20,40]
quinapril (Accupril) 10-20
mg PO qd
[5,10,20,40]
ramipril
(Altace)
2.5-20 mg PO qd
[1.25,2.5,5,10]
Thrombolytics
alteplase
(TPA)
100 mg total dose - 10 mg IV bolus, infusion 50 mg in 1st hr, 20 mg in 2nd hr, 20 mg in 3rd
hr.
streptokinase (Streptase) 1.5 million units IV over 60 min.
Antianginals
nitroglycerin, sust release
(Nitro-bid)
2.5-6.5 mg PO bid/tid [2.5,6.5,9]
isosorbide dinitrate
(Isordil)
10-40 mg
PO qid
[5,10,20,30,40] Sustained release 40-80 mg PO
bid/tid [50] sublingual tabs: one prn [2.5,5,10]
isosorbide mononitrate
(ISMO)
20 mg
PO twice per day 7h apart [20]
nitroglycerin, sublingual
(Nitrostat)
0.4 mg
SL
[0.15,0.3,0.4,0.6]
nitroglycerin, IV infusion
(Tridil)
50 mg in 250 ml D5@
(200 ug/ml) at 10-100 ug/min. 6ml/h = 20 ug/min
nitroglycerin, spray
(Nitrolingual) 1-2
oral sprays prn.
nitroglycerin, topical oint 2% (Nitro-bid)
0.5-3 inches 14-8h
(15 mg/inch)
nitroglycerin, transderm
1 patch 1d
[Doses in mg/h Nitro-Dur 0.1,0.2,0.4,0.6]
Antidysrhythmics / Cardiac arrest
disopyramide
(Norpace)
100-150
mg PO qid
[100,150]
flecanide
mexiletine
quinidine SO4
tocainide
procainamide
(Tambocor)
100 mg
PO bid
[50,100,150]
(Mexitil)
20-300
mg PO tid
[150,200,250]
(Quinidex)
300-600
mg PO bid/tid
[300] Sustained release
(Tonocard)
400-600
mg PO tid
[400,600]
(Procan SR)
(Pronestyl-SR) 500-1000
mg PO qid or 50 mg/kg/day
[250,500,750,1000]
IV infusion:
100
mg IV q10min or run infusion below at 20 mg/min (150 ml/h) until 1) QRS or PR
widens >50%, 2) Dysrhythmia suppressed, 3) Hypotension, or 4) Total of 17 mg/kg or 1000 mg.
Infusion
2g in 250ml D5W (8 mg/ml) at 2-6 mg/min (15-45 ml/h)
adenosine
(Adenocard)
6 mg rapid IV, if no response after 1-2 minutes then 12 mg. A third dose of 12 mg may be
given if necessary.
amiodarone
(Cordarone)
Dosing varies [200]
atropine
0.5-1.0 mg IV/ET.
Peds 0.02 mg/kg/dose, minimum 0.1 mg
bicarbonate Na
1 meq/kg up to 50-100 meq IV prn
bretylium
(Bretylol)
Initial 5 mg/kg IV, then 10 mg/kg q15min up to maximum 30 mg/kg. Infusion 500 mg in 50ml
D5W (10 mg/ml) at 1-3 mg/min (7-21 ml/h)
digoxin
(Lanoxin)
(Lanoxicaps)
Load 0.25 mg IV q6h up to 1 mg,
Maint 0.125-0.25 mg IV/PO qd [Lanoxin 0.125,0.25,0.5, elixir 0.05 mg/ml, Lanoxicaps 0.05,
0.1,0.2]
dig-immun Fab (Digibind)
2-20 vials
IV
[40 mg/vial] for dig toxicity
epinephrine
0.5-1
mg IV/ET for cardiac arrest [1:10,000 solution]
isoproterenol (Isuprel)
2 mg in 250 ml D5W (8 ug/ml) at 5 ug/min. 37 ml/h4 = 5 ug/min.
Peds:
0.1-1
ug/kg/min. 10 kg: 8ml/h = 0.1 ug/kg/min
lidocaine
(Xylocaine)
Load 1
mg/kg IV, then 0.5 mg/kg q8-10min to total 3 mg/kg. Maintenance 2 g in 250ml
D5W (8 mg/ml) at 1-4 mg/min drip (8-30 ml/h)
Peds:
20-50
ug/kg/min, 10 kg: 3ml/h = 40 ug/kg/min
magnesium SO4
2 g in 50ml D5W/NS IV over 20 minutes
Antilipid agents
cholestyramine (Questran)
clofibrate
(Atromid-S)
colestipol
(Colestid)
gemfibrozil
(Lopid)
probucol
(Lorelco)
lovastatin
(Mevacor)
4
500
5-10
600
500
20-80
g
mg
g
mg
mg
mg
PO
PO
PO
PO
PO
PO
1-6 x/day
qid
tid/qid
bid
bid
qd
[4 g bar or powder]
[500]
[5g]
[300,600]
[250,500]
[10,20,40]
Beta blockers
atenolol
(Tenormin)
Acute MI
metoprolol (Lopressor)
esmolol
(Brevibloc)
life = 9 minutes
propranolol (Inderal)
labetalol
b1: 50-100
5
b1: 5
50-100
b1b2: 5
B1B2: 1
40-80
(Trandate) a1B1B2: 20
100-400
Calcium channel blockers
verapamil
(Isoptin, Calan)
mg PO qd
mg
mg
mg
g
IV over 5 min, repeat in 10 min.
increments IV up to 15 mg.
PO bid
[50,100]
in 500ml (10 mg/ml) at 50-200 ug/kg/min. 70 kg: 40ml/h = 100 ug/kg/min. Half-
mg
mg
mg
mg
increments IV.
PO bid/tid/qid [tabs 10,20,40,60,80,90]
IV q10min up to 300 mg.
PO bid
[100,200,300]
0.1-0.3
80-120
2.5-5
30-90
60-120
isradipine (DynaCirc)
diltiazem
(Cardizem)
Sust. rel (Cardizem SR)
(Cardizem CD)
(Dilacor XR)
180-240
0.25 mg/kg or 20
nifedipine (Procardia, Adalat) 10-30
Sust rel. (Procardia XL)
30-60
mg/kg
mg PO
mg PO
mg PO
mg PO
up to 5-10 mg IV over 2 min.
tid [40,80,120]
bid [2.5,5]
qid [30,60,90,120]
bid [60,90,120] and other
mg
mg
mg
mg
qd [180,240,300]
over 2 min, repeat in 15 min prn. Infusion 5-15 mg/h
tid [10,20]
qd [30,60,90]
PO
IV
PO
PO
Combination antihypertensives
Capozide
(captopril/HCTZ 25/15, 25/25, 50/15, 50/25)
Lopressor HCT (metoprolol/HCTZ, 50/25, 100/25, 100/50)
Dyazide
(HCTZ/triamterene 25/50)
Aldactazide
(HCTZ/spironolactone 25/25, 50/50)
Maxzide
(HCTZ/triamterene 50/75, 25/37.5)
Diuretics
acetazolamide
(Diamox)
bumetanide
(Bumex)
furosemide. Loop
furosemide
(Lasix)
250
0.5-2
[25,50,100]
1 tab
1 tab
1-2 tabs
1-2 tabs
1 tab
PO
PO
PO
PO
PO
bid
bid
qd/bid
qd
qd
mg IV/PO qd/bid/tid [125,250,500]
Carbonic anhydrase inhibitor
mg PO/IV/IM qd
[0.5,1,2] 1 mg bumetanide is roughly equivalent to 40 mg
1 mg/kg up to 20-40 mg IV. [solution 10 & 40 mg/5ml]
20-80 mg PO qd/bid.
[20,40,80]
Loop
hydrochlorothiaz (HCTZ)
25-100 mg PO qd or bid
spironolactone
(Aldactone) 25-50 mg PO qd/bid
triamterene
(Dyrenium) 100
mg PO bid
[25,50,100, solution 50 mg/5ml] Thiazide
[25,50,100]
K-sparing
[50,100]
K-sparing
Other antihypertensives
clonidine
Transdermal
methyldopa
prazosin
reserpine
(Catapres)
(Catapress-TTS)
(Aldomet)
(Minipress)
(Serpasil)
0.1-0.3 mg PO
1 patch 1 wk
250-1000 mg PO
1-5
mg PO
0.1-0.25 mg PO
bid
[0.1,0.2,0.3]
[Sizes 0.1,0.2,0.3 mg/day]
qid
[tabs 125,250,500, susp 250 mg/5ml]
bid/tid [1,2,5]
qd
[0.1,0.25,1]
doxazosin
(Cardura)
1
mg PO qd
[1,2,4,8]
hydralazine
(Apresoline)
20-40
mg IV/IM q4-6h, 10-50 mg PO qid [10,25,50,100]
diazoxide
(Hyperstat)
1-3
mg/kg up to 150 mg IV q5-15 min
minoxidil
(Loniten)
5-20
mg PO qd
[2.5,10]
nitropruss Na (Nipride)
50
mg in 250 ml D5W (200 ug/ml) 0.5-10 ug/kg/min. 70 kg: 20 ml/h = 1 ug/kg/min.
Cyanide toxicity can develop with infusions > 10 ug/kg/min, check thiocyanate levels.
Pressors / Volume expanders
dobutamine
(Dobutrex)
dopamine
(Intropin)
ug/kg/min. Doses in ug/kg/min: 2-5
ephedrine
epinephrine
Peds:
Infusion:
phenylephrine
(Neo-Synephrine)
160ml/h)
albumin
dextran
weight = 6% sol'n
hetastarch
norepinephrine
plasma prot fract
(Albuminar)
[500 ml]
(Hespan)
(Levophed)
(Plasmanate)
DERMATOLOGY
Antimicrobial agents (topical)
acyclovir
(Zovirax)
bacitracin
250
mg in 250ml D5W(1 mg/ml) at 2.5-15 ug/kg/min. 70 kg: 25 ml/h = 5 ug/kg/min
400
mg in 250ml D5W(1600 ug/ml) at 2-20 ug/kg/min. 70 kg: 13 ml/h = 5
= dopaminergic, 5-10 = beta, > 10 alpha
5-10
mg IV q5-10 min prn
0.5-1
mg IV/ET of 1:10,000 sol'n for cardiac arrest.
0.01
mg/kg up to 0.5 mg.
1
mg in 250 ml D5W (4ug/ml) at 1-4 ug/min (15-60 ml/h)
100-500 ug increments IV, 20 mg in 250ml D5W (80 ug/ml) at 40-180 ug/min (35500
20
ml of 5% solution IV prn [50,250,500,1000 ml]
ml/kg up to 500 ml IV. Low molecular weight = 10% sol'n, high molecular
500-1000 ml IV 6% sol'n [500ml]
4
mg in 500ml D5W (8ug/ml) at 2-4 ug/min. 20 mg/h = 3 ug/min
5% sol'n 250-500 ml IV prn [250,500 ml vials]
5% ointment 6 times/day x 6 days [Tubes 3,15g]
apply ointment 1-3 times daily
chloramphenicol
gentamicin
lindane
mupirocin
Neosporin
clotrimazole
ketoconazole
miconazole
nystatin
Polysporin
tolnaftate
amphotericin B
silver sulfadiazine
(Chloromycetin)
(Garamycin)
(Kwell)
1% cream
tid/qid
0.1% cream/ointment
tid/qid
30ml of 1% cream or lotion topically from chin to feet, wash after 8-12h.
1% shampoo 30 ml per application [60ml for all forms] Lice, mites.
(Bactroban)
2% ointment tid for
3-5d
[15g tube]
(bacitr/neo/poly)
cream or ointment
2-5 times per day.
(Lotrimin, Mycelex) 1% cream/solution/lotion bid.
(Nizoral)
2% cream
qd
(Monistat)
2% cream/pwdr/lotn/spray bid
(Mycostatin)
cream/ointment/powder
bid/tid
(bacitr/poly)
ointment/aerosol/powder 2-5 times per day.
(Tinactin)
1% cream/powder/solution/aerosol/liquid bid
(Fungizone) 3% cream/lotion/ointment bid/qid
(Silvadene)
1% cream applied
qd/bid to burn. [20,50,400,1000g]
Corticosteroids (topical)
dexamethasone
(Decadron) 0.1% cream bid
hydrocortisone
Apply tid/qid
methylprednisolone (Medrol)
tramcinolone
(Kenalog)
Other
calamine
capsaicin
coal tar
istretinoin
minoxidil
oatmeal
(Zostrix)
(Tegrin)
(Accutane)
(Rogaine)
(Aveeno)
[cream 0.25, 0.5, 1, 2.5%]
[ointment 0.5,1,2.5%]
[lotion 0.25,0.5,1,2,2.5%]
[gel 0.5%, sol'n 1%]
[aerosol 0.5%]
ointment bid/qid [0.25, 1%]
Apply tid/qid
[ointment 0.025, 0.1, 0.5%]
[cream 0.025, 0.1, 0.5%]
[lotion 0.025]
[0.1% aerosol]
apply lotion
apply .025% or .075% cream
apply shampoo
0.5-2 mk/kg/day PO divided
1 ml of 2% soln to dry scalp
apply lotion
qid prn for poison ivy/oak
qhs
daily.
bid [10,20,40]
bid
qid prn. Poison ivy/oak
----------------------------------------------------------------------------------------------------------------------ENDOCRINE AND METABOLIC
Corticosteroids
betamethasone
cortisone
hydrocortisone
(Celestone)
(Cortone)
(Cortef)
0.5-9.0
25-300
100-500
20-240
dexamethasone
(Decadron)
0.75-9
methylprednisolone (Solu-Medrol) 125
mg
mg
mg
mg/day
mg/day
mg
IM/PO qd.
[0.6, syrup .6 mg/5ml]
PO
qd
[5,10,25]
IV
q4-6h
[susp 10 mg/5ml]
PO divided
[5, 10,20]
PO/IV/IM, divided q6h. [0.25,0.5,0.75,1.0,1.5,2,4,6, elixir 0.5 mg/5ml]
IV/IM, dosage varies.
Medrol Dosepack tapers
prednisolone
prednisone
(Deltasone)
triamcinolone
(Aristocort)
(Kenalog)
4-48
mg
PO
qd
[2,4,8,16,24,32]
24 to 0 mg
over 7 days.
5-60
mg
PO/IV/IM qd
[tab 5, liquid 5 & 15 mg/5ml]
1-2
mg/kg or 5-60 mg PO qd [tabs 1,2.5,5,10,20,50, elixir 5 mg/5ml]
4-48
mg
PO/IM qd
[tabs 1,2,4,8, syrup 4 mg/5ml]
Diabetes-related agents
glipizide
tolbutamide
glyburide
(Glucutrol) 5-15
mg
(Orinase)
500
mg
(Micronase)
(DiaBeta)
2.5-5
mg
Micronized glyburide (Glynase PresTab) 1.5-3
chlorpropamide
(Diabinese) 100-500 mg
PO qd/bid [5,10]
PO qd/bid [250,500]
PO qd/bid [1.25,2.5,5]
mg PO qd [1.5,3]
PO qd
[100,250]
insulin
(Novolin)
(Humulin)
5-10
units regular plus concurrent dextrose IV for hyperkalemia. Profound
hyperglycema (e.g. DKA) 0.1 units regular/kg IV bolus, infusion 100 units regular in 500ml NS (0.2 units/ml) allow
100ml to drain and prime tubing prior to hook-up) at 0.1 units/kg/hr. 70 kg: 7 units/h (35 ml/h)
glucagon
dextrose
administration.
(D-50-W)
Sex steroids / Androgens
estrogens, conjugated (Premarin)
finasteride
(Proscar)
1
0.5-1
mg IM/SC if no IV for dextrose. Onset 5-20 min.
g/kg (1-2 ml/kg) up to 25 g (50ml) of 50% solution IV. Dilute before pediatric
25
mg IV/IM prn
0.625-1.25 mg PO
qd first 3 weeks of each month. [0.3,0.625,0.9,1.25,2.5]
apply cream qd [0.625 mg/g]
5
mg PO
qd [5]
levonorgestrel
(Norplant)
6 implants subdermal q 5 years.
ethinyl estradiol/norethindrone (Loestrin) 20
ug/1 mg, 30 ug/1.5 mg) Use as directed. Loestrin Fe adds 75 mg ferrous
fumarate.
medroxyprogesterone
(Provera)
5-10
mg PO
qd prn [2.5,5,10]
Parenteral contracept (Depo-Provera) 150
mg IM
q3 months.
norethindrone/ethinyl estradiol (Norinyl) 1+35 (1 mg/35 ug)
(Tri-Norinyl)
(Triphasic) Use as directed.
norethindrone/ethinyl estradiol (Ortho-Novum) 1/35 (1mg/35 ug)
(Ortho-Novum) 1/50 (1 mg/50 ug)
(Ortho-Novum) 7/7/7 (triphasic)
tamoxifen
(Nolvadex) 10-20 mg PO bid [10]
levonorgestrel + ethiny estradiol, triphasic (Triphasil) Use as directed
Thyroid agents
thyroxine
(T4, Synthroid) 100-200 ug PO qd
[25,50,75,88,100,112,125,150,175,200,300ug]
thyroid, dessicated (Thyroid USP)
60-120 mg PO qd
[15,30,60,90,120,180, 240,300]
propylthiouracil
(PTU)
50-150 mg PO tid/qid [50]
Vitamins, minerals, and nutritionals
thiamine
(vitamin B1) 100 mg IV/IM/PO qd [50,100,250,500]
niacin
(vitamin B3) 10-20
mg PO qd [25,50,100,250,500]
cyanocobal
(vit. B12)
100-200 ug IM
q month.
ascorbic acid (vitamin C) 50-250
mg PO
qd [25,50,100,250,500,1000]
calcitriol
(vitamin D) 0.5-2
ug PO
qd [0.25,0.5 ug]
vitamin D
(Os-Cal+D)
[250,500]
calcium carb (Os-Cal)
250-3000 mg PO
qd [500] With added
calcium Cl
100-1000 mg slow IV of 10% sol'n [amp 1000 mg/10ml]
calcium gluconate
100-1000 mg slow IV of 10% sol'n [ampule 1000 mg/10ml] 500-1000 mg PO bid/qid [500]
25-100
ug PO
qd [25,50,100,25 ug]
phosphate
(K-Phos)
1-2 tabs
PO tid/qid [250]
potassium: IV infusion
10-40
meq/h.
K-Dur tab
5-25
meq PO qd [10,20]
folic acid
(Folvite)
0.4-1
mg IV/IM PO qd [0.1,0.4,0.8,1]
formulas, infant: milk based (Enfamil, Similac, SMA) or soy based (Isomil, Prosobee, Soyalac)
magnesium gluconate
250-500 mg PO qd [250,500]
multivitamins (MVI)
1 ampule diluted in 500-1000 ml NS/D5WIV.
1 tab
PO qd.
rehydration solutions Pedialyte
Other endocrine and metabolic agents
colchicine
2mg
IV over 2-5 min for acute gout 0.6 mg PO qd [0.6]
probenecid
(Benemid) 500-1000 mg PO qd/bid [500\ single-dose 1 g PO when used with penicillin injections.
desmopressin (DDAVP) D.I. 0.1-0.2 ml intranasally bid, or 2-4 ug IV/SC q12h. Hemophilia 0.3 ug/kg IV over 15-30 min.
sodium polystyrene sulfonate (Kayexalate) Hyperkalemia. 15-60 g PO or 30-50 g retention enema (in sorbitol) 16h prn
vasopressin (Pitressin, ADH) 5-10 units IM/SC/intranasal qid prn
----------------------------------------------------------------------------------------------------------------------ENT
Antihistamines (pure)
fexofenadine
astemizole
clemastine
terfenadine
(Allegra-D)
(Hismanal)
(Tavist)
(Seldane)
60
30
1.34
60
brompheniramine (Dimetane)
4
chlorpheniramine (Chlor-Trimeton) 4
dimenhydrinate
(Dramamine)
50
diphenhydramine
(Benadryl)
Peds:
hydroxyzine
promethazine
Peds:
(Atarax)
(Vistaril)
(Phenergan)
mg
mg
mg
mg
PO
bid
[60]
PO 1st day, 20 2nd day, then 10 qd [10]
PO
bid
[1.34,2.68, syrup 0.5 mg/5ml]
PO
bid
[60]
mg PO
14-6h. [tab 4, elixir 2 mg/5ml] Time release 8-12 mg PO bid [8,12]
mg PO
14-6h [tabs 2,4, syrup 2mg/5ml] Time release 8-12 mg PO bid [8,12]
mg PO/IM/IV q4h.
[50]
25-50 mg IV/IM/PO q6h.
[tabs 25,60]
5mg/kg/d.
[elixir 12.5 mg/5ml]
0.5
mg/kg up to 25-50 mg PO/IM q4-6h prn. [tabs 10,25,50,100, susp 10 & 25 mg/5ml]
25-50 mg PO/IM/PR 14-6h. [tabs 12.5,25,50]
1
mg/kg/dose
[syrup 6.25 & 25 mg/5ml, supp 12.5,25,50]
Antitussives (pure)
guaifenesin (Robitussin) 5-20 ml PO q4h, 5-10ml/dose if 6-12 yo, 2.5-5ml if 2-6 yo [syrup 100 mg/5ml]
Combinations-antihistamines/decongestants/antitussives
Tavist-D
(clemastine 1.34 mg+phenylpropanolamine 75 mg)
Sudafed Plus (pseudoephed 60 mg + chlorpheniramine 4 mg per tab or 10ml)
Actifed
(triprolidine 2.5 mg + pseudoephedrine 60 mg in 1 tab or 10ml syrup):
1
PO bid
1 tab or 10ml PO 14-6h
1 tab or 10ml PO 14-6h,
5ml if 6-12 yo.
Sustained release (5/120): 1 tab PO bid.
Dimetapp
(brompheniramine/phenylpropanolamine)
1 tab or 10ml PO 14-6h,
5 ml/dose if 6-12 yo,
2.5 ml/dose if 2-6 yo. [tabs 4/25, elixir 2/12.5 per 5ml]
Sust. release (Dimetapp Extentabs) 1 PO bid [12/75]
Ornade
(phenylpropanolamine/chlorpheniramine)
1 tab
Phenergan-D (pseudoephed/prometh/dextrometh)
5 ml
Triaminic Oral Infant Drops (phenylprop/pyrilamine/phenir) 1 dr4op/kg
PO bid
PO 14-6h
PO qid prn.
Decongestants
oxymetazoline
(Afrin)
2 drops/sprays per nostril bid
Ephenylephrine (Neo-Synephrine) 1-2 sprays
per nostril q3-4h.
pseudoephedrine (Sudafed)
60 mg
PO
q16h. 5ml/dose if 6-12 yo,
2.5 ml/dose if 2-5 yo
Time release 120 mg
PO
bid
[0.025,0.05%]
[0.125,0.25,0.5,1%]
[tabs 30,60,elixir 30 mg/5ml]
[120]
----------------------------------------------------------------------------------------------------------------------GI
Antidiarrheals
loperamide
(Imodium)
4 mg
PO, may repeat 2 mg prn up to 16 mg/day.
Peds (first day)
1 mg tid if 13-20 kg,
2 mg bid if 20-30 kg.
2 mg tid if >30 kg
[tab 2, elixir 1 mg/5ml]
attapulgite
(Kaopectate)
30 ml
PO after each loose bowel movement, 15 ml if 6-12 yo, 7.5 ml if 3-6 yo.
bismuth subsal (Pepto-Bismol) 2 tabs or 30 ml PO q1h up to 8 doses/24 h.
Peds: (per dose)
10 ml if 6-9 yo,
5 ml if 3-6 yo
[tab 262, susp 262 & 524 per 15ml]
Donnagel
(kaolin/pectin/hyoscyamine/atropine/scopolamine) 30ml PO initially, then 15ml PO q3h prn.
Lomotil
(diphenoxylate 2.5 mg + atropine 0.025 mg per tab or 5ml) 2 tabs or 10ml PO qid.
Antiemetics
promethazine
Peds:
metoclopramide
prochlorperazine
Peds:
trimethobemzamide
Peds: 100-200
dimenhydrinate
scopolamine
(Phenergan) 25-50 mg PO/IM/PR q4-6h.
1 mg/kg/dose
[12.5,25,50, syrup 5.25 & 25 mg/5ml, supp 12.5,25,50]
(Reglan)
10 mg PO/IM/IV 1 h ac and qhs [tabs 5,10, elixir 5 mg/5ml]
(Compazine) 5-10 mg PO/IM
tid/qid
[tabs 5,10,25, elixir 5 mg/5ml]
0.13 mg/kg/dose
25 mg PR q12h [supp 2.5,5,25]
(Tigan)
250 mg PO
tid/qid, 200 mg IM/PR 16-8h.
mg/dose if 30-90 lbs.
[tabs 100,250,supp 100,200]
(Dramamine) 50
mg PO/IM/IV q4h
[50]
(Transderm Scop) one patch (0.5 mg) behind ear. Lasts up to three days [Box of 4]
Dyspepsia / Antacid / Anti-ulcer
omeprazole
(Prilosec)
cimetidine
(Tagamet)
famotidine
ranitidine
(Pepcid)
(Zantac)
nizatidine
(Axid)
aluminum hydroxide (Alternagel, Amphojel)
calcium carbonate (Tums)
20
mg PO qd
[20]
300
mg IV/IM/PO q6h, 400 mg PO bid, or 400-800 mg PO qhs.
Continuous IV infusion 37.5 mg/h [200,300,400,800 liquid 300 mg/5ml]
20
mg IV q12h. 20-40 mg PO qhs
[20,40, susp 40 mg/5ml]
50
mg IV q6-8h, or continuous infusion 6.25 mg/h.
150
mg PO bid or 300 qhs
[150,300, syrup 75 mg/5ml]
150-300
mg PO qhs
[150,300]
600 mg or 5
500
ml PO q4h.
mg PO prn
[300,600, susp 320 & 600mg/5ml] Constipat
[500,750, susp 1000 mg/5ml]
Maalox
Mylanta
(alumin & mag hydrox)
one tab or 15-30 ml PO prn.
(aluminum & magnesium hydrox) one tab or 15-30 ml PO prn.
sucralfate
Donnatal
simethicone
Infant drops
magaldrate
(Carafate)
1
g PO 1h before meals and qhs [1g]
(phenobarb/atrop/hyoscy/scop) 1-2 tabs or 5-10 ml PO tid/qid
(Mylicon, Gas-x)
40-125
mg PO qid
[50,80,125]
0.3
ml PO qid prn
(Riopan)
5-10
ml PO prn
[480, susp 540 mg/5ml].
Riopan Plus has added simethicone
(Cytotec)
100-200
ug PO qid
[200 ug] abortifacient
misoprostol
Laxatives
bisacodyl
Correctol
docusate Na
lactulose
(Dulcolax)
10
(docu/phenlph)1-2
(Colace)
100
(Chronulac)
30
mg
tabs
mg
ml
PO/PR prn
[tab 5, supp 10]
PO qhs, 1 tab if 6-12 yo
PO
qd/bid [50,100,250, liquid 20,50 mg/5ml] glycer. one suppos. PR prn
PO qhs for constip, 30-45ml PO tid/qid for hepatic enceph. [10 g/15ml]
magnesium citrate
4 ml/kg up to 300 ml PO
magnesium hydrox (Milk of Mag) 5-15 ml
PO prn
methylcellulose
psyllium
senna
(Citrucel)
(Metamucil)
(Fiberall)
(Senokot)
mineral oil
Peds
phenolphthalein (Ex-Lax)
polyethyl glycol (GoLytely)
(CoLyte)
sodium biphosph (Fleet enema)
sorbitol
Maalox Plus has added simethicone
Mylanta II has added simethicone
[tab 325, liquid 390 mg/5ml]
1 tablespoon in water qd/bid/tid
1
tsp
10-15 ml
PO qd/bid/tid
PO qhs
5-30 ml
PO qhs.
5-20 ml/dose
50-90 mg
PO qhs
[90]
4 liters
PO for complete bowel evacuation. Or 250 ml per NG q15 min for 4h
one enema
PR prn.
[118ml]
2ml/kg up to 50 ml of 70% sol'n PO
Other GI agents
Anusol
ointment or supp bid/tid prn
chenodiol
(Chenix)
250-500 mg PO bid
[250\
pancrelipase (Pancrease)
1-3
tabs PO with meals
sulfasalazine (Azulfidine)
500-1000 mg PO qid
[500,250 mg/5ml]
ursodiol
(Actigall)
300
mg PO bid/tid [300]
vasopressin
(Pitressin, ADH) GI bleeding 100 units in 250 ml D5W (0.4 u/ml) IV at 6-24 u/h (15-60 ml/h)
witch hazel
(Tucks)
pads
tid/qid
HEMATOLOGY
dipyridamole
(Persantine) 50-75 mg PO tid/qid
[25,50,75]
ethrypoietin
(Epogen)
50-100 units/kg IV/SC 3 times/week
factor VII, factor IX
dosage varies
ferrous sulfate
fresh frozen plasma
heparin Load
pentoxifylline (Trental)
protamine
warfarin
(Coumadin)
325 mg or 5-10ml PO tid [tabs 250,300,325, elixir 220 mg/5ml]
Dosage varies
5000 units IV, infusion 10,000 units in 100 ml D5W (100 units/ml) at
800-1000 units/h (8-10 ml/h) Titrate to PTT. DVT prophylaxis 500 units SC q8-12h
400
mg PO tid
[400]
10-50 mg IV over 3-10 min. 1 mg antagonizes approximately 100 units heparin
2-10 mg PO/IM qd
[1,2,2.5,5,7.5,10]
----------------------------------------------------------------------------------------------------------------------NEUROLOGICAL
Anticonvulsants
carbamazepine (Tegretol) 200-600 mg PO bid [tabs 100,200, susp 100/5ml] Aplastic anemia
clonazepan
(Klonopin) 0.5
mg PO tid [0.5,1,2]
ethosuximide (Zarontin) 250
mg PO qd if 3-6 yo, 500-1000 mg PO qd if >6 yo [tab 250, elixir 250 mg/5ml]
primidone
(Mysoline) 100-125 mg PO qhs [tabs 50,250, liquid 250 mg/5ml] Metabolized to phenobarbital
valproic acid (Depakene) 15 mg/kg up to 1000-3000 mg PO divided bid. [tab 250, syrup 250 mg/5ml] Hepatic toxicity.
diazepam
(Valium)
0.2-0.4 mg/kg up to 5-10 mg IV, or 0.3-0.5 mg/kg PR
phenobarbital Load 15-20 mg/kg up to 300-800 mg IV at 25-50 mg/min. Maintenance 60 mg Po bid/tid,
peds 3-5 mg/kg/day [tabs 8,16,30,32,60,65,100, elixir 15 & 20 mg/5ml]
phenytoin
(Dilantin) load 50 mg/min IV to total 15-20 mg/kg or 1000 mg. Mix in NS, precipitates in D5W. 5 mg/kg or
300 mg PO qd or divided tid. [tabs 30,50,100, elixir 30 & 125 mg/5ml] nml range (10-20)
Migraine
dihydroergotamine (DHE 45)
1 mg IV/IM, repeat in 1h prn
ergotamine
(Ergostat) 2 mg SL, may repeat q 30 min x2 [2]
Parkinsonian agents
amantadine
benztropine mesylate
levodopa
selegiline
Sinemet
trihexyphenidyl
Other neurological
dexamethasone
meningitis
edrophonium
meclizine
methylprednisolone
neostigmine
nimodipine
(Symmetrel)
(Dogentin)
100
mg
1-2
mg
250-500 mg
(Eldepryl)
5
mg
(carbidopa/levodopa) 1
tab
(Artane)
1-5
mg
PO bid
IM/PO qd/bid
PO bid
PO bid
PO bid
PO qd
[tab 100, syrup 50mg/5ml]
[0.5,1,2]
[100,250,500]
[5]
[50/200]
[tabs 2,5, elixir 2 mg/5ml]
agents
(Decadron)
Load 10-20 mg IV, maintenance 4 mg 16h for
(Tensilon)
(Antivert)
(SoluMedrol)
(Prostigmin)
(Nimotop)
evaluation of myasth gravis -2mg test IV, then 8mg more after 45sec. Duration 5-10 min.
25
mg PO q6h prn [12.5,25,50]
Spinal cord injury 30 mg/kg IV bolus followed by 5.4 mg/kg/h infusion
0.5
mg IM/SC 15-375 mg/d PO divided [15]
60
mg PO q4h [30]
cerebral edema. 0.15 mg/kg IV for pediatric
OBSTETRICS
magnesium SO4 1-4 g of 10-20% sol'n IV over 2-4 min for eclamp,
drip 5g in 250ml D5@ (20 mg/ml) at 1 g/h (50 ml/h), titrate to reflexes
oxytocin
(Pitocin) 10 units IM after placental delivery.
Postpartum hemorrhage 10-40 units in 1000 ml NS IV
RHO immune globulin (RhoGAM) 1 vial IM within 72h if mother Rh neg
ritodrine
(Yutopar) 150 mg in 500 ml D5W (0.3 mg/ml) IV at 0.1-0.35 mg/min (24-83 ml/h)
10-20 mg PO 14-6h prn [10]
----------------------------------------------------------------------------------------------------------------------OPHTHALMOLOGY
Antimicrobial agents
bacitracin ointment
q3-4h
chloramphenicol (Chloromycetin)
1% ointment q3-4h
ciprofloxacin
(Ciloxan)
0.35% drops q1-6h
Neosporin
(bacit/neomy/polymyxin) ointment
q3-4h, drops q1-6h
Polysporin
(bacitracin+polymyxin) ointment
q3-4h
Corticosteroids
dexamethasone
prednisolone
artificial tears
atropine
phenylephrine
pilocarpine
timolol
(Decadron)
(Pred Forte)
(Tears Plus)
(Isopto atropine)
(Neo-Synephrine)
(Pilocar)
(Timoptic)
Dosage varies.
[0.1% drops, 0.05% ointment]
Dosage varies
[1% drops]
1-2 drops prn
1-2 drops solution, cyclopelgia and mydriasis 7-14d [0.5,1,2,3%]
1 drop solution, mydriasis may persis up to 3h, no cycloplegia [2.5,10%]
1-2 drops tid/qid [0.25,0.5,1,2,3,4,5,6,8,10%]
1 drop
bid
[0.25,0.5%]
Antihistamines
Naphcon A 2 drops both eyes QID
PSYCHIATRIC
Antidepressants
SSRIs
bupropion
fluoxetine
sertraline
Tricyclics
amitriptyline
nortriptyline
desipramine
clomipramine
imipramine
(Wellbutrin) 100
(Prozac)
20
(Zoloft)
50
mg PO bid/tid
mg PO qd
mg PO qd
(Elavil)
(Aventyl)
(Pamelor)
(Norpramin)
(Anafranil)
(Tofranil)
mg
mg
mg
mg
[75,100] Seizures.
[tab 20, liquid 20 mg/5ml]
[50,100]
initially 25 mg PO tid or 75 mg Po qhs [10,25,50,75,100,150]
25
25-200
25-100
50-150
PO
PO
PO
PO
tid/qid
qhs
qd
qhs
[tabs 10,25,50,75, solution 10 mg/5ml)
[10,25,50,75,100,150]
[25,50,75]
[10,25,50]
Other
trazodone
MAOIs
phenelzine
Antipsychotics
chlorpromazine
clozapine
fluphenazine
haloperidol
(Desyrel)
50-100 mg PO tid
[50,100,150,300]
(Nardil)
15
[15]
mg PO tid
400-600
25-50
1-5
2-5
1-5
lithium carbonate (Lithane)
300
molindone
(Moban)
5-25
perphenazine
(Trilafon) 5
4-8
pimozide
(Orap)
1-2
thioridazine
(Mellaril) 50-200
thiothixene
(Navane)
4
2-5
trifluroperazine (Stelazine) 1-2
Benzodiazepines
midazolam
oxazepam
alprazolam
lorazepam
chlordiazepoxide
for ethanol
diazepam
clorazepate
flurazepam
temazepam
triazolam
(Thorazine)
(Clozaril)
(Prolixin)
(Haldol)
(Versed)
(Serax)
(Xanax)
(Ativan)
(Librium)
withdrawl
(Valium)
10-15
0.25-0.5
0.5-2
25-100
5-25
2.5-5
2-10
(Tranxene) 7.5-15
(Dalmane) 15-30
(Restoril) 15-30
(Halcion) 0.125-0.5
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
PO/IM
PO
PO/IM
IM
PO
PO
PO
IM
PO
PO
PO
IM
PO
IM
bid/tid/qid
qd
q6-8h.
q4-8h prn
tid
tid
tid/qid
q6h.
tid
qd
tid
q6-12h.
qid
q4-6h.
[tabs 10,25,50,100,200, supp 25,100,syrup 10 mg/5ml]
[25,100] Agranulocytosis
[tabs 1,2.5,5,10, elixir 2.5 mg/5ml]
[tabs 0.5,1,2,5,10,20, liquid 2 mg/ml]
[tabs 150,300,600, syrup 300 mg/5ml]
[5,10,25,50,100, liq 20mg/ml]
[tabs 2,4,8,16, liquid 16 mg/5ml]
[2]
[tabs 10,15,25,50,100,150,200, suspension 25 & 100 mg/5ml]
[tabs 1,2,5,10,20, liquid 5 mg/ml]
2-5mg PO bid
[tabs 1,2,5,10, liquid 10 mg/ml]
½-life 2.5h 0.07mg/kg
mg
PO
tid/qid. Half-life 5-15h
mg
PO
tid.
Half-life
12h
mg IV/IM/PO q6-8h.
Half-life 8-20h
mg IV/IM
q2-4h
Half-life
24h
mg
PO
tid/qid
mg increments IV up to 0.2 mg/kg.
mg
PO
tid/qid. Half-life 20-50h
mg
PO
qhs/bid Half-life
60h
mg
PO
qhs.
Half-life 70-90h
mg
PO
qhs.
Half-life 8-25h
mg
PO
qhs.
Half-life
2-3h
IM. 1mg IV q2-3min to 0.15 mg/kg. Dur 1-4h.
[10,15,30]
[0.25,0.5,1,2]
[0.5,1,2]
[5,10,25]
[tabs 2,5,10, sol'n 5 mg/5ml]
[3.75,7.5,15]
[15,30]
[15,30]
[0.125,0.25]
Sedatives / Hypnotics / Anxiolytics
buspirone
(BuSpar)
5-10
mg PO
tid
[5,10]
ethchlorvynol (Placidyl) 500
mg PO
qhs
[200,500,750]
hydroxyzine
(Atarax)
(Vistaril) 0.5
mg/kg up to 25-50 mg PO/IM q4-6h prn. [tabs 10,25,50,100, susp 10 & 25 mg/5ml]
meprobamate
(Equanil)
(Miltown) 400
mg PO tid/qid
[200,400,600]
pentobarbital (Nembutal) 30-150 mg PO/IV/IM/PR tid/qid.
Peds:
2-6
mg/kg/day
[tabs 50,100, supp 30,60,120,200, elixir 20 mg/5ml]
Stimulants / Anorexiants
methylphenidate (Ritalin) 5-10 mg PO bid/tid [5,10,20]
pemoline
(Cylert) 37.5 mg PO qd
[18.75,37.5,75]
----------------------------------------------------------------------------------------------------------------------PULMONARY
acetylcysteine
(Mucomyst) 6-10
ml of 10% or 3-5 ml of 20% solution nebulized q6-8h.
Acetaminophen toxicity: Load 140 mg/kg of 20% sol'n PO or per NG, then 70 mg/kg 14h x 17 doses.
May be mixed in water or soda. Mucolytic
albuterol
(Ventolin)
(Proventil)0.5
ml of 0.5% sol'n (2.5 mg) nebulized q6h
Inhaler 2 puffs q4-6h.
2-4 mg PO tid/qid.
Peds: 2-6 yo 0.1 mg/kg up to 2 mg PO tid [tabs 2,4, syrup 2 mg/5ml]
aminophylline
200
mg PO tid/qid [100,200]
Load 6 mg/kg IV over20-30 minutes, drip 1g in 250 ml D5W (4mg/ml) at 0.5-0.7 mg/kg/h.
70 kg: 44 mg/h (11 ml/h).
Peds
beclomethasone
1 mg/kg/h.
(Vanceril)
(Beclovent)2
cromolyn sodium
epinephrine
flunisolide
ipratropium
metaproterenol
puffs tid/qid.
(Intal)
20
mg inhaled qid.
200
mg PO qid [100]
0.01 ml/kg up to 0.3-0.5 ml (0.3-0.5 mg) of 1:1,000 solution SC.
(AeroBid) 2
puffs bid
(Atrovent) 2
puffs qid
(Alupent) 0.01 ml/kg up to 0.3 ml 5% sol'n nebulized q4h.
Inhaler 2-3 pubbs 13-4h.
Oral 20 mg PO tid/qid. 10 mg/dose if 6-9 yo,
2 mg/kg/day if <6 yo. [tabs 10,20, syrup 10 mg/5ml]
terbutaline
(Brethine) 0.25
mg SC. Inhaler 2 puffs q4-6h.
2.5-5
mg PO tid. Not recommended in patients uner 12 years. [2.5,5]
theophylline, sust rel. (Theo-Dur)
(Slo-bid) 100-300 mg PO bid [tabs 100,200,300,450]
Pediatric sprinkles (Theo-Dur) 10 mg/kg/dose PO bid [50,75,125,200]
triamcinolone acetonide (Azmacort) 2
MISCELLANEOUS
azathioprine
charcoal
deferoxamine
(Imuran)
(Desferal)
puffs tid/qid
Dosage varies [50]
0.5-1.0 g/kg up to 30-90 g PO. Can repeat q4h.
50 mg/kg up to 500-1000 mg IM. Consider IV infusion up to 15 mg/kg/h. iron toxicity.
dimercaprol
(BAL)
arsenic, mercury, gold, lead toxicity. Dose varies.
disulfiram
(Antabuse) 250-500 mg PO qd [250,500]
edetate disodium (EDTA)
lead toxicity. Dosage varies.
ethanol: methanol, ethylene glycol toxicity. 1000 mg/kg (10 ml/kg) of 10% ethanol (100 mg/ml)
IV over 1-2h then 100 mg/kg/h (10 ml/kg/h) to keep ethanol level approximately 100 mg/dl
ipecac syrup infant
5-10
ml PO, child 15 ml, adult 30 ml
nicotine gum
(Nicorette) 10-20 pieces/day prn [2 mg, 4 mg, 96 pieces/box)
nicotine patches
one patch (14-22 mg) qd, taper after 6 weeks. [Habitrol, Nicoderm 7,14,21, ProStep 11,22]
penicillamine
(Cuprimine) Dosage varies [125,250]