MICHAEL'S SHORTCUT

TO
PAEDIATRICS
EDITOR: DR. MAHBUB
Compiled by- DR.MD.DELOWAR HOSSAIN

Special thanks to
DR. JAMAL HOSSAIN
DR. AMZAD HOSHEN
DR. DELOWAR HOSEN
DR. MIZAN RAHMAN
DR. SHAMSUL AREFIN
 ANTIBIOTICS

1. Ampicillin 4. Gentamycin
inj:(250mg/2.5cc),(500mg/5cc) Dose: 5mg /kg /day
Dose: 50 mg /kg/day Inj: (wt/4) cc BD
Form: Inj: (Wt/2) cc stat &BD 5. Ceftriaxone
Syrap: 1 TSF / 5 kg
Dose: (wt×1)cc daily
Form: 250mg, 500mg, 1gm, 2gm
2. Ceftazidime: 6. Amikacin:
inj: (wt/2)cc BD Inj 100mg/2ml, 500mg/2ml
dose: 7.5 mg/ kg/ dose
Inj:(Wt×0.15) cc BD
3. Amoxicillin
inj:250mg/2.5cc,,500mg/5cc 7. Meropenam:
Dose: 50mg/ kg/ day inj: 500 mg, 1 gm.

Form: Inj:(wt/3) cc stat & 8 hrly Dose : 40mg/kg/dose TDS

Syrap: 1 TSF/8 kg TDS Inj:(Wt×0.8)cc TDS

Drop: 2.5 d/kg

8.Vancomycin 11. Cefpodoxime:
Dose : 15mg / kg / dose TDS Dose: 4-8 mg/kg/dose

inj:(Wt×0.4)cc+9ccNS=10cc) I/v Syrap: 1TSF/ 5kg BD

@10md/min over 1hr then TDS
Drop 3d/ kg BD
9. Flucloxacillin: (15d-6M)--(1-1.5)ml .....BD
Dose: Inj: 100mg /kg/day QDS (6m-8yr)--(1-2) TSF
Inj: (wt/4) cc QDS+10cc APN brand name: vanprox
QDS
13. Cefixime:
Oral 50mg/kg/day QDS
dose: 10mg/kg/day at 2divide
Syrap: 1TSF/ 10 kg QDS
dose
10.Cephradine: Syrap: 1/2 TSF/ 10 Kg BD
Dose: Inj 50 mg/kg /day (1TSF=100mg)

syrap: 1TSF /10 kg TDS/QDS drop:1ml=25mg(Ceftid)

Drop: 2d /kg tds/qds 14. Cefotaxime:

12. Azithromycin dose: 50mg/kg/dose TDS

Dose 10mg/kg/day in RTI (ie inj: (Wt/2) cc I/V BD

1TSF /20kg) daily Brand name:

20 mg/kg/ day in GIT ( 1 Maxcef, Cefotax,Cefotime

TSF/10Kg) daily
15 . Cefepime: 4th Gen. 17. Metronidazole:
dose:50 mg/kg /dose TDS Inj. 500 mg/ 100 ml.
Brand name: Syrap: 200 mg /5 ml
Cefetipime,Maxpime,Ultrapime,
Dose: 7.5 mg/ kg /dose TDS
xenim.
Inj. (Wt×1.5) cc TDS
syrup:200mg/5ml
16. Ciprofloxacin: (>1yr)
1TSF/26kg
Inj 200 mg/100 ml,
dose: 30mg/kg/day 3 divided
syrap: 250 mg/ 5 ml dose
Dose : 10 mg / kg / dose BD (For 10kg= 300mg=1.5TSF=1/2
TSF TDS)
Syrap: 1 TSF / 25 kg BD

Inj: (Wt×5) cc BD
19. Fluconazole:
Syrap: 50 mg /5 ml
18. Nitazoxanide:
dose: 5mg/kg/dose daily
Syrap: 100 mg/ 5ml
1TSF=10 kg daily
< 3 yrs 1/2 TSF TDS,
Brand- flugal
> 3 yrs 1 TSF TDS
Brand name :
zox (Square), Zoxan (Opsonin),
 ANTI HELMINTHIC
( not use <2yr usually)

1. ALBENDAZOLE 2 PYRANTAL
(single dose) PAMOATE
Syp:200mg/5ml For pin worm (peri anal itching)
Tab: 400mg Syp: 50mg/ml
Dose : 200mg (1-2yr)/1 TSF Tab: 125mg

400mg (>2yr)/2 TSF Dose: 1mg/kg/dose

1/2 TSF BD for 3day( 1-4yr)
2 LIVAMISOLE
1 TSF BD for 3day (5-10yr)
(not used usually)
Or
Syp: 40mg/5ml
1st dose (1TSF or 2TSF single)
Dose:4mg/kg/dose should be given then after 14
10kg= 1TSF single dose days another dose should be
given
1-4 yr= 1TSF stat
brand: delentin, melphin, solace
5-12 yr=2 TSF stat
LIQUID PARAFFIN
>12 yr= 3 TSf stat
Wt=TSF BD
Brand: Etrax
 ANALGESICS
1.PARACETAMOL 3. DICYCLOVERINE
Syp: 120mg/5ml (Gastric spasm)

Tab:500mg Syp: 10mg/5ml

Drop:80mg/ml Tab:10mg

Supp:60,125,250,500 Inj: 20mg/2ml

Dose: 15mg/kg qds 1/2 TSF TDS(6 month-1yr)

1 TSF TDS (>1 yr)
Syp: 1TSF=8kg
Brand : colicon
Drop: 3 drop=1 kg
4. DICLOFENAC
Supp: 1 stick( 60mg)= 4 kg
Inj: 75mg/3ml
dose: 15mg/kg/dose
Tab: 25mg,50mg
2. TIEMONIUM
Supp:12.5mg, 25mg, 50mg
Inj: 5mg/2ml
Dose: 2-3 mg/kg/day BD
Syp:10mg/5ml(algin)
Supp dose: 1mg/kg/dose
Tab:50mg
5. NAPROXEN
Dose: .3mg/kg/dose TDS
Dose: 5-10mg/kg/dose BD
Inj:(Wt×0.1)cc TDS
1TSF=6kg
Syp: 1 TSF/ 10 Kg---TDS
 ANTICONVULSANTS

(Wt/2) cc(child)
1. DIAZEPAM
Maintenance: (Wt/8) cc BD
Inj: 10mg/2ml
Syp: 1TSF=8kg BD
Tab: 5mg
If repeat convulsion after control
Dose: 0.3mg/kg/dose IV then 2nd loading dose (Wt/2) stat
0.5mg/kg/dose with same amount should be given. Then again
distilled water per rectally convulsion occur then inj fosfen
should use.
Shortcut: (Wt×0.1)cc+same cc
DW P/R---SOS Brand name:barbit, epinal,
barbidinal
2.PHENOBARBITONE
3. FOSFENYTOIN
Inj: 200mg/1ml
Inj fosfen
Tab:30 mg
Loading (Wt×0.3) cc IM then
Syp: 20mg/5ml
(Wt×0.1)cc I/M BD
Dose: loading 20mg/kg/dose
(neonate) 4. Ca-GLUCONATE
10mg/kg/dose (child) Inj: (Wt×1cc + same cc DW) I/V
stat slowly
Maintenance: 5mg/kg/dose BD
5. 25 % GLUCOSE
Shortcut : (1cc+9cc DW)
Inj:(Wt×2cc + same cc DW) I/V
Loading: (Wt×1)cc iv
stat slowly
stat(neonate)
 ANTIHISTAMINE
(Wt×0.3) ml P/O stat
for urticaria
KITOTOFEN
Brand : artica,xyril
(Asthma/allergic)
Syp: 1mg/ 5ml CETRIZINE
Tab: 1mg Syp : 5mg/ 5ml

1TSF BD (over 2yrs) Tab: 10 mg

Brand : Tofen Dose : 5mg/day= 1 TSF/ DAY(

2-6YR)
10mg/day=2 TSF/DAY ( > 6
DIPHENHYDRAMINE YR)

(Safe in paedi) Brand : alatrol

Dose : 1mg/kg/dose HISTACIN

10kg/ 1 TSF TDS Syp : 2mg/5ml
brand: adryl Tab: 4mg
Inj 10mg/ 1ml
Dose: 1mg BD( 1/2 TSF BD) =
HYDROXIZINE HCL Up to 1 yr
(Intence itching) 1-2 mg tds ( 1TSF TDS)= 1- 5 yr
Dose:.5mg/kg/dose 2-4 mg tds (2 TSF TDS)= Over 5
Syp: 1TSF= 20kg TDS yr
 ANTI EMETIC & ULCERANT

ONDANSETRON RANITDINE
Syp: 4mg/ 5ml Syp: 75mg/5ml
Inj: 8mg/4ml Tab:150mg
Tab: 8 mg, 4 mg FT Inj; 50mg/2ml
suppository: Dose: 3mg/kg/ dose BD
Dose: 0.15 mg/ kg/ dose TDS Shortcut:(Wt×0.1)cc TDS
20kg= 1 TSF=1 FT Syp: 25kg = 1 TSF BD

DOMPERIDONE VITAMINS &

Syp: 5mg/ 5ml MINERAL
Tab: 10 mg VIT - A
Drop:5mg/ 15 drop Cap: 50,000 IU
Dose: 0.4 mg/kg/dose TDS 1 cap (< 6 month)
1 TSF=12 kg TDS 2 cap (6mon- 1yr)
1ml=15 DROP=12 kg 4cap (>1yr)
Brand : Retinol forte
 MULTIVITAMINS FOLIC ACID
Syp : 100 ml, 200ml Dose : .2 mg/kg/day
Drop:15 ml 25kg/ 1tab
Dose: 1-6months 8-10drop once Brand : folison
or BD
6month - 4 yr (1 TSF/ DAY)
>4 yr( 2 TSF/ DAY)
ZINC
Syp: pep(<6month), pep 2/
DROP: 10-15 drop once or BD
magic( >6 months)
Brand: kidovit, V-plex
dose: 2mg/kg/day
pneumonia: 2TSF=20kmg(fixed)
VIT - K 1/2 TSF BD (<5kg)
Inj 2mg/.2 ml, 10mg/ 1 ml 1 TSF BD (>5kg)
neonate : 1 ample (2mg) P/O Or
stat(1,2,28)Day
Tab: babyzinc(20mg)/pep 2
Preterm: 1/2 amp I/V plus 1amp (20mg)
P/O(1,2,28)days
1 tab daily for 10 days
Adult: 10- 20 mg for
3consequetive days
brand : k - mm, k- one
 RESPIRATORY

SALBUTAMOL AMBROXOL HCL

Syp: 2mg/ 5ml Syp
Tab; 4mg drop : 2 drop/kg
Dose : 0.2 -0.4 mg/kg/day
syrup: 1/2TSF for 10kg
MONTELUKAST
Brand : purisal, trulax, levostar
Tab 4mg, 5mg, 10mg
dose: 2-5 yr( 4 mg)
AMINOPHYLINE 6- 14 yr (5mg)
Inj: 125mg/ 5 ml Adult (10 mg)
dose: loading (5mg/kg/dose)
maintenance()

Loading:(Wt ×0.2)cc + same cc

DW

maintenance: (Wt×0.3)cc I/V in

100ml fluid in drip
Brand : fillin
 STEROID
MISCELLANEOUS
PREDNISOLONE Lasix
tab: 5mg, 10mg, 20mg inj:(Wt×0.1)cc I/V star & SOS
Syp:1TSF =5kg BD Tab:40mg
Dose: 1mg/ kg/dose BD dose:(1-2)mg/kg/day

DEXAMETHASONE DIGOXIN
1tab : 0.25 mg

Inj 5mg/ 1ml Syp: 1tsf =0.25 mg

tab: .5mg Loading: for every 10 kg 1 tab or

1 tsf stat
dose : .15 /kg/day
then 1/2 tsf or 1/2 tab 8 hourly
Shortcut: (Wt×0.04)cc I/V 6 for 2 doses
hourly
Then 1/2 tsf or 1/2 tab daily
morning

HYDROCORTISONE ADRENALINE
inj: 0.3cc I/V star & SOS
dose:1mg/kg/day--TDS
Inj : 100 mg/ 2 ml

Inj:(Wt×.1)cc stat
 Mannitol ACYCLOVIR
dose: 5ml/kg over 1/2 hour stat Xovir(250mg/10cc)
then2.5ml/kg I/V over 1/2 hour Inj:(Wt×0.4 cc + 15cc N/S) over
12hr stat then TD
KT syrup
dose: 2-3 meqv/kg
1TSF=6.7 meqv SIMETHICONE
(10kg=20 meqv = 3TSF) Flacol drop 5 drop/ 4 times (<2
years)
1TSF /10kg TDS
10 drop/ 4 times( 2- 12yr)

Hyponatraemia
(Wt × 0.6 × deficit) Atropine
not more than 12 mol/day Inj .6mg/1cc

100ml N/S = 15 mol dose : .05mg/kg/dose iv stat

Then
Aminocaproic acid
30min interval
inj caprolysin( 2gm/10ml)

Loading: (Wt×1) cc I've stat

PAM A
inj 500mg/20ml
Maintenance: (Wt/2) cc 6 hourly
20-30 mg/ kg/ dose iv stat then
12 hr later
GLYSUP SUPP ( 1.15
mg)
Blood Requirement Fluid Requirement
Dose : 20 ml /kg 1st day= 60ml/kg/Fay
Preparation : 3 ml anticoagulant/ 2nd day= 80ml/kg/day
20 ml blood
3rd=100ml/kg/day
First anticoagulant should be
4th=120ml/kg/day
taken from saline bag. Then 6 ml
anticoagulant taken in 50 cc 5th=140ml/kg/day
syringe for 40ml blood. 6th-9month=150ml/kg/day
>9month=1st
10kg=100ml/kg/day
Nifedipine 2nd 10kg=50ml/kg/day
Dose : 1mg/kg/day
3rd 10kg=20ml/kg/day
Tab : 10 mg
3 divided dose

Artificial Milk
30 ml water + 1TSF biomil
 IMPORTANT
DISEASE

Preterm/ LBW/ PNA PNA e Convulsion

 NPO TFO Inj: Barbit 200mg/1ml(1cc + 9cc
DW)
 Inf 10%DA( 1st & 2nd days),
electrodex 10( 3 day-5yr) Loading :(Wt ×1cc) I/V stat
libott's junior 5 (>5 yr) (neonate)

IV@ (Wt×fluid req)/ (Wt / 2 ) cc iv stat(child)

24hours=micro drop/min, Maintenance: (Wt/8) cc iv BD
divided by 4 = drop/ min
3. Inj ampexin/ tazid or serozid
250mg/2.5cc 2. inj: sedil 10mg/2cc

Wt/2 cc iv stat & BD (Wt×0.1)cc + same cc D/W) P/R

stat & SOS
4. Inj intamycin/ gentin
20mg/2cc 3. inj. Ca gluconate

Wt/4 cc iv stat & BD (Wt×1cc) + same cc D/W-- I/V

slowly stat slowly
5. Inj k one MM ( 2mg/.2 ml)
4. Inj 25% glucose
1amp p/o stat
(Wt ×2 cc)+ same cc D/W--I/V
6. NP-OP sucction
stat slowly
7. O2 inhalation SOS
8 plz keep the baby warm
 1 TSF BD(>5kg)
6month- 5yr:
AWD
Tab Babyzinc/pep2 ( 20mg)
1 tab daily for 10 days
1. Diet : normal/ EBF
2. Choloride/ diasol
4. Cap retinol forte ( 50,000)
I/V @ (Wt×req amount)/ 24(hr)=
micro drop/ min
5 . Syp zox
6M-1yr: 1/2 TSF BD for 3 days
Some dehydration: 75ml/kg/ 4hr
1yr-3yr: 1TSF BD for 3 days
Severe dehydration: 100ml/kg
3yr -5yr: 1.5 TSF BD for 3 days
<1yr: 30ml/kg with in 1 hour
5yr-7yr: 2TSF BD for 3 days
70 ml/ kg with in 5 hour
6. Syp electro k
>1yr: 30 ml/kg in 30 min
1 TSF = 15 kg TDS( if
70ml/kg in 2.5 he
abdominal distention and
convulsion)
Syp emistat/ FT
2. ORS
1TSF= 1 FT = 20 kg
(Wt×2) TSF after each passage of
loose stool
3. Syp pep (<6 month) or
pep2(>6mon)
1/2 TSF BD (<5kg)
 INFANTILE COLIC
Motigut drop
PEM
Flacol drop
Calorie requirement(minimum)
Glysup supp (1.15gm,2.3gm) 20kcal/kg
Colicol syrup 1. F-75 feeding
100ml water e 3 TSF milk(1
TSF=20 kcal) and 1 TSF suger
CHICKEN POX (1TSF= 20kcal)
1 Syp zovir Or
Dose : 50mg/kg/day F-100 feeding
1 TSF = 200 mg 100 ml water e 3 TSF milk& 1
< 2yr: 100mg/dose(1/2TSF) 5 TSF suger & 1/2 TSF soyaben
dose oil( 1 TSF= 45 kcal)

>2yr : 200mg/dose(1TSF) 5 dose

Adult
Dose : 20mg/kg/dose
Tab : 400mg, 200mg