Drug Dosage Guide

By
Dr. Kamran Akbar
&

Dr. Zunaira Hameed

Pediatrics unit 2
Nishtar Hospital Multan
 Enteric Fever
1. Inj Veprox (200mg/100ml)
Dose: 6ml/kg/dose (BD)
2. Inj Gravinate 100mg/2ml
Dose: 4 units/kg/IM stat
3. Inj Cefxone 1G/10cc
Dose: 100mg/kg/day (meningitic dose) BD
Dose: 70mg/kg/day (in other infections) BD
4. Inj Nulcer 50mg/2ml
Dose: 4 to 5mg/kg/day (BD)
5. Syp Brufen 100mg,200mg
Dose: 10mg/kg/dose
Or
Syp Tercica
Dose: 5mg/kg/dose
Discharge:
1. Syp Novidat, Nafcin, Mytil 125mg/5ml,250mg/5ml
Dose: 20mg/kg/day BD
 Acute Pharyngitis
1. Syp Augmentin 156.5mg,312.5mg/5ml
Dose: 40 to 50mg/kg/day TDS (5 to 7 day)
2. Syp Brufen 100mg,200mg
Dose: 10mg/kg/dose
3. Syp Caricef , Fixval , Suncef 100mg/TSF
Dose: 10mg/kg/day OD

Meningitis
1. Inj cefxone 1g/10cc
Dose: 100mg/kg/day BD
2. Inj Ampicillin 500mg/5cc
Dose: 100mg/kg/day BD in less than 2years of age

3. Inj Benzyl Penicillin 10 lac units/vial

Dose: 4 lac units/kg/day QID
4. Inj Mannitol
Dose: 10 ml/kg stat, 5ml/kg/dose TDS

5. Tab Pheno 30mg( in case of fits )

Dose: 15mg/kg stat,
5mg/kg/BD
6. Inj Decadron 4mg/1 ml
Dose: 0.4 to 0.6 mg/kg/day QID
Anti-inflammatory 0.08-0.3mg/kg/day BD/QID
Meningitis 0.6mg/kg/day QID
Edema Dose: 1 to 2 mg/kg/stat, 1 to 1.5mg/kg/QID
7. Inj Nulcer 50mg/2cc
Dose: 5mg/kg/day BD
In case of Fever, Fits and loss of consciousness

8. Inj Aclova 250mg/5cc

 Dose: 10mg/kg/dose TDS
9. Inj Quinine 300mg/ 1ml
Dose: 20mg/kg/stat, 10mg/kg/dose TDS

Pneumonia
1. Inj Klaricid 500mg/5cc
Dose: 30mg/kg/day BD, in 30ml N/S infusion
2. Neb with Clenil
Dose: 0.5cc +2.5 NS, BD
3. Neb with Atem
Dose: 0.5cc +2.5 NS, 4 hourly
4. Neb with Hypertonic saline
Dose: 15 drops in 2.5cc NS, 2 hourly
5. Nor saline P nasal drops
1 drop in each nostril, 2 hourly
6. Inj Cefexone (ceftriaxone)
Dose: 70mg/kg/day BD

Discharge
Syp Rithmo (clarithromycin) / Klaricid 125 /Tsf 250/Tsf
Dose: 15 mg/kg/day BD
 Emergency Medications
1. Steroids
A. Inj Solucortef (Hydrocortisone) 250mg/5cc
10mg/kg/stat, 5mg/kg/dose TDS
B. Inj Decadron (Dexamethasone) 4mg/1ml, 20mg/5ml
Anti-inflammatory Dose: 0.3mg/kg/day BD/TDS
Bacterial Meningitis Dose: 0.6mg/kg/day QID
Cerebral Edema Dose: 1 to 2mg/kg/day QID
In meningitis give before or at least with antibiotics
C. Methyl Prednisolone (solumederol)
125mg/vial, 500mg/vial, 1g/vial
Dose: 0.5 to 2mg/kg/day BD or TDS
D. Prednisolone (Tab Deltacortil) 5mg
In asthma Dose: 0.5 to 4mg/kg/day
Anti-inflammatory Dose: 0.1 to 0.5 mg/kg/day

2. Adrenaline
Dose: 10 to 20 units in bradycardia
Nebulization, not more than twice, may be repeated
Half-hourly
3. Inj Dopamine 200mg/5ml
Renal dose 2 to 5ug/kg/min, 9units/kg
Cardiac dose 5 to 10ug/kg/min, 18units/kg
Perfusion dose (vasoconstriction) 27units/kg

4. Inj Dobutamine 250mg/5ml

Dose: 10ug/kg/min

5. Inj Aminophylline 250mg/20ml

Dose: 6mg/kg/stat,
Dose: 3mg/kg/BD give slowly in 10 to 15 minutes
6. Inj Soda Bicarbonate (give in metabolic acidosis)

Dose: 2meq/kg/dose
NaHco3 dose (meq) = Weight (0.35) (deficit)
Deficit = (24-serum Bicarbonate)
1/3rd TDS
1/3rd Stat
1/3rd not given

7. Calcium Gluconate 100mg/10ml

Dose: 1 to 2 ml/kg/dose in 10 min
Maintenance dose 2 to 8 ml/kg/day

8. KCl
Dose: 1 to 2 ml/kg/dose in 10 min
Maintenance dose 2 to 8 ml/kg/day

9. Inj Diazepam (valium) 10mg/2cc

Dose: 0.1 to 0.5 mg /kg/dose slowly intravenous
(For infusion put 1 amp in 100ml D/S then adjust
drops according to weight of the patient e.g. for 10kg ,10
uDrops/min)
10. Inj Furosemide (Lasix) Inj 20mg/2ml
Dose: 1mg/kg/dose

Tab 20mg, Tab 40mg

Dose: 2mg/kg/dose
Then increase dose up to 6mg/kg/dose with an interval of 2
hours between doses.

11. IVIG (intra venous immunoglobulins)

Dose: 250mg/5ml,500mg/10ml,2.5g/50ml
In GBS = 1G/kg/day for 2days
Or 400mg/kg/day for 5days
In ITP = 1G/kg/dose for consective 2 to 5 days, then
every 3 to 6 weeks
In Neonates = 500 to 750mg/kg/once
12. Inj Mannitol 10%, 20%
In infants and children Dose: 10 ml/kg/stat
Then Dose: 5ml/kg/day BD or TDs

In neonates Dose: 5ml/kg/stat

Dose: 2.5ml/kg/BD or TDs
13. Traenxmic acid
Cap 250 mg, 500mg
Inj 250mg/5ml
Dose: 10mg/kg/stat
Then oral Dose: 25mg/kg/dose (TDS, QID) for 2 to 8 days

14. Morphine Sulphate (2mg /2ml)

Dose: 0.1 to 0.2 mg/kg/dose I/V or S/C every 2 to 4 years

Give as narcotic analgesic

15. Omeprazole 40mg/5ml

Dose: 1 to 2 mg/kg/once daily in 30ml N/S
 Miscellaneous Drugs
1. Syp Motilium (Domeperidone) 1mg/5ml
Dose: 0.5 mg /kg/day TDS/QID
2. Folic Acid 5mg Tab
Dose: 1mg/kg/day OD

3. Pencillamine (Vista mine) 250mg

Wilson’s disease Dose: 20mg/kg/day BD or TDS
Max. Dose is 1G/Day
Also give vita 6 during therapy.

4. Nystatin (Nil stat oral Drops) 100000 units/ml

Dose: 200000 to 600000 units/day QID

5. Syp Britanyl
<1year _ 1/4th Tsf /BD
1.5 years_ 1/2 Tsf /BD
>5 years _3/4th Tsf/BD
6. Syp Zincat (Osiris, Zeesif, Zincol) 20mg/TSF
Dose: 1 to 2mg/kg/day OD
<6months_ ½ Tsf OD for 14 days
>6months_ 1 Tsf OD for 14 days
7. Enflor Sachet
<6months_1/4th sachet BD for 3 days
>6months_1/2 sachet BD for 3 days
8. Minicol drops/colic drops/infacol drops
Dose: 3 drops after meal TDS
9. Syp Ventolin 2mg/Tsf
Dose: 0.015mg/kg/dose TDS
10. Tab Aldomet (Methyldopa) 250 mg
Dose: 10ml/kg/BD or QID

11. Syp Azomax 200mg/Tsf

Dose: 10mg/kg/OD for 3 days (in otitis media)

12. Syp Lactulose (Lilac, Duphalac)

In infants Dose: 10ml/day TDS/QID
In Children Dose: 40 to 90ml/day TDS/QID

13. Syp Vermox (mebandazole) 100mg/TSF, Tab 100mg

Dose: 200mg/day BD for 3 days

14. MgSo4 50% solution

Oral Dose: 100 to 200 mg/kg/dose TDS, QID
I/V Dose: 25 to 50 mg/kg/dose QID

15. Digoxin 0.05mg Tab

Dose: 0.01mg/kg/day

16. Thyroxin Tab 50 micro g

In neonates Dose: 10 to 15 ug/kg
In infants Dose: 3 to 5 ug/kg
 Adults Dose: 1 ug/kg
After diagnosis of hypothyroidism do T4, TSH level
monthly in first 6 months and then do after every 3 months.

17. Low Osmolar ORS

Composition: Glucose 13.5g, NaCl 2.6g, trisodium citrate 2.9
g, KCl 1.5g

18. Syp Nivaquin 50mg/5ml

Dose: 10mg/kg/stat
Then Dose: 5mg/kg/OD for 3 days

19. Skilax Drops (laxatives)

Dose: 10 drops OD

20. Metoclopramide (metacolon)

Syp 5mg/5ml, Inj 5mg/5ml, Tab 10mg
Dose: 0.2 to 0.5 mg/kg/day BD/TDS
21. Tab Primaquin
Dose: 0.55mg/kg/day OD for 14 days

22. Inj Tobramycin (nebcin) 20mg/2ml, 80mg/2ml

Dose: 5 to 7.5mg/kg/day I/M, I/V TDS/QID

23. Vitamin K
Dose: 10 units I/M stat at birth for prevention of HDN
If weight less than 1.5kg then Dose: 05 units given.
24. Vitamin D3 Inj Indrop D 5mg/ml
Dose: 10mg twice a year
 General Drugs
1. Syp Brufen (100mg, 200mg)
Dose: 10 to 15mg/kg/dose

2. Syp Panadol /Calpol 100mg/TSF

Dose: 10mg/kg/dose

3. Syp Calpol 6+ 25omg/TSF

Dose: 10mg/kg/dose

4. Provas Infusion
Dose: 1.5 ml/kg/stat

5. Paracetamol Suppositories 50mg, 60mg, 100mg

Dose: 10mg/kg

6. Panadol Drops 80mg/0.8ml

Dose: 10mg/kg/dose

7. Syp Tercica 100mg/TSF

Dose: 10mg/kg/dose
8. Syp Hydrillin/ TixyLix/ Sancos
Preschool _ ½ TSF /TDS
School_ 1 TSF /TDS
Adults_2TSF /TDS

9. Inj Gravinate 50mg/ml

Dose: 2 to 3 units /kg/dose BD

10. Syp Gravinate 12.5mg/TSF

Dose: 4 to 6mg/kg/day TDS

11. Syp K Lyte (Potassium) 13meq/5ml

Dose: 1 to 2 meq/kg/day OD/BD

12. Valproic Acid (Epival)

Tab 250mg, 500mg and Syp 250mg/TSF
Inj 500mg/5ml
Dose: 10 to 15mg/kg/day BD
13. Inj Avil Inj 22.7/2ml, Syp 15mg/TSF
Dose: 1 to 2 mg/kg/ TDS, or QID.
14. Phenobarbitone
(inj 130mg/vial, Tab Pheno 30mg, Syp Debritone 20mg/TSF)
In neonates Dose: 5mg/kg/stat and 3mg/kg/day BD
In children Dose: 15mg/kg/stat and 7.5mg/kg/day BD.

15. Benzyl Penicillin 10 lac units/vial

Dose: 2 to 4 lac units/kg/day QID
16. Cefotaxime (cefotax, Yorker, Clafron) 250mg, 500mg,
1g/5cc
Dose: 100 to 200mg/kg/day BD
Simple infection 100mg/kg/day, meningitis 200mg/kg/day
17. Ciprofloxacin (Vaprox, Novidat, Mytil) 200mg/100ml
Dose: 20mg/kg/Day BD
Gastro enteritis Dose: 5ml/kg/day
Enteric Fever Dose: 10ml/kg/day

18. Inj Flagyl 500mg/100ml (Metronidazole)

Dose: 1.5ml/kg/dose TDS for 5 to 7 days

19. Syp Flagyl 200mg/TSF

Dose: 30mg/kg/day/TDS

20. Syp Entamizole 200mg/TSF

Dose: 30mg/kg/day/TDS

21. Inj Gentamycin 10mg, 20mg/1cc

Dose: 40mg/2cc, 80mg/2cc
Dose: 5 to 7mg/kg/day BD

22. Vancomycin 500mg/10cc

Dose: 20mg/kg/dose/TDS in 30 to 40ml infusion
23. Inj Klaricid 500mg/10cc
Dose: 30mg/kg/day/BD in 30 to 40 ml fluid infusion
Syp Klaricid 125mg/TSF
Dose: 15mg/kg/day /BD for 5 to 7 days.
24. Inj Augmentin 1.2g
Dose: 20 to 40mg/kg/day BD/TDS
Syp Augmentin 156.5,312.5/5ml
Dose: 20 to 45 up to 100mg/kg/day BD

25. Quinine I/V in cerebral malaria 300mg/1cc

Dose: 20mg/kg/stat,
Dose: 10mg/kg/dose/TDS
In 10% D/W to prevent hypoglycemia

26. Quinine Sulphate (Syp 50mg/5cc ) Tab 150mg

Dose: 10mg/kg/stat
Then Dose: 5mg/kg next day
Then after 12 hours Dose: 5mg/kg/OD for 2 days

27. Tablet Arceva (Artemether, Lemufentarine)

Dose: (20/120 in preschool children 1 tab BD for 5 to 14kg
weight)
Dose: (40/240 in school going children 1 tab BD for 15 to 24kg
1.5 tab BD for 25 to 34 kg weight)
Dose: (80/480 in adults 1 tab BD for weight more than 35 kg)
28. Syp Arceva 15mg/5ml
Dose: 4mg/kg/dose OD for 3 days

29. Syp Negram (Nalidixic acid) 250mg/TSF

Dose: 50mg/kg/day/TDS

30. Syp Cefspan/Caricef (Cefixime) 100mg/TSF

Dose: 10mg/kg/day OD

31. Inj Tramal 100mg/2cc

Dose: 2mg/kg

32. Inj Ceftazidime (inj Fortum/ Cefta/ Nivador) 250mg,

500mg, 1G
In neonates 100mg/kg/day BD
In children and meningitis 150mg/kg/day TDS
33. Tab Spironolactone (Aldactone) 25mg, 100mg
Dose: 1 to 3mg/kg/day BD

34. Syp Cefaclor 125mg, 250mg/TSF drops 125mg/TSF

Dose: 20 to 40mg/kg/day TDS

35. Inj Tinum (Meronem) 500mg/10cc

Dose: 20mg/kg/day TDS
36. Inj Nulcer 50mg/2cc
Dose: 4mg/kg/day BD

37. Inj Risek 40mg/5cc

Dose: 1 to 2mg/kg/day OD

38. Inj Sulbaxone

Dose: 25units/iv/BD

39. Inj Nivador /Fortum (Ceftazidime) 250mg/5cc

Dose: 100mg/kg/day BD

40. Syp Nafcin (Ciprofloxacin) /Novidat/Mytil 125mg,

250mg/TSF
Dose: 20 to 30mg/kg/day BD

41. Vitamin A
Dose: 6 to 12 months 100000 units (Blue)
1 to 5 years 200000 units (Red)

42. Nilstat Drops 100000 units/ml

Dose: in neonates 200000 units/day divided in 4 to 6 hourly
In child 400000 to 600000 units/day divided in 4 to 6 hourly

43. Daktran oral gel

Dose: in neonates 1/4th TSF/QID
In child 1/2 TSF /QID
44. Vitamin C Tab Cecon 500mg, Drops 100mg/ml
Dose: 30 to 50 mg OD (in scurvy 100 to 300mg OD)

45. Micro enema

Dose: under 3 years ½ length
Over 3 years full length
46. Cimetidine inj 200mg/2ml, Syp 200mg/5ml
Dose: Neonates 5 to 10mg/kg/day BD/TDS
Child 20 to 40mg/kg/ 4 to 6 hourly

47. Syp Zincat 15mg/5ml

Dose: 0.5 to 1mg/kg/day OD
48. Iron
Dose: 3 to 6mg/kg/day OD

49. Folic acid Tab 5mg

Dose: 50 to 150 ug/kg/day (maintain 1mg/day)

50. Albendazole Tab 200mg, Syp 100mg/5ml

Dose: after 2 years stat dose 400mg

51. Pyrantel Pamoate Tab Combantrin 250mg, Syp 250mg/5ml

Dose: 11mg/kg/OD

52. Levamisole (Anti helminthic)

Tab Ketress/ Levamax/ Antiworm 40mg, Syp 40mg/5cc
 Dose: 2.5mg/kg/OD

53. Maxolon Inj 5mg/ml, Syp 5mg/ml, Tab 10mg

Dose: 0.2 to 0.5 mg/kg/day

54. Inj Venofer Iron Preparation 100mg/5ml

Dose: 0.15 mg/kg in 100ml N/S
First 12 uDrops/min for ½ hour then 36 uDrops/min.
Dose can be repeated on alternate day.

55. Amoxicillin (Amoxil)

Syp 125mg, 250mg/5ml
Cap 250mg, 500mg
Inj 250mg, 500mg.
Dose: 20 to 40mg/kg/day TDS
Otitis media 80 to 90mg/kg/day.

56. Amikacin (Inj Grasil) 25mg, 50mg/ml, 100mg 250mg/2ml

Dose: Neonates 7.5 to 10mg/kg/day BD/TDS
Child 15 to 25mg/kg/day BD/TDS.

57. Cephalexin (Ceporex 125mg, 250mg/5ml)

Dose: Oral 25 to 100mg/kg/Day QID

58. Cepharidin (Velosef 125mg, 250mg/5ml)

 Dose: Inj + Oral 50 to 100mg/kg/day QID

59. Cefaclor (Ceclor 125mg, 250mg/5cc Drops 125mg/ml)

Dose: 20 to 40mg/kg/Day TDS

60. Cefuroxime (Inj Zinacef 250mg, 750mg)

Dose: 50 to 100mg/kg/day TDS/QID

61. Chloramphenicol (Syp 125mg/5cc, Inj 1g/vial)

Dose: Oral 50 to 100mg/kg/day QID
I/V 100mg/kg/day four hourly.

62. Co Trimaxazole “Trimethoprim and Sulfamethaxazole”

(Syp Septran 40/200mg, 80/400mg
Tab 80/400mg, 160/800mg)
Dose: >2 months 8 to 10mg TMP
40 to 60mg SMX /kg/day BD.

63. Erythromycin
(Erythrocin inj 1g/vial, drops 100mg/2.5ml, Syp 200mg/5cc)
Dose: I/V 15 to 20mg/kg/day QID
Oral 30 to 50mg/kg/day QID.

64. Montika (Montelukast) Tab 4mg, 5mg, 10mg.

Sachet 4mg/sachet.
Dose: 6 months to 5 years 4mg at bed time
 6 years to 14 years 5mg at bed time
>14 years 10mg at bed time.
65. Carbamazepine (Syp, Tab Tegretol 200mg)
Dose: Initial 5 to 10mg/kg/day BD/TDS
Maintain 20 to 30mg/kg/day
Max. 800 to 1200mg/day.
66. Levetiractem (Lerace 500mg/5ml)
Dose: 10mg/kg/BD
Max. 30mg/kg/BD

67. Chloral Hydrate (Syp 500mg/5ml)

Dose: 25mg/kg/day TDS/QID.
68. Chlorpromazine (inj Largectil 25mg/ml, Syp 25mg/5ml)
Dose: Sedation oral 2mg/kg/day 4 to 6 hourly
I/V 2mg/kg/day Max. 0.5mg/kg)

69. Clonazepam (Rivotril drops 0.1mg/drop. Tab 0.5mg, 2mg)

Dose: 0.01 to 0.03mg/kg/day BD/TDS
Max. 0.05mg/kg/day.

70. Ethosuximide Syp (200mg/5ml)

Dose: 15 to 40mg/kg/day OD/BD
Max. 1.5g/kg.

71. Lamotrigine (Tab Lamictal 25mg, 50mg, 100mg.)

Dose: 2mg/kg/day BD for 2 weeks
Then 5mg/kg/day BD for 2 weeks
 Then 10mg/kg/day BD.
Max. 400mg/day.

72. Paraldehyde (5ml ampule)

Dose: Per rectal 0.15ml/kg/dose diluted in equal
amount of olive oil. Can be repeated after 4 to 6 hours.

73. Phenytoin (inj Epigran) 250mg

Dose: 5mg/kg/day BD
Child 5 to 10mg/kg/day BD
>than 12 years 5mg/kg/day BD.

74. Promethazine (Inj Phenergan 25mg/ml, Syp 25mg/5ml)

Dose: 1 mg/kg/day BD/TDS

75. Lumark (Tab 150, 500, 750mg. Syp 100mg/ml)

Dose: 1 month to 6 months 14mg/kg/BD (Max. 42mg/kg)
6 months to 4 years 20mg/kg/BD (50mg/kg)
5 years to 12 years 10mg/kg/BD (30mg/kg).
76. Vigabatrin (Tab Sabril 500mg)
Dose: 40 to 100mg/kg/BD.

77. Cyclizine (Anti emetic)

Marzine inj 50mg/ml., Syp 12.5mg/5ml
 Dose: 3mg/kg/day

78. Aspirin (Tab Dispirin 300mg)

Dose: 10 to 15mg/kg/dose 4 to 6 hourly.

79. ATT (Anti Tuberculosis Drugs)

A. Ethambutol (myambutol 400mg)
Dose: 15mg/kg/day OD
B. Isoniazid (INH) Syp 50mg/5cc, Tab 100mg
Dose: 10 to 20mg/kg/day OD (Max. 500mg/day)
Prophylaxis: 10mg/kg/day OD (Max. 300mg/day).
C. Pyrazinamide (Tab PZA 500mg)
Dose: 15 to 40mg/kg/day OD
Max. 2g/day.
D. Rifampicin (Tab 300mg, 450mg, 600mg. Syp 100mg/5ml)
Dose: 10 to 20mg/kg/day OD
Max. 600mg/day.

E. Streptomycin 1g/vial
Dose: 20 to 40mg/kg/day for 2 to 3 months
Max. 1g/day.

80. a. Myrin
Ethambutol=300mg
INH=75mg
Rifampicin=150mg
Dose: 1 tab/15kg body weight one or two hours before meal.
.b Myrin- P
Ethambutol=275mg
INH=75mg
Rifampicin=150mg
Pyrazinamide=400mg
Dose: 30 -37kg, 2tab; 38-45kg, 3tab; 46-70kg, 4tab; OD
(Before Breakfast)

81. Primaquin
Dose: 0.55mg/kg/day OD for 14 days.

82. Chloroquine (Nivaquin) inj 200mg/5cc, Syp 50mg/5cc.

Dose: 10mg/kg/stat
Then 6hours later, 5mg/kg
Then 5mg/kg/day OD for 2 days.

83. Quinine Sulphate (Tab 300mg, Inj 300mg/ml)

Dose: 30mg/kg/day TDS

84. Captopril (Capace) 25mg, 50mg.

Dose: 0.15mg/kg/ dose 4 to 8 hourly.

85. Nifedipine (Cap Adalat 10mg), Tab Retard20mg

Dose: 0.25 to 0.50mg/kg/dose 4 to 6 hourly.
Max. Dose 10mg.
Hypertrophic cardiomyopathy: 0.20 to 0.30mg/kg/TDS.
86. Nitroprusside (Nipride 50mg/2cc)
Dose: 0.3 to 0.5ug/kg/min
Max. 8ug/kg/minute.

87. Propranolol (1mg/ml) 10mg, 20mg

Dose: TOF_ 0.15 to 0.25mg/kg/dose
Maintain 1 to 2mg/kg/day QID.
HTN; 0.25 to 0.35mg/kg/dose.

88. Theophylline (Syp 80mg/15ml, Tab Theogral 350mg)

Dose: Neonatal Load=6 to 10mg/kg/dose BD
Maintain 2 to 4 mg/kg/dose BD
Infant: 10 to 20mg/kg/day BD
Children: 15 to 25mg/kg/day BD.
89. Acyclovir (Zovirax) Inj 250mg, Tab 200mg
Dose: 10mg/kg/dose TDS
Max. 80mg/kg/day.

90. Digoxin (Linoxin Inj) 0.25mg/ml, Tab 0.25mg

0.03 To 0.05mg/kg/stat
Maintain 0.01mg/kg/day

91. Amphotericin B
Dose: 0.1 to 0.25mg/kg/stat,
Maintain 0.5 to 1mg/kg/day OD
92. Mucolator (Acetyl cystine)
Nebulize 3 to 5ml 20% solution or 6 to 10ml 10%
Oral 4 to 10ml every 6-8 hourly

93. Acetazolamide (Tab Diamox) 250mg

Dose: 10-25mg/kg/day TDS

94. Transemic acid (inj 250mg/5ml, cap 250mg, 500mg)

Dose: I/V 10mg/kg/dose
Oral 25mg/kg/dose TDS/QID for 2 to 8 days.

95. Anti-Hemophilic Factor (inj 250u/vial) Koate DVI

Dose: 20 to 50u/kg/day OD/BD
Weight (0.5) (dose)

96. Naloxone (Norcan 0.02mg/ml, 0.4mg/ml)

Dose: I/V 0.01-0.1mg/kg/dose 2 to 3 minutes up to
3 times, response then repeat every 1 to 2 hours.

97. Albumin Human 20% (50ml, 100ml)

Dose: neonates 0.5 to 1g/kg/dose (max. 1g/kg/day).
Child. 0.5 to 1g/kg/dose (max 6g/kg/day)
98. Linezolid (Nezkil, Ecasil 200mg/100ml, 2mg/ml)
Dose: age <7days 10mg/kg/dose BD
>7days to 11years 10mg/kg/dose TDS (10 to 14 days)
99. Adrenaline (1:1000, 1:10000)
Dose: intra tracheal 0.01 to 0.03mg/kg
0.1 to 0.3ml 0f 1:10000 every 3 to 5 min.
S/C 0.01mg/kg of 1:1000 or 0.1ml/kg 0f 10000

100. Baclofen Tab 10mg

Dose: 2 to 7 years 10 to 15mg/day TDS
Max. 40mg/day.

101. Tab Soda mint (4meq, 8meq)

Dose: 1 to 2 meq/kg.

102. Morphine (inj 2mg/ml)

Dose: 0.1 to 0.2mg/kg/dose IV/SC
Every 2 to 4 hours
103. Neostigmine (inj Prostigmin 0.5mg/ml)
Dose: 0.01 to 0.04 mg/kg every 2 to 4 hours.
Max. 5mg

104. Fluorinef (mineralocorticoids)

Dose: 0.05 to 0.30mg/day

105. Atropine (1mg/ml)

Dose: Bradycardia
0.02mg/kg/IV, 0.5mg/kg/Intratracheal.
Can be repeated after 5 minutes.
 In Organophosphate poisoning 0.02 to0.05mg/kg/10-
20mins.until effect appears then, every 1-4 hourly.

106. Allopurinol (Tab Zyloric 100mg, 300mg)

Dose: 10mg/kg/day BD/TDS

107. Desferoxamine (Deferral 50mg/vial)

Dose: IV 10 to 15mg/kg/hour
Infusion max. 1 g.
SC, 20 to 40mg/kg/day BD/TDS.

108. Desmopressin
Dose: IV 5ug/day
Nasal 5 to 30ug/day.

Nursery Drugs Dosage

1cc=100 units (insulin syringe)
½ cc= 50 units
1. Inj Ampicillin 500mg/5cc (100mg/1cc)
Dosage: 50 units/kg/dose (BD)

2. Inj Fortum 1g/10cc (100mg/1cc)

Dosage: 50 units/kg/dose (BD)
3. Inj Vitamin K 10mg/1 cc
Dosage: 10 units I /m stat
If weight less than 1.5kg then 05 units
In vitamin k deficiency 15 units/kg S/C (OD)

4. Ecasil, Nezkil 200mg/100ml (2mg/ml)

Dosage: 5ml/Kg/dose (BD)

5. Inj Meronem 500mg/10cc (50mg/cc)

Dosage: 50 units/kg/dose TDS

6. Inj Grasil 100mg/2ml (50mg/cc)

Dosage: 10 units/kg/dose BD

7. Inj Augmentin 1.2g/10cc (120mg/cc)

Dosage: 25units/kg/dose BD

8. Inj Exef/Clafron 250mg/10cc (25mg/cc)

Dosage: 0 to 1 week 2cc/kg/dose BD
1 to 4 weeks 2cc/kg/dose TDS
1 months to 12 years 2cc/kg/dose QID

9. Inj Klaricid 500mg/5cc (100mg/cc)

Dosage: 15 units /kg/dose BD in 30ml normal saline

10. Inj Ciprofloxacin 200mg/100ml (2mg/ml)

Dosage: 5ml/kg/dose BD
11. Inj 2 sum/Sulzone 1g/10cc (100mg/cc)
Dosage: 30 units/kg/dose BD

12. Inj Lasix 20mg/2ml

Dosage: 10units/kg/OD

13. Inj Gravinate 50mg/ml

Dosage: 4 units/kg/dose BD

14. Inj Avil 22.7mg/2ml

Dosage: 10 units/kg/dose TDS

15. Inj Solucortef 250mg/5cc

Dosage: 20units/kg/stat
10units/kg/dose TDS

16. Inj Decadron 4mg/ml

Dosage: anti-inflammatory = 7.5 units/kg/day BD
Bacterial meningitis= 15units/kg/day QID
Cerebral edema= 25units/kg/day QID

17. Tab Sildenafil 25mg

Dosage: 1/5th Tab /dose TDS
18. Tab Digoxin 0.125mg, 0.25mg (125mcg, 250mcg)
Dosage:
Pre Mature
1st loading= 10 to 15mcg/kg
2nd and 3rd dose= 5 to 7.5 mcg/kg 8 hours apart
Maintenance= 5 to 7.5 mcg/kg/day BD
Full term
1st loading= 12 to 17.5mcg/kg
2nd and 3rd = 6.25 to 8.75 mcg/kg 8 hours apart
Maintenance= 6 to 10mcg/kg/day BD
Infants and children up to 24 months
1st loading dose= 17.5 to 30mcg/kg
2nd and 3rd doses= 8.75 to 15mcg/kg/day BD 8 hours apart
Maintenance= 10 to 15mcg/kg/day BD

19. Inj Dormicum 5mg/ml

Dosage: 10units/kg/dose

20. Syp Flucon 50mg/5ml

Dosage: 60units/kg on day 1
30units/kg on day 2 and onwards

21. Syp Lerace 500mg/5ml

Dosage: 5 units/kg/dose BD

22. Syp Lumark 100mg/ml

Dosage: 7units/kg/dose BD
23. Inj Omega 40mg/5ml
Dosage: 25units/kg/OD in 30ml 10%D/w

24. Inj Nulcer 50mg/2ml

Dosage: 20 units/kg/day BD

25. Inj Aminophylline 250mg/20ml

Dosage: 48 units/kg/stat
24 units/kg/day BD

26. Inj Dopamine 200mg/5ml

Renal= 9 units/kg
Cardiac=18 units/kg
Perfusion= 27 units/kg

27. Inj Dobutamine 250mg/5ml

Dosage: 10 units/kg/stat

28. Inj Atropine 1mg/ml

Dosage: 2units/kg IV
1unit/kg Intratracheal

29. Inj Adrenaline

Dosage: 10 to 20 units in Bradycardia
30. Calcium Gluconate 100mg/10ml
Dosage: 1 to 2ml/kg 10 to 20 minutes slowly
2 to 8ml/kg maintenance
Vitals
Age Pulse B.P
New 120-140 35 to 36
born mean
1 year 80-120 80/55
5 years 75-120 85/60

5-15 70-110 110/70

years
Adults 70-90 120/80

Respiratory Rate
Neonate 30-60
infant 20-40
1-3 years 20-30
4-10 years 15-25
Over 10 15-20
years

Height
age Height (cm)
birth 50
1 year 75
2 year 85
3 year 95
4 year 100
Head Circumference

age Hc cm
birth 35
3m 41
6m 44
9m 46
1yr 47
2yr 49
3yr 50
5yr 51(0.5cm/yr)
12yr 54-55cm

Weight
age Weight kg
Birth 3.5
6months 7.5
1 year 10
2 years 12
3.5 years 15
7 years 22
10 years 32.5
 GCS
Eye Motor Verbal

Open=4 Obey command=6 Oriented=5

On verbal=3 Localize pain=5 Disoriented=4

To pain=2 Flexion=4 Words=3

No response=1 Decorticate Sound=2

posture=3
Decereberate No=1
posture=2
No response=1

CSF:
Condition Color Leukocytes Proteins glucose

normal clear 0-50(60-70% 20-45 >50

lymphocytes)
Acute opaque 100- 100-2000 <40
bacterial 60000(PMN)
Tuberculous Straw 10-500 1st poly, 100-500 <40
then lymphos
Viral clear 0-100 lymphos 20-100 Normal