الأحد، 15 مارس 2009




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 PO / 8 hrs

#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 PO

Zinnat 125 8cm /12hrs PO

*15 kgm child 15 x 10 = 150 mg

bacticlor 250 3cm /8hrs PO

*12 kgm child 12 x 10 =120 mg

Zinnat 125 5cm /12hrs PO

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 PO every 8 hrs

b- child 15 kgm 15 x 20 = 300 mg per dose

E-moxclave 312 5cm PO every 8hrs

c - Child 18 kgm 18 x 20 = 360 mg per dose

Hibiotic 460 4cm PO every 8 hrs

d - 23 kgm 23 x 20 = 460 mg per dose

Hibiotic 460 5cm PO every 8 hrs

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 PO once daily

Or zisrocin susp. 5cm PO once daily

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

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> 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

هناك تعليقان (2):

د.شيماء صلاح يقول...

ازيك يا دكتور جمال انا اول ما شوفت على الموقع ان حضرتك حاصل على الزمالة البريطانية فى الاطفال فرحت جدا لانى كان نفسى اقابل حد عمل الزمالة وحصل عليها علشان يفدنى فيها لانى نفسى اعملها بس خايفة من الفشل خصوصا انى دكتورة تكليف ومعنديش خبرة فى الاطفال تساعدنى ياريت حضرتك تنصحنى اعمل اية ويا ريت تبعت رد حضرتك على الايميل بتاعي dr_shemo.salah85@yayoo.com على فكرة يا دكتور انا خريجة المنصورة

غير معرف يقول...

Live Testimony: I am greatful to Dr Itua ,the powerful herbal healer that rescued me from HIV/AIDS and HERPES. I was diagnosed of these disease since 2012 and because of this, i was very unhappy with my life and i went into research on how i can get cured and i saw a testimony of a lady on how she was cured from HERPES by Dr Itua , i decided to give him a try and when i contact him, he assure me that he will help me and send me the cure and i believed in him because all i wanted was to be cured, so he prepared a herbal cure for me and send it to me through DHL and gave me instructions on how to use it and after one week i should go to hospital for checkup and after one week of using the herbal medicine, i went to the hospital for test and to my surprise the test stated that i am HIV/AIDS with HERPES negative and i am fully cured from the diseases. This gladdens my heart and everybody in the hospital was surprised even the Medical Doctor, So viewers Dr Itua is a God Gifted man and he can cure so many diseases like HIV/AIDS, HERPES,CANCER of all kind, PILE, KIDNEY PROBLEM, SYPHILIS, DIABETICS and lot's more. You can contact him through his email:drituaherbalcenter@gmail.com or call and whatsapp him on +2348149277967 . I will continue to share this great testimony on the internet and all over the world for the good job Dr has done for me.///