ETT Size Conversion D5W – D10W Fit to Work Classes

Age (years) + 4 Term

st
80cc/K/1 day eg. 2.2kg to cm Class
4 Preterm
st
70cc/K/1 day A Physically fit for all types of work.
No physical defect noted.
PT - 2.5 – 3.0 uncuffed 1. Weight (kg) x MF =TF/ day  176/day
NB - 3.0 – 3.5 uncuffed = TF ÷ 3 shifts  58.6cc/shift B Physically fit for all types of work.
6 mos - 3.5 – 4.0 uncuffed = TF/shift ÷ 8hrs  7.3cc/Hr Has minor ailment defect. Easily curable or
= Rate in cc/hr offers no handicap to job applied.
1 yo - 4.0 – 4.5 uncuffed
2 yo - 4.5 – 5.0 uncuffed 2. TF/shift x 0.11 (D10)
4 yo - 5.0 – 5.5 uncuffed C Physically fit for less strenuous type of work.
X 0.055 (D7.5)
6 yo - 5.5 uncuffed Has minor ailments/ defect. Easily curable or
offers no handicap to job applied.
8 yo - 6.0 cuffed or uncuffed 58.6 cc X 0.11 = 6.4cc D50W
10 yo - 6.5 cuffed or uncuffed = 58.6 – 6.4
= 52.2 cc D5W D Employment at risk & discretion of
12 yo - 7.0 management.
Adolescent – 7.0 – 8.0 cuffed
3. D10 IV Bolus at 2cc/kg
2 cc/K x 2.2kg = 4.4 cc D10 E Unfit for employment
Depth = internal diameter x 3 mm = 4.4 cc X 0.11 = 0.4cc D50W
= 4.4 cc – 0.4 cc Pending a. for further evaluation
> 2 up = age (years) + 12 = 4 cc D5W + 0.4 cc D50W b. for further treatment
4

Computation of MEDS: Ideal Body Weight (IBW) Emergency Drugs

Atropine 0.02 – 0.03 mkd
At birth: 3000 gms Adanocard 6mg initially, 12mg nxt
Given Dose = wt x RD x 1/R (drug prep)
2 – 12 mos: wt (lbs) = age in mos + 10 Adenosine 6mg/ 2ml
eg. 120/5 will be 5/120
<6 mos: wt (gm) = age in mos X 600 + BW Ca Gluc 10% 0.1 – 0.2 mkd
6 – 12 mos: wt (gm) = age in mos x 500 + BW Captopril 0.3 – 1.0 mkd
Ex. Paracetamol Capoten 25mg/tab
1 - 6 yo: wt (kg) = age in yrs X 2 + 8
Wt: 10 kg Wt (lbs) = age in yrs x 5 + 17 Hydralazine 0.1 – 0.5 mkd
RD: 10 – 15 mkd 6 – 12 yo: wt (kg) = [age in yrs X 7 – 5]/2 Apresoline PO: 10mg; 25mg
Prep: 120/5 syrup Wt (lbs) = age in yrs X 7 + 5 IV: 20mg/ amp
Dose = 10kg x 10 x (5/120) L – Carnithine 30 – 40 mkd
Dose = 4.16 ml or you may give 5ml Changes based on age: Carnicor PO: 1/10; 330
4 – 5 mos = 2 x BW IV: 1/5
1 yo = 3 x BW Lidocaine 1.0 mkd bolus
Actual Dose = dose x [R/1] ÷ wt 10 – 50 ugKm
2 yo = 4 x BW
3 yo = 5 x BW Mannitol 20% 1 – 2 mkd
Ex: AD = 5ml X [120/5] ÷ 10 5 yo = 6 x BW Prep: 1.2% soln ( 1 med/ml)
AD = 12 mg of PCM, so w/n range of RD 7 yo = 7 x BW NaHCO3 1.5 – 2.0 mkd
10 yo = 10 x BW Naloxone 0.1 mkd
Plain 0.4 mg/ 1ml
Formula for length: Neonatal 0.02 mg/ 1ml
Ht (cm) = age in yrs x 5 + 80 Nifedipine 0.2 – 1.0 mkd
Ht (in) = age in yrs x 2 + 32 Nipride 0.5 – 1.5 ugkm
Urecholine 2.9 mg/m2/d q 8 PO

GOMEZ CLASSIFICATION: ANTI – STAPH AMINOGLYCOSIDES

IBW < 1yo = (age in mo/2) + 3 Amikacin 10 – 15 mkD
= (age in yr x2) + 8 Nafcillin 100 – 200 mkD q8 Amikacide 100/2; 250/2
Vigopen 250/5 Kanamycin 30 – 50 mkD
(ABW/ IBW) x 100 Augmentin 40 – 60 mkD Netilmycin 6 – 8 mkD
Normal: 91 – 100% Co- Amoxiclav 156/5; 312/5 Neloomycin 50/2
1st degree: 75 – 90% Stafloxin 100 – 200 mkD Tobramycin 6 – 8 mkD (Nebcin)
Vancomycin 40 – 60 mkD
2nd degree: <60% Gentamycin 5 – 8 mkD IV
Cloxacillin 50 – 100 mkD q6 Geramycin 20mg; 40mg; 80mg
Prostaphilin A 125/5
WATERLOW CLASSIFICATION:
Orberin 250; 500 ANTI – AMOEBIC
Wasting: (ABW/ Ideal Wt for Ht) x 100 Oxacillin 100 – 200 mkD IV
Normal: > 90% Metronidazole 40 – 50 mkD n(7.5mkd)
Prostaphilin <7 or >2g = 7 mkD
Mild: 80 – 90%
>7 or >2g = 30 mkD
Moderate: 70 – 80% OTHER BETA LACTAMS Flagyl PO: 125/2; 250
Severe: <70%
IV: 500/100
Imepenem 60 mkd q6 Metroxyn 500 mg
Stunting: (actual Ht/ ideal Ht for age) x 100 NB: 20 mk q12 Servizole 200mg/ 5 ml
Normal: >95% Piperacillin (Cypercil) Tinidazole 50 – 60 mg OD x 3d
Mild: 90 – 95% Less serious: 100 – 200 mkD q6 Etofamide 15 – 20 mkD
Moderate: 80 – 90% Serious: 200 – 300 mkD Kitnos 40/5; 250; 500
Severe: 80% Vancomycin 40 – 60 mkD (given in 2 Hrs) Furazolidine 5 – 7 mkD q6
CEPHALOSPORINS CEPHALOSPORINS CEPHALOSPORINS
ST
1 generation 3rd generation 3rd generation
Cephalexin 50 – 100 mkD q6 Ceftriaxone 50 – 100 mkD Cefixime 3 – 6 mkD BID
Selzef Rocephin/ Forgram/ Keptrix 8 mkD OD
Forexime Adult, >12yo 1 – 2 grm IV OD Tergicef 20/ml; 100/5 (50mg/g)
Ceporex 100mg/ml; 125/5, 250/5 Severe: >4 grm IV OD 100mg; 200 mg cap
Cefadroxil 25 – 50 mkD BID Infant & children 20 – 80 mg/kg 6 – 11 mos (drp): 1.25 – 2.5 ml BID/ 2.5 – 5ml OD
Cefalothin 50 – 100 mkD QID Neonates: 20 – 50 mg/ kg 1 – 2 yo (syr): 1.25 – 2.5 ml BID/ 2.5 – 5ml OD
Cafazolin 50 – 100 mkD QID Ceftazdime 50 – 100 mkD 3 – 6 yo (syr): 2.5 – 5ml BID/ 5 – 10 ml OD
Cephadrine 25 – 50 mkD q6 Fortum/ Tazidem 7 – 12 yo: 100mg q12h/ 200 – 300 mg OD
< 2mo: 25 – 50 mkD BID 5 – 7.5ml BID/ 10 – 15 ml OD
2nd generation > 2mo: 30 – 100 mkD TID Adult, >12yo: 200mg q12/ 400mg OD
Cafamandole 50 – 100 mkD QID Adult: 500mg – 2g/ day BID/TID 10 ml BID/ 20 ml OD
Cefaclor 20 – 40 mkD q12 Meningitis: 150 mkD Cefdinir 9 – 18 mkD q8
Ceclor 50mg/ml; 125/5; 250/5; DS Neonate: 25 – 60 mkD q12 Omnicef 50 mg/sachet
Ceclor CD Extended Release tab Cefoperazone 100 – 150 mkD 100 mg/cap
375mg; 750mg Child: 50 – 200 mkD BID Cedax 9 mkD OD
Xelent 50mg/ml; 125/5; 250/5 Adult: 2 – 4 gkD q12 180/5
Cefuroxime IV: 50 – 100 mkD q8 Cefobis Cefetamel 20 mkD OD q12
PO: 20 – 40 mkD BID Cefoxitin 50 – 100 mkD q6 - 12 Globocel 250/5
Zinnat 125/5; 250mg; 500mg cap Mefexin 1g/ vial
Zegen 125/5; 250/5 Ceftizoxome Child: 40 – 80 mkD BID-QID
Zinacef Adult: 0.5 – 2g/d 2-4 dose IV/IM

CEPHALOSPORINS CO – AMOXICLAV: PENICILLINS:

3rd generation 156.25/5 (125) 60ml PCN 50 – 100 TUKD / 25 – 30 mkD
Cefotaxime 50 – 100 mkD BID-QID 228.5/5 (200) 70ml 625 mg = 1 mu
NB: 50 mkd q12 312.5/5 (200) 60ml 250/5 = 400 TU
12 yo, adults Mild: 1 gram IV q12
457/5 (400) 35ml; 70ml 312.5/5 = 500 TU
Mod-sev: 1 – 2 grm IV q6-8h 375mg; 625 mg tab 500 mg = 800 TU
Severe: 2 gram IV q4h
600mg; 1.2 gram vial Oral PCN 100 – 200 TUKD
Max: 12 gram/ day Pentacillin 50/5; 500 mg
Prevent post-op infection 1 gram Adult: 375 mg TID Sumapen 25/5; 250; 500
625 mg BID – TID Megapen 50 TU/ml gtts
4th generation
1 grm BID 312.5/5; 625 mg
Cefepime 50 – 100 mkD q12h
Children: Amoxicillin 40 – 60 mkD q8
Septic, Bact Meningitis 50mkD q8 x 7 – 10 d 0 – 3 mos: 30mg/k IV q12 Augmentin 156/5; 312/5
> 2 mo old, BW <40kg 50mkD q12 x 10d 3mos – 12 yo 30mg/k IV q8 Cycamil/ Sumoxil/ Moxillin
Severe 50 mkD q8
ATP 25 – 50 mkD Himox/ Wyamox/ CLearamox
Adult, > 12 yo 500mg – 1 gm IV/IM q 12h
UTI 50 – 75 mkD TID Nalcillin 100 – 200 mkD q6
Severe 1 – 2 gm IV/IM q 12h Stafloxin 100 – 200 mkD
Neborns 30 mkd q8h Ampicillin 100 – 200 mkD
NB: 50 – 100 mkD BID
Men: 300 – 400 mkd q6
Ampicin/Pentrexyl
Bacampicillin 25 – 50 mkD
Penglobe 200/5

MACROLIDES: MACROLIDES: ANTI – FUNGAL:

Erythromycin 30 – 50 mkD Clindamycin 30 – 50 mkD Nystatin 0.5 – 1.0 ml TID – QID x 7d (thrush)
Erythrocin 200/5; 400/5 ds; 150/ml; 150mg NB: 400 TU/day
100/2; 5 gtts; 500 Chloramphenicol 50 – 100 mkD Inf/Child: 1 – 2 MU/day
Azithromycin 10 mkD OD x 3d Chlormycelin Men: 100mkD q6h Mycostatin 100 TU/ ml; 500 TU/ tab
Zithromax 250mg; 500mg; Chloramol Mycosul/ Maicostat: 100, 000 u/ml
200/5ml; 500mg vial Adult: 5 – 10 ml QID – TID
Tetracycline 40 – 60 mkD
Azyth 250mg; 500mg Children: 1.0 ml QID
Clarithromycin 7.5 or 15 mkD q12 Infant: 1.0 ml OD
Roxithromycin Amphotericin B 0.3 - 0.7 mkD
Klarmyn/ Klaricid/ Klaz 250mg; 500mg Up to 40 kg 5 – 8 mkD BID x 7–10 d 500mg + 10 ml DH2O
Clariget/ Klaz/ Klaricid Pediatrica 125mg/5ml > 40 kg 150 mg BID Griseofulvin 10 mkD SD
Macrol 150mg; 300mg OD Adult 500 – 1000 mg/day but not
Cotrimoxazole 8 – 10 mkD BID (TMP) Macrol kiddie 100mg tab <10mkD single or divided doses
Kindoprim 40/5 Rulid 150mg; 300mg Child 10 mkD in divided doses
Bacidal 80/5 Thromyn, Xithron 150mg tab Grisovin 125 mg/tab
Trizole 80/5 Fluconazole LD: 6 mlD
Triglobe 45/5 MD: 3 mkD x 1 wk
Bactrim 160/5; 40; 80 Diflucan 50 mg/cap
Lidaprim 40/5 Ketoconazole
Macrobid 40/5 Nizoral 200mg/tab
Terbutafine HCl 1 tab OD
Lamisil 250 mg/tab
ANTI - TB ANTI – TB: ANTI – VIRALS:
INH Tx: 15 – 20 mkD liver Methisoprinol 50 – 100 mkD
Px: 10 – 15 mkD per Neuritis First 2 months: Rifampicin/ INH/ PZA/ Ethambutol Isoprinosine 250/1; 500
Trisovit 50/5 Trisofort 200/5 Next 4 months: Rifampicin/ INH/ Ehtambutol Inosiplex 50 mkD
Nicetal 100/5 Pyrobin H 150/5 Immunosine 250/5
Primefort 100/5 Comprifex 200/5 Patient Weight (kg) No. of fixcom 4/3 tab to take Amantadine 5 – 8 mkD
Odinah 150/5 30 – 37 2 tablets Symmetral 50/5
Ethambutol 15 – 25 mkD optic neur 38 – 54 3 tablets Virazole 10 mkD
Myambutol 200/5 55 – 70 4 tablets Acyclovir 10 – 15 mkD
Ethambin 125/5 > 71 5 tablets
Zovirax 250/5; 200
Isoetham 150/5
Ethambin/INH 150/f
Rifampicin 10 – 20 mkD liver
Rimaclane 100/5; 200/5
150; 300; 450; 600
Meningo Px:
Adult: 600 q 12 x 4 doses
1 – 12 yo: 10 mkD q 12 x 4 doses
3mo – 1yr: 5 mkD q12 x 4 doses
Streptomycin 20 – 30 mkD OD
IM ototoxic
PZA 30 – 50 mkD q8

Acyclovir: (Zovirax) Valacyclovir: (Valtrex) ANTI - HELMINTHIC:

500mg tab
Nersex 200; 400; 800mg tab; 200mg/5; 250mg/vial HS 500mg BID x 5 – 10 d Oxantel Pamoate 10 – 20 mkd
Herpes Simplex HZ 1000mg (2tabs) TID x 7d Quantrel 100/5; 100
< 2 yo 100mg or ½ adult dose Tetramizole 2.5 – 5 mkd SD
> 2 yo/ adult 200mg 5x daily, 4h interval x 5d
Oseltamivir PO4: (Tamiflu) TMZ 25 mg/10ml
Immunocomp:
Prep: 75mg cap; 12mg/ ml susp Mebendazole 100 mkd BID x 3d
< 2 yo ½ adult dose Antiox 100; 500 mg/tab
Adult & > 13 yo 75mg BID x5d
> 2 yo/ adult 400mg 5x/day 20mg susp (30ml)5ml BID x3d
> 8yo or > 40kg 75mg BID x 5d
Varicella & Herpes Zoster Combantrin 125mg; 250 mg/tab
Children (susp)
Adult 800mg 5x daily x 7d
23 – 40kg 60mg BID x 5d 125mg/ 5ml susp
> 6 yo 800mg 4x daily x 5d
15 – 23 kg 45mg BID x 5d
2 – 6 yo 400mg QID x 5d > 15 yo = 500mg
< 15 kg 30mg BID x 5d
< 2 yo 200mg QID x 5d 10 – 14 yo = 375mg
** Begin within 1 – 2 days of Sxs of flue
20mg/kg QID x 5d
5 – 9 yo = 250mg
max of 800mg/day 5 yo = 125mg
Infusion: HS & VZ
Adult 5mg/ kg/ dose q8 Racecadotril (Hidrasec)
3mos – 12 yo 250mg/ sqm BSA q8 Prep: 100mg cap; 10mg, 30mg powd
Adult 100mg TID
Acyclovir: (Zovirax) Cream 5% 2 gm Infant/Children 1.5 mkd TID
Adult & children: apply 5x/day at 4 h interval x 5d
Max: 10 days

ANALGESICS: ANALGESICS: SALICYLATES

Anti – rheumatic 65 – 130 mkD
Fentanyl Low: 2 mkD Ibuprofen 5 – 10 mkd q6-8h Asaped 81 mg
Mod: 2 – 20 mkD Dolan 100mg/ 5ml Ascriptin 325 mg
High: 2 – 50 mkD 2 – 6 yo 5 – 10 ml q6 –8h Aspirin Gr V Gr 1 65 mg
Sublimaze (Janssen) 50ug/ 2ml 7 – 12 yo 10 ml Neo – Novaldin 325 mg
Mefenamic Acid 3 – 5 mkD Dolan FP 200mg/ 5ml Superin 180/5; 3 gm
5 – 8 mkd 2 – 6 yo 2.5 – 5.0 ml
25 mkD 7 – 12 yo 5.0 ml INTRALIPID
Ponstan 50mg/5ml 10% = 10 g/ 100ml
Ponstaser 10mg/ml Paracetamol 10 – 14 mkd 20% = 20 g/ 100ml
Midazolam 0.1 mkD Aeknil (amp) 300/2 Eg: Wl = 2k at intra dose = 0.5gkD (10%)
Dormicum IV: 5/1; 5/5; 15/3 Afebrin 120/5 [ 2kg x 0.5 x 100] /10 = 10ml (of 10% IL)
PO: 5mg/tab Biogesic 100/ml; 250/5; 500
Morphine 0.1 – 0.2 mkD Calpol 120/5; 250/5 VAMIN/ AMINOSTERIL
Morphine 10/ml Crocin 125/5; 500mg CHON 2.5 – 4 gkd amino 6%
Nalbuphine 0.1 mkD Defebraol 60mg/0.6ml; 120/5 Glucose 5 – 9 mk
Nubain 10/ml Naprex 250/5; 500mg Prep/L CHON 60 gm
Pancuronium 0.04 – 1 mkD Opigesic (supp) 125mg; 250mg Calories 650 cal
Phenergan IV: 50/2 Rexidol 150/5; 60/0.6; 600mg Glucose 100 gm
PO: 1/; 10mg Tempra 120/5; 60/0.6 Start dose at CHON = 0.5 gkD
Ketorolac LD: 0.5 – 1.0 mg/kg IM/IV Tylenol 120/5 Eg wt. = 1 kg
MD: 1mg/kg q6 Winadol 120/5; 500mg = [1kg x 0.5 x 1000] / 60
Preparation 10mg tab; 30mg/ml
= 8.3 cc Vamin/ 12h
ANTACIDS ANTACIDS ANTIHISTAMINE
Maalox
> 1 yo 25 – 30 mkd
< 1 yo 20 mkd
Simeticone (Restime) Diphenhydramine 3 – 5 mkD TID - QID
Cimetidine 10 – 20 mkD q12 Prep: 40 mg/ml drops; 40mg tab Benadryl IV: 50/1 x 3 doses
Tagamet Syr: 200/1; 100/5 chewable PO: 12.5; 25: 50
Tab: 200; 400; 800mg 0 – 2 yo 20 mg 0.5 ml QID Methdiazine 0.3 mkD q6 –q12
IV: 200/2 2 – 12 yo 40 mg 1.0 ml QID Tacaryl 4/5; 4; 8
Ranitidine 4 – 5 mkD q8 > 12 yo 40 – 80mg 1 – 2 tab QID Clemasline 0.05 mkD q12
Zantac IV: 50/2 Tavegyl 0.5/5; 1mg
PO: 150; 300; 15/1 SPASMODIC Hydroxyzine 1 mkD
Cisapride 0.2 mkd q8 Iterax 2mg/ 1ml; 10; 25
Prepulsid 1/1 Relestal 1mkd (5/1; 10/5) Cetirizine 0.25 mkD
Omeprazole 0.7 – 1.4 mkd Benlyl 10/5; 10mg Virlix 10 mg/1ml
[max 40mg, 4 – 12 wk] Buscopan 1 – 3 tab TID Loratadine 2 – 12 yo, <30kg: 1 tsp OD
> 1yo, 10 kg: 10 mg 1 – 2 tsp TID >30kg; 2 tsp OD
20 kg: 20 mg
PO: 5/5; 10mg Claritin 5mg/5ml
Losec 20mg; 40mg
IV: 25mg/ amp Ketotifen 0.025 mkd q12
Famotidine 0.7 mkd q12
Domperidon (Motilium) Zadec 1mg/ 5ml
H2Bloc 20/2
Lansoprazole > 30 kg: 30 mg susp 1mg/ml 15 – 30 mins AC Zaditen 0.2mg/ 1ml
< 30 kg: 15 mg NUD adult 2tsp TID
Esomeprazole Children 2.5ml/10 kBW TID Itopride (Ganaton) 50mg tab
10 – 20 kg: 10 mg OD N,V Adult 4tsp QID
> 20 kg: 10 – 20 mg Children 5ml/ 10 kBW TID-QID
10mg tab

Brompheniramine + Phenylephrine: (Dimetapp) Desloratadine: (Aerius) Loratadine: (Allerta/ Claritin)

Prep: 5mg tab; 2.5mg/5ml Prep: 5mg/ml; 10mg tab
Syrup Adult 10 ml TID – QID 6- 11 mos 2 ml OD Syrup 3 – 12 yo; < 30 – 50kg 5ml OD
Children 2 – 4 yo 4 ml TID – QID 1 – 5 yo 2.5 ml OD > 30 – 50kg 10ml OD
5 – 6 yo 5 ml TID – QID 6 – 11 yo 5.0 ml OD 1 – 2 yo 2.5 ml OD
7 – 12 yo 7.5 ml TID – QID > 12 yo 10 ml OD Tab: 6 – 12 yo ½ tab OD
Drops 0.15 ml/kg/dose TID – QID Adult 5mg OD
> 12 yo & adult 1 tab OD
1 – 3 mos 0.75 – 1.0 ml TID – QID
Diphenhydramine
3 – 6 mos 1.0 – 1.25 ml Phenylpropanolamine: (Disudrin)
Prep: PO: 3 – 5 mkD IV: 1 mkd
6 – 12 mos 1.25 – 1.5 ml Syrup 12.5/5ml 2 – 6 yo 2.5 ml q6
Allerin AH 25 mg cap
1 – 2 yo 1.5 – 2.0 ml 12.5 mg/ 5ml 7 – 12 yo 5 ml q6
2 – 4 yo 2.0 – 2.5 ml Benadryl 5.0mg/ml amp Drops 6.25/ml 1 – 3 mo 0.25 ml QID
4 – 6 yo 2.5 – 3.0 ml 2 – 6 yo 2.5ml q8 4 – 6 mos 0.5 ml
6 – 12 yo 5.0ml q8 7 – 12 mos 0.75 ml
Cetirizine Adult 10ml q8 1 – 2 up 1.0 ml
> 12 yo & adult 1 cap q8
Drops 6 – 12 mos 1 ml OD INJ Children 5 mkD in divided doses
12 mos – 2 yo 1ml BID Loratadine + Phenylephrine: (Loraped)
Adult 10 – 50mg IV/IM
2 – 5 yo 2 ml OD/ 1 ml BID 100 mg if needed, but no to > 2 yo > 30 kg 5 ml BID
Syrup 2- 5 yo 5 ml OD/ 2.5 ml BID exceed 400mg in 24h < 30 kg 2.5 ml BID
6 – 12 yo 1 0ml OD/ 5 ml BID
Allerkid drops 2.5mg/ ml Ebastine: (Aleva)
Syrup 5mg/ 5ml Prep: 1mg/ml; 10mg; 20 mg tab
Virlex drops 10 mg/ ml 6 – 12 yo 5 ml OD
Syrup 5mg/ 5ml Adult 10mg or 20 mg OD

Nasal Preparations ANTI – ASTHMA COUGH

Aminophylline LD 8 – 10 mkd Ambroxol 1.2 – 1.6 mkD q12
Oxymetazoline (Drixine) MD 3 – 5 mkd Mucosulvan 15/5; 1.5/1. 5
Prep: Nasal Spray 0.05% Drip: 0.4 – 0.9 mkH Zobrixol 15/5; 7.5/1.25
Ped Nasal Sol 0.02% Neonate: 1 mkd q8 or 2 mkd q12 Salvotran 15/5; 30/5
Adult: 2 – 3 spray /nostrils BID Apnea: LD: 5 – 6 mkd Bromhexine 7 – 12 yo = 1 tsp TID
2 – 5 yo 2 – 3 drops /nostrils BID MD: 2 mkd 12h post LD 2 – 6 yo = ½ tsp TID
Prep: 250/10 Bromulex 4mg/ 5ml; 8mg
Azelastine (Azep) Nasal Spray 1 puff BID Drip: eg: 5kg at 0.4 mkH in 8h drip: SCMC 20 – 30 mkD TID
5 x 0.4 x 8 = 16 mg in 8h Loviscol 50/1; 100/5
Fluticasone Propionate (Flixotide) Nasal Spray 0.05% If IVF rate in 5cc/h, fill soluset with Solmux 40/1; 200/5
< 4 – 11 yo: 1 spray/ nostrils OD, Max: 2 sprays 40cc IVF + 16 mg Amino (0.64ml) Cemetol 200/5
> 12 yo 2 sprays/ nostrils OD, Max: 4 sprays Theophylline 3 – 5 mkd Acetylcysteine (Fluimucil)
Huelin 80/15; 50; 125; 250 Prep: 600mg tab, 100mg/200mg sachet,
Fluticasone Furoate (Avamys) 27.5 mcg/ spray Terbutaline SQ: 0.005 mkd 100mg/5ml syr, 100mg/ml 3ml inhalation/
PO: 0.075 mkd inj amp
Mometasone (Nasonex/ Rinelon) Drip: 0.003 mkH Adult: Oral 600mg OD or 200mg BID – TID
Nasal spray 50 mcg/dose x 140 metered doses Bricanyl IV: 0.5/1 Neb 1 amp OD – BID x 5 – 10 d
Rhinosinusitis: > 12yo 2 sprays/nostril BID PO: 1.5/5; 2.5 IM 1 amp OD – BID
Rhinitis: acute: 2 sprays/ nostril OD Salbutamol 0.12 – 0.15 mkd IV 1 amp BID, 2 – 3 amp BID – TID
Chronic: 1 spray/ nostril OD Ventolin 2/5 syr; 1.2/5 exp; 2 Child: oral 100mg BID – QID in 75ml water
Max: 4 sprays Librenlin 2/5; 2 mg IM ½ adult dose
Prox – S 2/5; 2 mg IV 1 – 1 ½ amp BID – TID dilure IV
Atrovent 4 – 8 gtts/ ml NSS inj with NSS or D5W
Ambroxol Inosiplex (Immunosin) Ferrous Sulfate
Prep: 500mg tab; 250mg/5ml Fer – in – sol
Zobrixol Adult: 1 tab q3–4h Prep: Drops 15 mg/0.6 ml
Mucosolvan Drops 6.0mg/ml Children: 6 – 12 yo 5ml FeSO4 75mg/0.6 ml
Liquid 15mg/5ml; 30mg/5ml 2 – 6 yo 3ml Prevention: 0.3 – 0.6 ml daily
Cap 30mg tab; 75 mg retard cap 1 -2 yo 2 ml Therapeutic 0.6ml/ dose
Inhalation solution 15mg/2ml Infant: 6 – 12 mos 1.5ml Older Children: 5 – 7 x daily
Amp 15mg/2ml
2 – 6 yo: 3 – 5 x daily
> 5yo & adult 1 – 2 inhalations/day of 2 – 3 ml ZnSO4 (Prozinc) x 10 – 14 D Infant: 2 – 3 x daily
soln OR 1 amp BID – TID
Syrup Adult/children 2.5 – 5.0 ml OD
2 – 5 yo 1 – 2 inhalations/day of 2 ml Incremin syrup 30mg/ 5 ml
soln OR ½ amp TID Drops infants/children 0.5 – 1.0 ml OD
Hemarate syrup 30mg/5ml; 10.5mg/tab
Carbocisteine: (Loviscol) Iberet 105mg/4ml; 500mg tab
Ferlin Drops FeSO4 74.64 mg
Drops 50mg/ml: 13 – 24 mos 1.2 ml q6h
Prophylactic:
Susp 250mg/ 5ml: > 12yo & adult 10-15ml q8h
Term: 1mg/K/D up to 15 mg/day
100mg/5ml: 1 – 3 yo 5 – 7.5 ml q 8h
Preterm: 2 mg/K/D up to 15 mg/day
4 – 7 yo 7.5 – 10 ml q 8h
Therapeutic: 3 mg/kg in 3 – 4 doses x 4–6 mo
8 – 12 yo 10 – 15 ml q 8h
Ferlin Drops FeSO4 149.34mg
Supplemental: 10 – 15 mg daily
Therapeutic: 3 mg/K/D in 3– 4 doses x 4-6 mo

Glucolyte DIURETICS DIAZEPAM DRIP

Furosemide 1.0 – 2.0 mkd 0.3 mkH dilute in NSS makes 0.1 mg/ml conc mg/total
15 yrs

more
30 kg
older

2200

4000

volume (ml)
8¾

16
or

or

to

to

Lasix 20/2; 40 mg
Frusema 20/2; 20mg; 40mg ATROPINE SULFATE
Pedia 1 – 2 mg SQ q 20 min
Diazoxide 5 – 10 mkd
1200

2200
29.9
16 –

4¾

8¾

0.2 mkd q 3 – 5 min

5–

yrs
14

kg

to

to

Diazoxide 300/2 Adult 2mg q 10 min IV/IM

Acetazolamide 20 – 30 mkD 0.5mg (5ml) q 3 – 5 min
Dia – nox 250mg/tab
years

1200
2–4

__ mkd prn after 24h

15.9
11 –

800

4¾
3¼
kg

to

to

Spirinolactone 1.5 – 3.0 mkD DOPAMINE DRIP

Aldactone 25 mg/tab 1 – 5 ug/k/min = VD, inc renal & splan circ
10.9
mos
11 –

HCTZ 1 – 2 mkD
600

800

2½

2½
8–

5 – 10 ug/k/min = inotropic; no effect on HR

23

kg

to

to

Dichlotride 25mg; 50mg tab 10 – 20 ug/k/min = inc BP

Mannitol 20% 1.5 – 2 gkD or 3 – 5 cckd Prep. Dopamine: 200/5
mos

400

600

1½

2½
7.9
4–

5–
11

kg

200g/L (1 gm = 5cc; 0.5 – 1 gkd

to

to

Conc Dopa D5W

S 800 1cc 49cc
DS 1600 2cc 28cc
200

400
5kg

1½
mo
<4

to

to
¾
<
s

QS 3200 4cc 26cc

Prep. Dopamine: 250/5
Conc Dopa D5W
Glucolyte

Glucolyte
Amount

Amount
Weight

(cup)
(ml)
Age

S 1000 4cc 46cc

of

of

DS 2000 8cc 42cc

QS 4000 16cc 34cc

Computation for conc: Indomethacin IV (12 – 24h interval) ELECTROLYTES

1. D5W 250 + 200 mg/amp Initial: 0.2 mk
200/250 = 0.8 mg/ cc = 800ug/cc 2nd dose: <48h: 0.1mk Vit. K = 0.3 mkd (max 5 mg) x 3 days
1cc = 60ugtts 2 – 7 day: 0.2 mk
Conc = 600/60 = 13.33ug/ugtts > 8 day: 0.25 mk Ca Gluc: 10% 1cc/k/shift
2. Lidocaine 2% 3rd dose: <48h: 0.1mk IV MD: 200 – 500 mkD q 6 or drip
2g/ 100ml = 20 mg/ml 2 – 7 day: 0.2 mk (max 200 mkd in 10min)
> 8 day: 0.25 mk
IV: 100/1 (9 el Ca/ml or 0.45 mg Ca/ml)
Rate = [RD x Wt x 60]/ Conc STEROIDS: PO: 500 mg (45 mg Ca)
AD = [rate x conc] / [wt x 60] Dexamethasone 0.2 – 0.4 mkd 650 mg (58.5 mg Ca)
Decadron 4/1
Dopa = BP Hydrocortisone LD: 10 mk Iron: Tx: 4 – 6 mkD
Dobu = HR MD: 5 mkD Px: 1 – 2 mkD
Solu – cortef 100/2; 250/2 Iberet 500mg (26.25 el Fe)
Heparin LD: 50 UK IV bolus Act – o – vial 100 Odiron 50mg/ 10ml; 25 mg/ 5ml
Prednisone 0.7 mkD
MD: 10 – 20 UkH Fer-in-sol 15mg/0.6ml; 18mg/5ml
Solumedrol 125/2
Heparin 0.5 – 1 U/ml NSS or Propan 25mg/ 5 ml
Prednisone 0.5 mkD
Lock 0.02 ml/50ml NSS Ferlin 30mg/ 5ml; 15mg/ 1ml
HepB IgG 0.5ml/K w/in 12H of birth, then at 3 & 6 mos. ALBUMIN:
Incremin 30mg/ 5ml
If vaccine is not given. Albumin 1gkd
Alburein 12.5g/50ml (25%)
Polyvifer 10mg/ 1 ml
Hep B vaccine: 0.5 ml IM
Formula [Desired – Actual] x 1.2 x Wt Glucagon 0.25 – 0.3 mkd
Albumin: 0.5 – 1.0 g/K (max 6gkD)
Methyldopa 5 – 40 mkD q 6-8 0.3 mkd. 1mg in IDM
Albumen/ Albutein 50/1 (5%)
Aldomet 125; 250 1mg (1 “U”) vial
250/1 (25%)
ANTI – CONVULSANTS: SKIN/ DERMATOLOGICALS: SKIN/ DERMATOLOGICALS:

Carbamazepine 10 – 20 mkD  Imiquimod (Aldara) Cream

 Mupirocin (Mupicin/Bactroban) cream/ oint
Tegretol 100/5; 200mg External genital/ perianal warts in adults
apply TID up to 10 days
Clonazepam 0.01 – 0.03 mkD Apply 3 x a day prior to normal sleeping hrs
For Dr. Bael LD: 0.03 mk  Silver sulfadiazine (Flammazine) cream Leave on skin 6 – 10 hours; Max: 16wks
MD: 0.08 mkD q12 5/20/50 gm  Acyclovir (Cyclostad/ Klozivex/ Virest) Cream
Apply q 4hrs 5x daily for 5 – 7 days
Rivotril 2mg/ tab  SS + Cerium nitrate (Flammacerium) cream 500gm
Diazepam 0.2 – 0.4 mkd (max 2 – 5 mg)  Fluocinolone 0.025% + Neomycin (Aplosyn N) cream
apply 2 – 3 mm thick over burns/ wounds OD
Apply BID – TID
Valium 10mg/ 2ml
 Fusidic Acid (Fucidin) cream  Fluocinolone 0.01% + Neomycin (Aplosyn 10-N) cream
Lorazepam 0.05 – 0.1 mkd (max 0.4 mk)
apply BID – TID Apply BID – TID
Midazolam 0.1 – 0.2 mkd (Dormicum)
 Nerfusidate (Fucidin) ointment  Betamethasone + Cloquinol (Betnovate – C) Cream/oint
Phenobarbital LD: 15 – 20 mk
apply BID – TID  Betamethasone + Neomycin (Betnovate – N) cream/oint
MD: 5 mkD
 Betamethasone + Salicylic (Ciprosalic) Oint
Luminal IV: 130mg/1ml  Bacitracin + Neomycin + Polymyxin (Trimycin) oint BID
PO: 20mg/5ml apply OD – TID & cover with dry sterile dressing  Fusidic acid + Betamethasone (Fucicort) cream
Gr 1 65 mg (Gr 1; ½; ¼) BID – TID
 Clotrimazole (Canesten) cream/ soln/ powder
Phenytoin LD: 15 – 20 mk  Fusidic acid + Hydrocortisone ( Fucidin H) cream
apply BID – TID & continue for 2 weeks after
MD: 5 – 8 mkD TID x 1 – 2 weeks
disappearance of Sxs
Dilantin IV: 100 mg/2ml  Fuocinolone + Gramicidin + Neomycin + Nystatin (Lidex
PO: 30/5; 125/5; 30; 100  Terbinafine (Lamifen/ Lamisil) Cream NGN) Cream
Valproic Acid 15 mkD Tinea corporis/ocuris/ pedis OD –BID x 1 – 2 wks  Bacitracin + Hydrocortisone + Neomycin + Polymyxin B
Depakene 250 mg/5ml Cutaneous candidiasis OD – BID x 1 wk (Trimycin – H) Oint
Epival 250 mg/ tab Pityriasis versicolor OD – BID x 2 wks OD - TID

TOPICAL ANTIHISTAMINE/ ANTIPRURITIC EYE ANTI - INFECTIVES OPTHALMIC DECONGESTANT/ LUBRICANTS

 Dimethindene maleate (Fenistil) 0.1% Gel  Fusidic Acid (Fucithalmic) 1% eyedrops  Naphazolin + Pheniramine (Naphcon – A) eyedrops
Pruritus assoc with dermatoses, urticaria, 1 drop every 12H to be continued for 2 days 1 -2 drops q 3 -4 hours
insect bites, sunburn, superficial burns after eye appears normal (Max: 1 drop q4H on 1st  Carbomar + Mannitol (Lacryvisc) Ophth gel
Apply BID – QID day of Rx) Instill 1 drop QID
 Camphor + methol + Phenol (Sarna) lotion  Moxifloxacin (Vigamox) 5mg/5ml  Fluoromethalone (FML) liquifilm
Apply BID - TID 1 drop TID x 4 days 1 drop TID
 Chlorphenoxamine HCl (Systral) Cream  Ofloxacin
Apply when required several times daily (Inoflox) 3mg/ml 1 – 2 drops TID-QID x 7-14d
(Sensoflox) 2 drops BID x 7 – 14 d
 Dexamethasone + Neomycin + Polymyxin B
(Maxitrol) eye drops & oint 1-2 drops; 4 -6 x d
KERATOLYTICS (Maxoptic) eye drops 1-2 drops; 4 -6 x d
(Postop) eye susp & oint 1-2 drops; 4 -6 x d
 Lactic acid + Salicylic acid (Duofilm) liquid 15 ml (MAxirap) eye drops 1-2 drops; 4 -6 x d
For warts, corns, calluses  Tobramycin + Dexamethasone 1 – 2 drops; 4-6 x d
Apply once daily (Sensemod + Tobramycin + Dexa) drops
 Salicylic acid (Wart – off) liquid 13.3 ml (Celsus Troba + Dexa) Drops
Apply OD – BID until wart is removed up to 12 wk (Tobradex) drops/ oint

OTIC PREPARATIONS MODIFIED COMA SCALE (INFANTS) GLASSGOW COMA SCALE

 Fluocinolone + Neomycin + Polymyxin (Aplosyn Otic)  EYE OPENING  EYE OPENING

3 – 4 drops BID – QID 4 spontaneous 4 spontaneous
 Gramicidin + Neomycin + Nystatin + Triamcindone 3 to verbal stimuli 3 to verbal stimuli
(Kenacomb Otic) 2 to pain 2 to pain
2 – 3 drops TIP – QID 1 none 1 none
 Dexamethasone + Neomycin + Polymyxin (Postotic)
3 – 4 drops BID – TID  VERBAL  VERBAL
 Ciprofloxacin (Cipro – V) 5 coos, babbles 5 oriented
Alternative to aminoglycoside for COM with 4 irritable cries 4 confused
perforated TM
3 cries to pain 3 inappropriate words
1 – 2 drops q 4H
2 moans to pain 2 nonspecific sounds
1 none 1 none

 MOTOR  MOTOR
6 normal spontaneous movement 6 follow commands
5 withdraws to touch 5 localizes pain
4 withdraws to pain 4 withdraws to pain
3 abnormal flexion 3 flexion to pain
2 abnormal extensions 2 extension to pain
1 none 1 none
HCO3 DEFICIT

For rapid lowering of blood pressure,

3 x 10mg/ 10cc
Adult = KBW x 0.4 (desired

+ 250cc D5W
3mg/hr. Adjust drip rate accordingly
titrate upwards until blood pressure
Start with a drip rate of 1mg/hr and

Uggtts/min
with a soluset or a 250ml D5W and

95mmHg and titrate downward to

Pedia = KBW x 0.3 (base excess

an initial rate of 15mg/hr may be

100
110
120
130
140
Prepare an infusion drip solution

10
20
25
35
45
55
65
75
85
95
to control blood pressure within
administered until DBP reached

Without soluset
CREA Clearance

1-3 ampules of Cardepine IV

CC = (140 – age) X .

AS INFUSION
72 (W) or 85 (F) x Crea

2 x 10mg/ 10cc
Dosage Guide (Cardipine)

+ 250cc D5W
Ugtts/min
Normal = M: 100 – 125 ml/min

110
120
135
150
160
175
190
200
15
30
40
55
65
80
95
= F: 85 – 105 ml/min

normal limits
is controlled
10mg/10ml
IBW F = 100 lbs + (5lbs/ inch over 5 ft)
M = 106 lbs + (5lbs/ inch over 5 ft)

mg/hr
DOSE

10
11
12
13
14
15
1
2
3
4
5
6
7
8
9
MAP SBP + (DBP x 2) (N: 70 -100 mmHg)
3

2 x 10mg/ 10cc
K DEFICIT (D – A) x 200 + (Wt x 2 x 3 x 0.6)

minutes or start 

+ 80cc D5W
Ugtts/min
3

within 2 minutes

10
15
20
25
30
35
40
45
50
55
60
65
70
75
5
an infusion drip
Repeat after 20
Inject 1 ampule

With soluset
Na DEFICIT (D – A) x KBW x 0.6

AS BOLUS

of 2mg/2ml

accordingly
and titrate
KIR Total K x rate(cc/Hr) ÷ KBW

10mg/10cc +
50cc D5W
Ugtts/min
Total fluid

100
110
120
130
140
150
10
20
30
40
50
60
70
80
90



AMIODARONE (CORDARONE) DRIP DIAZEPAM DRIP DOPAMINE – LASIX DRIP
Prep: 150mg/3ml/vial D5W 100ml + Diazepam 10mg q 6H Dopa Premix 200 mcg/ 250ml – 75ml
(Max: 60mg/day) + Lasix 250mg - 25 ml
IV LOADING DOSE:
100 ml in soluset
5 – 10 mg/KBW/24H or 500 – 1000mg/ 24H
DOBUTAMINE DRIP Rate: 6 – 8 cc/Hr
Orders: D5W 250ml + Dobu250mg/amp at 10 – 60cc/Hr
FUROSEMIDE (LASIX) DRIP
 Give 150mg slow IVP in 10 – 30 mins Drip: 2.5 – 20 mcg/K/min equivalent to
8 – 60 cc/hr for a 50 kg patient D5W 250cc + Lasix high dose 250mg/amp
(monitor BP & HR)
= 5 – 30 cc/hr
 Followed by: = conc: 1mg/ml
D5W 250cc + Amiodarone 150 – Rate (cc/Hr) = drip mcg x BW
16.6 Drip: 5 – 30 cc/Hr ~ 5 – 30 mg/Hr
300mg to run in 24H
CHF = double dose
 Supplemental doses: INSULIN DRIP
Amiodarone 150mg IV over 10 – 30 PNSS 250cc + 50 U HR conc = 0.2 U/ml
mins for recurrent arrhythmias esp. DOPAMINE DRIP Drip: 5 – 50 cc/Hr ~ 1 – 10 U HR/Hr
during early phases of dosing. D5W 250cc + Dopamine 200mg at 7 – 60cc/Hr
Not more than 6 additional boluses in Drip: 2.5 – 10 mcg/K/min ~9 – 38 cc/Hr ISDN (ISOKET) DRIP
24h D5W 90cc + Isoket 10mg in soluset
Rate(cc/hr) = drip mcg x BW Drip: 10 – 50 cc/Hr ~ 1 – 5 mg/Hr
ORAL LOADING DOSE 13.3 CHF: Double dose
10mg/KBW/day x 2 weeks AD = cc/Hr x Factor
Eg: Amiodarone 200mg 1 tab TID x 14D wt D5W 90cc + Isoket 20 mg in soluset
MD: 200 mg 1 tab OD thereafter Drip: 5 – 25 cc/Hr ~ 1 – 5 mg/Hr

NORADRENALINE (LEVOPHED) DRIP INSULIN DRIP KCl DRIP (Dr. Noel)

Prep: 2mg/2ml amp PNSS 50cc + 50U HR, rate accdg to CBS  30 meq KCl diluted with PNSS to a total volume
D5W 250cc + Levophed 1 amp at 15 – 60cc/Hr <250 = 2 U or cc/Hr of 100cc
Conc: 8mg Noradrenaline/ml
250 – 280 = 4 U or cc/Hr - Regulate @ 15 cc/Hr via infusion pump
Drip: 2 – 8 mcg/min ~ 15 – 60 cc/Hr
281 – 300 = 6 U or cc/Hr over 6Hrs
NaHCO3 DRIP 301 – 320 = 8 U or cc/Hr  Mainline IVF: PNSS 1L + 10meq KCl @ 20gtts
D5W 250cc + NaHCO3 1 amp (8.4% - 50ml vial) 321 – 350 = 10 U or cc/Hr
X 12 – 24 h (20 – 40cc/Hr) > 350 = 12 U or cc/Hr KCl DRIP (Dr. Velasco)
MIDAZOLAM (DORMICUM) DRIP Insulin Drip (Dr. Noel) - 10 meq KCl + PNSS diluted to total of 60cc to
D5W 100ml + 3 amps DOrmicum at 10cc/Hr PNSS 100cc + 50 U HR = 0.5 U/K/Hr run in 1 Hr x 2 cycles (3cycles)
AD: 1.5mg/Hr Rate (cc/Hr) = desired unit dose - Mainline IVF: PNSS
LD: 0.2mg/kg Actual
- 2 durules QID
MD: 0.1 – 0.4 mg/kg/Hr Eg: 5 U HR/ hour= 5 U = 10 U/ Hr
1 amp Dormicum: 5 mg/ml 0.5 U
Insulin Drip (Dr. John Uy) LIDOCAINE DRIP
3 amp: 15 mg x rate ÷ 100 = 1.5mg/Hr
PNSS 500cc + 50 U HR D5W 250ml + 1 gm Lidocaine (premix) @ 15 –
AD: 15mg x Rate ÷100cc
(N: 0.1 U/K/Hr) or 0.075 U/K/Hr 60cc/Hr (equiv to 1 – 4 mcg/min)
Wt
Conc: 4mg/ml
NICARDEPINE DRIP [Max: 15mg/H] HYDRALAZINE (APRESOLINE) DRIP LD: 1mg/kg IV
D5W 90cc + 10mg Nicard (0.1mg/ml) D5W 250ml + 2 amps Apresoline (20mg/amp) Rate (cc/Hr): dose x 15
= 10 – 50 drops (1 – 5mg/H) @ 5 – 30 cc/Hr ( up to 60 cc/Hr)
D5W 250cc + 20mg Nicard (0.08mg/ml)
Max daily dose: 3.5 mg/KBW per 24hrs
= 15 – 67 drops (1 – 5 mg/H)
MANNITOL - FUROSEMIDE DRIP ADVANCED CARDIAC LIFE SUPPORT ASYSTOLE
Mannitol 250ml + Furosemide 100mg @ 10 cc/Hr Take command. Obtain brief history. Unresponsive
Mannitol 36ml + Furosemide 240 mg (24ml) x 6Hr Identify & treat reversible causes: No RR/ HR/ Pulse/ BP
MORPHINE SO4 DRIP 5H: Hypovolemia CPR with high flow O2
PNSS 50ml + 12 amp Morph SO4 (16mg/amp) Hypoxia IV access
@ 6 cc/Hr (2mg/Hr) Hydrogen Ion (acidosis)
May give 1 – 3 mg SC PRN Hyper-/Hypokalemia EPINEPHRINE:
Hypothermia
1 – 2 drops IVP q 3 – 5 mins
GLYCERYL TRINITRATE (PERLINGANIT) DRIP 5T: Tablets (drug overdose, accidents) (1 amp + 10cc NSS via ET q 3 – 5 mins)
D5W 90ml + 10mg Perlinganit Tamponade cardiac If can’t R/O V-FIB: defib with 360 J
Drip: 10 – 50 cc/Hr ~ 1 – 5 mg/Hr Tension pneumothorax
Thrombosis coronary (MI)
Thrombosis pulmonary (embolism)
ATROPINE:
STEP: 1 mg IVP q 3 – 5 mins (Max: 3 mg)
1: CIRCULATION – no Hr/pulse, start CPR (2 – 3 mg + 10cc NSS via ET)
2: OXYGENATE OPTIMALLY Max: 0.03 – 0.04 mg/kg
– Ambubagging w. Tight face mask Consider External/ Transverse Pacing
– 100% O2, hyperventilate initially. If >15 mins elapsed since heart stopped:
3: TREAT CARDIAC RHYTHM – cardiac monitor NaHCO3 1 amp IVP (1meq/kg)
Insert IV line
INTUBATE: asystole, EMD, bradyarrhythmia,
May repeat 0.5 meq/ kg q 10min
persistent unstable rhythms
ABG

V – FIB or PULSELESS V-TACH

Unresponsive
POLYMORPHIC V-TACH PULSELESS ELECTRICAL ACTIVITY (EMD)
No RR/Pulse/ BP (Torsade de Pointes), suspected hypo-Mg Unresponsive
PRECORDIAL THUMP No RR/pulse/BP
CPR with high flow O2 MgSO4:
DEFIB: 200J, 300J, 360J Unsynch
Identifiable electrical rhythm on monitor
If no conversion: 1-2gm IV (2-4ml of a 50% soln) diluted in – no pulse
EPINEPHRINE: 10 ml D5W given slow IV in 2 mins CPR + high flow O2
1mg IVP (follow with 20ml IV flush) q 3 – 5 min Intubate
(2 – 2.5mg + 10cc NSS via ET q 3 -5 min) No response: Procainamide or NaHCO3 IV access
or VASOPRESSIN 40U IVP single dose
Wait 10 – 20 min before giving next epi
EPINEPHRINE:
DEFIB continued at 360 J
PROCAINAMIDE: 1 mg IVP q 3-5 min
Within 30 – 60 sec after each dose of med until 30-50mg/min IV infusion (max 17mg/kg) (2-2.5 mg+ 10 ml NSS via ET)
rhythm converted to sinus NaHCO3: ATROPINE:
Pattern: DRUG – SHOCK, DRUG – SHOCK 1 amp slow IVP (1mEq/kg) 1 mg IVP if ECG rate < 60 bpm
Anti – arrhythmics If Refractory: May repeat 0.5 mEq/kg q 10 min (ET: 2-3 mg + 10ml NSS)
AMIODARONE:
150 – 300mg (diluted in 20 – 30 ml D5W) Repeat q3-5 min (max: 0.03-0.04 mg/kg)
slow IV, repeat dose if necessary FLUID CHALLENGE 500ml NSS
or LIDOCAINE: 50 – 100 mg IVP
If no response:
(1.0 – 1.5mg/kg IVP or 2 – 4 mg/kg via ET)
Start drip at 2mg/min NaHCO3:
May rpt bolus 40mg IV (0.5mg/kg) after 5 min 1 amp IVP (1mEq/kg)
Max: 200mg (3mg/kg) May rpt 0.5 mEq/kg q 10 min

UNSTABLE V-TACH w/ PULSE RECURRENT V-TACH: STABLE V-TACH W/ PULSE

Altered consciousness Cardiovert again starting at previously successful O2
Chest pain, palpitations, dyspnea, diaphoresis IV access
energy level.
MI, heart failure, SBP < 90mmHg
After conversion, continue med Precordial thump
Supply O2
Anti-arrhythmics:
IV access
VR >150bpm: stat SYNCH CARDIOVERSION AMIODARONE
If awake, give sedative + analgesic 150 mg slow IV in 10 mins (15mg/min)
MIDAZOLAM 2-5 mg IV may rpt infusion 150 mg IVP q 10 mins
Omit precordial thump or LIDOCAINE
SYNCHRONIZED CARDIOVERSION 50-100 mg IV (1mg/kg)
100J then start drip at 2mg/min
200J if no response May repeat bolus 40 mg IV q 5 min
300J if no response Max: 200 mg
Anti-arrhythmics if no response If no conversion: SEDATE
AMIODARONE: SYNCH CARDIOVERION: 100J, 200J, 300J, 360J
150-300 mg slow IV in 10 mins If rhythm concerts to SINUS RHYTHM:
May rpt dose if necessary AMIODARONE
Or LIDOCAINE:
Slow IV infusion: 360 mg IV over next 6 hr
50-100mg (1mg/kg) IV
(1mg/min) w/ maintenance infusion
then start Drip at 2mg/min
Rpt BOLUS at 40 mg/min (0.5mg/kg) q5min
540 mg over next 18hr (0.5 mg/min) or
Max: 200 mg LIDOCAINE infusion
If no conversion: SYNCH CARDIOVERSON at 360J 1-4 mg/min (30-50 mg/kg/min)
BRADYCARDIA ISCHEMIC CHEST PAIN ATRIAL FIBRILLATION
HR < 60 bpm Hx of acute MI or angina Acute AF w/ RVR
AVB Chest pain/discomfort – pain spreading to SBP > 90mmHg & no CHF:
Drowsiness, chest pain, dyspnea, HR, SBP <90 neck, shoulders, arms or jaw VERAPAMIL 2.5-10 mg IV every 2-3 mins
Nausea, diaphoresis, dyspnea Wait 10-15 mins before next dose
O2 O2, cardiac monitor Then 40 mg PO q6hr or
IV access IV acess VERAPAMIL SR 240 mg OD PO or
ATROPINE ASPIRIN METOPROLOL 50 mg ½ - 1 tab PO stat then BID
0.5mg-1mg IVP q3-5 mins (max 3 mg) 160-325 mg tab stat then 80 mg tab BID
No response, consider: NITROSTAT if BP > 100mmHg SBP < 90 mmHg or w/ CHF:
DOPAMINE DRIP 0.4 mg tab SL q 5min (max: 3 doses/15min) DIGOXIN (LANOXIN) 0.5 mg IV or PO, wait 2hrs
before full effect of initial dose is established
400mg/250mL at 5-20 ug/kg/min OR AEROSOL spray 0.5-1 sec q5 min
then aliquots of 0.25 mg IV q4-6hr prn (LD: 1-
EPINEPHRINE DRIP if still hypotensive (provides 0.4mg per dose) then PRN
1.25 mg IV), then DIGOXIN 0.25 ½-1tab OD
1mg/500mL at 1-5 mL/min Then start:
Contraindication: WPW in AF, HR < 60bpm
(2-10 ug/min IV insfusion) ISOKET DRIP x 24-48 hrs till chest pain subsides,
ISOPROTERENOL IV INFUSION then shift to patch or imdur DR. ESTALILLA:
1mg/250mL D5W – 2-10 ug/min TRANSDERM Patch 5-10 mg OD to ACW or Cordazone 150 mg slow IVP
IMDUR 60 mg OD AM or Cordarone 150 mg + 100cc D5W – run in 30 mins
If 2nd deg AVB (Mobitz II) or 3rd deg AVB: ISORDIL 10-20mg TID (6am-12nn-6pm) Cordarone 600 mg + 250cc D5W x 24 hrs
External/ Transvenous PACING LANOXIN 0.25 mg IV
If pain still not relieved by Nitrostat:
If without symptoms, OBSERVE! MORPHINE: 2-4 mg IVP q30 min prn, max 3 doses PERLINGANIT Drip at 10cc/hr or ISOKET DRIP
(SBP >100mmHg) DIOVAN 160 mg PO single dose

CHLAMYDIA HSV (Recurrent) BACTERIAL VAGINOSIS

1st line: Azithromycin 1 gm PO single dose 1st line: Acyclovir 400 mg PO TID x 5 days 1st line: Metronidazole 500 mg PO BID x 7 days
OR Doxycycline 100 mg PO BID x 7days OR Famciclovir 125 mg POD BID x 5 days OR Metronidazole vaginal gel 75% OD x 7 days
Alternate: Erythromycin 50 mg PO QID x 7 days OR Valaclyclovir 500 mg PO BID x 5 days Alternate: Clindamycin 2% cream intravaginal
OR Ofloxaciin 300 mg PO BID x 7 days Alternate: Acyclovir 800 mg PO BID x 5 days qHS x 7 days
OR Levofloxacin 500 mg PO OD x 7 days OR Valacyclovir 1 gm PO OD x 5 days SYPHILIS (Primary, Secondary, Early Tertiary)
CHANCROID 1st line: Benzylpenicillin G 2.4 Million unit IM
GONORRHEA 1st line: Azithromycin 1 gm PO single dose single dose
1st line: Cefixime 400 mg PO single dose OR Ceftriaxone 250mg IM single dose Alternate: Doxycycline 100 mg POD BID x 14 days
OR Ceftriaxone 125 mg IM single dose OR Ciprofloxacin 500 mg PO BID x 3 days SYPHILIS (Latent Tertiary)
OR Ciprofloxacon 500 mg PO single dose Alternate: Erythromycin 500 mg PO QID x 7 days 1st line: Benzylpenicillin G 2.4 million unit IM
OR Ofloxacin 400 mg PO single dose LGV weekly x 3 weeks
OR Levofloxacin 250 mg PO single dose 1st line: Doxycycline 100 mg PO BID x 3 weeks HSV (Primary)
Alternate: Spectinomycin 2 mg IM single dose Alternate: Erythromycin 500 mg POD QID x 3 1st line: Acyclovir 400 mg PO TID x 7-10 days
OR Norfloxacin 800 mg PO single dose weeks OR Famciclovir 250 mg POD TID x 7-10 days
OR Gatifloxacin 400 mg PO single dose DONOVANOSIS OR Valacyclovir 1 gm PO BID x 7-10 days
1st line: Doxycylcine 100 mg POD BID x 3 weeks Alternate: Acyclovir 200 mg POD 5x daily
TRICHOMONIASIS OR TMP-SMX double dose POD BID x 3 weeks x 7-10 days
1st line: Metronidazole 2 mg PO single dose Alternate: Ciprofloxacin 750 mg PO BID x 3 weeks
Alternate: Metronidazole 500 mg PO BID x 7 days OR Azithromycin 1 gm PO weekly x 3 weeks
OR Erythomycin 500 mg PO QID x 3 weeks

SCABIES LAXATIVES CHLORPROMAZINE

CROTAMITON Laractyl/ Psynor 100 mg, 200 mg
(CONGEN 10% cream, EURAX 10% lotion) Liquid glycerine (BABYLAX) rectal applicator Promak 25 mg, 100mg
PRURITUS: apply/rub BID – TID Child 2-6 yo: 1 unit as single daily dose
SCABIES: apply in the evening x 3-5 days Nausea/ Vomiting:
PEDICULOSIS CAPITIS: Monobasic + Dibasic NaPO4 (FLEET ENEMA) Adult: 10-25 mg q 4-6hr
Single application on scalp & hair for 24 Adult: 1 bottle rectally Children: ¼ mg/ LB BW q 4-6hr
hr. Then wash & comb hair to remove 2-5 yo: ½ bottle
nits. On the 8th day, carefully examine 5-11 yo: 1 bottle Hiccups: 25-50 mg TID / QID
hair & scalp. If necessary, repeat
treatment. Spaghula husk/ Psyllion (MUCOFALK) 3.25g/sachet
PERMETHRIN Adult & > 12 yr: 1 sachet 2-6 x daily
(KWELL lotion & shampoo, LINDELL lotion, During pregnancy
PYRIFOAM lotion)
KWELL Lotion (Adult & Childrean > 2mos)
Apply over whole body from neck to sole of
feet. Leave it for at least 8 – 12 hrs but not
>24 hrs. Wash off w/ soap & water.
KWELL Shampoo:
Apply to hair & scalp, leave on for 10 mins &
rinse.
ERECTILE DYSFUNCTION Urinary Incontinence, DYDROGESTERONE (DUPHASTON) 10mg tab
Sildenafil Citrate (ANDROS/VIAGRA)
25mg, 50mg, 100mg tab
Detrusor Hyperreflexia
AMENORRHEA
50mg 1 tab OD 1hr prior OXYBUTINE HCl (DRIPTANE) 5 mg tab Estrogen OD on Day1-25 of cycle
May be increased to 100mg or Adult, Elderly, Children >5yr = 5 mg TID Duphaston 10 mg BID on Day 11-25 of cycle
decrease to 25mg PROPIVERINE HCl (MICTONORM) 15 mg tab DUB
Tadalafil (CIALIS) 20 mg Adult: 1 tab BID –TID Arrest Bleeding: 10 mg BID x 5-7 days
20mg OD 30 mins prior
Neurogenic detrusor overactivity: TID – QID Prevent Bleeding: 10 mg BID on
Verdenafil (LEVITRA) 5mg, 10mg, 20mg
SOLIFFENACIN Succinate (VESICARE) 5mg, 10 mg Day 11-25 of cycle
10-20mg OD 25-60 mins prior
Adults/ Elderly: 5 mg OD , or inc. 10 mg OD DYSMENORRHEA
CRF w/ clearance < 30 mL/min & hepatic 10 mg BID on Day 5-25 of cycle
BPH impairment  5mg OD ENDOMETRIOSIS
Finasteride (ATEPROS, FINAST, PROSCAR) DESMOPRESSIN acetate (MINIRIN) 0.1 mg, 0.2 mg 10 mg BID – TID on Day 5-25 of cycle
5 mg/tab – 1 tab OD
Central Diabetes Insipidus: 0.1-0.2 mg TID HABITUAL ABORTION
Dutasteride (AVODART) 500 mg/cap OD x 6 mos
1° nocturnal emesis: 0.2-0.4 mg OD q HS 10 mg BID until 20 weeks AOG
Tamsolosin (HARNAL) 200 mcg/cap OD
Nocturia w/ nocturnal polyuria: 0.1-0.4mg q HS THREATENED ABORTION
(HARNAL OCAS) 400 mcg/cap OD
Texazosin (HYTRIN) 1mg, 2mg, 5mg OD BETHANECHOL CL (URIFLOW) 25 mg tab 40 mg STAT, then 10 mg q8hr until Sx remit
Pygeumafricanum (TADENAN) 50mg cap BIDx6-8d acute post-op & postpartum non-obstructive
Alfuzosin(XATRAL/ XATRAL OD) 2.5 mg BID-TID urinary retention
10 mg OD neurogenic atony of urinary
bladder w/ retention  10-50 mg TID -QID

ISOXSUPRINE HCl PRE-ECLAMPSIA Target DBP 80-100 mmHg MgSO4

Duvadilan 10 mg tab, 10 mg/2mL Methyldopa (ALDOMET) Loading dose:
Duvaprine 10 mg tab 250-500 mg TID po (Max = 3 gm/day) 4gm 20% soln slow IVTT in 20 mins
Isoxilan 10 mg tab, 10 mg/ 2mL Hydralazine (APRESOLINE) +5 gm 50% soln deep IM on each buttock
IV Infusion: 5 mg slow IVP stat q 20min up to 4 doses
10 mg (10 amps) in 500cc D5W APRESOLINE Drip: Maintenance dose:
Rate: 1-1.5 mL/min up to 2.5 mL/min D5W 250cc + 2 amps Apresoline (20mg/amp) (to be given after 4 hr if still elevated BP)
When labor is arrested: Initially at 10-115cc/hr up to 60cc/hr OR
5gm 50% soln deep IM on alternate
IM: 10 mg IM q 3hr x 24 hrs APRESOLINE 25-50 mg tab TID-QID
on each buttock for 24 hr
10 mg IM q 4-6hr x 48 hrs max = 30 mg/day
shift to Nifedipine SL/PO if patient develops
Check: RR>16
When contractions have ceased for 48 hrs: UO >30cc/hr (insert FBC)
tachycardia, headache, nausea
PO: 20mg (2 tabs) QID DTR +2
ATENOLOL (TENORMIN)
PUC with bleeding – give MgSO4 drip
50 mg tab OD
NO ISOXILAN –cause more bleeding
IV drip: start at 12 cc/hr;
NIFEDIPINE (ADALAT) VULVAR ABSCESS
5-10 mg PO/SL q 6-8hr Triple IV Tx: Ampi + Genta + Clinda
increments of 4cc every 5-10 mins If NPO: (use singly or in combination)
PO: 1 contraction every 20 mins PO: Clinda 300 mg TID PO x 14 days
-ADALAT 5-10 mg SLD q6-8hr
NEAR TERM -APRESOLINE Drip
– no more treatment bcoz giving treatment -CATAPRES Drip
will prolong gestationt  posterm D5W 250cc + 2 amps Catapres (150mg/amp)
at 5-300c/hr