Pharm Flashcards

1
Q

ibuprofen dosing

A

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)

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2
Q

acetaminophen dosing

A

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
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3
Q

hydrocodone/acetaminophen dosing

A

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
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4
Q

amoxicillin (Amoxil) dosing

A

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
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5
Q

azithromycin (Zithromax) dosing

A

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

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6
Q

amoxicillin/clavulanate dosing

A

Dosed as amoxicillin, use 16:1 formulation (1000mg amox to 62.4mg clavulanate)
Impetigo: 25 mg amox/kg/day div BID; max 875 mg

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7
Q

cefdinir (Omnicef) dosing

A

14mg/kg/day div QD or BID, max 300mg BID

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