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AMOXICILLIN

CO-AMOXICLAV

250/5mL; 125/5 mL <1y.o. 100/mL 500mg cap; 250mg cap

157/5mL (125/5)

312/5mL (250/5)

457/5mL (400/5)

 

542.9/5mL (600/5)

30-50 mkday Q8 x 7 days

(40 mkday)

625

mg/tab; 375 mg/tab

TID

 

30-50 mkday (40 mkday)

Q8 x 7 days

TID

CEFUROXIME

CLOXACILLIN

250/5mL

250/5mL

125/5mL

125/5mL

125

mg/tab; 250 mg/tab; 500 mg/tab

250

mg/tab; 500 mg/tab

20-40 mkday Q12 x 7 days

BID

50-100 mkday Q6 x 7 days

(50 mkday)

QID

ERYTHROMYCIN

CLARITHROMYCIN

100mg/mL

125/5mL

200/5mL

250/5mL

40-50 mkday

(50 mkday)

15 mkdose

250

mg/tab; 500 mg/tab

Q12 x 7 days

BID

Q6 x 7 days

QID

 

CEFALEXIN

 

CEFIXIME

250/5mL

100/5mL

25-50 mkdose (30)

200/5mL

Q6 x 7 days

QID

200

mg/tab; 400 mg/tab

 

1.5-3mkdose

Q12 x 7 days

BID

IMMUNOMAX

PROBIOTICS sachet

Food Supplement

Dissolve 1 sachet in 1/2 glass of water Cell Life Sachet: TID x 7 days Tablet: BID x 7 days Prolexin OD x 5 days Erceflora TID x 5 days

Empiric dose:

mL OD

For adol: 30 mg/cap

PARACETAMOL

ZINC SULFATE

100mg/mL (drops)

Drops (<6 mos) = 1mL Syrup (>6 mos) = 2mL

125/5mL

250/5mL

55mg/5mL

10-20 mkday (10 mkdose) Fever: Q4 for T37.8

For >1 yr old use empiric dose

_ mL OD x 14 days

 

ZINC GLUCONATE

CETIRIZINE

 

100mg/mL

 

Drops 2.5/mL

< 6 mos = 1mL 6-11 mos = 2mL > 1 y.o. = 5mL

Syrup 5mg/5mL

10 mg/tab

wt x 0.25 mg ODHS x 5 days

 

OMEPRAZOLE

PROCATEROL

40mg/cap

5mcg/mL

1

mkdose

 

wt x 0.25 BID x 5 days

 

SALBUTAMOL

METRONIDAZOLE

ER: Q15 x 3 doses OPD: Q6 x 5 days

QID

125/5mL

mL Q8 for 10 days

Q8

 

DIPHENHYDRAMINE

AMBROXOL 5 days CETIRIZINE 7 days

50

mg/amp

 

MULTIVITAMINS

1

mkdose

ASCORBIC ACID ZINC 14 days

wt x 1 = mg ex: 10 kg x 1 = 10mg IM

EMPIRIIC DOSE 0-3 mos. = 0.3 Q8 4-6 mos. = 0.6 Q12 7-9 mos. = 0.9 OD 10-12 mos. = 1.2 OD 1-3 y.o. = 2.5 OD 4-6 y.o. = 5 OD 7-10 = 7.5 OD >10 = 10 OD

 
 

AZITHROMYCIN

CIPROFLOXACIN

250/5mL

10 mkday mL OD x 3days

250 mg/tab; 500 mg/tab 10-15 mkday

 

Q12 x 5 days

BID

 

PREDNISONE

AMBROXOL

 

10mg/5mL

Empiric dose For adol: 15 mg/tab

5 mg/tab

20

mg/tab

TID x 5 days

Q12 x 5 days

1

mkday

UTI

 

ANIMAL BITE

(+) WBC >5 hpf Urine culture 1st Start: Amoxicillin or Cefixime ( + fever)

CAT II and III - Add nyo palagi sa Rx:

1 insulin syringe

 

1. ARV (Verorab) 0.1 cc ID

 

2. TT 0.5 mL IM

 

For Males: 1st time consider anatomic prob. for KUB UTZ

3. ATS 1500 units/vial; if 6 y/o or if no DPT vaccine

 

1-5 y/o

#1

6-10 y/o

#2

11-16 y/o #3

> 16 y/o

#4

4.

Antibiotic

Cat II: Amoxicillin

Cat III: Co-Amox/Cloxacillin/ Cephalexin

5. Mupirocin ointment TID x 7 days

6. ERIG or HRIG (for CAT III)

ERIG 5mL/vial: [(wt in kg) x 0.2] HRIG 2mL/vial: [(wt in kg x 20)/150]

HYPERSENSITIVITY

 

COLDS

DIPHENHYDRAMINE 30 mg/IV HYDROCORTISONE 100mg/amp

DISUDRIM SYRUP

 

wt x 0.25 =

mL

   

mL TID x 7 days

 

Take-home meds:

 

CETIRIZINE ODHS x 5 days

ABDOMINAL PAIN

 

BRONCHIAL ASTHMA

RANITIDINE OD

SALBUTAMOL > 6 mos. SALBU + IPRA <6 mos. HYDROCORTISONE PROCATEROL

ER:

15mg/5mL syrup

300 mg/tab

SALBUTAMOL + IPRA neb (<6 mos. old) OR SALBUTAMOL neb(>6 mos. old) Q15 x 3 doses;

if not relieved BUDESONIDE neb

1

dose

HYDROCORTISONE100mg

TD (10-20)

 

TAKE HOME MEDS:

Salbutamol + Guaidensin (Ventolin) syrup

wt x 0.25 =

mL

 

mL TID x 3 days

 

Prednisone 10/5 mL (1 mkday)

wt x 1 =

mL

mL BID or TID x 3 days Follow-up at OPD after 3 days

PGI Bea Tomboc

 

HYPERACIDITY

APTHOUS ULCER

MAALOX 500 mg/tab Chew TID x 7 days; 10mL BID

BECLOMETHASONE SPRAY 2-4x CLORHEXIDINE (ORAHEX) mouthwash HEXIDINE (BACTIDOL) BID NPO (30 mins.) before and after meals CARBENOXOLONE Na (ROWAGEL) apply 1-3x after meals and bedtime — with tingling sensation at 1st; expensive ESSPRIN PEDIA 2 sprays/day x 7 days KAMILLOSAN SPRAY 2 puff TID after meals NYSTATIN ORAL DROPS 2-3 drops BID; no meals after. before

OMEPRAZOLE 20-40mg/tab OD pre-breakfasr

HNBB 10mg/tab Q8 for 7 days

 

DEWORMING

AGE

Begin at 1 yr and 3 mos. (15 mos), then 18 mos. then 24 mos. then yearly until 14 y/o

ORS <24 mos: 50-100mL every after each loose stool/vomiting 2-10 y/o: 100-200mL every after each loose stool/vomiting >10 y/o: as much as wanted

MEBENDAZOLE 11mkdose BID x 3 days ALBENDAZOLE 400 mg/tab

<

2 y/o: 1/2 tab

Approximate ORS can also be computed by:

Wt. (in g) x 0.075

>2 y/o: 1 tab *chewable 1 dose

If vomiting: give ORS 10 mins. after vomiting episode

ZINC SULFATE (empiric dose) OD 14 days PROBIOTICS (Cell Life)

 

ATP

OTITIS MEDIA

CO-AMOXICLAV mL TID x 7 days *Refer to ENT

CO-AMOXICLAV mL TID x 7 days *Refer to ENT

 

IIH

ECZEMA

Get History and PE (SOAP pa din)

MUPIROCIN OINTMENT

P

> Inguinoscrotal UTZ

TID x 7 days

Refer to Sx for further eval and mgt

 

FUNGAL RASH

DIAPER RASH

CLOTRIMOXAZOLE BID

ZINC OXIDE Apply every after cleaning

ALLERGIC RASH

 

SVI OR URTI

HYDROCORTISONE OINTMENT BID

SALBUTAMOL

(Wt x 0.25) TID x 5 days OR AMBROXOL SYRUP OR DROPS 3x

 

a

day

AND ZINC SULFATE (empiric dose) OD 14 days

Follow-up after 7 days

Start Antibiotic if yellowish or greenish phlegm

at ff. up (+) cracles/rales after 7 days of Tx:

If

CLARITHROMYCIN 15mkd/2 every 12 hrs for 7 days OR ERYTHROMYCIN 30-50 MKD/2 every 12 hours for 7 days

mkday = [ (mL given x numerator) ÷ denominator] ÷ weight

Ex: wt = 16 kg, given 4 mL Paracetamol 250/5 mL mkday = [ (4mL x 250) ÷ 5 ] ÷ 16 kg = 12.5 mkday, pasok sa mkday ng Paracetamol na 10-20 mkd

NEPHROTIC SYNDROME (OPD) Get BP, weight, height, BSA

mkd NEPHROTIC SYNDROME (OPD) Get BP, weight, height, BSA RHD (OPD) S > +/- throat pain,

RHD (OPD)

S

> +/- throat pain, fever, cough, colds

O

> de kahon

A

> RHD, NIF

P

> For 2D echo after 1 yr Pen G 1.2g IM

If

(+) throat pain give Amox or Co-Amox

PGI Bea Tomboc

PCAP (Read CPG)

AGE (Read CPG)

PCAP A and B:

Hydration (LUDAN’S METHOD)

Amoxicillin 40-50 mkday TID x 7 days OR Azithromycin 10 mkday x 3 days

If with hypersensitivity to Amox:

Clarithromycin 15 mkday BID x 7 days

PCAP C:

If with completed HiB vaccine Pen G 100,000 units/kg/day in 4 divided doses

If with incomplete immunization or unkown immunization status; or patient is 6 mos. Ampicillin 100 mkday in 4 divided doses

 

MILD

MODERATE

SEVERE

<15 kg < 2 yrs. old

50

100

150

>15 kg >2 yrs. old

30

60

90

 

D5 0.3 NaCl 6-8 hrs

1st hr 1/4 PLRS; next 5-7 hr 3/4

1st hr PLRS; next 5-7 hr 2/3 D5 0.3 NSS

D5LRS

Maintenance:

<15 kg: D5IMB >15 kg: D5NM

USE:

MICROset: <10 kg; 60 microdrops MACROdrops: > 10kg or > 60 microdrops; divided by 4, yun yung magiging regulation

FORMULA: [(wt in kg) (multiplier, refer on table)] ÷ 6 or 8 hours =

Ex:

16kg with MILD Dehydration If 8 hrs hydration :

[(16) (30)] ÷ 8 hrs]= 60cc/hr; Order: start D5 0.3NaCl 500 cc x 60cc/hr for 8 hrs

8kg with MODERATE Dehydration (8 kg x 100) ÷ 4 = 200 Order: Give PLR 1L to run for 200 cc/hr for 1 hr; IVF to follow: D5LR to run for 200cc/hr for 7 hrs

12 kg with SEVERE Dehydration (12 kg x 90) ÷ 3 = 360 Order: Start PLR 1L to run for 360 cc/hr for 1 hr; IVF to follow: D5LR to run for 720cc/hr for 7 hrs

PGI Bea Tomboc

CFC (COMPLEX FEBRILE CONVULSION)

 

PCAP-C

DENGUE WITH WARNING SIGNS

 

Date and Time PR:

>

Please admit to NEURO WARD

Date and Time BP:

>

Please admit to RESPI WARD

Date and Time BP:

 

>

Please admit to ISO-B1 or ADOL

under the service of Dr. Cruda/Dr. (Neuro rotator na resident)

under the service of Dr. Angeles/Dr. (Respi rotator na resident)

P50:

WARD under the service of Dr.

RR:

PR:

PR:

P95:

(Consultant In-Charge) /Dr.(Respi rotator na resident)

T:

>

Secure consent for admission and

RR:

>

Secure consent for admission and

RR:

O2 sat:

management

 

T:

management

 

T:

D_ of illness D_ afebrile

>

Secure consent for admission and

Wt:

> Diet: NPO

O2 sat:

> Diet: NPO for 4 hrs then refer

O2 sat:

management

 

> IVF: Assess degree of dehydration,

Wt:

> IVF: Assess degree of dehydration,

Wt:

> Diet: DAT except dark colored food

Physical Exam

then refer

 

then refer

 

> (5) IVF: PLR 1L x

gtts/min for 2

>

Diagnostics:

Physical Exam

>

Diagnostics:

Physical Exam

hrs then refer

 

A> Complex Febrile Convulsion

CBC with PC Na,K,Cl, Ca

A> Complex Febrile Convulsion CBC with PC Na,K,Cl, Ca 6 hrs. CBC with APC   >

6 hrs.

CBC with APC

 

>

Diagnostics:

post-ictal

A> PCAP-C

CXR-APL view

A> DFS with Warning Signs

CBC with APC OD

P > Admission

CXR-APL view

>

Meds:

>

Meds:

UA

 

P > Admission

(100,000) Penicillin G

units

TIV Q6

P > Admission

Paracetamol syrup or tablet Q4 PRN for T37.8

For LP

(

) ANST

>

Meds:

OR

 

(1) Ranitidine

mg TIV Q8 PRN for

(100) Ceftriaxone

mg TIV Q12 ( )

(100) Ampicillin

mg

TIV Q6

abdominal pain

ANST

 

Salbutamol neb Q4

> VS Q4

Paracetamol 100 mg TIV Q4 PRN for

Zinc syrup

mL OD

> I&O Q shift

T37.8

 

Cetirizine syrup

mL OD

 

> Refer

Diazepam

TIV PRN for seizure

Paracetamol syrup or tablet Q4 PRN for T37.8

 

episodes

 

Resident’s trodat/PGI

>

May hook to O2 via nasal cannula

> VS Q4

     
   

2-3 lpm PRN for seizure

> I&O Q shift

 

> VS Q4

 

> Refer

> I&O Q shift

 

> Refer

 

Resident’s trodat/PGI

 
 

Resident’s trodat/PGI

 

PGI Bea Tomboc