Pediatric Drug Doses GL Chattri
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1Pediatric Drug Doses2
3Pediatric Drug Doses
GL Chattri MBBS MD Paediatrician and Neonatologist Consultant Mahakoushal Hospital and Seth Mannul Hospital, Jabalpur 154 Tamarhai Chowk Kotwali Ward Jabalpur, Madhya Pradesh, India
4Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Pediatric Drug Doses
© 2010, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2010
9788184489460
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset and Packagins Ltd., New Delhi
5Dedicated
In the memory of
late (Prof) Dr VJ Rajpoot Sir (Indore),
who taught me the art of pediatrics
67Preface
I am pleased to have the opportunity to write this first edition of “Pediatric Drug Doses”. It is not intended to compete with the already well-established books. This book is designed to be a practical and convenient guide to the dosing and usage of medications in children.
Pediatric doses vary with the age, weight, surface area and disease, etc. Overdosing may lead to side effects and under-dosing will lead to unsatisfactory response or development of resistance in cases of antibiotics.
I did not confine myself to doses only, but expended to provide indications which is a must before knowing doses, and also included the information such as size of feeding tubes, Foley's catheters, endotracheal tubes, laryngoscope blades, oxygen mask according to age and weight; approximate weight and surface area charts; fluid resuscitation formula for burn patients; so that residents do not have to consult too many books while dealing with patients bedside. The aim is to improve the practical utility of the book.
I have made all efforts to check for any mistakes in the text and drug doses, but nobody can be perfect. If you are in any doubt about a treatment or drug doses, always check with another formulary. Due to constant research, it is advised to consult package insert especially for infrequently used drugs and drugs with narrow therapeutic index.
I have written this book for pediatric house officers and registrars particularly keeping in mind but it will also be useful for consultant practicing pediatricians.
GL Chattri
89Acknowledgments
First of all I would like to thank my wife Rashmi and my kids Dhruv and Shlok who spare me to spend, from their share of valuable time, in writing this book. She was always encouraging me to make my dream come true.
I sincerely thank Mr Bhoopesh Arora, Jaypee Brothers Medical Publishers (P) Ltd, New Delhi and their staff for publishing this book.
I would like to thank Mr Sanjeev Pandey for his professional and personal support.
Last but not the least, I would like to thank Dr Sharad Thora, Dr Hemant Jain, Dr Mahesh Meheswari, Dr Sameer Agarwal, Dr Nivedita Kapoor for their guidance and support.10
Structure of the Book
All the drugs are listed in their respective group and are covered in short to make the book user friendly. Drug information is presented in a consistent format and provides the following.
Generic Name: Indian adopted name.
Uses: Information pertaining to appropriate indications or use of the drug.
Usual Dosages: The amount of drug to be typically given or taken during therapy in general and in certain specific conditions. For selected drugs, the dosing adjustment in renal and/or hepatic impairment should be made accordingly.
Brand Names: Common trade names available in India.
Combinations: If any.
So, if one has reached to the final or probable diagnosis, then this book will provide the remaining information - drugs which can be prescribed, dosages, brands and forms available, and mode of administration.
11Symbols and Abbreviations ADHD
Attention Deficit Hyperactivity Disorder
AEDs
Anti Epileptic Drugs
AIDS
Acquired Immuno Deficiency Syndrome
AOM
Acute Otitis Media
APTT
Activated Partial Thromboplastin Time
BA
Bronchial Asthma
BD
Twice a day
CHF
Congestive Heart Failure
CMV
Cytomegalovirus
CNS
Central Nervous System
CSF
Cerebrospinal Fluid
DCL
Diffuse Cutaneous Leishmaniasis
DM
Diabetes Mellitus
DIC
Disseminated Intravascular Coagulation
ET
Endotracheal Tube
E/E
Eye/Ear
g
Gram
G6PD
Glucose-6-Phosphate Dehydrogenase
GERD
Gastroesophageal Reflux Disease
GI
Gastrointestinal
h/hr
Hour
HSV
Herpes Simplex Virus
HT
Hypertension
ICP
Intracranial Pressure12
ID
Intradermal
IgG
Immunoglobulin-G
IM
Intramuscular
ITP
Idiopathic Thrombocytopenic Purpura
IV
Intravenous
IVH
Intraventricular Hemorrhage
IVP
Intravenous Push
JRA
Juvenile Rheumatoid Arthritis
Kg
Kilogram
LAB
Lactic Acid Bacillus
LCL
Localized Cutaneous Leishmaniasis
LMWH
Low Molecular Weight Heparin
LRTI
Lower Respiratory Tract Infection
mcg
Microgram
Mg
Milligram
Min
Minute
ML
Milliliter / Mucosal Leishmaniasis
NB
Newborn
NG
Nasogastric
NS
Normal Saline
NSAID
Non-steroidal Anti-inflammatory Drug
OD
Once a day
OM
Otitis Media
PCM
Paracetamol
PDA
Patent Ductus Arteriosus
PNA
Postnatal Age
PO
Per Oral
PSVT
Paroxysmal Supraventricular Tachycardia13
QID
Four times per day
RDA
Recommended Daily Allowance
RTI
Respiratory Tract Infection
SC
Subcutaneous
SL
Sublingual
SLE
Systemic Lupus Erythematosus
SSTI
Skin and Soft Tissue Infection
TB
Tuberculosis
TDS
Thrice a day
TPN
Total Parenteral Nutrition
URTI
Upper Respiratory Tract Infection
UTI
Urinary Tract Infection
VL
Visceral Leishmaniasis
VZV
Varicella Zoster Virus
<
Less than
>
Greater than
Less than or equal to
Greater than or equal to