..PEM.
-Tab Slow k (1tab=8mmol)
3-5mmol/kg/day
-Cap Vit A
<1 yr: 100,000 IU 3 days
>1 yr: 200,000 IU
-Tab Zinc gluconate
<1 yr: 10mg
>1 yr: 20mg daily for 10-14 days
-Ampiclox: 200mg/kg/day in 4DD
-Gentamicin: 3-5 mg/kg/dose in 2DD
(Ask if making urine b4 giving genta)
-Metronidazole 7.5-10mg/kg tds
-Zinc oxide ointment bid
-Dressing H2O2 & Eusol
-NGTube feeding 100mls/kg 3hrly
-ORS 10mls/kg/vomitus/loose stool
-Nystatin oral drops <1yr 50,000 IU
>1yr:100,000 IU bid
-Fluconazole
-Ketoconazole
-Bonjela cream (mouth ulcer and denture sores)
-Riconia (vitamin-mineral complex)
-Mouthwash(Listerine, Colgate)
...Hypoglycaemia...
2-5mls/ kg bolus of 10% dextrose water
RBS 30mins
Shock -Ringers or Nacl
20mls/kg <1yr over 1hr
>1yr within 30mins
80mls/kg over 2-5hrs
Mild deH2O:50mls/kg over 4hrs
Moderate deH2O: 75mls/kg over 4hrs
..Convulsions...
-Paraldehyde 0.1mg/kg or 1ml/year max of 5ml
-multiple:
Phenobarb: 10-20mg/kg IV, tabs 3-5mg/kg bid max of 200mg
-Diazepam:
IV: 0.3mg/kg
Rectal:0.5mg/kg
-carbamezepine: 10mg/kg
-10% Ca gluconate....
1-2mls /kg in double dilution with water for injection slowly over 10-20mins under cardiac monitoring
¤Oral calcuim: 50-100mg/kg Ca sandoz (contains 375mg of Ca)
CaCarbonate(contains 500mg of Ca)
...ABM...
Ceftriaxone 50-100mg/kg in 2DD
10% mannitol: 10ml/kg over 30mins stat then 8hrly x 3 doses
20%: 5ml/kg
Dexamethazone (<5yrs):
0.1-0.15mg /kg for 72 hrs
...Malaria...
-Artesunate: (1ml of NaCO3 mix well then 5ml NaCl if IV, 2ml if IM)
<20kg:3mg/kg
>20kg: 2.4mg/kg @ 0,12 $ 24hrs
If still unconscious continue daily for max of 5 days if can tolerate orally then shift to ACT for 3 days
-Coartem
5-14.5kg: 1 tab bid for 3 days
15-24.5kg: 2tabs bid
25-34.5kg: 3tabs bid
35kg: 4 tabs bid
-Arthemeter
3.2mg/kg stat then 1.6mg /kg daily until tolerate orally then ACt for 3 days
-Quinine (C.I in Hbnuria)
Loading dose:20mg/kg in 10ml/kg of 10% dextrose ovr 4-6 hrs max 1,200mg
Maintenance: 10mg /kg in 10ml/kg 10% dextrose 8hrly max 600mg
-Palludrine
50mg
100mg
...Hypokalemia...
Non-PEM: 1-2mg/kg/day
Deficit:desired-observed x 0.6 x weight
-1/2 strength darrows 17.5 k in 1L
-Full strength 35mg K in 1L
BPN
Well nourished: Amoxicillin
Malnourished: Amoxicillin + macrolide (azithromycin,erythromycin, clarithromicin)
BPN Sepsis
Ceftriaxone + respiratory quinolone e.g levofloxacin
Hyperhydration
1.5x maintenance
PCM 10-15mg/kg/dose
Oral: 125mg/5ml
IV: 150mg/ml
Ibuprofen: 4-10mg/kg q6-8hrs
Diclofenac: 5mg/kg/dose
Folic acid 5mg bid
Tabs Penicillin V
<2 yrs: 125mg bid
> 2yrs: 250mg bid
Benzyl penicillin (IM)
O.6MU/600,000IU
1.2MU/1.2Million IU
Blood transfusion
SCD: PCV <18% .....Normal: < 20%
10-20mls/kg + 1-2mg/kg lasix pre and post transfusion
To be done over 2-4 hrs max. If requirement > 20ml/kg divide into 2 over 2 days.
Do pre transfusion PCV
-Astymin/Astifer
<3yrs: 5mls bid 2wks-1month
>3yrs: 7.5mls bid 2wks-1month
-MIMs 0.6mls bid
-Fe: 5mg/kg of elemental iron
-Clindamycin 15-20mg/kg/day in 2 DD
-Ceftriaxone: 50-100mg/kg in 2 DD
-Cefuroxime: 30mg/kg/day in 2DD
-Cefixime (no anti-staph n anti-pseudomonal activity): 8mg/kg in 2 DD.
-Cephalexin: 25-100mg/kg/day in 2-3 DD.
-Ceftazidime(has anti-pseudomonal acitivity): 100mg/kg/day.
-Cefpodoxime: 10mg/kg/day in 2 DD
-Ciprofloxacin: 10-15mg /kg/ day in 2DD max of 200mg
-Nitrofurantoin: 5-7mg/kg q6hr
-Amoxicillin: 80-90mg/kg in 2DD
-Fluoxacillin: 10mg/kg/dose in 2 DD
-Metronidazole 7.5-10mg/kg 8hrly
-Mebendazole oral 100mg q12hr for 3 days
-Albendazole 400mg stat
-Praziquantel (for Schistosomiasis) 20mg/kg 6-8hrly *24hrs.
-Azithromycin 10mg/kg for day 1, then 5mg/kg q24hrs for 4-5/7.
Asthma
Neb salbutamol
< 5yrs: 2.5mg
> 5yr: 5mg
IV hydrocortisone:3-5mg/kg/dose
CCF
-Frusemide 1-2mg/kg/dose
-Tabs Spironolactone: 1-3.3mg /kg/day max of 3.3mg/kg or 100mg/day
Comes in 25mg, 50mg
-Digoxin:
0.04-0.06/kg-total digitalizing dose (TDD) given as
Loading dose: 1/2 TDD stat,
Maintenance: 1/4TDD at 6-8hrly interval daily. Started 12hrs after the final TDD +ECG monitoring
-Dopamine:1-5ug/kg/min over 4hrs in 500ml Nacl
Captopril:0.3-0.5mg/kg/dose max of 6mg/day given 2-4 a day
Scabies:-
•Benzyl benzoate (BB) lotion (25%, 12.5% and 6.25% in adult, children and infants respectively) daily for
3 days.
•Ivermectin(Mectizan/Stromectol) 200mcg/kg once and repeated in 2/52.
•Permethrin 5% cream to be applied at bedtime to be repeated in 1/52.
•Precipitated Sulphur ointment 6% to be applied for 24hrs for 2-3/7, (neonates, pregnancy n lactation).
>Antihistamine e.g Loratidine 10mg daily.
>Antibiotic e.g Cephalexin for 1/52.
>Topical Steroids e.g Fluticasone propionate 0.05% (Cutivate cream), Betamethasone valerate
ointment (Betnovate ointment).
Oral thrush
1% gentian violet
Oral nystatin
Vit K: 2mg/kg stat IM
Status seizure
Diazepam
Phenytoin
Absence seizure
*No need to taper Phenobarb given for less than 5 days and Dexa given for less than 3 days
