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Doses of special drugs Morphine(10mg/ml) : 0.1mg/kg/dose IM,IV,SC Pethidine ( 50,100mg/ml) : 0.5-1mg/kg/dose Narcan ( 0.4,1mg/ml) : 0.1mg/kg/dose IM,IV,SC,ET Pancronium (1,2mg/ml):(0.02-0.1mg/kg /dose IV (SP/apnea,hypotention,gentamycin) Indomethacin(25,50mg tab) : (closures of PDA) 0.1mg/kg/dose x 3 doses Theophylline (apnea) : 5mg/kg IV stat then 5mg/kg/day IV/ PO Diazoxide (hypertensive crisis): 5mg/kg/dose IV over 1/2min.can be repeated after 3-6h Hydralazine (hypertensive crisis): 0.2-0.5mg/kg/dose IV,IM can be repeated every 3-6h Nifedipine (10mg/cap): 0.25-05 mg/kg/dose every 8h PO/SL Propranolol (1mg/ml): 0.02mg/kg slow IV( max: 3mg/dose)(cyanotic spell) **************************************** ************************************* Lanoxin : (amp 0.5mg/2ml- syrup 0.05mg/ml - tab 0.25mg : Digitalizing dose Kg ÷3 (1/2,1/4,1/4 or1/3,1/3,1/3) IV / µg Preterm : 20 Term : 30µg/ Kg ÷3 (1/2,1/4,1/4 or1/3,1/3,1/3) IV : Maintenance dose 10µg/ Kg /day÷2 given after 12h of last Digitalizing dose or digitalizing dose÷2 given after 12h of last Digitalizing dose ¼ syrup: 0.2ml/kg/day ÷2 Neostigmine:(0.25,0.5, 1mg/ml) g IM once k / mg .04 0 - .02 0 : myasthenia Diag TTT: 0.01-0.04 mg/kg/dose IM,IV,SCq2:4h atropine + doseIV / kg / mg .1 0 - .02 0 : Reversal of neuromuscular blockers (SP/asthma,hypotention,bradycardia) Mg sulphate 10% :1ml/kg deep IM/ slowIV ( hypomagnesemia) IV Immunoglobulin: ) Hypogammaglobulinemia:100mg/kg/monthly (IV ITP,Guillian barre : 250-500mg/kg/dayx5days slow iv over 6h Followed by 500mg/kg/mo. Sepsis : 500-750 mg/kg/dose over 2-6h x5 days Parvolex 10% : nebulizer 6-10ml TDS/QID Prepared by Dr. mohammed Ibrahim