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* feeding Schedule *

SUGGESTED FEEDlNG SCHEDULES


5m:d In mllkolday
Volume
16

16

14

12

~ 10
g 75HOOOg > 27 w1<s Q!~u~~ 1-_,-_--,_--,rPF2_O_"'..,E_BM_ _,-_-._-,--+_-,-PF2_4_or--,RlM,--,-:-:---t_ _+_---'r-_..,
> loo();j < 32 wks 20 I 30 40 I 60 80 100 I 120 120 140 160
III
II)

6

Nipple and
1801· PF20 or EBM P'F24 or FBM
2250g"
:!: 33 v.+.s 9av~ q3h as
Threshold for Considering Photothera-ID'.­ """"'""''1
for Infan~_". .~5_yveeks Gestation 40 I 60 120 I 160
EBM '"'expresse::l breast mllk= full strenQth unfortified human mUk
PF20 • =prernature formula 20=20 kcaVol Enfamll Preterm Upil Fonnula with Iron Of Similac Spe::iaJ Care Formula with Iron
10 11 12 13 14 ~M .. fortilie:l breast m~k_human milk with one packet Human MU~ Fortifier/25:c or human milk mtxed 1: 1 with Similac NallJral Care
PF 24 • premabJre formula 24",24 kcal/oz Enl'amU Prm!rm Upa Formula with Iron or Similac Spe::ial Care Formula with iron
A9.<:JcJ.ayS) -For Infants :>34-36 WI!eks gestation, ad lib feedings with a minim um volume for each feeding may be ordered.
Z4
Sodium Requirements: 2-3 mEq/kg/day
22 +------='~---------_1 -­ --<J-
;950g
751'I,OOOg Potassium Requirements: 1-3 mEq/kg/day
- ­ - - - -­ - -1__ I,001-1,9S$g Calcium Requirements: 1-2 mEq/kg/day
20 -0- 2,OOO·2,499g
_ _ 2,500.2,999g Glucose ReqUirements: 4-8 mg/kg/min
:§ 16 GIR: {Total cc/kg/day x % Dextrose (D10W = 0.1)} x 1000 = mg/kg/min of glucose
'"
.§. W-Jf'-.£!:!-~--!::!- .---....-.. ... ----.---~---.. ­ .. -"­ 1440 minutes/day
IX! 16 +-:w--·----­ ---··-···--·····-------------·­
~
14
~ufdG
Birth WelQht
In the first 24° oflife 0-24 hours after birth
Type Total Amount· Glucose Infusion Rate A
>2500~ D10W 60-80 4.2·5.6
12 1501·2500g D10W 80 5.6
__.___ ._I!!!~hold for ~~Iderlng Exchange Transfusion
1001·15000 D10W 80·100 5.6-6.9
for Infants <: 35 weeks Gestation
.:10009 D5W 100·120 3.5·4.2
10 11 12 13 14 D7.5W 100-120 5.2·6.3
D10W 100·120 6.9·8.3
Age (da)/s) "Total Amt=cdkgl24hrs "G IR- mglk.q/min
Birth Weight Begin stop/Restart" Exchange
Stop/Restart" I
I Phototherapy I ~ 7 days of age Transfusion
7·14davsofaoe . I
I <750 9 I 12 hrs of age I TSB5mg/dl TSB:013 ~/dl
TSB 5 mg/dl I
I 751·1,000g 12 hrs of age L TSB5 mg/dl TSB ~ 15 mg/dl
TSB 7 mg/dl I
• Once phototherapy IS initiated, It should be continued for at least 24 hrs, regardless of bilirubin levels. 301036 Ot014 12

••
>14 e­
37\044 0107 12
>7 8 66

>45 All 6--


UsUtll tV ccr.cen'ration: 30 mg.m! (max lOOrnglmt for IV push only)
"Doses of 300-400 lng/kg/day 1IhO&t!d be re$8lved for pelients with mcnj.~l\is. If non-mcningil ic:
infectiQl"la, UN 50 mgikgJdose
UTI proph~aili s ....tten PO c611oo1 be !)j'.-on: 2S mglkgldoM IV given 024h

Gentamicin QV IML
COI"recled Gestational D{~:f,~ife Interval
AM we.ks (m.=o..) hours
go All 4 36
oto 7
30 to 34
>. 4
4
36
24

~35
>.
0107

Usual IV concenllalion. 2 Iflglmf (max 10 mglml)


4
4
24
02

u{)o not draw tobr..mycin levels If Iha anticipated antibiotic course is <3 deys panding culture
results. If 1h8lapy is to continue >3 days. draw a peek and it 1f000gtliavei around the 3d dose.
renal impairment is suspected as rn8nife&lcd by an increeMd SCr or decreased UQP. draw a
trougt level prior to the 2..d dose and hold the dose unlil the trough leV81 is known. Therapf!utic
levels. Peak: 5-12~g/ml; Trough: <2pglml.
Vancomycin (IV) (ReseNe lor suapected or documerHed resistance 10 methicillinlnaf&illin: ch.nge \0
nafc~lin for MSSA infections
Corrected Gestelional Postnatal Age
A""' ......

davs
All
m=ose
'n\eMlI
hom,
15 02
301036 AU 15

Gr.7'1BA~ 10.. 1:;2
37 to 44
0-14 15
,.

Postn....' .Age (hours) >1 4

Nomogram I· Risk zones for developing hyperbilirubinemia'" !45 All 20 •
••
Ususl '!V oone.n trelio n . 10 mgJml
'·00 nol dral\' vancomycin le'lels if the enlieipeted anlibioCic course is <3 days pending C4Jlwl& results. If

.- ·:r::t::·:j:~·~ :0~~~:·d.:.·~ . 2.42 Ulelapy IS (0 continue >3 day!. draw only II b"ough level priOf to the 3'" dose. If renal impairment is
uuspecled as manife&ted by all inaeased SO or <Mae.ed UOP. draw II trough level prior to the 2"'-: dose
~ nd hold the dMe until the trough le'0'81 ill known. Therapeutic trough leWis: 10-20J..!gfml.

.....+............... . . . ;~ '!'.~ ••••- :

r ob/am "",(IV. 1M) -

i
:t 1< . , ........... +...........:....
,.... .­
--.: ........... :...... ..... (. -. ...
.
~
251
Corrected Gastatio .....1
1-~9!~.'!!l _ _~.!l
<29
09yo' Life

All
m~';.".)
4
~:=;
'"
~
~
---i._m..".L.;;;p.:...>+.u ~
~
301034
Oto 7
>6
4
4 '"
24

1 ,~ - -; # -, • :-- ... .+ +
171 !35
0107
>.
Uwa! IV concentration. 2 mg/rnl (mu 10 mgfml)
4
4
24
12

~ ··~".)I·0················· "00 not drOllw tobramycin le'lels if the anticipated antibiotic couree is <3 days pending culture
results. IIthetapy is 10 continue >3 days, draw a peak and a bough level eround the 3'" CO$e.
6S

~ • ..... ~)b-~tI/~ 01 k>"K=r (:;0« (:~ ::18 vJk lIr.d I,.~~ _

renal impaillnent is suspected as m.nlfesl8d by an increased SCI" or decreased UOP, draw a


r---+-- - - t,,/)I:nl., III me.ctutr> ,*1< (:c: 38'M1: + rios.l: f1'tl.."'t:>tS :'lf3!)':,'! fll \'.'k.Jr.~ wdl .~
bough level prior 10 the 2"" dose and hold tho dose until the bough level ia known . Therapeutic
levels: Peak: 5-121o'91ml: Trough: <2~lglmt.
o ~I-' 1nJ,t.fll!t!l.l t\iQ.~~~ ('JS~7 f..? ,..y.. • /i.$k~~} ••.
Totr-<lmyc:in for inhalation: 80mg Inh qBh (not weight baaed)
~1r111 A!;'t'I tlfJf) 7(h .%I! SO~s 60ay& 70-;..),s
Caffeine Citrate (Cafcit®) (IV. PO)

~
A9 6 Loading dose: 20 mglkg of caffeine cill'ate
Maintenance dose: 5 mglkgfdoM Q24h; hlgherdo.s up to 10 mglkglday may be uaed for
Nomogram 2· Guidelines for photothe"'-pyfor InfantS ~ 35 wks gestation symptomatic patients.
(Aft&!" a division discussion of the availabl.a e'lidel\C6 from ~Iinical triala, it was decided thOlilroutine
drug levet monilorint; '~fi, not indu:a.t6d.) l.vels wfI1 be ordered aa needed for poor
therapeutic r8spcnM or for aide effecl&.. U8Ual serum concenlllloon: S·25mcglml
Usual concentration IV and PO: 20 ffi9lml
Survenla® (ET)
4mllkg
May be Given Qeh )!: 4 doaea
Order d:S:~~:~~:~. b8aed on the patienra reaponsa. If required. give initial dose ASAP fOl

....Y3U~1 ~cenlr.lion : 25 mglml


elood Component Thert:1pY
Gestation weeks Hemoglobin [g/dL mean ± SD Hematocr it 1% mean ± SD)L
11 .7± 1.3 37.3± 4.3
PRBCs: 20cc/kg over 4 hours (CMV·negative, irradiated, leukofiltered) 18-21
22-25 12.2±1.6 38.6 ± 3.9
Platelets: 10-15 mLlkg for neonates < 10kg; 1 unitl10kg for infants> 10kg 12.9± 1.4 40.9 ± 4.4
26-29
o Expected increase is - 50,000/L (ideal recovery) ;
>36 16.5± 1.5 51 .0± 4.5
Post·transfusion count within 15-60 minutes may be beneficial

o Recommendations for use include:

0
Pits < 20-50 x 10 /L in stable premature infants

9
Pits < 50-100 x 10 /L in ill premature infants

9
Pits < 20 x 10 /L in stable term infants

Pits < 50 x 109 /L in term infants wI active bleeding

9
Pits < 50 x 10 /L if invasive procedure is planned

Pits < 100 x 10 9 /L if on ECMO .

FFP: 10-15 mLlkg (for a 15-20% rise in coagulation factors)


o May be repeated 3x124 hrs if needed
o 15-30 mUkg for hemorrhages

o Indications: Replacement of clotting factors (OIC)

Whole Blood: Vol. of blood to be exchanged = Baby's Wt (in kg) x 85 x 2

o Indications: Exchange transfusion

DISCMARQE CMECK LIST

Nutrition:
NEONATALeNTERAk~~eN
N.MI Clan. TutlProceduralOrden
Cast Manl ars nollnad or ola"I1.1 dischalila
Corrwmnls

Hr:7o~a~~:lmd~;~~:~~ngl~~~h ~aa~a~l~a~n'9a"
EstImated hecd5 fDr growth: goal is no-l50 kcaV/r::q/day & ] ,5-"1 91'110'15 protein/kg/dillY (preterm)

Fllmlfy c.ra coordln alor tl olMad of pol.tllI.1


!it0rai1s 100-130 kCiIIVkg/dillV & 1,,£-2.2 gnltrs proteinllaj/day{term)

dlschar a
[S. . 1mmunlullons'
When ant.,.1 r.eds are.t: Ha alilis B v. cdna
(Se c1ton 0 und.r
. SO or 9Occ/kg
UQcc:/ k'll
dCUea5e lntnIpids to 2g,.""kg/day
dlscvnlinue both TPH and Imtaffpids
fortify breast rmk In PfenatUle babk!s wIth
Hwnan ,.tiCk FoftifleJ (t-M71 padcd : 25 m1 EeN =2'1 kallo: R .
~ i e .~
~~~
.11
.E~~
.~

--
Routln. Immuntzallon s (II' .lIgJbl. (i!I 60 day')

C1rcumcllion
S1ata scrlln
Infec1lous DlJusu)l

Ho te.:
SJrmac Natural Cate--t/2 EBM: 112 fornw=22 keal/Ol
. Ht·1F Is HOT "pproJll'latc hI( term Infants, you can .add wI iIInd nwlents to fe,., \'r'if,h standard
powdered forniUla
e 3
!
]
CI--

~g jjj
-<~
~
"
.2
.;
.~
E
~~

,,
~"
110
~I£
o.0
­ HU M t etlin ABRlfa IIcable
Eya aum (If applic able : <32 w. .ks or "oograms) [S.. ~ OP SUl lnlo5l"
(StcUen C undar

S ;;. ~~ .~ ~"'j i.~ ~ 'r~)


~
Mlstallanaous)1
AAP R.eco mm~atfons for Brust Fed Infants:
If baby b on breast milk alone (wtth out HMF)...
• was p~mature add 2 m:llron,lkg/day 8& 200 lU mrrin DJdit( U ~~i ~til . tii
~1I: ~~~ 02:
,. i
.~
;~~~
Hu
rr
I.ala HUS applic able: <1500g. 1500·2000g It'
v. nl ll,ltd ; DOL .a0. 001. #90)
(S. . 'nlra,(anl.1
Hemorrhagt and
Pet1venlricllltr
Add 0..5 ni Poly-vt·sol ....llh 1100 for (nrar,ls <2500 q

Add 1 mI Poty·vI-sol ....Ji1h Iron rOf Wants >2500 9


S " (1)"0..:;:0
l eukom atacla' (Se,lIon
A undar NturolOIN)]
& was t~
& was term
now <'I rncnlhs of age, ~ 200 IU vitamn DJday
now > 4 montl~ of <J9C, add 1 Inglron,lt9lday f( 200 IU vitan'tn O/day
0 ~ ~ J
-~ 0"'2
(,)
>'i
-~
D. vt lopm t rlle l tum and ECI f.r.rral Qr appllcabla :
<34wttks .nd 2000-9)-
Pfascrlplions (wrItI an on outpall<lnl prescriptions

1
e "'~l It>
U baby ls on breast milk &: rOJmlJla •••
Vitlmll1 0 add 200 IU vtlwn D/d<ry if Infant la.kes <SOO n\l. 01 formula/day I M
9
~"
wo e;: E ~E e<'l
and glVan 10 paraol, 4&-72 houlS bafora dlsch.rga.
10 ba tlilad PRI OR to dllCharg.) and Ins(rucllon, for
~l cii~
til
N
for temllnfal'll'i, add IIT1J Iron/kg If Infant ukes <90 rrlr~9/d\JY 0( fOMt"tub ;; admlnlstralion lveo
Iron

Note:
prc l elnllnfonU need II total 0(2 mg Iron/k9/day
.Vl·SoI products ~'.it.h Iron contain 400 IU 'o'ftamln D Dnd 10 rf9 fron per 1 mI
T e
:!.
Spacial formula Wl C Form complaltd aod spacial
rormula .ducation ;1\I.n by dJ.IIUan or nuru
.Jf babies >.,
k on Is necd~d
moni.hs of a9C lake 2 servings/day of lIon rortifle.d cereal or ~t. no addlUanal
A RSV prophytaXls or app llcabla) [S .. ' mmuntlallom­
(Stellon 0 un dar
~
At Discharge.:
If blrtflwelght Is... send home on .'
r Jl
s §
]]"
~ . ~E

~

Car seal avallabla
Car SlIIt Challangt (It'.'ppllc,blt: <37wlllc s. <2500
Inf.c1lous Dlsn",)]

<1250 g
US1'18S01jl
folow up fonrr.rld (Enfaure. or Noo,l;lJre)
I j ~ E ~
0", t am, . or oxyge~dapa ndanl

"'~
folo\'l up formJla it dlschiHgc: wd!1h t Is ... 2500 grams
~

u Cara By Pllanl room rauIVad if nlld' d)

.. 8
>1650 9 0
still'.dard formula o~
0 Clsch.flla summary com plalad

S~
Note: <I Hay also amskJer llW1g to/IrK" up fom"lU /a In th!!! hospital for JUemltvre Ihf'anb \-mo Me 9JCM'Inq Olschuga summary copl.s prinl.d 3
,veil and >3--1 kg

Auus Growtfl :
N 2 Q
I Ordtr 10 dlschar • hom a written

..J ROP auideUnes


Wdght length Foe " .~
Prctefl11 « 2 kg)
~ .!:!~
~jl~1 ~j
10-20 g/lajJ<J", 0.B·1.1 clfW'WtA.Jc 0 .S·1.0 cnVvIlc
Term (>2 kg and <3 mo. corrtttcd) 2(HO gJday 0.69·0.75 cmA'.-eek 0. 1· 0.6on,iwt •­ .~ Ii" MID 10 I£[ •• n ann!., t u m) bymak of Ilfa !WOO pnd dav 9' Irr.CQQL ) .

~~j£ ,,£ .-,•


Term (3~ mo. eorred.ed) u ~

Tel"' (6· 12 mo . corTCcted)


15-1,0 gJdWf
10,1.5 g/day
....0.5 (""weI!.Oc
...O.J Uf\,"1!:e.~
i~ i E E

NEONATALPARENTERALNUTRrnoN ! ~ ~:I:~g ~,g J ""'"


walght
G utal/onal
aga al blrlh
EX.m .131 wttlcs 0s1n8la1. a or.1 a a <4 wttlcs
WOl9 WOl8 WOl7 WOL6
tilth aVer Is (a.,,,l
WOl5 WOl<4

EstImated need. for growth: 900II15 90· 115 Io:caI/kg/day & 2.7· 3.5 51ramo/k<J/day(prelrrm)
'" J~.~~ f&.~~ 4~~ ~~~
(OOL
35--4'
(OOL
29-34
< 1500 2'2
wuks X
9oa11s BO· 1J() kcal/Io:g!day &. 1.S.] 51rftmS/kg/ dily (term) < 1500 23
waak,
< 1500 24
w"k,
fllIl!l 0( 1600 w••ks
25
Use btrth WC5lht to Ilgwe fluid needs unti Ihfant's wdqhlls abave blrttn\eJ~t. A dry weight 1llo1)' be used If 0( 1500 w.. ks
26

~c\dOS'S
!)QUem is Avid overloaded. Dry weights need to be 'I! · ~'ahlltcd weak:y. llldl.:de aD IV plg9Y~1 TV rl, :s; 1500 27·l0 weakl
enter.i4 fEeds. f'nedk:atlons., and lipid endsions In fbld a!cuIaUons.
> 1S00 g >30 waak~

Fluid nHds. 0 ·24 hours of rife


61rthweighl (9)
s 1000
T\1>'
05
07.5
010
Au~ (<</kg)
100·120
100·120
1CXH20
GlJt
3.5·4.2
S.2·6.3
6.9·BJ
Sodium Bicarbonate (IV)
Roo tine treatmenl of metabolic acldosia: 1·2 mEQIkg
Infuse over 1 hour
In cases of sew,e reapirlltory ecidosis, II continuoua infusion may utilized :::hort torm.
Pain It sedati"es
Continuous 0.s..1 mEqI'.<glhr Fentanyi (IV )

1001-1500 010 80·100


r.'~~Ie'~~~:':'~"',:"'~~,Do""Tin"Q:"-'' 'e:-4,-,m"'."'''''''<1,,,,,,:,,,mm'''7c'''~,og
,,dd,:
,,,,,:,,,:,,,;
=:..,,,0"-_--,
5 .&-6.9

1S01· 25OO DID 8. S.• infusion dose Thia will be a large volume of fluid end Mit alao
,ovide 0!.12 mE;/kg/davof Na.

> 2S00 DID 60-80 4.2·S,o infusion dose


St.ndard 2S mEq of sodium bic.ubonato in 50 cc of steri!e

Palienl Fot patlanls 1.6kg For patl4lnts ~ 1,6 k g


MilqoolJtrlenb concentration wat.r or D5W 0.5 mEQI'ml 0(

Inl\latc Incl eors~ by Goal P'ovldcs


Infusion r.l. mlhlr =
I W1 ~kg) It delir.ct daM mE h, It 2
W8\(lht
250 mierogtams in 500 micrograms in

~~~~~ati()(') m~~~!'ml) ;fc~~=slm.!L


2~/o IntnJJpld 1 q/Iq; 19lk51 3911aJ 2~ Vn '1
D.utJose S·7 GIR
Protldn (Prunuol) ) ·2 g/kg

Electrolytes:
1·2 GIR
191k9
12 GUt
3·3.59,1(9
J." kraVg
'! kcaVg
Albuterol (Inh)
R.espiratory InfuSIOn ral e
5
mlfur - p t wt (kg) x
deslIed dose
(10
ml/h, - pl ....1 (kg) x
desired doe.
(mool1<a/mln + 5 mcgAo;n'min + 10
Sodium &Potu~lurn . Nabulizlld SOlution: 1.25-2.5 mg in 3 ml NS 0 2..eh pm Usual IV ampule concenlJ'alion. SO microgramsfml
U~ui!ll IV reqUirements: 2,) InCq Ua/kg 2·3 mEq I(Jkg (4 puffs MOl = 2.5mg nebulized ) •
Ev.lluale.uslng (utTenl tab data. In extnlmo callOS of bronchospalm~. a continuous inhalation may be utilized .hort 'arm for l orazepa m (Allvan®) (IV. PO)
p.1tienls 00 the ventilator or CPAP :
O.OS..().l mgNg/dose 04-61'1 pro
Calcium &.Phosphorus 2.5 mgi&ollhr " 31 mg of .lbu~ roJ in 100 ml NS (swdng doae) UwaliV concentralion: 2 mofml. uwel po concentration : 2 mglml
U,l;ual rv rC!qu lJ'erroC!.nls: J -1 .S rr£q CJ/k9 ),2 mmol P04ft<91day 5 mgfBm'lllr :I: 63 mg of .Ibulerolln 100 mt NS
Gtve standard Ca &. PO"' / 100 a: In rrost Inst<m:cs. 10 mr;1BmVhr ~ 125 mg of IIlbutetol in 100 ml NS Midazolam (Ve rsed®) (IV. PO)
For 1 m-b4 of PO., must. haY!! at least 1.31 mfq Ua andlor 1... 7 mEq of K In U'!e soluti:ln =
20 mglBmVhr 250 mo of albutflfol in 100 ml NS -rs
line agent ·lolel3noo develop& repldly.
Racamic Epinephrine (Inh) Inlermit1en t Dosin : 0.05-0. 15 mQ/kgldo&e 0 2-4h P!n
Ma9neslum 0,5 ml of II 2.25". solution Continuous 1().60 microgt';!lm Sikglh
Uwel rv Il!qUl:ef'nenh: 0.5-1 mEq ''',glkg Oexamelhaaone (IV, PO) intuaion dose
GlYo! SoIlIn:fard t1g /lCO« un/es.s mom ret'cNed "'9 durtnSl dei'-'ery. If rrom r et::e~/ed 1-;9, walt <l8·n hourr ..., Usual concantralion IV: 0 .1 mglml (m. x 1mgfml). PO: 0. 1 mglml (mllx 1 mglml) Patient 1.6 -3 kg > 3 kg
< 1.6 kg
IhCl'l n.lrt standard "'.9/100 (C. The tol~>Mng regimena have been ebJdied in randomized trials lot prevention of BPD: waiaht
1.5 mg in 5Om1 3 .5 mg in SCmI 7.5 mg in 5Om1
Trac e Ell';menb Standard D5W D5W DSW
1O-daylower dose Leper r-vimtn (Do~e LW et ~I. Pediatrics 117:75-83. 2(08 )
(nl'JSt ~ marked on TflN fom1) O. I~mglkg 0241'1 x 3 days 0.03 mahnl) (0.07 m9i!D\"-lll-,-I,--,<-,0"-,.1,,
5~ m,,,.rr7.,m,,-'r l
"iI:~ot,a.::e-'I: For nlDst b"bles 0.10 mglkg 02<4n x 3 days mill" - pt wt (kg) mllhr pl.....t (kg ) =
mlitlr .. 1'1 wt (kg) It
Ct.ol~J'ls6 (witll:Jut 14cctrace·4): For babCe.s. \\11.11 elevlltl!d direct bll!rubln 0.05 mglkg 024h x 2 days Infusion late It desired dose It desired do.. dasired dON
PlbJO d".,~ (with or \\<ftho\tt Neotn.c:e-4): For babies v.ilo ru.ve. re<elved ~lt.Ie enlefal nutlit.lon >30 days 0.02 mg,1lo 02.... x 2 dave; m...."gJi,') . 33 mCCWkQ/hf\ '" 70 m Q!\(~l.l50

-
Renal OyrlunctJon (without NeotnrM): For bablC!o "vith suspected rEllal dysfunction bo\ nol on dlal~k U$UalIV \I1el concenltalion . 1 mgr'ml
V{lth (hok!sbld~ &. l entil dysfunction Hatlc "tb Neotr~ce ., ~ lind 51lve line only Because of concerns ebout the long lerm !l!de cffecb of po3tnllbl dexamethasone in prelarm
infanta. currant practice is shifting to smaUer dosas and short... courses. Consul! Vllth tho Morphine (lV. lM. PO)
atLending regllrding the pf8lerred dexamethasone regim an for Individual patient.. Intermillenl Coal : 0.05-0.2 mCl1c.Q/doae Q4-eh Dm
(must be miJrk.~ on TPN form) ContinlJOUS 10-20 microoramsfkQ!h
All cenl13l KOOS and lool) I~es: 0.2S unlLc;J n~ For airway edem. !n infants v.t.o hevo previously f. ilad exlubatJon (nol V\411 studied)' ",fusion dose
0.1 mglkgldoa.IV or PQ012t1 x 5 do... (Qiv. 2 doses prior 10 eehllduilld exlubation) Patient wei ht < 1.6 k 1.6-3 >3k
peripheral Ilne$:
1.5 mg in SOml 3.5 mg in saml 7.5 mg in !5Om1
Methylpre ni.olo:'le (IV) Slandard
~J:!.l9.n! For acute eXllGorbalions of reacbVe airway diMliM concentI.lioo
o.o~~ml) (O.O~S:/ml 0.1~:1m1)
ca
!·1g
2.0 "9 = 1 rrEq=O.5 1'11·101
12 rrg=1 rrEq::.O.51'Ti>1O\
1 motkg1dosc 012h x 2 doses then 0.5 mgikgldO .. 0 I 2h x 4 days
A onc·time do!;O of 10 mg /kg may be uaed pre-operative!y for palienl£ undergoing ~rdiac &urgary
l
mllhr '" pi wt (kg) mlfhr " plwt(kg»)C mllhr - 1'1 wt (kg) x
dulred dose
~=~~~;O
,.Ia 2J rrg ~ 1 mEq = 1 m' )oj I"fusionr.'e It desired dose
w iln b ~ a s.s mcafKalhr + 150
I: 3911"9=1 rr£q = 1mf-'.o1 mCQI'k.aIhr) + l3
Usual concontration: 4 mglmf
a 31 n'9 - 1 nilOl Uau.IIV VlSI concentrlltx)J'! 2 mglmI

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