小儿科药物剂量课件

PediatricDosage

小兒科藥物劑量三軍總醫院小兒部Instructor:R2王聖儒1可编辑pptPediatricDosage

小兒科藥物劑量三軍總醫院Fulidsupplement0～10Kg(4MD/kg)：100ml/kg/day10～20kg(2MD/kg)：1000㏄＋(BW－10)×50㏄/day＞20kg(1MD/kg)：1500㏄＋(BW－20)×20㏄/dayExample1:BW=25kg,KeepIVroutewith0.33%G/S______MD/minAns:(10×4)

+(10×2)

+(5×1)

=65MD/minExample2:BW=30kg,KeepIVroutewith0.33%G/S______MD/min______c.c.qdAns:(10×4)

+(10×2)

+(10×1)

=70MD/min(10×100)

+(10×50)

+(10×20)

=1700c.c./day2可编辑pptFulidsupplement0～10Kg(4MD/kManagementofDehydrationAccessfluiddeficit:<5%(mild):Consolable,Drytongue,Mildlossofskinturgor5%-10%(moderate):Irritable,Reducedurineoutput,Deepseteyes,Tachypnea,Markedlossofskinturgor>10%(severe):LethargyorComa,Sunkenanteriorfrontanelleandeyes,Coldextremities,Weakorimpalpablepulse,Hypotension3可编辑pptManagementofDehydrationAccesManagementofDehydration

Rehydration:

First8hr

Later16hrDeficit1/2

1/2Maintenance1/3

2/3

e.g.:10kg,10%loss,≧3days

Deficit:10%x10(kg)x0.6(deficit%fromECF)X1000=600mlMaintenance:10x100=1000mlFirst8hrlater16hrDeficit300ml300mlMaintenance333ml660ml4可编辑pptManagementofDehydrationRehyManagementofDehydrationShock:20ml/kg

N/SorLactateRingersor10ml/kg

5%albumin,blood,plasma

Loadingspeed:10ml/kg/hr,(2ml/kg/hrinCHF)5可编辑pptManagementofDehydrationShockElectrolytesupplementNa：3～4mEq/kg/day3%NaCl1ml=0.5mEq0.9%NaCl500ml=77mEq

K：2～3mEq/kg/day15%KCl1ml＝2mEqCa：200~1000mg/kg/dayq8h-qd10%Cagluconate(100mg/1ml,1Amp＝10ml)NaHCO3：1mEq/kg(ifPH＜7.2)17mEq/20cc/amp

6可编辑pptElectrolytesupplementNa：3～4mCorrectMetabolicAcidosisTachypnea(BE=PCO2–1.5x[HCO3]+82)BEHCO3

Mild

<10

>17

Observation

Moderate

10-20

17-8

Slowcorrection

Severe

>20<8

RapidsupplyIVD10’,taperthespeedifPH>77%NaHCO3(17mEq/20ml)supplyhalfin2-8hours:2-4mEq/kg/doseBEx0.3xBW(15-HCO3)x0.6xBW7可编辑pptCorrectMetabolicAcidosisTachCommonDose

一般劑量＞20kg：錠劑磨粉40Kg：1#poqid30Kg：1#potid若可吞,不用磨20Kg：1/2#poqid10Kg：1/4#poqid＜20kg：糖漿一般咳嗽˙流鼻水糖漿多為BW/4c.c.退燒˙抗生素糖漿多為BW/2c.c.例外：止瀉藥水˙氣管擴張劑糖漿˙紅黴素類糖漿8可编辑pptCommonDose

一般劑量＞20kg：錠劑磨粉8可编辑Antipyretics退燒藥Scanol(500mg/1#)：10～15mg/kg/doseq4h～q6h(50mg/kg/day)Antiphen(Acetaminophensyrup)：

BW/2㏄q4hprnifBT38.5℃(120mg/kg/dose)Macsafe(Ibuprofensyrup)：NSAIDs

38.5℃:BW/4ccq6h；39.5℃

:BW/2ccq6hDiclofen(supp)(12.5mg)：＜6kg

1/3#suppq6hprnifBT39.5℃6～10kg

1/2#suppq6hprnifBT39.5℃＞10kg

1#suppq6hprnifBT39.5℃9可编辑pptAntipyretics退燒藥Scanol(500mg/Antitussivesandexpectorants

止咳化痰藥Medicon-A(20mg/cap):CommondoseMediconsyrup(Dextromethorphan)(2.5mg/ml)：BW/4ccpoqid,1-2mg/kg/dayq6-8hMucosolven(Ambroxolliq.)(3mg/ml)(化痰):BW/4ccqid;<2y/o:2.5~5ccbid;2~5y/o:2.5~5cctid;5~10y/o5~10cctidUnitussin(Glycerylguaiacolate)(20mg/ml)(化痰>止咳):BW/4ccqid;2~6y/o:2.5~5ccqid;6~12y/o5~10ccqid

10可编辑pptAntitussivesandexpectorants

Antihistamines&Decongestants

流鼻水,鼻塞‚抗過敏藥Cyprohsyrup(Cyproheptadine0.4mg/ml)：

—BW/4ccpoqidCyprohtablet(嗜睡,增加食慾)：CommondoseDemin(Chlorpheniramine0.5mg/ml)：

—BW/4ccpoqidCTMtablet(嗜睡,使痰更濃)：CommondoseVenalin(Diphenhydramine30mg/amp):10-50mgIVorIMq2-3h,max400mg/day(1mg/kg/dose)Urticaria,angioedemaorEPS時可用11可编辑pptAntihistamines&DecongestantsAntihistamines&Decongestants

流鼻水,鼻塞‚抗過敏藥Clarityne(10mg/tab)：＜30kg1/2#poqd；＞30kg1#poqdClaritynesyrup(Loratadine1mg/ml60ml)＜30kg5mlpoqd；＞30kg10mlpoqdAllegra(60mgtab)：1#bid->1#qd12可编辑pptAntihistamines&DecongestantsBronchodilator氣管擴張劑Bricanyl(Terbutaline2ml/5mg):<20Kg:½#inN/S3mlforneubrilizationq6h;>20Kg:1#

inN/S3mlforneubrilizationq6hVentolin(Salbutamolneubule2.5ml/5mg):ThesamewithBricanyl;Tab(2mg):0.1mg/kg/doseupto2mgPOtidBerotec(FenoterolHBr)syrup(0.5mg/ml):BW/4~BW/5cctid;<1y/o:2.5ccbid;1~6y/o:2.5~5cctid;6~14y/o5cctidMeptin(Procaterol)syrup(mg/ml):<6y/o:BW/4~BW/5ccq12h;>6y/o:5ccpoq12h

13可编辑pptBronchodilator氣管擴張劑Bricanyl(Bronchodilator氣管擴張劑Xidanef(Ketotifen)100mlsyrup:2.5-5mlbidAtrovent(IpratropiumUDV0.5mg/2ml):1vialq6hprnEpinephrine(1:1000)：0.01ml/kg/dose(Max0.5ml)q15minSC

14可编辑pptBronchodilator氣管擴張劑Xidanef(KXanthines茶鹼類AminophyllineS.E：nausea,vomiting,insomnia,tachycardiaLoadingdose：5(2~6)mg/kg/doseivdripfor20～30min;Maintain：1mg/kg/hrInfants=>0.2~0.9mg/kg/hr,

1-9y/o=>1~1.2mg/kg/hr;9-16y/o=>0.8~1mg/kg/hr;youngsmoker:0.8~1mg/kg/hr,nonsmoker:0.5~0.7mg/kg/hrApneaofprematurity：4~6mg/kgiv30min,thenmaintaince:1.5~3mg/kg/doseivq8-12h

15可编辑pptXanthines茶鹼類Aminophylline15可编辑Xanthines茶鹼類Ventol:3ml/kg/day

qidAminophyllinetab.：200mg/tabpoqid;dose=ivform

16可编辑pptXanthines茶鹼類Ventol:3ml/kg/daySteriods類固醇Decadron：0.1mg/kg/doseimq8h.Rinderon(4mg/ml):0.1mg/kg/doseim,ivq8hPrednisolone(5mg/tab):1~2mg/kg/daypoqd~qid;max:4#~8#(20~40)mg/dayfor3~5day.40kg給Pulmicort(steroid,200mcg/dose)：1~2puffbidfor3monthforpreventasthma(可有效預防氣喘再發)17可编辑pptSteriods類固醇Decadron：0.1mg/kgUrticaria蕁麻疹Benadryl(Diphenhydramine):1mg/kgIMDecardon(Dexamethasone):0.1mg/kg/doseIMPeriactintab：普通劑量

poqid.Prednisolone(5mg/tab.):1~2mg/kg/day18可编辑pptUrticaria蕁麻疹Benadryl(DiphenhAntidiarrheals,digestivesandantiflatulents止瀉、消化、消氣劑Kaopectin：＜6mons：3㏄poqid（嚴重再給）6mons～6Y/O：5㏄poqid＞6Y/O：10㏄poqid.Biofermintab：普通劑量×2poqid.Simethiconetab：普通劑量poqid.Bismuth:普通劑量poqid.19可编辑pptAntidiarrheals,digestivesandAntiemetics止吐劑Motilium(10mg/tab)：普通劑量poqid.Prepulsid：0.1~0.2mg/kg/dosepoqidNovamineorPriperammaycauseEPSEPS：Akineton=Biperidine(1#=2mg;5mg/1cc/amp)Adult：2mgper30min.max4vial(20mg)20可编辑pptAntiemetics止吐劑Motilium(10mg/tLaxatives輕瀉劑Glycerineballenema：0.5~1#qdMgOtab：普通劑量poqid.Ducolax(Bisacodyl5mgtab)：6~12yo1#post.Cascara(Cascarasagrada)：1~2#poqhs21可编辑pptLaxatives輕瀉劑GlycerineballenAnticonvulsants抗痙攣劑Valium(Diazepam)(10mg/2㏄/amp):<5y/o:0.2～0.5mg/kg/doseivslowlyq15min×3(max5mg)>5y/o:thesameasaboveexcept(max10mg)adolescents:5-10mg/dose;max:30mg.Neuropam(Lorazepan)(2mg/ml/amp);中效(10-15hrs)：0.03-0.1mg/kg/doseq15～20min×2dosemax:4mg/dose22可编辑pptAnticonvulsants抗痙攣劑Valium(DiaAnticonvulsants抗痙攣劑Dilantin(phenytoin)(250mg/5cc/amp)：Loading10～20mg/kgivwithrate＜1mg/kg/min,max50mg/min,Maintain5mg/kg/dayivq12h,(不可加於Glucosesolution)Luminal(Phennobarbital)(100mg/cc/amp;32mg/1#)Loading

20mg/kgivwithrate＜30mg/min;Maintain5-10mg/kg/daytoachieveserumlevel40ug/mlChloralhydrateenema(10%30ml)：Neonates:25-50mg/kg/dose,Children:25-100mg/kg/dose→1/2~3/4BWccenema

23可编辑pptAnticonvulsants抗痙攣劑Dilantin(pAntibiotics抗生素Penicillin:Bctereimia:2.5-5;Meningitis7.5-10;infection10-25(單位：萬u/kg/doseq4-6h)Ampicillin:IV100mg/kg/day,

q6h.AmoxicillinCap(500mg):(Ac.tonsillitis,AOM)HiconcilCap(250mg)=>50mg/kg/dayq8h.Amoxicillinsyrup=>BW/2poq8h.Augmentin(amoxicillin+clavulanicacid,375mg/1#,600mg/vial):

BW/2poq8h.24可编辑pptAntibiotics抗生素Penicillin:BctAntibiotics抗生素-Cephalosporins頭芽孢素Cephazolin(Veterin):IV100mg/kg/day,q6h.Keflex(250mg/1#,Cephalexin1',Ceflexin500mg/1#):25-50mg/kg/daypoq6h

forG(+).Keflor(2’Cefaclor,250mg/1#,125mg/5cc/60cc/susp)50mg/kg/dayq8h.;BW/2q8h.(AOM)Zinacef(2’Cefuroxime,250mg,750mg):<2y/o:125mg/dosepobid;>2mg:250mg/dosepobidZinnat(2’Cefuroxime,25mg/ml)AOM:<2y/o5mlq12h;>2y/o10mlq12hCommoninfection:5mlq12hRocephin,Syntrix(3’Ceftriaxone500mg/5cc/vial):

50-100mg/kg/dayivq12h-qd;Meningitis:100mg/kg/dayq12h(max:4g/day)Prostaphlin(Oxacillin):IV100mg/kg/day,q6h.(Cellulitis)25可编辑pptAntibiotics抗生素-CephalosporinsAntibiotics抗生素-MacrolidesErythromycin(Mycoplasma,Chlamydia,Legionella)Erythrocinsyrup(40mg/cc)：BW/4ccpoq6hIlosone(250/1#):30-50mg/kg/dayq6h.(20kg1#qid,40kg2#qid)Zithromax(Azithromycin,250mg/1#,200mg/5cc/susp)child:1#qd*3day(>40kg:2#)Zithromaxsyrup：BW/4ccpoqd*3days

Klaricid(Clarithromycin,250/tab):Adult1~2#pobid;Child:7.5mg/kgbid26可编辑pptAntibiotics抗生素-MacrolidesEryAntibiotics抗生素-UTINitrofurantoin(Ninru,100mg/1#)：5～7mg/kg/day,poqid(UTI),Adult::1#poqid.Prophylacticdose:1/3~1/4therapeuticdoseAzactam(Aztreonam1g/inj):90-120mg/kg/dayivq6-8hforG(--)andPseudomonasMycostatin(50萬u/1#):forCandida(Oralthrush):Infant:2/5#(20萬u)/doseq6hChild:1#(40-60u)/doseq6hBaktar(TMP-80+SMX-400):6-12mg/kg/daypoq12h

(Contraindication<2months,G6PDdeficiency)27可编辑pptAntibiotics抗生素-UTINitrofurantCardiologicdiseasePGE1（PDA）:IV0.05-0.1μg/kg/minSupraventriculartachycardiaAdenosine:0.1mg/kgrapidIVpushgivedoubleortriplethedosein2-3min(6mgmax)Digoxin(notforWPW):loading30-40μg/kgGive1/2dose,then1/4doseq6-8hfor2moredosesVerapamil(Isoptin5mg/2ml/amp,1#80mg):>1y/o;0.075-0.15mg/kg,slowIV,repeattwiceq15m28可编辑pptCardiologicdiseasePGE1（PDA）其他特殊用藥Aspirin(500mg/13):Analgesic:10-15mg/kg/dosepoq6-8hAnti-rheumatic:65-100mg/kg/daypoq6-8hKawasakidisease:100mg/kg/daypoq6hIndocin:Dose:No.1No.2No.3<48h--(mg/kg2-7days--q12-24h)>7days--5

29可编辑ppt其他特殊用藥Aspirin(500mg/13):29可编辑p其他特殊用藥Lasix(40mg/1#,20mg/2cc/inj):1-2mg/kg/doseq6-12hMannitol(60mg/20%/300cc):0.5-1.0g/kg/doseivfor30minInsulin:

DKA:0.05-0.1u/kg/hrivdrip,

maintain：0.5-1u/kg/day/SCGlucoseintoleranceinprematurity:0.01-0.1u/kg/hr.Difflam®Anti-InflammatorySpray（得伏寧消炎噴液劑）

¨

成份：每mL含BenzydamineHydrochloride15mg¨

作用：Benzydamine為一抗炎止痛劑，可舒解口腔及咽喉疼痛。

¨

用法：直接噴5-10次於疼痛和發炎部位，再輕輕吞下，視需要，可每1.5-3小時重覆一次。30可编辑ppt其他特殊用藥Lasix(40mg/1#,20mg/2cc/iCPR用藥E-Ttubesize：Newborn：2.5～4Fr;＞2Y/O=4＋(age/4)FrDepth:lip-tiplength(about＝3*E-Ttubesize)Depth:1/2/3/4kg＝>7/8/9/10cmEpinephrine(1：1000)：(1mg＝1ml)0.01ml/kg/doseiv;or0.1ml/kg/doseviaETtubeDopamine：(6×BW)kginN/SfinalV＝100ml

1MD/min＝1ug/kg/minN.E.(Levophed):1mg/ml;0.05-0.1ug/kg/mindrip.Nitroprusside(Nipride):0.5-1.0ug/kg/mindrip.31可编辑pptCPR用藥E-Ttubesize：31可编辑pptCPR用藥Atropine：0.02mg/kg(1ml＝0.1mg)q5m,totalmaxdose:child=1mg,adolescent:2mg;minimaldose=0.1mgNaHCO3：1meq/kg(ifPH＜7.2)Lidocaine(10mg/ml):1mg/kgloading,20-50ung/kg/min,

(60xBW)mgoflidocainedilutewithN/Sto100ml,then1MD/min10ug/kg/min

Adenosine:forPSVTNeonatesandchild:0.05mg/kgivpush,increasebolusdosesby0.05mg/kgq2min,maxdose:0.25mg/kgor12mgAdult:6mg12mg12mg32可编辑pptCPR用藥Atropine：0.02mg/kg(1ml＝此课件下载可自行编辑修改，此课件供参考！部分内容来源于网络，如有侵权请与我联系删除！感谢你的观看！此课件下载可自行编辑修改，此课件供参考！PediatricDosage

小兒科藥物劑量三軍總醫院小兒部Instructor:R2王聖儒34可编辑pptPediatricDosage

小兒科藥物劑量三軍總醫院Fulidsupplement0～10Kg(4MD/kg)：100ml/kg/day10～20kg(2MD/kg)：1000㏄＋(BW－10)×50㏄/day＞20kg(1MD/kg)：1500㏄＋(BW－20)×20㏄/dayExample1:BW=25kg,KeepIVroutewith0.33%G/S______MD/minAns:(10×4)

+(10×2)

+(5×1)

=65MD/minExample2:BW=30kg,KeepIVroutewith0.33%G/S______MD/min______c.c.qdAns:(10×4)

+(10×2)

+(10×1)

=70MD/min(10×100)

+(10×50)

+(10×20)

=1700c.c./day35可编辑pptFulidsupplement0～10Kg(4MD/kManagementofDehydrationAccessfluiddeficit:<5%(mild):Consolable,Drytongue,Mildlossofskinturgor5%-10%(moderate):Irritable,Reducedurineoutput,Deepseteyes,Tachypnea,Markedlossofskinturgor>10%(severe):LethargyorComa,Sunkenanteriorfrontanelleandeyes,Coldextremities,Weakorimpalpablepulse,Hypotension36可编辑pptManagementofDehydrationAccesManagementofDehydration

Rehydration:

First8hr

Later16hrDeficit1/2

1/2Maintenance1/3

2/3

e.g.:10kg,10%loss,≧3days

Deficit:10%x10(kg)x0.6(deficit%fromECF)X1000=600mlMaintenance:10x100=1000mlFirst8hrlater16hrDeficit300ml300mlMaintenance333ml660ml37可编辑pptManagementofDehydrationRehyManagementofDehydrationShock:20ml/kg

N/SorLactateRingersor10ml/kg

5%albumin,blood,plasma

Loadingspeed:10ml/kg/hr,(2ml/kg/hrinCHF)38可编辑pptManagementofDehydrationShockElectrolytesupplementNa：3～4mEq/kg/day3%NaCl1ml=0.5mEq0.9%NaCl500ml=77mEq

K：2～3mEq/kg/day15%KCl1ml＝2mEqCa：200~1000mg/kg/dayq8h-qd10%Cagluconate(100mg/1ml,1Amp＝10ml)NaHCO3：1mEq/kg(ifPH＜7.2)17mEq/20cc/amp

39可编辑pptElectrolytesupplementNa：3～4mCorrectMetabolicAcidosisTachypnea(BE=PCO2–1.5x[HCO3]+82)BEHCO3

Mild

<10

>17

Observation

Moderate

10-20

17-8

Slowcorrection

Severe

>20<8

RapidsupplyIVD10’,taperthespeedifPH>77%NaHCO3(17mEq/20ml)supplyhalfin2-8hours:2-4mEq/kg/doseBEx0.3xBW(15-HCO3)x0.6xBW40可编辑pptCorrectMetabolicAcidosisTachCommonDose

一般劑量＞20kg：錠劑磨粉40Kg：1#poqid30Kg：1#potid若可吞,不用磨20Kg：1/2#poqid10Kg：1/4#poqid＜20kg：糖漿一般咳嗽˙流鼻水糖漿多為BW/4c.c.退燒˙抗生素糖漿多為BW/2c.c.例外：止瀉藥水˙氣管擴張劑糖漿˙紅黴素類糖漿41可编辑pptCommonDose

一般劑量＞20kg：錠劑磨粉8可编辑Antipyretics退燒藥Scanol(500mg/1#)：10～15mg/kg/doseq4h～q6h(50mg/kg/day)Antiphen(Acetaminophensyrup)：

BW/2㏄q4hprnifBT38.5℃(120mg/kg/dose)Macsafe(Ibuprofensyrup)：NSAIDs

38.5℃:BW/4ccq6h；39.5℃

:BW/2ccq6hDiclofen(supp)(12.5mg)：＜6kg

1/3#suppq6hprnifBT39.5℃6～10kg

1/2#suppq6hprnifBT39.5℃＞10kg

1#suppq6hprnifBT39.5℃42可编辑pptAntipyretics退燒藥Scanol(500mg/Antitussivesandexpectorants

止咳化痰藥Medicon-A(20mg/cap):CommondoseMediconsyrup(Dextromethorphan)(2.5mg/ml)：BW/4ccpoqid,1-2mg/kg/dayq6-8hMucosolven(Ambroxolliq.)(3mg/ml)(化痰):BW/4ccqid;<2y/o:2.5~5ccbid;2~5y/o:2.5~5cctid;5~10y/o5~10cctidUnitussin(Glycerylguaiacolate)(20mg/ml)(化痰>止咳):BW/4ccqid;2~6y/o:2.5~5ccqid;6~12y/o5~10ccqid

43可编辑pptAntitussivesandexpectorants

Antihistamines&Decongestants

流鼻水,鼻塞‚抗過敏藥Cyprohsyrup(Cyproheptadine0.4mg/ml)：

—BW/4ccpoqidCyprohtablet(嗜睡,增加食慾)：CommondoseDemin(Chlorpheniramine0.5mg/ml)：

—BW/4ccpoqidCTMtablet(嗜睡,使痰更濃)：CommondoseVenalin(Diphenhydramine30mg/amp):10-50mgIVorIMq2-3h,max400mg/day(1mg/kg/dose)Urticaria,angioedemaorEPS時可用44可编辑pptAntihistamines&DecongestantsAntihistamines&Decongestants

流鼻水,鼻塞‚抗過敏藥Clarityne(10mg/tab)：＜30kg1/2#poqd；＞30kg1#poqdClaritynesyrup(Loratadine1mg/ml60ml)＜30kg5mlpoqd；＞30kg10mlpoqdAllegra(60mgtab)：1#bid->1#qd45可编辑pptAntihistamines&DecongestantsBronchodilator氣管擴張劑Bricanyl(Terbutaline2ml/5mg):<20Kg:½#inN/S3mlforneubrilizationq6h;>20Kg:1#

inN/S3mlforneubrilizationq6hVentolin(Salbutamolneubule2.5ml/5mg):ThesamewithBricanyl;Tab(2mg):0.1mg/kg/doseupto2mgPOtidBerotec(FenoterolHBr)syrup(0.5mg/ml):BW/4~BW/5cctid;<1y/o:2.5ccbid;1~6y/o:2.5~5cctid;6~14y/o5cctidMeptin(Procaterol)syrup(mg/ml):<6y/o:BW/4~BW/5ccq12h;>6y/o:5ccpoq12h

46可编辑pptBronchodilator氣管擴張劑Bricanyl(Bronchodilator氣管擴張劑Xidanef(Ketotifen)100mlsyrup:2.5-5mlbidAtrovent(IpratropiumUDV0.5mg/2ml):1vialq6hprnEpinephrine(1:1000)：0.01ml/kg/dose(Max0.5ml)q15minSC

47可编辑pptBronchodilator氣管擴張劑Xidanef(KXanthines茶鹼類AminophyllineS.E：nausea,vomiting,insomnia,tachycardiaLoadingdose：5(2~6)mg/kg/doseivdripfor20～30min;Maintain：1mg/kg/hrInfants=>0.2~0.9mg/kg/hr,

1-9y/o=>1~1.2mg/kg/hr;9-16y/o=>0.8~1mg/kg/hr;youngsmoker:0.8~1mg/kg/hr,nonsmoker:0.5~0.7mg/kg/hrApneaofprematurity：4~6mg/kgiv30min,thenmaintaince:1.5~3mg/kg/doseivq8-12h

48可编辑pptXanthines茶鹼類Aminophylline15可编辑Xanthines茶鹼類Ventol:3ml/kg/day

qidAminophyllinetab.：200mg/tabpoqid;dose=ivform

49可编辑pptXanthines茶鹼類Ventol:3ml/kg/daySteriods類固醇Decadron：0.1mg/kg/doseimq8h.Rinderon(4mg/ml):0.1mg/kg/doseim,ivq8hPrednisolone(5mg/tab):1~2mg/kg/daypoqd~qid;max:4#~8#(20~40)mg/dayfor3~5day.40kg給Pulmicort(steroid,200mcg/dose)：1~2puffbidfor3monthforpreventasthma(可有效預防氣喘再發)50可编辑pptSteriods類固醇Decadron：0.1mg/kgUrticaria蕁麻疹Benadryl(Diphenhydramine):1mg/kgIMDecardon(Dexamethasone):0.1mg/kg/doseIMPeriactintab：普通劑量

poqid.Prednisolone(5mg/tab.):1~2mg/kg/day51可编辑pptUrticaria蕁麻疹Benadryl(DiphenhAntidiarrheals,digestivesandantiflatulents止瀉、消化、消氣劑Kaopectin：＜6mons：3㏄poqid（嚴重再給）6mons～6Y/O：5㏄poqid＞6Y/O：10㏄poqid.Biofermintab：普通劑量×2poqid.Simethiconetab：普通劑量poqid.Bismuth:普通劑量poqid.52可编辑pptAntidiarrheals,digestivesandAntiemetics止吐劑Motilium(10mg/tab)：普通劑量poqid.Prepulsid：0.1~0.2mg/kg/dosepoqidNovamineorPriperammaycauseEPSEPS：Akineton=Biperidine(1#=2mg;5mg/1cc/amp)Adult：2mgper30min.max4vial(20mg)53可编辑pptAntiemetics止吐劑Motilium(10mg/tLaxatives輕瀉劑Glycerineballenema：0.5~1#qdMgOtab：普通劑量poqid.Ducolax(Bisacodyl5mgtab)：6~12yo1#post.Cascara(Cascarasagrada)：1~2#poqhs54可编辑pptLaxatives輕瀉劑GlycerineballenAnticonvulsants抗痙攣劑Valium(Diazepam)(10mg/2㏄/amp):<5y/o:0.2～0.5mg/kg/doseivslowlyq15min×3(max5mg)>5y/o:thesameasaboveexcept(max10mg)adolescents:5-10mg/dose;max:30mg.Neuropam(Lorazepan)(2mg/ml/amp);中效(10-15hrs)：0.03-0.1mg/kg/doseq15～20min×2dosemax:4mg/dose55可编辑pptAnticonvulsants抗痙攣劑Valium(DiaAnticonvulsants抗痙攣劑Dilantin(phenytoin)(250mg/5cc/amp)：Loading10～20mg/kgivwithrate＜1mg/kg/min,max50mg/min,Maintain5mg/kg/dayivq12h,(不可加於Glucosesolution)Luminal(Phennobarbital)(100mg/cc/amp;32mg/1#)Loading

20mg/kgivwithrate＜30mg/min;Maintain5-10mg/kg/daytoachieveserumlevel40ug/mlChloralhydrateenema(10%30ml)：Neonates:25-50mg/kg/dose,Children:25-100mg/kg/dose→1/2~3/4BWccenema

56可编辑pptAnticonvulsants抗痙攣劑Dilantin(pAntibiotics抗生素Penicillin:Bctereimia:2.5-5;Meningitis7.5-10;infection10-25(單位：萬u/kg/doseq4-6h)Ampicillin:IV100mg/kg/day,

q6h.AmoxicillinCap(500mg):(Ac.tonsillitis,AOM)HiconcilCap(250mg)=>50mg/kg/dayq8h.Amoxicillinsyrup=>BW/2poq8h.Augmentin(amoxicillin+clavulanicacid,375mg/1#,600mg/vial):

BW/2poq8h.57可编辑pptAntibiotics抗生素Penicillin:BctAntibiotics抗生素-Cephalosporins頭芽孢素Cephazolin(Veterin):IV100mg/kg/day,q6h.Keflex(250mg/1#,Cephalexin1',Ceflexin500mg/1#):25-50mg/kg/daypoq6h

forG(+).Keflor(2’Cefaclor,250mg/1#,125mg/5cc/60cc/susp)50mg/kg/dayq8h.;BW/2q8h.(AOM)Zinacef(2’Cefuroxime,250mg,750mg):<2y/o:125mg/dosepobid;>2mg:250mg/dosepobidZinnat(2’Cefuroxime,25mg/ml)AOM:<2y/o5mlq12h;>2y/o10mlq12hCommoninfection:5mlq12hRocephin,Syntrix(3’Ceftriaxone500mg/5cc/vial):

50-100mg/kg/dayivq12h-qd;Meningitis:100mg/kg/dayq12h(max:4g/day)Prostaphlin(Oxacillin):IV100mg/kg/day,q6h.(Cellulitis)58可编辑pptAntibiotics抗生素-CephalosporinsAntibiotics抗生素-MacrolidesErythromycin(Mycoplasma,Chlamydia,Legionella)Erythrocinsyrup(40mg/cc)：BW/4ccpoq6hIlosone(250/1#):30-50mg/kg/dayq6h.(20kg1#qid,40kg2#qid)Zithromax(Azithromycin,250mg/1#,200mg/5cc/susp)child:1#qd*3day(>40kg:2#)Zithromaxsyrup：BW/4ccpoqd*3days

Klaricid(Clarithromycin,250/tab):Adult1~2#pobid;Child:7.5mg/kgbid59可编辑pptAntibiotics抗生素-MacrolidesEryAntibiotics抗生素-UTINitrofurantoin(Ninru,100mg/1#)：5～7mg/kg/day,poqid(UTI),Adult::1#poqid.Prophylacticdose:1/3~1/4therapeuticdoseAzactam(Aztreonam1g/inj):90-120mg/kg/dayivq6-8hforG(--)andPseudomonasMycostatin(50萬u/1#):forCandida(Oralthrush):Infant:2/5#(20萬u)/doseq6hChild:1#(40-60u)/doseq6hBaktar(TMP-80+SMX-400):6-12mg/kg/daypoq12h

(Co