Dosing

Question 1

peds pharm

Answer 1

-wt based
-concentrations of suspensions, routes, frequencies (BID, TID, QID)
-ultimate instructions are written in mL
-tips of administration

Question 2

Acetaminophen

Answer 2

-stop tylenol and give motrin- 6 months
-dont give tylenol before 12wks -> dont want to mask a fever

-every 4 hours
-for fever or pain

-15mg/kg
-160mg/5ml

Question 3

ibuprofen

Answer 3

-start at 6mo
-JUST HALF THE KG

Question 4

cetirizine

Answer 4

-zyrtec
-6mo-2yrs - 2.5 mLs
-1mg per 1ml
-2-5yrs- 2.5mL BID or 5mL
->5-6yrs- 10mL (or 5mL BID)

-need to give daily for 4-5 days for it to maximally work

Question 5

diphenhydramine

Answer 5

-we kinda prefer cetirizine bc its newer generation and less side effects
-less dosing for zyrtec to

Question 6

amoxicillin

Answer 6

-Strep-
-1000mg or 6.5mL BID is max dose
-10 days

-AOM and PNA are just 1/2 the wt in kg!!!!!!!
-max dose is 10mL BID
-AOM-
-<2yo -> 10 days
-2-5yo -> 7 days
->5yo -> 5 days

-PNA-
-10 days

Question 7

augmentin

Answer 7

-PNA, sinus infection
-80mg/kg; 600mg/5mL

Question 8

cefdinir

Answer 8

-strep, AOM
-can give if amox allergy

Question 9

azithromycin

Answer 9

-if anaphylaxis for amox you dont even wanna try cefdinir -> azith

Question 10

cephalexin

Answer 10

-skin- 5-7 days TID

-UTI- <2yo -> 7-10 days
-UTI- >2yo -> 3-5 days
-TID <2yo
-BID >2yo

Question 11

clindamycin

Answer 11

-last line- only if allergic to everything else, resistance
-terrible taste, harsh on belly

-last line step - 10 days
-skin- 5-7 days

Question 12

trimethoprim/sulfamethoxazole

Answer 12

-bactrim
-reserved for MRSA, UTI, prophylaxis for UTI they had in first year of life
-we dose based on trimethoprim component
-40mg/5mL for trimethoprim

Question 13

dexamethasone

Answer 13

-0.3mg/kg -0.6mg/kg
-1 dose that lasts 72hrs
-takes 30 mins
-for croupy cough
-you are gonna administer this in office

Question 14

prednisolone

Answer 14

-barking cough (not as bad as croup)
-can give this at home
-1mg/kg

Question 15

ondansetron

Answer 15

-works in 15-20mins
-used all the time
-!0.15mg/kg oral disintegrating tablets (under tongue)
-comes in 4mg tablets
-!last 8-10 hrs
-1 dose in office -> wait -> see if can keep fluid down
-!1-3 pills at home at most
-needs more of a work up if you need it
-cardiac SE, qt, arrythmias -> ask about

-!PO>IV>IM
-10kg -> 1.5mg

Question 16

midazolam

Answer 16

-seizure / anxiety
-intranasal or oral mucosa
-rectal

Question 17

fluids

Answer 17

-bolus is typically= 20cc/kg
-this is rescue fluids
-might go lower if cardiomyopathic, cardiac shock

-maintenance fluids:
-4/2/1 method
-for 1st 10kg give x 4mL/hr
-for 2nd 10kg x 2ml/hr
-for any wt above give x 1mL/hr

-4cc x total body surface area of burns (%) x wt (Kg) - first half 8hrs and next 16 hrs