WEIGHT

• (X+9)/2 age <1 year X in months

• 2x+8 age >2 year X in years
•
 FEVER
PARACETAMOL 15mg/kg/dose
250/5ml , 125/5ml
PARACETAMOL drops 7.5 mg/kg/dose
100mg/1ml (20 drops)
Tab MEDOMOL 300MG TDS
PARACETAMOL suppository 15-20 mg/kg
80mg,170mg,250mg( 2nd dose after 6 hours, up
to 4 suppositories)
 FEVER (cont..)
• Syp IBUGESIC 5-10 mg/kg
100mg/5 ml Q8H
• Syp MEFTAL 10 mg/kg/dose
100mg/5ml BD
 VOMITING
• Syp EMESET 0.1mg/kg/dose
2mg/5ml
• Tab EMESET 4mg
• Tab JUNIOR LANZOL 15mg/30mg 1BD
• Syp JUNIOR LANZOL 1mg/kg
15mg/5ml BD B/F
• Cap OPAL 10mg/20mg 1OD
GASTRITIS/ INTESTINAL COLIC
• COLIMEX-DF DROPS TDS
INFANT 5-10 drops
1-5 years 10-15 drops
>5 years 20-25 drops
• MEFTAL SPAS DROPS TDS
INFANT 5-10 drops
>1 year 10-20 drops
• Tab JUNIOR LANZOL 15mg/30mg 1BD
• Syp JUNIOR LANZOL 1mg/kg
15mg/5ml BD B/F
 ABDOMINAL PAIN
• Tab JUNIOR LANZOL 15mg/30mg 1OD
• Syp JUNIOR LANZOL 1mg/kg
15mg/5ml BD B/F
• EMESET
• Cap OPAL 10mg/20mg 1OD
• Tab RANTAC 2mg/kg/dose
INFANT
• <6 months--- 5 drops of COLICAID DROPS
• 6-12 months--- 15 drops QID
 ADD
• ORS 200ml AFTER EACH STOOL
• BIFILAC SACHET 1BD ---3 DAYS
• Syp ZINCOVITE 5ml OD ---10 DAYS
ZINCONIA 5ml contains 20 mg zinc
20 mg/day >6 months,10 mg/day <6 months
• JUNIOR LANZOL
• FUSINOVA /M-TAZZ OINT LA
UPTO 6 MONTHS
• CONTINUE BF
• ORS 50ml AFTER EACH STOOL
• BIFILAC SACHET ½ BD ---3 DAYS
 CONSTIPATION
• DULCOLAX PAEDIATRIC SUPPOSITORY
½ STAT
 PAIN
• Syp MEFTAL 10 mg/kg/dose
100mg/5ml BD
 DEWORMING
BELOW 2 YEARS
• Syp ZENTAL 400mg/10ml
5ml HS & REPEAT AFTER 3WEEKS
ABOVE 2 YEARS
• Syp ZENTAL 400mg/10ml
10ml HS & REPEAT AFTER 3WEEKS
OLDER CHILDREN
• Tab ALBENDAZOLE 400mg 1HS
ALL FAMILY MEMBERS SHOULD TAKE
MEDICATION
 LOSS OF APPETITE
• AFTER DEWORMING
• Syp ZINCOVIT >6 months 5 ml OD
<6 months 2.5 ml OD
• Syp POLYBION 5 ml OD
• Syp ARISTOZYME 5 ml OD
 ANTIBIOTICS SYRUP
• Syp MOX 15mg/kg/dose
250mg/5ml, 125mg/5ml TDS
• Syp AZITHROMYCIN 10-12 mg/kg
200mg/5ml 1OD
• Syp MOXCLAV 20mg/kg
228.5mg/5ml 1BD
• Syp TAXIM O 10mg/kg/day
50mg/5ml 1BD
• Syp CEFIXIME 8mg/kg/day
50mg/5ml,100mg/5ml ,200mg/5ml 1BD
 ANTIBIOTICS DROPS
• AMOX PAEDIATRICS DROPS 50 mg/ml
10 mg/kg TDS 15 mg/kg BD
• AUGMENTIN INFANT DROPS 15mg/kg
62.5mg/ml 125mg/kg BD
 ANTIBIOTICS TAB
• Tab MOX 250 mg TDS
• Tab AZITHROMYCIN 250mg OD ½ hour B/F
• Tab TAXIM-O 100 mg BD
• Tab FIXIM 100 mg BD
• Tab MOXCLAV 375 mg BD
 IV ANTIBIOTICS
• INJ AMPICILLIN 50 mg/kg/day Q8H
• INJ GENTAMICIN 2.5 mg/kg/dose BD
• INJ AMIKACIN 7.5 mg/kg/dose BD
• INJ METRONIDAZOLE 7.5 mg/kg/dose BD
• INJ TAXIM 100 mg/kg/day TID
 SEDATING CHILD
• Syp PEDICLORYL 500 mg/5 ml
TRICLOFOS 30 -50 mg/kg/dose
< 1year --- 2.5ml
1-5year --- 2.5-5ml
• Syp PHENERGAN 5mg/5ml
< 2 years -- 1-4 ml SD:RESPIRATORY
>2 years --- 5 ml DEPRESSION
 ACUTE DYSPNOEA
• NEB WITH (0.03mg/kg) SALBUTAMOL
(max 0.5 ml) + 3 ml NS + 6L of O2
2 or 3 times at 20 min interval
• NEB WITH BUDECORT 1 RESPULE
• NEB WITH 0.5 ml IPRAVENT +3 ml NS +6L
of O2
 FEVER &COUGH
• NEBULISATION IF NEEDED
• Syp PARACETAMOL
• ANTIBIOTIC Syp
• SALINA NASAL DROPS 2 DROPS QID
• OXYDROPS-P NASAL DROPS 1-2 DROPS
BD (NEVER OVERDOSE)
• Syp ASTHALIN 0.1 mg/kg/dose
2mg/5ml TDS
• Syp MONTAIR-LC KID 5ml 1 OD
• Syp BROMHEXINE 4 mg/5ml
1-5 years 4mg BD
5-10 years 4mg Q8H
adult 8mg Q8H
• Syp AMBROXOL 15 mg/5ml
upto 2 years 2.5 ml BD
2-5 years 2.5 ml TDS
>5 years 5 ml TDS
• Syp DC LINCTUS 5ml BD
 SEVERE WHEEZE & A/C
EXACERBATION OF ASTHMA
• NEBULISATION
• INJ HYDROCORTISONE 4-6mg/kg/dose IV
STAT &Q6H
• Syp KIDPRED 1-2 mg/kg
5mg/5ml in two divided doses
FEVER & NASAL CONGESTION
• T-MINIC DROPS 0.1 mg/kg/dose
2mg/1ml per oral BD ----3 DAYS
5-10 drops ---6 months
10-11 drops ---upto 1 year
11-15 drops ---upto4 year
• Syp T-MINIC 2mg/5ml
• paracetamol
 EOSINOPHILIA
• Tab DIETHYL CARBAMAZINE 5mg/kg/day
TDS
----- 7-10 days
 COLD
• WIKORYL ORAL DROPS max 4 doses/day
PARACETAMOL 125 mg
CHLORPHENERAMINE 1 mg 1 ml
PHENYLEPHRINE 2.5mg (20
drops)

• WIKORYL ORAL SUSP max 4 doses/day

PARACETAMOL 125 mg
CHLORPHENERAMINE 1 mg 5 ml
PHENYLEPHRINE 5mg
 THROAT PAIN
• PARACETAMOL
• Tab ATM 250mg OD ½ hour B/F
 UTI
• PARACETAMOL
• ANTIBIOTIC Syp
• Tab TAXIM-O 100 mg BD
• Tab FIXIM 100 mg BD
• Tab MOXCLAV 375 mg BD
 CONJUCTIVITIS
• CIPLOX EYE DROPS 1 DROP Q6H ---- 5
DAYS
 EAR ACHE
• 2% XYLOCAINE 2 DROPS STAT
• OTOGESIC EARDROPS 2 DROPS Q1D
• PARACETAMOL Q4-6H
• ENT CONSULTATION
 ALLERGY
• INJ AVIL IV STAT
<2 years ½ cc AVIL , >2 years 1 cc AVIL
• HYDROCORTISONE
IV --1-5 mg/kg /day BD
ORAL – 2.5-10 mg/kg/day Q8H
• Tab CETZINE 5mg/10mg 1HS
• CALAMINE LOTION LA
 ALLERGY (cont..)
• Syp CETZINE 0.15mg/kg/dose
5mg/5ml 1HS
• Syp AVIL 0.1 mg/kg
15mg/5ml BD/TDS
• Syp ATARAX (HYDROXYZINE) 10mg/5ml
2mg/kg/day BD/TDS
• Syp KIDPRED 1-2 mg/kg
5mg/5ml in 2-3 divided doses
 INSECT BITE
• REMOVE STING
• Syp CETZINE / Tab CETZINE
• FLUTIBACT CREAM FOR LA
• Tab WYSOLONE 10mg ½ STAT & Q8H
2.5-10 mg/kg/day
 FEBRILE SEIZURES
• Syp PARACETAMOL /Tab MEDOMOL
300mg / PARACETAMOL SUPPOSITORY
80,170,250mg
• DIAZEPAM SUPPOSITORY (0.3mg/kg)
<1 year - 2.5 mg, >1 year - 5mg IF SEIZURE
• TEPID SPONGING
• INJ EPTOIN 50mg/ml in 2ml/5ml ampule
Loading -- 15-20 mg/kg IV in a single or 3
divided
doses in 2-4 hours (1mg/kg/min)
 FEBRILE SEIZURES (cont..)
• Tab FRISIUM (CLOBAZAM) 5mg ½ - 0 - ½
• Syp CLOBAZAM 10mg/5ml
CLOBAZAM initially start with 5mg daily in
divided doses and increase
• Syp EPTOIN 30mg/5ml BD
 KEROSINE POISONING
• Monitor vitals
• INJ Antibiotics
• IVF isolate p
• Oral feeds & fluids
 TACHYCARDIA, ARRYTHMIA
• Heart rate > 170
• Hypotension
• Heart failure
• Signs of shock
• Pallor
• Decreased level of consciousness
• Irritability
• Tachypnea
• Poor feeding
 TACHYCARDIA, ARRYTHMIA
• VALSALVA MANEUVER OR CAROTID
MASSAGE
OR COLD FLANNEL OVER EYES FOR 10
SEC OR VERY
COLD DRINK
• INJ ADENOSINE 0.1 mg/kg rapid bolus and
increase dose and repeat if needed
• Synchronised DC cardioversion starting at
0.5J/kg increasing to 1-2J/kg
• In case of ATRIAL FIBRILLATION and
 HYPOGLYCEMIA
• Altered level of consciousness
• Abnormal behavior
• Drowsy
RX
• 10% dextrose IV STAT
 DRUG POISONING
• STOMACH WASH
• ACTIVATED CHARCOAL 10 -25 gm per
dose
• IVF
• ANTACIDS
 EMERGENCY
• VITALS
PERIPHERAL PULSE
RESPIRATORY RATE
TEMPERATURE
HEART BEAT
BP
• BAG AND MASK
CONNECT O2
CONNECT RESERVOIR
101-102-103 COMPRESS BAG
• CPR
PRESS OVER LOWER THIRD OF
STERNUM
90 : 30 IN ONE
MINUTE
COMPRESSION BAG

HEEL OF ONE HAND THUMB

TECHNIQUE
• EMERGENCY
MEDICATION

• INJ ADRENALINE 0.1 – 0.3mg IM STAT

0.1 mg/kg/dose
Adrenaline is available as 1mg/1 ml (1:1000)
Dilute it in 9 ml sterile water to make it
1:10000
(0.1mg/1ml)
• INJ MORPHINE for INTUBATION
Morphine is available as 10mg/1 ml. Dilute it
in 9 ml 0.9% NS to make it 10mg/10ml
 PROPHYLAXIS FOR
RECURRENT COUGH &
DYSPNOEA
UPTO 4 YEARS
BUDECORT INHALER 100 mcg
2 puff/day FOR 6 months ,then taper.
200 mcg, 400 mcg according to severity
AFTER 4 YEARS
SALMETROL + FLUTICASONE
COMBINATION
CAN USE
• MONTELUKAST IS THE BEST DRUG
GIVEN FOR RECURRENT WHEEZE AS
PROPHYLAXIS.
• USUALLY GIVEN FOR 6 MONTHS.
• UPTO 1 YEAR CAN BE GIVEN.

6 month -6 year --- 4 mg 1OD

6 year – 14 year --- 5 mg 1OD
>14years --- 10 mg 1OD