kupdf.net_pedia-notes-print.pdf - FLUIDS and ELECTROLYTES >5y;>30 kg D5LR >3y;>15kg-D5NM >15kg D5LRS <15kg-D5 0.3 NaCl D5IMB*to hydrate wt x deficit

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FLUIDS and ELECTROLYTES: >5y;>30 kg- D5LR >15kg- D5LRS >3y;>15kg-D5NM <15kg-D5 0.3 NaCl, D5IMB *to hydrate: wt x deficit / 8hrs not to hydrate: wt x deficit/8hrs DEFICIT <10kg >10kg MILD 50 30 MOD 100 60 SEV 150 90 MAINTENANCE (24H) 0-3 kg- 75cc/kg 3-10 kg- 100 10-20 kg - 75 20-30 kg - 60 30-40 kg - 50 >40 kg - 40 BPN: Pls admit TPR Q4H and record Diet for age ( if not tachypneic) Labs: CBC,CXR,U/A,F/A IVF: D5 0.3NaCl 500cc x MEDS: Para p.o/IV (10mg/kg) Ampi ( 50-100 Q8H) S/O: MIO Q shift and record Monitor VS Q4H and record TSB for fever W/o for persistence of fever, episodes of tachypnea and other untoward s/sx Standby O2 at bedside Refer prn t.y. NEWBORN 0-1day old- 80cc/kg/hr 2- 90 3- 100 4- 110 5- 120 6- 130 7- 140 8- 150 MILD DHN: 30-50 cc/kg/6H D50.3NaCL MODERATE DHN: 60-90cc/kg/6H ¼ of computed deficit give D5LRx 2 hrs, the ¾ to be given for the next 6 hrs D50.3NaCl SEVERE DHN: >100cc/kg/6H 1/3 with D5LR x 2 H then 2/3 with D5O.3NaCl x 6H NEONATAL PNEUMONIA Pls admit TPR Q4H and record breastfeeding w/( strict aspiration precaution) Labs: CBC,CXR,U/A,F/A, Bld CS IVF: MEDS Ceftazidime Oxacillin Amikacin PAI w/ Salb S/O: MIO Q shift and record Monitor VS Q4H and record TSB for fever W/o for persistence of fever, episodes of tachypnea and other untoward s/sx Standby O2 at bedside AMOEBIASIS Pls admit TPR Q4H and record NPO x 4 H (if w/ vomiting) IVF: D5LR 1L x ___cc/H Labs: CBC,APC; U/A; F/A; S.Na,K,Ca Meds: Metro ( 30-50 mkday p.o Q8H) 7.5mkdose iv 15mkdose-loading dose Diloxanide ( 20-40mkday x 10 days Q8H) S/O: MIO Q shift and record Monitor VS Q4H and record Vomitus and stool ct sheet @ bedside TSB for fever W/o for persistence of fever and any untoward s/sx BRONCHIAL ASTHMA Pls admit TPR Q4H and record Diet: NPO if RR>/= 50cpm Labs: CBC,APC;U/A; F/A; Chest X-ray PAL view IVF: D5 0.3NaCl 500cc Meds: para hydrocortisone ( 5 mkdose Q4H) S/O: MIO Q shift and record Monitor VS Q4H and record TSB for fever W/o for persistence of fever, episodes of tachypnea and other untoward s/sx Standby O2 at bedside Refer prd t.y. AGE w/ mild DHN Pls admit TPR Q4H and record NPO x 4 H (if w/ vomiting) IVF: D5 0.3 NaCl 500cc x ___cc/H + 2 meqs Kcl/100cc IVF postvoiding Labs: CBC,APC; U/A; F/A; S.Na,K,Ca Meds: S/O: FD 100cc PLR now MIO Q shift and record Monitor VS Q4H and record Vomitus and stool ct sheet @ bedside TSB for fever W/o for persistence of fever and any untoward s/sx Replace GI losses vol/vol w/ PLR Refer prn DHF III Pls admit TPR Q2H and record DAT w/ no colored foods IVF: Labs: CBC,APC; U/A; F/A; PT,APTT DNS1Ag; BT w/ Rh typing Meds: para Rani (0.8-1mkdose IV Q8-12H) 0.75-1.5mkdose p.o S/O: Fd 150 cc of present IVF MIO Q 2H and record Monitor VS QH and record Request 500cc of FFp of px bldtype after proper crosmatching W/o for , narrow pulse pressure, bleeding episodes and other untoward s/sx DENGUE FEVER Pls admit TPR Q4H and record DAT w/ no colored foods IVF: D5LR 1L x ___cc/H Labs: CBC,APC; U/A; F/A; PT,APTT BT w/ Rh typing DNS1AG Meds: none temp S/O: MIO Q shift and record Monitor VS Q4H and record W/o for , narrow pulse pressure, bleeding episodes and other untoward s/sx Refer prn t.y.
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ANALGESICS/ANTIPYRETIC PARACETAMOL(Q4H) MEFENAMIC ACID (Q6-8H) RD: 10-15mkdose po RD: 5-8mkdose
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