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乖乖手冊2004 12 20
乖乖手冊2004 12 20
乖乖手冊2004 12 20
• 24 • • 1 •
# 40
! ET Dopamine 40 x 6 x 5 =
" 1200 mg 30 mL
# 70 mL 100 mL 100
# mL 130 mL
" CXR ET tip 25%
# T2 "
# carina 0.5 ~ 1
• 2 • • 23 •
• 8 • • 17 •
3
D: Drugs GCS
! Furosemide (Lasix®) ! ET tube GCS: Glasgow Coma Scale
! 40 mg/Tab; 20 mg/Amp ! Prednisolone
# A LINE
# ! 5 mg/Tab A: Alert V: Voice
# IV
# 1 mg/kg/dose IV Q6H or PO QID " P: Pain U: Unresponsive
# 1~2 mg/kg/day BID~QD for 3~5 days : Atropine
! Lasix continuous line # Bradycardia
# Lasix 20 mg (2 mL) D5W 18 mL
" < 4 yr 45 > 4 yr
# 2 mg/kg/day QD # 0.04 mg/kg
(20 mg/20 mL) = 1 mg/mL E4 (A) !
1~1.5 mg/kg/dose QOD : Lidocaine
# (0.1 x BW) mL/hr E3 (V) !
# Ventricular Tachycardia
= 0.1 mg/kg/hr E2 (P) !
" # 1 mg/kg Loading
# Max: 0.4 mg/kg/hr E1 (U) !
# 20 ~ 50 µg/kg/min IV Maintain
# 0.5~1 mg/kg/dose QOD M6
! Spironolactone (Aldactone®) : Isuprel !
! 25 mg/Tab # 0.25mg/kg/dose QD M5 !
# Bradycardia
# ! Hydrocortisone (Solu-cortef®) M4
# 0.005 mL/kg
# Child: 1~3 mg/kg/day BID ~ QID ! 100 mg/vial : Naloxone M3 !
# Adult: 25~100 mg/day BID ~ QID " for Asthma M2 !
#
# Max: 200 mg/day # 4~5 mg/kg/dose Q6H M1 !
#
! Trichlormethiazide (Fluitran®) ! Dexamethasone (Decadron®) V5 !
# BW<20 kg: 0.1 mg/kg/dose
! 2 mg/Tab ! 4 mg/Amp # >20kg or >5yr: 2 mg/dose V4 !
# 0.07 mg/kg/day " for Croup: : Epinephrine V3 !
# 0.3 ~ 0.5 mg/kg/dose Q8H for 3 doses V2 !
! Acetazolamide (Diamox®) # Bradycardia Hypotension
! 250 mg/Tab " V1 !
# 0.1 mL/kg ET
" Hydrocephalus in infancy # 0.25 mg/kg/dose
# 25 mg/kg/day # 4~6 hr
# 25 mg/kg/day " Cerebral Edema:
100 mg/kg/day # 1.5 mg/kg one dose ! Bosmin® (Epinephrine)
" Absence seizure # 1.5 mg/kg/day Q4H ~ Q6H # 1 mL dilute to 10 mL, use 0.1mL/kg/dose
# 10~30 mg/kg/day Q6H~Q8H ! Atropine
# 1 g/day # # 0.02 mg/kg/dose
" Diuretic " Spinal cord compression # 0.1mg/dose
# 5 mg/kg/dose QD or QOD # 1~2 mg/kg/day
# 250~375 mg/dose QD or QOD ! Dopamine
! Methylprednisolone (Solu-Medrol®) # 5~ 20 µg/kg/min
! 500 mg/vial
# (6 x BW) mg in 100mL (D5W)
" Pulse therapy
1 mL/hr = 1 µg/kg/min
# 10 ~ 30 mg/kg/day QD for 3 days
! Sodium bicarbonate (Jusomine®)
# 1 mL/kg or (BE x 0.3 x BW)
! Calcium gluconate
# 1 mL/kg; (1:2) dilute, slowly push
• 22 • • 3 •
! Ursodeoxycholic acid
! Amphotericin-B (Urso® Genurso®) ! Amoxicillin
! 50 mg/Vial ! 100 mg/Tab ! Amolin® (25 mg/mL, 60 mL/BT)
# 15 mg/kg/day TID ! Hiconcil® (250 mg/cap)
"
# 1 mg/kg/dose in 100 mL D5W ! Phenobarbital (Luminal®) " Group A Streptococcus
QD ! 30 mg/Tab ( )
" # 5 mg/kg/day TID # 40 mg (1.6 mL)/kg/day Q6H Q8H
" Shock "
# 0.1 mg/kg/dose in 100 mL # 60~80 mg (2.4~3.2 mL) /kg/day Q6H
D5W Q8H
! Solaxin® "
# 0.9 mg/kg/dose
# 0.1# /kg/day # 500 mg (2#)/dose Q6H
# 1 mg/kg/dose in 100 mL D5W
QD "
" Fungus infection # Q6H
# 0.3 mg/kg/dose in 100 mL QID
D5W ! Augmentin® (Amoxicillin + Clavulate)
# 0.6 mg/kg/dose in 100 mL ! Ciloprine ! 457 mg/ 5 mL, 35 mL/BT
D5W # 40 mg/kg/day = 0.5 mL/kg/day BID
#
# 1 mg/kg/dose in 100 mL # 6~8 drops every 3~5 hours # 60 mg/kg/day = 0.75 mL/kg/day BID
D5W QD ! 375 mg/Tab (250 mg + 125 mg)
"
! Mycomb (OTIC drops) # Amoxicillin
# ! 31.25 mg/mL (25 mg + 6.25 mg)
# 15 mg/dose
# 2~3 drops 3~4 # Amoxicillin
# 30 mg/dose
#
# 50 mg/dose QD
! Prostaphlin A
! Fluconazole (Diflucan®) ! Win-Way® nasal spray ! 250 mg/cap
! 100 mg/Vial (Oxymetazoline HCl) # 50 ~ 100 mg/kg/day Q6H
" "
# sinus congestion
# 6 mg/kg/dose # 1000 mg (4#)/dose Q6H
# 2~3 sprays in each nostril BID
# 0~7 Q3D 8~28 QOD~QD
" ! Unasyn®
! 375 mg/Tab
# 6 mg/kg/dose QD
! Dexaltin® ointment "
" (Dexamethasone) # 25 mg/kg/dose BID
# 6 mg/kg/dose Q12H ! 0.1% 5 g/tube "
" # TID~QID # 750 mg (2#)/ dose BID
# 200 mg / dose QD
! Difflam® (Comfflam®)spray (
)
! 300
# TID~QID
#
• 16 • • 9 •
" Febrile Convulsion
4
# BT > 37.5°C " Glucose < 45 mg/dL
! Ferrum Hausmann®
(Ferric Hydroxide Polymaltose) # D10W 2 mL/kg IV (st)
" "
! 20 drops/mL (50mg/mL) (30 # GIR (Glucose Infusion Rate)
# 40 kg 1# #
QID mL/BT) 2.5 mg # RI D12W, or D15W
B/C, U/C Dopamine in D5W D10W
# 40 kg ! 100 mg
1 " " GIR
13 kg # ! Acetaminophen syrup = # DD ÷ 6K (mg/kg/min)
3 # 3 mg/kg/dose
( ) Anti-phen® Zuton® # D?W x Drip (mL/hr)
"
" ! 24mg/mL, 60 mL/BT (6 Kg)
# #
# !
# # 10 ~ 15 mg (0.4 ~ 0.6 mL) /kg/dose, < 1000 g 4 mg/kg/day ! Sugar
Q4H~Q6H ~ 1500 g 3 mg/kg/day " D10W D20W D50W
1 mL/kg/day
~ 2500 g 2 mg/kg/day D10W D20W D10W D50W
# ! Acetaminophen
Scanol® Panadol® Panamax® " 40 mL 10 mL D12W 95 mL 5 mL
! 500 mg/Tab 30 mL 20 mL D14W 90 mL 10 mL
# 1 mg/kg/day QD BID 20 mL 20 mL D15W 70 mL 10 mL
" # 325~650 mg Q4H~Q6H D16W
" “gtt” 20 mL 30 mL 85 mL 15 mL
# mg/dose mg/kg/dose mg/kg/day # 10 ~ 15 mg/kg/dose 10 mL 40 mL D18W 80 mL 20 mL
# “gutta” “gtt”
(0.02#~0.03#/kg/dose) Q4~6H
drop ( “ ” )
# dose
! G/S D10W
! Ibuprofen G/S = D?W D50W
MacSafe® U-pedia® 0.225% D5W 80 mL 10 mL
! 20 mg/mL, 60 mL/BT 0.33% D5W 80 mL 10 mL
" 0.45% D2.5W 80 mL 15 mL
#
# Q6H 0.9% D5W 80 mL 10 mL
QID #
BW
# Anti-phen # mL/dose, Q4H to Q6H " K > 6.0 mEq/L ! 1 BT (500 mL) Glucose
4
Ibuprofen # " RI (Regular Insulin) D50W
# Acetaminophen # 1U : Glucose 10 g " 12.5%
" ! 0.5 ~ 2 U/kg/day central
# fever pattern # # (RI 1 U in D10W 100 mL) line
fever BW BW # Run 2 x BW(kg) mL/hr 2.5% 5% 10%
mL mL = (0.48 U/kg/day) " 0.5 U/kg/day 500 mL 500 mL 500 mL
3 2 D50W
" " DKA ! 10 mL 3.43 % 5.88 % 10.78 %
! On Fever Routine 20 mL
# 40 mg (2 mL) /kg " Q4H 4.33 % 6.73 % 11.54 %
# BT > 37.5°C: use ice pillow 30 mL 5.19 % 7.55 % 12.26 %
! # infusion rate 40 mL 6.02 % 8.33 % 12.96 %
# BT > 38°C: Anti-phen __ mL PO Q6H ! ! Voltaren® (Diclofenac sodium)
PRN # 50 mL 6.82 % 9.09 % 13.64 %
# 1# / 12.5kg supp, prn ( 4~6 hr) 60 mL 7.59 % 9.82 % 14.29 %
( Q6H ) "
# 1~2
# BT > 38.5°C: Voltaren __# supp # Q2H Q1H recheck
Q6H PRN Voltaren
# BT > 39°C: warm packing #
"
# Ibuprofen
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