كيفية حساب الجرعة
Susp.
Dose /ml= Dose/mg x 5 / conc.
# مثال طفل جرعته 100 ملجم اموكسيسيللين
Dose =100x 5 / 125= 4cm
4سم بالفم في كل جرعة
Injection
Dose = dose mg x solvent ml / conc.
# مثال طفل جرعته 300 مجم اموكسيل والحقنة سوف تحل على 2 سم
Dose = 300 x 2/ 500 = 1.2 cm
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كيفية حساب الوزن بالنسبة للعمر
قبل سن سنة الوزن = العمر بالشهر + 9 / 2
من سنة حتى 7سنين الوزن = العمر بالسنين x 2 + 8
بعد 7 سنين الوزن = 7x العمر - 5 / 2
معلقة الشاى = 3.5 سم
معلقة الدواء = 5 سم
معلقة الأكل = 7.5 سم
معلقة الشوربة = 15 سم
الفنجان = 30 سم
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Antibiotics
(1) ampicillin:
Epicocillicn , Ampicillin
susp. : ( 125, 250 )
vial : (500 , 1000 ) except Epicocillin 250 vial
Dose = 50 -100 mg / kg / day every 8 hours
Ex. :
1- 6kgm baby , mild 6x50 =300 mg
300/ 3 = 100 mg / dose
so dose = 100 x 5 / 125 =4cm / dose
يعطى الطفل 4 سم بالفم كل 8 ساعات
2 - 15 kgm child , so sever dis. 15x100= 1500 / 3=500
dose =500x5 / 250 = 10 cm per dose
(2) amoxicillin
Amoxil , Emox , Hiconcil , Biomox , Ibiamox
All forms 60 cm= 12 teaspoonfull
Dose : 50 – 100 mg / kg/ day every 8 hrs.
Ex.:
1 - baby 3kgm sever 3 x 100= 300 mg /3= 100 mg per dose
Amoxil 125 mg/5ml , 4cm oral every 8 hrs
Or , Hiconcil oral drops , one dropper every 8 hrs
ANY ANTIBIOTIC DROPS 1 CM =100 MG = ONE DROPPER
2 - baby 3 kgm mild 3x50 = 150 mg / 3 =50 mg / dose
Hiconcil drops , half dropper every 8 hrs.
Or , Hiconcil 125 susp. 2cm every 8 hrs
DON'T GIVE I.M. INJECTION BUT IF YOU NEED INGECTION ADMITT CHILD FOR I.V. INJECTION
Give injection every 8 hrs or every 12 hrs.
3 - child 10 kgm 10x100=1000 mg /2 =500 mg every 12 hrs.
E-mox 500 vial every 12 hrs
4 - child 6kgm sever 6x100=600 mg /2= 300mg every 12hrs
300x3/500=1.8cm
E-mox (500mg/ 3cm) 1.8 cm every 12 hrs
ALL FORMS OF ANTIBIOTICS INJECTION HAVE STABILITY 12- 24 hrs EXCEPT AMPICILLIN AND CRYSALLINE PENICILLIN
NOTE : Amoxicilline dose :
Mild : 20 mg/kg/dose
Sever : 30 mg/kg/dose
(3) Cefalosporines
A-1st Generation Cefalosporines
Mainly G.+ve
a- Cefradine 50 -100 mg /kg/day twice daily
velosef vial (0.5 gm – 1.0 gm )
drops
syp.(125 – 250 )
Cefradine syp. (125 – 250 )
b- cephalexine 50 – 100 mg /kg/day every 8 hrs
cephlex –ceporex – ospexin
( 125 -250 )
c- cephadroxil 50 -100 mg /kg/day twice daily
duricef – biodroxil – ibidroxil
( 125 – 250 )
Syp 5oo mg Drops
vial : cefatroxil vial ( 0.5 – 1.0 gm )
Indication : URTI – skin ( Impetigo – Cellulitis )
B – 2nd Generation Cephal.
a- cepharoxim
Zinnat
syp 125 mg 20 mg/kg/day every 12 hrs
Vial (0.25 – 0.75 gm ) 50 -100 mg/kg/day 3 times I.V.
30 mg/kg/day
b- cefaclor 30 – 40 mg/kg/day every 8 hrs
bacticlor –ceclor – cloracef
( 125 -250 )
Ex. 15 kgm child 15 x 30 = 450 /3 =150 mg
Bacticlor 125 mg 6cm
#ALL 2ND GENERATION DOSE : 10 mg/kg/dose
BUT Zinnat every 12 hrs
Bacticlor evey 8 hrs
Ex.
*Child 20 kgm 20 x 10 = 200
Bacticlor 250 4cm /8hrs
Zinnat 125 8cm /12hrs
*15 kgm child 15 x 10 = 150 mg
bacticlor 250 3cm /8hrs
*12 kgm child 12 x 10 =120 mg
Zinnat 125 5cm /12hrs
C – 3rd Generation Cephal.
50 -100 mg/kg/day
Indication :
Otitis Media – Sinusitis – Chest Infection – G.E.(shigella –E-coli)
75% G-ve 25%G+ve
N.B. cephaclor acts on atypical pneumonia as erythromycin
a- cefotaxim
cefotax T3A-ceforan – claforan
(500-1000 mg) I.V. every 8 hrs & I.M. every 12 hrs
b- cefopurazone limited in shigella and salmonella
cefopid – cefozone – cefopurazone
(500-1000 mg)
c- ceftazidim
fortum vial (500-100mg )
effective in pseudomonas infection
d- ceftriaxone every 24 hrs I.V. or I.M.
I.M. MUST BE DISSOLVED IN LIDOCAIN
Bactrial trachiitis – typhoid –chest &skin infection -cholecystitis –meningitis
Rocephine 1gm
Cefotrix 0.25 gm- 0.5 gm – 1.0 gm
Ceftriaxon 0.5 gm -1.0 gm
Cefaxon 0.25 gm -0.5 gm -1.0gm
Compinations
Amoxicillin + Clavulinic acid
· Don't give orally > 9 mo.
· Dose 60-90 mg/kg/day every 8 hrs
Susp. 156 – 312 E-moxclave –curam – magnabiotic
230 – 460 Augmentin – Hibiotic –Deltaclve – megamox
Injecion 600 – 1200 Augmentin
· SO DOSE IS wt. x 20 or 30
*Ex.
a - Child 11 kgm 11 x 20 = 220 mg per dose
Augmentin 230 5cm
b- child 15 kgm 15 x 20 = 300 mg per dose
E-moxclave 312 5cm
c - Child 18 kgm 18 x 20 = 360 mg per dose
Hibiotic 460 4cm
d - 23 kgm 23 x 20 = 460 mg per dose
Hibiotic 460 5cm
Ampicillin + Sulbactam
· susp. 50 mg/kg/day Or 1 cm /kg /day
· All 250 mg /5ml
· Every 12 hrs or 8 hrs
· Unasyn –Unictam – Ampictam
· Ex.
10 kgm 10 x 50 = 500 mg /day
Unictam 250 susp. 5cm every 12 hrs
· Ingection 150 mg/kg/day
· 375 – 750 – 1500 mg Unasyn –Unictam – Ampictam – salbin -solbin
· Ex.
a – 10 kgm 10 x 150 = 1500 mg /day
Unasyn 750 mg every 12 hrs
b – 20 mg 20 x 150 = 3000 mg /day
Unictam 150 mg vial every 12hrs
MACROLIDS
3 generation Erythromycin 30 – 50 mg / kg /day every 8 hrs
Clarithromycin15 mg / kg /day every 12 hrs
Azithromycin 10 mg / kg /day every 24 hrs
Erythromycin
erythromycin – erythrocin – erythrin 200 mg
Ex. 6kgm child 6 x 50 = 300 mg per day
Erythrin 2.5 cm oral per 8hrs
Clarithromycin
Clacid 125 – 250 mg
Clarimix 125 mg
Ex. 15 kgm 15 x 15 = 200
Claid 125 susp 5cm every 12 hrs
Azithromycin 200 mg / 5ml
Zithrokan –azalid
Dose = wt. / 4
Zisrocin Dose = wt./ 2
Ex. 10 kgm 10 / 4= 2.5 cm per dose
Azalid susp. 2.5 cm
Or zisrocin susp. 5cm
Indications:
URTI – low sensitivity – Atypical pneumonia
AMINOGLYCOSIDES
Mainly G-ve
Gentamycin 3- 5 mg /kg/day
Garamycin Amp. (20 – 40 – 80 mg) ( 2 – 1 – 2 cm )
Epigent vial (20 – 80 mg) ( 0.5 – 2 cm )
Gentamycin 80 mg Amp / 2cm يوجد فى المستشفيات فقط
Topramycin very safe " napcin" 3-5 mg /kg/day
Amp. (20 -80mg ) /2cm
Amikacin vial (100 – 250 – 500 ) 15 mg /kg/day
Indication :
A – As compination with G+ve in pneumonia
B – UTI "VERY GOOD" not glomerulonephritis as single daily dose 7-10 d.
kanamycin very nephrotoxic
streptomycin
TRIMETHOPRIM (chemotherapy )
Dose 1 cm/kg/day
Sutrim – septazol – septrin
Indications : UTI – ( E-coli – salmonella – shigella ) drug of choise
ملاحظات مهمة
(!) chloramphenicol C.I. <>
tetracyclines C.I. <9years>
Oral Augmentine C.I. <>
Quinolones C.I.<>
(2) Drug choise
URTI (macrolid – Augmentin – 1st generation cephal. – 2nd generation
Chest & LRTI( Augmentin – 2nd generation cephal.)
UTI a- septrin
b- nitrofurantoin 7 -10 mg /kg/day (uvamin retard 100 caps.)
c – ( severe ) ceftriaxone – Aminoglygosides
GIT : 1- septrin ( toxic not shoked ) if shoked give ceftriaxone
2- cefotaxim ( cefotax)
· response of antibiotics appear after 48 hrs
· المضاد الحيوى الذى تبدأ به يجب أن تكمل به
· suppurative tonsillitis resistant : procain penecilline
<>
> 4years twice daily بعد عمل اختبار الحساسية
· crystalline penecilline has no stability
· recurrent tonsillitis PLZ do culture
· antidiarrheal drugs is only indicated in antibiotic diarrhea
give kapect or ياكل ويشرب ميه رز مصرى