PNP Medications

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Amoxicillin: 3rd generation PCN
Otitis media: 80-90mg/kg/d div q12h
Sinusitis: 40-50mg/kg/d div q12h
Pharyngitis or UTI: 25-50mg/kg/d q12hr

Susp: 250mg, 400mg/5ml
CH: 250, 400mg
Tabs: 250, 500, 875mg
Anti-infectives: 3rd gen PCN: Amox, Augmentin
1st gen ceph: Keflex
2nd gen ceph: Ceftin
3rd gen ceph: Omnicef, Rocehpin
Macrolides: Zithromax, Erythromycin
Antihistamines: 1st gen: hydroyxzine (Atarax)
diphenhydramine (Benadryl)
2nd gen: fexofenadine (Allegra)
loratadine (Claritin)
cetirizine (Zyrtec)
Misc: chlorpheniramine
clemastine fumate
Atuss DR: dextromethorphan, phenylephrine, chlorpheniramine

2-6yr: 1/2tsp q6hr
Augmentin: 3rd gen PCN
DRUG OF CHOICE in Sinusitis
45mg/kg/d q12hr

Susp: 250, 400mg/5ml
Tabs: 250, 500, 875mg
azithromycin (Zithromax): 10mg/kg/d Day 1
5mg/kg/d Day 2-5

susp: 100mg, 200mg/5ml
tabs: 250, 500, 600mg
Biaxin: 15mg/kg/d BID x 10 days
bisaxodyl (Dulcolax): <2yr: 5mg
2-11yr: 5-10mg
>11yr: 10mg

Sup: 5, 10mg
budesonide (Pulmicort): inhaled steroids
1-8yr: 0.5mg-1mg respules qd or bid

Turbo inhaler
6-12yr: DPI 1-2 puffs qd-bid

Low dose: 200-400mcg or 0.5neb
Med dose: 400-800mcg or 1 mg neb
High dose: >800mcg or 2mg neb
cefdinir (Omnicef): 3rd fen Ceph
7mg/kg po bid x 10d OR
14mg/kg po qd x 10d
cefixime (Suprax): UTI
>6mo: 8mg/kg/po qd

Susp: 100mg/5ml
Tabs: 200,400mg
cefprozil (Cefzil/Ceftin): bacterial infections
6mo-12yr: 30mg/kg/d div q12h

pharyngitis
2-12yr: 15mg/kg/d div q12h

Susp: 250/5ml
Tabs: 250, 500mg
ceftriaxone (Rocephin): 3rd gen ceph

50-75mg/kg/d x 1 IM
cephalexin (keflex): 1st gen ceph
Covers Staph, Strep

Bone/skin infections: 25-100mg/kg/d TID

Susp: 125, 250/5ml
Caps: 250, 500mg
cetirizine (Zyrtec): sedating antihistamine
2nd generation

2-5yr: 2.5mg qd or div bid
>6yr: 5-10mg qd

Syrup: 1mg/ml
Tab: 5, 10mg
Cipro otic: swimmers ear, OE

>1yr: 3 gtts bid x 7 days
Delsym OTC: cough suppressant - dextromethorphan

2-6yr: 1/2 tsp
6-12yr: 1 tsp
>12yr: 2 tsp
dexamethasone (Decadron): Croup
0.6mg/kg PO/IV/IM x 1
Diflucan: infants: 6mg/kg/d Day 1
3mg/kg/d day 2-15

may use up to 21 dyas
susp: 10, 40mg/ml
diphenhdramine (Benadryl): 1st gen antihistamine

1mg/kg dose q6hr PO/IM/IV

2-6yr: 6.25mg
6-11yr: 12.5-25mg
>12: 25-50mg
fexofenadine (Allegra): 2nd gen non-sedating antihistamine

6-11yr: 30mg BID
>12yr: 60mg BID or 180qd

Tabs: 30, 60, 180mg
fluticasone (Flovent): inhaled steroids

asthma prophylaxis
4-11yr: 1 puff bid
>12yr: 2-4 puff bid

44,110, 220mcg/spray INH

Low dose: 88-176mcg
Med dose: 176-440mcg
High dose: >440mcg
fluticasone nasal (Flonase): leukotrienne modifier, nasal steroid

allergic rhinitis
>4yr: 1-2 spray per nostril qd
>12yr: 2 spray per nostril qd

50mcg/spray
fluticasone topical (Cutivate cream): dermatoses, steroid responsive

Cream 0.05% apply bid
gentamycin oint: bacterial eye prep

1-2 gtts q 4hr or 1/2in ribbon oint

soln: 0.3%
griseofulvin microsize: 20mg/kg po qd

tinea corporis x 2-4 weeks
tinea captis x 4-6 weeks
tinea pedis x 4-8 weeks

susp: 125/5ml
hydrocortisone: atopic dermititis

apply bid-qid
1% cream: face
2 1/2% cream
hydroxyzine (Atarax): 1st gen sedating antihistamine

pruritus
6yr: 2mg/kg/d div q6h PRN
6-12yr: 12.5-25mg po q6-8hr PRN
>12yr: 25-100mg po q6hr PRN

Syrp: 10mg/5ml
Lorabid: 2nd gen ceph

6m-12yr: 15mg/kg/d div q12h

>13yr (cystitis) 200mg BID

susp: 100, 200mg/5ml
tabs: 200, 400mg
loratadine (Claritin OTC): 2-5yr: 5mg qd
>6yr: 10mg qd

Reditab: 10mg
Syr: 1mg/ml
Tab: 10mg
magnesium hydroxide (MOM): constipation
2-5yr: 5-15ml/d
6-11yr: 15-30ml/d
>12yr: 30-60ml/d
montolukast (Singulair): leukotrienne modifier

1-2yr: 3mg po q am (granules)
2-5yr: 4mg q am/pm
6-14yr: 5mg q am/pm

CH: 4,5mg
Granules: 4mg pkt
mycostatin (Nystatin): mouth/throat antifungal

neonates: 1/2 - 1cc each side of mouth
qid x 7 days

100,000u/ml
Nalex A: decon/antihistamine

2-6yr: 1/4 - 1/2 tsp q4hr
6-12yr: 1 tsp q4h
>12hr: 2 tsp q4h
Pediox: 3-9mo: 1/4 tsp qid
9-18mo: 1/4 - 1/2 tsp qid
18m-6yr: 1/2 tsp qid
>6yr: 1 tsp qid
pencillin G benazthin (LA Bicillin): <14kr: 600,000 u IM
18-27kg: 900,000u IM
>27kg: 1,200,000u IM
Peri-Colace: ducosate/casthanthranol

constipation
5-15ml po qhs or 1 cap po qhs
Permethrin (Elimite): antiparasitic

scabies
>2mo: cream entire body, wash off after 8-14hr

5% cream (1 tube, 60g)
pimecrolimus (Elidel): Atopic dermititis

>4mo: bid x 7-10 days

1% cream - 15, 30, 100g tubes
Polytrim: polymyxin B/trimethoprim opth

>2mo: 2gtts qid x 7 days

soln: 10,000u/1ml
Prednisone: oral steroid

asthma
1-2mg/kg/d qd-qid
>12yr: 5-60mg/d po qd-qid

elix: 5/5ml
tabs: 5,10, 20mg
Predisolone (Orapred): oral steroids

0.14 - 2mg/kg/d div qid po (1mg)
>12yr: 5-60mg/d

asthma: initial 1mg/kg po q6hr x 48h
soln: 15mg/5ml
rantidine (Zantac): PUD
>2wk: 2mg/kg PO q 12h
child: 4-5mg/kg po div q12h

liquid 15mg/ml
tabs: 75, 150mg
Rondec DM: antihistamine-brompheniramine
cough-dextromethorphan
decongestant-pseudoephedrine

2-6yr: 2.5ml po qid
>6yr: 5ml po qid
Rondec drops: antihistamine- carbinoxamine
decongestant- pseudoephedrine

1-3mo: 0.25ml po qid
3-6mo: 0.5ml po qid
6-12mo: 0.75ml po qid
12-24mo: 1ml po qid
Rondec syrup: antihistamine - brompheniramine
decongestant- psuedopehedrine

2-6yr: 2.5ml qid
>6yr: 5ml qid
Rynatan: antihistamine - chlorpheniramine
decongestant - phenylephrine

2-6yr: 1/2-1tsp q12hr
>6yr: 1-2 tsp q 12hr
Septra: trimethoprim/sulfamethoxazole

>2mo: 6-12mg/kg/d div q12h

UTI prophylaxis
>2mo: 2-4mg/kg/d

susp: 40mg/5ml
tabs: 80mg
Bactrim: trimpethoprim/sulfa
UTI

>2mo: 8mg/kg/d TMP div q12hr x 7d

UTI prophylaxis 2-4mg/kg/d
Vermox: pinworm, whipworm
>2yr: 100mg po x 1

treat all family members
chew prior to swallowing
May repeat in 2 weeks

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