Pharm Flashcards
ibuprofen dosing
TL;DR
- 6mo-12y: 10mg/kg/dose q4-6h PRN, max 4 doses
- >12y: two 200mg tabs q4-6h PRN, max 2400mg (6 doses)
- Manufacturer tables exist for infants
Analgesia
- <6 mo: avoid
- 6 mo - 12y: 4-10mg/kg/dose q4-6h, max 40mg/kg/day up to 2400mg/day
- >12y: 400mg q4-6h, max 2400mg/day
For antipyretic use, give higher-end dosing (i.e. 10mg/kg/dose)
acetaminophen dosing
TL;DR
- 15mg/kg/dose q4-6h
- max 5 doses up to 4000mg/day
Infants, Children, and Adolescents:
- 10-15mg/kg/dose q4-6h
- max 5 doses
- all-source max 75mg/kg/day up to 4000mg/day
- Manufacturer tables exist for age <12y
hydrocodone/acetaminophen dosing
Hydrocodone
- <50kg: 0.1-0.2mg/kg/dose q4-6h
- >50kg: 5-10mg q4-6h (2.5-10mg for adults)
Acetaminophen
- Limit all sources to <75mg/kg/day up to 4000mg/day
- max 5 doses
amoxicillin (Amoxil) dosing
TL;DR
- <3mo: 30mg/kg/day div q12h or q8h for most stuff
- >3mo: 90mg/kg/day div BID (sometimes) 5-10d
Neonatal
- General: 20-30 mg/kg/day div q12h
- AOM/GAS/GBS (oral stepdown): 30-40 mg/kg/day div q8h
- UTI/prophylaxis: 10-15 mg/kg/day qd
Infants <3 mo
- 30 mg/kg/day div BID
Infants >3 mo, children, & adolescents
- Mild-Moderate: 25-50mg/kg/day div TID up to 500mg/dose
- Severe: 80-100 mg/kg/day div TID
- H. pylori: 50mg/kg/day div BID for 10-14d
- Lyme: 50mg/kg/day div TID
- AOM: 80-90mg/kg/day div q12h for 10d (age <2y), 7d (age 2-5y) or 5-7d (age >6y+)
- PNA: 90mg/kg/day div BID
- Sinusitis: 45mg/kg/day div BID
azithromycin (Zithromax) dosing
General, PNA: 10mg/kg on first day, then 5mg/kg days 2-5
GAS pharyngitis: 12mg/kg/dose qd x5d
Gonorrhea: 20mg/kg once
Pertussis: 10mg/kg/dose qd x5d
Sinusitis, neonatal chlamydia: 20mg/kg/dose qd x3d
amoxicillin/clavulanate dosing
Dosed as amoxicillin, use 16:1 formulation (1000mg amox to 62.4mg clavulanate)
Impetigo: 25 mg amox/kg/day div BID; max 875 mg
cefdinir (Omnicef) dosing
14mg/kg/day div QD or BID, max 300mg BID