Common Pediatric Medications
Common Pediatric Medications
Common Pediatric Medications
- Artesunate: - 3mg/kg/dose (For a child less than 20kg) OR 2.6mg/kg/dose (for a child greater than
20kg) at 0, 12 and 24 hours
- Plasil:-
- Hyoscine:-
Paracetamol:- 10mg/kg
Cpz:1mg/kg(staggered dose)
Diazepam:0.5mg/kg(staggered dose)
Cpz:5mg/kg(staggered dose)
-Convulsion: - 1) Abort seizure with either Diazepam (0.2-0.3mg/kg) or Paraldehyde (0.1ml per month
for children below 1yr or 1ml/year for those above 1yr-max 5mls). 2) Prevent further occurrence of
seizures with a loading dose of phenobarbitone (10-20mg/kg start) then maintain on phenobarbitone 3-
5mg/kg /day in 2 divided doses. 3) Look for and treat the cause of the convulsion.
-Raised intracranial pressure: - Decongest the brain with one of the following 1) IV 10% manitol
10mls/kg/dose every 8hours X 3 doses OR 2) Dexamethasone 0.6mg/kg/day in 2,3, or 4 divided doses
for 3 days.
-Diarrhoea: - 1) Asses the hydration status (determine whether the child has mild moderate or severe
dehydration). 2) Correct dehydration for mild (50mls/kg of ORS over 4hours) moderate (75mls/kg of ORS
or IVF over 4 hours) Severe(100mls/kg of IVF either normal saline or ringers lactate- for a child 1yr and
below over 6 hours, for a child above 1yr over 3 hours ). 3) Give correction for ongoing fluid loss as ORS
10mls/kg/loose stool or vomit. 4) Give zinc tablet OD for 10-14 days.
-Hypoglycaemia: - Defined as a blood sugar less than 40mg/dl.1) Give IVF 10% dextrose 2-4mls/kg bolus.
2) Maintain on IVF 10% dextrose 3.6-4.8mls/kg/hour. 3) Monitor Random Blood Sugar every 30min, until
you get 3 normal readings. 4) Revert patient back to previous IVF or feeding.
- Birth Asphyxia: - Manage convulsions as above. In addition give IV 10% calcium gluconate Loading dose
of 2mls/kg in double dilution slowly over 10-15min, then maintain on IV 10% calcium gluconate
1ml/kg/dose 12hourly X 2 days (also in double dilution slowly over 10-15min).
- 150mls/kg p/saline