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
هناك تعليقان (2):
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
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.///
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