PEDIATRICS 251

KARL JOSEF NINO JIMENEZ SEPARA

UP College of Medicine Class 2018
2011 38949

6.

NEONATES (< 28 days)

Normal Values
Less than 2 years old: measure recumbent length

Preventive Med
Newborn Screening done after 24hrs of life but not later
than 72 days
o If ICU-admitted is exempted, but must be tested by
7 days of age
If discharged < 48hrs after delivery, ff consult must be
made within 48hrs after discharge
Refer to Ophtha for any of the ff findings:
1. Poor response/asymmetry
2. Jiggly and misaligned eyes
3. Droopy eyelids
4. Eye discharge
5. Non-reactive pupil
6. Red eye or dry frothy conjunctivae
7. Opacities
8. Absent/dull or asymmetric ROR
Supplementation
1. IRON
If Low Birth Weight
Dose/Duration: 0.3mL OD to start at 2 mos until 6
mos when complementary foods are given
Preparation: Drops (15 mg elemental Fe/ 0.6 mL)
2.

Nasal Symptoms: rhinorrhea, itchiness, sneezing,

stuffiness
7. Coughing w/ or w/o wheezing
Supplementation
1. IRON
Dose/Duration; 0.6 Ml OD for 3 mos
Preparation: Drops (15 mg elemental Fe/ 0.6 mL)
2. VITAMIN A
Dose/Duration; 1 dose only (1 capsule only, given
anytime between 6-11 mos, usually given at 9 mos
along with measles vaccine)
Preparation: 100,000 IU
Dental Check up to be done at the time of tooth eruptin
and no later than 12 mos of age
Anti Child Abuse RA 7610
o The head, attending physician and nurse shall
report either orally or in writing to the DSWD the
examination and/or treatment of a child who
appears to have suffered abuse within 48hrs from
knowledge of the same

TODDLERS (1 5 years old)

Normal Values

INFANTS (< 1 year old)

Normal Values
Less than 2 years old: measure recumbent length

Preventive Med
Importance of reading aloud to children (Phil.
Ambulatory Peds Assoc.)
Red Flag signs of Atopy:
1. FMH of Atopy (BA, Atopic Derm, AR, Drug/Food
allergy)
2. Recurrent/persistent symptoms of 1 or more
3. GI symptoms: colic, diarrhea, vomiting, bleeding
4. Skin rash
5. Ocular Symptoms: bluish/brownish discoloration,
puffiness under eyes, red and teary eyes

Preventive Med
Routine BP measuring starting 3 years old
1. Pre-Hyp: average SBP or DBP equal to or greater
than 90th but less than 95th percentile
2. Hyp: average SBP and/or DBP equal to or greater
than 95th percentile on 3 or more occasions
Supplementation
1. IRON
Children 1 5 years old
Dose/Duration; 1 tsp OD for 3 mos or 30mg once a
week for 6 mos with supervised administration
Preparation: Syrup (30 mg elemental Fe/ 0.6 mL)
2. VITAMIN A
Dose/Duration; 1 capsule every 6 mos
Preparation: 200,000 IU
Deworming (DOH AO 2010-0023), done for all children
aged 12 mos to 14 years old
1. Albendazole
a. 12 mos to 24 mos: 200 mg, single dose every
6 months
b. 24 mos and above: 400 mg, single dose every
6 months
2. Mebendazole

PEDIATRICS 251
a.

12 mos and above: 500 mg, single dose every

6 months
3. Contraindications
a. Severe malnutrition
b. High grade fever
c. Profuse diarrhea
d. Abdominal pain
e. Serious illness
f. Hypersensitivity to deworming drug
Exercise or age-appropriate activities for 60 mins daily
or on most days of the week
Discourage prolonged periods of sedentary activity
(greater than 2 hours per day)
Anti Child Abuse RA 7610
o The head, attending physician and nurse shall
report either orally or in writing to the DSWD the
examination and/or treatment of a child who
appears to have suffered abuse within 48hrs from
knowledge of the same

SCHOOL AGE (5 - 12 years old)

Normal Values

Preventive Med
BP levels equal to or greater than 120/80 mmHg should
be considered prehypertensive
Deworming (DOH AO 2010-0023), done for all children
aged 12 mos to 14 years old
1. Albendazole
a. 12 mos to 24 mos: 200 mg, single dose every
6 months
b. 24 mos and above: 400 mg, single dose every
6 months
2. Mebendazole
a. 12 mos and above: 500 mg, single dose every
6 months
3. Contraindications
a. Severe malnutrition
b. High grade fever
c. Profuse diarrhea
d. Abdominal pain
e. Serious illness
f. Hypersensitivity to deworming drug
Exercise or age-appropriate activities for 60 mins daily
or on most days of the week
Discourage prolonged periods of sedentary activity
(greater than 2 hours per day)
Anti Child Abuse RA 7610
o The head, attending physician and nurse shall
report either orally or in writing to the DSWD the
examination and/or treatment of a child who

appears to have suffered abuse within 48hrs from

knowledge of the same