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Casualty Drugs For Paediatrics
Casualty Drugs For Paediatrics
arr
hea
Pl
anA–10ml
/KgORSperepi
sodeofdi
arr
hea
Pl
anB–75ml
/KgORSov
er4hour
s.
Pl
anC–Tot
ali
vfl
uidt
obegi
veni
s100ml
/Kg
<1y
ear–30ml
/Kgov
er1hourandnext70ml
/Kgov
er5hour
s.
>1y
ear-30ml
/Kgov
er30mi
nut
esandnext70ml
/Kgov
er2.
5hour
s.
Zi
nc–Sy ncdr
p.Zi ops(
20mg/
ml)1ml
for14day
s(>6mont
hsage)
0.
5ml
for(
<6mont
hsofage)
Pr
obi
oti
cs–Dar
olacsachet½-0–½
Dy
sent
ery
I
f<6mont
hsofage,
rul
eouti
ntussuscept
ion.
Bef
orest
art
ingant
ibi
oti
c,sendast
ool
cul
tur
e.
Sy
p.Cef
ixi
me(
50/
5ml
)5mg/
Kg/
dose–BD5day
s
Dewor
ming
Sy
p.Al
bendazol
e(400mg/10ml
)
<2y
ear
sage–5ml
,thenr
epeataf
ter2weeks.
>2y
ear
sage–10ml
.
Tab.Mebendazol
e100mgBD–3day
s(>2y
ear
s,i
rr
espect
iveofage)
Sy
p.Mebendazol
eav
ail
abl
eas100mg/
5ml
.
Vomi
ti
ngandGast
ri
ti
s
Sy
p.Emset
(Ondanset
ron)(
2mg/
5ml
)0.
1mg/
Kg/
dose.
I
nj.Emset0.
1mg/
Kg/
dosei
v
Sy
p.Domst
al(
Domper
idone)(
1mg/
ml)0.
2mg/
Kg/
dose
Tab.Pant
opr
azol
e1mg/
Kg/
dose(
Avai
l
abl
eas10mgand20mgt
abl
ets)
Sy
p.Rant
ac(
Rani
ti
dine)(
75/
5)2mg/
Kg/
doseBD
Acut
eUr
ti
car
ia
Sy
p.At
arax(
Hydr
oxy
zine)(
10/
5)0.
5mg/
Kg/
dose8t
hhour
ly
I
njHy
drocor
ti
sone(
5mg/
Kg/
dose)(
Maxi
mum 100mg/
dose)i
vst
at.[
Comesi
nthename
Ef
cor
li
n].
Hy
pogl
ycemi
a
Newbor
n–GRBS<45mg/
dL,
Other
s–GRBS<60mg/
dL
I
nbot
hcases,
Inj
.D102ml
/Kgi
vbol
us
I
fHy
pogl
ycemi
csei
zur
espr
esent
,Inj
.D104ml
/Kgi
vbol
us.
Hy
pot
ensi
on
1mont
h–1y
ear:
<70mm Hg
1y
ear–10y
ear
s:<70+(
2xage)
>10y
ear
s:<90mm Hg
I
nj.NS20ml
/Kgi
vov
er20mi
nut
es.
CoughandRhi
nit
is
Sy
p.Sal
but
amol
(2/
5)[
Wei
ght
/4]ml
TDS–5day
s
Sy
p.Cet
ri
zi
ne(
5/5)0.
25mg/
Kg/
day–5day
s
Sal
i
neNasal
Drops–2dr
opsev
ery4hour
ly.
RADexacer
bat
ion
Nebul
izat
ionSalbut
amol0.
5ml+2mlNormal
Sali
ne+O2(ev
ery20minut
esfor3t
imes,
then
hour
ly/2hour
ly)
.Ifmor
ethan5y
ear
s,use1mlSal
but
amol
+3ml Nor
malSal
i
ne.
Sy
p.Omnacor
ti
l(
Predni
sol
one)(
5/5)1mg/
Kg/
day
.
Tab.Wy
slone(
Predni
sol
one)
1mg/
Kg/
day(
Avai
l
abl
eas10mgand20mgt
abl
ets)
.
Tab.Mont
air(
Mont
elukast
)4mgHS–1mont
h(6mont
hst
o5y
ear
sofage)
5mgf
or6t
o12y
ear
sofage.
Anaphy
laxi
s
I
nj.Adrenal
ine0.
01ml
/Kg/dose(
Maxi
mum 0.
5ml
/dose)i
m.[1mg/
ml,
1:1000st
rengt
h].I
tcan
berepeatedaft
er5mi
nutes.
I
njHy
drocor
ti
sone(
5mg/
Kg/
dose)(
Maxi
mum 200mg/
dose)i
v.
Cr
oup
Nebul
i
zat
ionAdr
enal
i
ne0.
5ml
/Kg(
1:1000)i
n3ml
NS-3t
imes20mi
nut
esapar
t.
Nebul
i
zat
ionBudecor
t2mg(
4respul
es)st
at.
I
nj.Dexona0.
6mg/
kgI
M orI
Vst
at.
Scabi
es
Oi
ntmentPer
met
hri
n5%l
ocal
appl
i
cat
ion
Febr
il
esei
zur
e
(
Lef
tlat
eral
posi
ti
on,
O2i
nhal
ati
on,
GRBS)
I
nj.Lor
azepam 0.
1mg/
Kg/
dosei
v,canber
epeat
edaf
ter10mi
nut
es.
I
nj.Pheny
toi
n20mg/
Kg/
doseov
er20mi
nut
esi
n20ml
NS.
Or
I
nj.Fosphenyt
oin30mg/
Kg/
doseov
er8mi
nut
es(
canbegi
venI
M orI
V)(
canbemi
xedi
n
Dextr
osealso)
I
fIVaccessnotav
ail
abl
e,I
nj.Mi
dazol
am 0.
2mg/
Kg/
doseI
M,canber
epeat
edaf
ter10mi
nut
es
Di
azepam r
ect
alsupposi
tor
y0.
3mg/
Kg/
dose
Fori
nter
mittentpr
ophy
laxi
s–Tab.Fr
isi
um (
Clobazem)0.
25mg/
Kg/
doseBDont
hef
ir
stt
wo
daysoffev
er.
Sy
p.Par
acet
amol
(125/
5)15mg/
Kg/
doseQ6H.
Par
acet
amol
rect
alsupposi
tor
y10mg/
Kg/
dose[
avai
l
abl
eas80mgand170mgsupposi
tor
ies]
Pneumoni
a(empi
ri
cal
ther
apy
)
Sy
p.Cef
uroxi
me(
125/
5)15mg/
Kg/
doseBD-
--
-5day
s
Sy
p.Amoxy
clav(
457/
5)or(
228/
5)20mg/
Kg/
doseBD-
--
--5day
s
Pust
ularski
ninf
ect
ions
Oi
nmentFusdi
cAci
dlocal
appl
i
cat
ion
Oi
nmentTBACT(
Mupi
roci
n)l
ocal
appl
i
cat
ion
Ant
ibi
oti
cs
Sy
p.Cef
ixi
me(
50/
5)5mg/
Kg/
dose-
--
--
-BD5day
s
Sy
p.Cef
uroxi
me(
125/
5)15mg/
Kg/
doseBD-
--
-5day
s
Sy
p.Amoxy
clav(
457/
5)or(
228/
5)20mg/
Kg/
doseBD-
--
--5day
s
Sy
p.Azi
thr
omy
cin(
100/
5)or(
200/
5)10mg/
Kg/
day-
--
--5day
s
Sy
p.Amoxi
cil
l
in(
125/
5)or(
250/
5)15mg/
Kg/
doseTDS-
--
-5day
s
I
ncessantcr
y
Causes–Nasal
blockade,
Earache,
Abdomi
nal
ache,
Int
ussuscept
ion,
Meni
ngi
ti
s
Admiti
nwardthecasesof:
Atypi
calfebr
il
esei
zur
es,
Afebr
il
esei
zur
e,Unknownbi
te,
Poi
soni
ng,
Sev
ererespi
rat
orydi
str
ess,
Dysenter
y.