- Always dilute nebulisation drugs with 2-3 ml Normal Saline (NS)[span_1](start_span)[span_1](end_span).
- Avoid Salbutamol & Adrenaline in children with cardiac disease[span_2](start_span)[span_2](end_span).
- Monitor renal and auditory parameters stringently when ordering Vancomycin or Gentamicin[span_3](start_span)[span_3](end_span).
🫁 Nebulisation and Oral Therapy
Salbutamol
Ipravent (Ipratropium)
Budecort (Budesonide)
Levolin (Levosalbutamol)
Adrenaline (1:1000) Nebulised Max 5ml
Prednisolone Syr Kidpred/Omnacortil (5/5)
Deriphylline Syp (50/5) - 5mg/kg/dose TDS
Montelukast Tab Montair Chewable
Cetirizine / Levocetirizine Syp (5mg/5ml) / (2.5mg/5ml)
🧪 Bronchodilators & Mucolytics
Syp Salbutamol (2mg/5ml)
Syp Levolin (1mg/5ml)
Syp Terbutaline (Bricanyl 1.5/5)
Expectorants (e.g., Ascoril Base)
Mucolite Drops/Syrup TDS Array
Tab Doxophylline 6mg/kg/dose BID
🍼 Targeted Neonatal & Infant Drops
Paracetamol Drops Calpol Drops (100mg/ml) - 15mg/kg/dose
Amoxicillin Drops (100mg/ml) - 20-40mg/kg/day Q8H
Amoxiclav Drops (91.4mg/ml) - 20-40mg/kg/day 8-12h
Domperidone Drops (Domstal) - 0.3-0.6mg/kg/dose TDS
Colic Acid Drops Calculated via Dynamic Age Menu
🦠 Oral Antibiotic Configurations
Syp Cephalexin (125/5) - 15-17mg/kg TDS
Syp Cefadroxyl (125/5) - 15mg/kg BID
Syp Cefuroxime (125/5) - 15mg/kg BID
💊 Antipyretics & Analgesics
Syp Brufen (100mg/5ml) - 10mg/kg BD/TDS
Syp Meftal (125mg/5ml) - 8mg/kg TDS
Paracetamol Suppository Target: 10mg/kg/dose Q6H
🍁 Antihistamines & Allergic Cough
Syp Avil (15mg/5ml) - 0.5mg/kg/dose
Atarax Hydroxyzine (10mg/5ml) - 2mg/kg/day div 3-4 days
🍃 Gastrointestinal, Laxatives & Deworming
Syp Sucralfate (500mg/5ml) - 20mg/kg/dose TDS
Tab Pantoprazole 1mg/kg/dose Oral Tab
Syp Domperidone (Domstal) - 0.2mg/kg/dose BID/TDS
Ranitidine PO Syp (75/5) / Tab 150 - 2-3mg/kg BID
Syp Looz (Lactulose HS Map)
Oral Dicyclomine 0.5mg/kg/dose
Syp Albendazole (400/10) - Deworming Stat single dose
Syp Pyrantel Pamoate (Nemocid 250/5) - 11mg/kg/dose HS
Racecadotril (Redotil/Cadotril) - 1.5mg/kg BID/TDS
Syp Ceffixime (50/5 or 100/5) - 5mg/kg/dose BID
✨ Fluid Rehydration, Probiotics & Vitamins
ORS Oral Rehydration Solution Targets
Darolac Sachet Probiotics BID Map
Zinc Syrup (20mg/5ml) - Diarrhea Strategy
Syp Tonoferon Pediatric (25/1, 80/5) - 3-6mg/kg QD
Zincovit / Delices / Becosules Age Scaling
Intasporin Powder Neomycin Topical application
🧠 Neurological & Antiepileptic Schemes
Tab Frisium 0.75mg/kg/day divided BID (Febrile Seizures)
Oral / Rectal Diazepam 0.3 mg/kg stat loading
Lorazepam IV 0.1 mg/kg/dose (First line)
Midazolam IV/Buccal 0.15 mg/kg/dose
Phenytoin IV Load over 20 min / Avoid in Hypotension
Fosphenytoin IV Prodrug variant (Reduced local site injury)
Valproate IV Contraindicated in hepatic dysfunction
Phenobarbitone IV Warning: Potent respiratory driver depression
Levetiracetam IV Excellent therapeutic safety index
💧 Holliday-Segar Fluid System
Total Daily Fluid Allocation
Hourly Infusion Base Target Rate
🏥 Hospital Clinical Injectable Antibiotics (IV/IM)
Ampicillin IV 50 mg/kg/dose Q6H
Cefotaxime IV 50 mg/kg/dose Q8H
Cefuroxime IV 50 mg/kg/dose Q8H
Ceftriaxone IV 50 mg/kg/dose BID
Vancomycin IV 15 mg/kg/dose Q8H (Track Auditory/Renal)
Azithromycin IV 10 mg/kg/dose OD
Crystalline Penicillin IV 50,000 IU/kg/dose Q6H
Cloxacillin IV 37.5 mg/kg/dose Q6H (Thrombophlebitis Risk)
Gentamicin IV 2.5mg/kg Q12H OR 5mg/kg QD (Ototoxic Risk)
Amikacin IV 7.5 mg/kg/dose BID
Clindamycin IV 10 mg/kg/dose Q8H
Linezolid IV 10 mg/kg/dose BID (For MRSA/VRSA vectors)
Piptaz IV Piperacillin + Tazobactam 37.5-50mg/kg Q6-8H
Meropenem IV 20 mg/kg/dose Q8H Broad-Spectrum
Metronidazole IV (Metrogyl) 7.5 mg/kg/dose Q8H
🩻 Inpatient Gastritis & Antivirals
Acyclovir IV 10 mg/kg/dose Q8H (Herpes/Viral configurations)
Pantoprazole IV 1 mg/kg/dose OD or BID (Preferred in Erosive cases)
Ranitidine IV 1-2 mg/kg/dose BID (Caution: Tachyphylaxis risk)
Oral Lasix Furosemide Oral - 1-2 mg/kg/dose
Inj Furosemide IV/IM - Loop Diuretic Emergency Bolus
Nifedipine Profile Hypertensive Emergencies Q6H/SOS
Syr Pedichloryl Sedation Stat formula: Weight + 2
Syr Phenergan (5mg/5ml) - 0.3mg/kg single stat dose
🫁 Refractory & Acute Asthma Crises
Hydrocortisone IV 10mg/kg stat -> 4mg/kg Q6H
Methylprednisolone IV 2mg/kg bolus -> 1mg/kg Q8H
Terbutaline S/C Beta-agonist injection - 0.01 ml/kg
Adrenaline SC Severe Bronchospasm (1:1000) - 0.01 ml/kg
Magnesium Sulphate IV (50% Solution) Run over 30 min in 50ml NS
Anaphylaxis Adrenaline 1:1000 IM (Anterolateral Thigh) Max 0.5ml
Shock Rapid Bolus Normal Saline IV (Run as fast as possible)
Hypoglycemia D10 IV Bolus (Neonates & Infants priority)
Hypoglycemia D25 IV Bolus (Older children; Central line access)
CPR Epinephrine IV/IO 1:1000 Concentration - Repeat every 3-5 min
CPR Atropine IV/IO Min 0.1 ml / Max 1 ml per individual dose
Inj Ondansetron (Emeset IV/IM) Avoid if age < 6 Months