Note pharmacopoeia pg 6 (2005 edition) for easy dosing
Acetaminophen 10-15mg/kg PO q4-6h
Amoxicillin (low dose) 45mg/kg/d divided tid
Amoxicillin (high dose) 80-90mg/kg/d divided bid
Ampicillin 50-100mg/kg IV up to 2g
-Neonatal fever < 6weeks to cover Listeria
-Also used for meningitis in elderly patients and others at risk for Listeria
Azithromycin 10mg/kg the first day then 5mg/kg qd for 4 more days
Cefotaxime (Claforan) 50-100mg/kg IV
-Used mostly in neonates < 4-6wks old when can’t use Rocephin due to biliary sludging
Ceftriaxone (Rocephin) 50mg/kg IV up to 1g
-100mg/kg up to 2g for meningitis or suspicion of meningitis
-Do not use in neonates < 4-6wks old due to possible biliary sludging
**Different sources and practitioners utilize varying dosages of Amp/Claf/Ceftriaxone
Some use 50mg/kg while others use 100mg/kg
Dextrose 0.5g/kg IV (if unable to tolerate PO glucose)
-Neonates get D10 5cc/kg (10 x 5 = 50)
-Infants get D25 2cc/kg (25 x 2 = 50)
-Children may get D50 1cc/kg (50 x 1 = 50) but preferably get D25 if possible
-Higher osmolarity solutions cause tissue necrosis/pain at IV site/rebound
-D25 is stocked in the PEC omnicell so have nurses use that concentration
Diphenhydramine (Benadryl) 1 mg/kg PO q6h
Ibuprofen 10mg/kg PO q6-8h
Prednisone (prednisolone) 1-2mg/kg PO then 1mg/kg PO qd
Methylprednisolone (Solu-Medrol) 1-2mg/kg IV
-Remember IV is no more effective or quicker acting than PO prednisone
Robitussin (1/2tsp)/10kg PO q4h