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Pediatrie

Nursing in pediatrie
Doza/kgc/24 ore
Forma de prezentare
Cale de administrare
Ritm de administrare
100-200 mg/kgc/zi
Capsule/Cp a 250/500/1000 mg
Suspensie 125/250/500 mg/5 ml
Flacon 250/500/1000 mg (2-4 ml)
Po/im/iv
La 8-6 ore interval
Per os: 25-50 mg/kg/zi , la 12 ore
Iv: 150 mg/kg/zi la 6-8 ore
Cp 375 mg (Unasyn)
Supensie (Unasyn) 250 mg/5 ml
Flacon: Ampicilina 500/1000 mg +
Sulbactam 250/500 mg
30-100 mg/kg/zi
Cp/caps 250/500/750/1000 mg
Suspensie 125/250 mg/5 ml
Per os
La 8-12 ore interval
Cp 625/1000 mg ( amoxi 500/875 mg + 125
mg acid clavulanic)
Suspensie 156,25/312,5/457 /642,9 mg/5 ml
Flacon 600/1200 mg (500/1000 mg amoxi)
Doze:
Per os:
0,15 ml/kg la 12 ore ( 457 mg/5 ml; 2 luni-2 ani
2x2,5 ml/zi (2-6 ani)
2x 5 ml/zi (7-12 ani)
> 12 ani: 625 mg x2 /zi
Iv:
30 mg/kg/zi la 6-8 ore
9 mg/kg/zi
Cps 400 mg; suspensie 36 mg/ml
Per os
La 12-24 ore
> 10-12 ani: 1 cps/zi
Cp 250/500 mg
Suspensie (125/250 mg/5 ml)
Flacon 500 mg
Per os; iv
15 mg/kg/zi, la 12 ore interval
50-100 mg/kg/24 ore
Flacon: 250/500/1000/2000 g
1 g/10 ml (iv); 1 g/4 ml (im)
Iv/im
La 12-24 ore interval
25-50-100 mg/kg/zi
Flacon 1 g/10 ml
Iv/im
La 8-12 ore interval
50000-100000 ui/kg/24 ore
Flacon 500000/1000000 ui = 2-3 ml
Iv
Cp 250000 ui, oral
La 8 ore interval
30-50 mg/kg/zi 2x1 cps/zi 2x2 cps/zi
Capsule a 500 mg
La 12 ore interval
Oral
3-6 mg/kg/24 ore
Fiola a 40 mg/1 ml; 80 mg/2 ml
Inj iv/im
La 12 ore interval
Durata maxima a tratamentului : 7-10 zile
(oto/nefrotoxicitate !)
15 mg/kg/24 ore
Fiole 500 mg/2 ml
Iv/im
La 12 ore interval
300 mg/kg/24 ore
Flacon 2,25/4,5 g (piperacilina 2/4 g,
tazobactam 250/500 mg) = 20/40 ml
Iv/PEV
La 8 ore interval
10-20 mg/kg/24 ore
Cp 480 mg (80 mg Trimetroprim+400 mg
Sulfametoxazol)
Suspensie (40 mg Trimetroprim/5 ml)
Oral
Fiola 5 ml = 80 mg Trimetroprim
PEV
La 12 ore interval
20-30 mg/kg/24 ore
Cp (200/400 mg); sirop 100 mg/5 ml
Supozitoare 125 mg
Gel 5%
Oral; intrarectal; extern local
La 6-8 ore interval
Actiune antiinflamatorie/antalgica/antipiretica
100-200-1000mg/zi; afectiuni reumatismale: 60-100
mg/kg/24 ore (divizat la 4-6 ore)
Cp 100/500 mg
Afectiuni virale febrile : > 5 ani (risc: sindr.Reye -
hepatita fulminanta + edem cerebral datorita afectarii
mitocondriale hepatice/renale/cerebrale)
Oral
La 6-8 ore interval
A! Astm bronsic/alergie/ulcer gastro-duodenal/diateza
hemoragica
Cp 100 mg (forte)/150 mg (retard)
Fiola 100 mg/2 ml
Supozitor 100 mg
Gel 2,5%
Per os; inj iv (PEV) /im; irectal; local
Antiinflamator/antalgic/antipiretic
Doza max/24 ore = 300 mg:
Oral:
1 cp 100 mg la 12-8 ore
1 cp 150 mg la 12 ore
Iv (PEV)/im: 1-2 ml la 12-24 ore
Irectal: 2x1 sup/24 ore
Local 1-2 x/zi

10-100 mg/kg
Iv/PEV/im
Fiole a 25 mg/5 ml
La 1-3-6-8 ore interval; < 3-5 zile
Urgente: soc/edem laringian/criza astm
bronsic/reactii alergice/pneumonia de
aspiratie/sepsis
1-3 mg/kg/24 ore (atac)0,25-0,5
mg/kg/24 ore (intretinere)
Cp a 5 mg
1-2-3 adm/24 ore
A! diabet zaharat; ulcer gastro-duodenal;
infectii (virale/micotice)
Flacon: 40 mg/1 ml; 125 mg/2 ml; 250 mg/4 ml;
500 mg/7,8 ml; 1000 mg/15,6 ml; 2000 mg/31,2
ml
Cp 4/16/32 mg
Inj Iv/PEV/im: 6-10 mg/kg/24 ore 30
mg/kg/adm
Per os: 0,5-1 mg/kg/24 ore
La 6-8 ore interval
0,5-1 mg/kg/24 ore
Fiola 8 mg/2ml
Inj iv/im
La 12 ore interval
Aerosoli: la 8-12 ore interval
Inhalator
La 12 ore interval
Spray nazal 27,5 g/puf (Avamys)
Inhaler 50/125/250 g/puf
Solutie (fiola) pt. aerosoli 2 mg/0,5 mg la
2 ml (0,5 ml Flixotide + 2 ml Ser fiziol.)
Doza: 30 mg/kg/24 ore, distribuita in 3 adm. la
8 ore interval
Oral; inj iv; irectal
Sirop 120/150/250 mg/5 ml
Cp 80/500/1000 mg
Supozitoare 80/125/150/250/500 mg
Sol inj iv: 10 mg/ml (flacon a 100 ml)
A! Hepatocitoliza!
Cp 500 mg
Fiole 2 ml= 1000 mg
Supozitor 300 mg
Oral/inj iv/im/irectal
Doza:
125-750 mg/zi oral
300-900 mg/zi irectal
Iv/im: 25 mg/kg/adm (2-3 adm/24 ore)
A! alergie;leuco/trombocitopenie/agranulocitoza;
nefropatie
Sirop 0,2% (2 mg/ml), 150 ml
Cp = 80 mg
Oral
N-n, sugar, copil mic: 1-2 ml sirop/kg/zi
(2-4mg/kg/zi)
Adolescent: 2-3 cp/zi (la 8-12 ore
interval)
Granule solutie orala: plic a 100/200 mg
Solutie orala 2% (20 mg/ml), 100 ml
Cp/cps a 200 mg
Cp efervescente a 200/600 mg
Solutie inj/inhalatorie/instil
endobronsica
100 mg/ml (fiola a 3 ml)
Oral/inhalator
inj iv: intoxicatie cu Paracetamol!!!
A! Astm bronsic: bronhospasm!
Inhalator (aerosoli):
2-3 adm/zi (la 8-12 ore interval)
0,5-1-2 ml/adm (in functie de varsta)
Oral:
15 mg/kg/24 ore, divizat la 8 ore interval:
1-24 luni: 3x 50 mg/zi
2-12 ani: 3x100 mg/zi
> 12 ani: 3x200 mg/zi
Pulbere susp. 3 g/plic (in 50-100 ml apa)
Oral
La8-12 ore interval
Doza:
Sugar: 2-3x1/2 plic/zi
Copil mic: 3x1/2 plic/zi
> 3 ani: 3x1 plic/zi

A! Constipatie!
Pulbere pt. solutie orala: plic a 10/30 mg
Cps a 100 mg
Oral
Doza:
Initiala:6 mg/kg/24 ore
De intretinere: 3-4 mg/kg/24 ore
Distribuitala 6-8 ore interval
Durata: maxim 7 zile
Sol. Inj 5 mg/ml (fiola a 2 ml)
Solutie orala 0,7% 20 ml (3 picaturi = 1 mg)
Sirop 0,02% (1 mg/5 ml, adica 0,2 mg/ml), 100 ml
Cp a 10 mg
Doza:0,1-0,5 mg/kg/24 ore, distribuita in 3 adm , la 8
ore interval
A! Sindrom extrapiramidal!
Cp a 20/40 mg
Solutie inj iv 40 mg/10 ml
Oral
Iv (inj;PEV)
Doza: 1 mg/kg/24 ore, distribuita in 1-2
adm/24 ore (la 12-24 ore interval)
Granule pt. suspensie orala 10 mg/plic
Cp 20/40 mg
Sol inj.iv/PEV 40 mg/10 ml
Oral; inj iv/PEV
Doza: 1 mg/kg/24 ore, distribuita in 1-2
adm/24 ore (la 12-24 ore interval)
Doza: 1-2 mg/kg/24 ore
Cp a 40 mg
Sol inj 10 mg/ml; fiole a 2 ml
Oral
Inj iv
A! Hipovolemie!
A! Monitorizare hidroelectrolitica!
Solutie inj 5 mg/ml (fiole a 2 ml)
Cp a 10 mg
Solutie rectala (Desitin): 5/10 mg la 2,5 ml
Oral; inj iv; irectal
Doza: 0,3-0,5 mg/kg/adm;
1-2 adm/24 ore, respectiv la nevoie
A! Depresie respiratorie!
Solutie inj 1 mg/5 mg/ml (fiole 5 mg/5
ml; 5 mg/1 ml)
Cp a 7,5 mg
Inj im/iv/PEV continua; oral
Doza: 0,10-0,20 mg/kg/adm
A! Depresie respiratorie!
Cp a 100 mg
Solutie inj 10 % ( 200 mg/2 ml)
Oral; inj im
Doza: 3-5 mg/kg/24 ore, distribuita in 3
adm, la 8 ore interval
Sirop 50/60 mg/ml
Cp/cps a 150/200/300/500/600/1000 mg (retard)
Solutie inj iv/PEV 400 mg/4 ml (Depakine)
Oral/inj iv/PEV
30 mg/kg/24 ore, distribuita in 2-3 adm.
A! Hepatocitoliza!
A! Monitorizare biologica (TGO, TGP)
Sirop 100 mg/5 ml
Cp a 200/400 mg
Cp retard a 150/300/600 mg
Oral
Doza: 1020 mg/kg/24 ore (se creste lent),
distribuita in 3 adm/24 ore
A! Hepatocitoliza!
A! Monitorizare biologica (TGO, TGP,
Hemoleucograma)