UMC Pediatric Emergency Care (Discharge Prescriptions)

Disclaimer: Dosing regimens vary based on indication and source of drug information. Deviation from these recommendations are
not necessarily innappropriate. The information provided should not override your clinical judgement. (version 09/23/2011)

WEIGHT (Kg) 15

MAX SINGLE
DRUG RECOMMENDED DOSE PATIENT DOSE DOSE
Antibiotics
Amoxicillin
<3 months 15 mg/kg po q12 hrs 225 MG q12 hrs 1000 MG
>3 months (respiratory) 30 mg/kg po q8 hrs 450 MG q8 hrs 1000 MG
>3 months (otitis media) 45 mg/kg po q12 hrs 675 MG q12hrs 1000 MG
Amoxicillin/clavulanate (AugmentinÒ)
<3 months 15 mg/kg po q12 hrs 225 MG q12 hrs 1000 MG
>3 months (respiratory) 30
45 mg/kg
mg/kg po
po q8
q12hrs
hrs (Using 400mg/5mL or 450 MG q8 hrs 1000 MG
>3 months (otitis media) 600mg/5mL suspension) 675 MG q12 hrs 1000 MG
NOTE: MAX of CLAVULANATE is 10 mg/kg/day -- See listing below:
200mg/5mL has 28.5mg clavulanate per 5mL
400mg/5mL has 57 mg clavulanate per 5mL
600mg/5mL has 42.9mg clavulanate per 5mL

Azithromycin
≥6 months (pneumonia, otitis media) 10 mg/kg po Day 1, 5 mg/kg Day 2-5 150 MG Day 1 500 MG
≥6 months (sinusitis, otitis media) 10 mg/kg po q24 hrs x 3 days 150 MG q24 hrs 500 MG
≥2 yrs (pharyngitis, tonsillitis) 12 mg/kg po q24 hrs x 5 days 180 MG q24 hrs 500 MG
Cefdinir (Omnicefâ)
≥6 months (otitis media, pharngitis, tonsillitis,
sinusitis, skin) 7 mg/kg po q12 hrs x 10 days 105 MG q12 hrs 600 MG
Cefixime (SupraxÒ)
≥6 months (otitis media, pharngitis, tonsillitis,
urinary, respiratory) 8 mg/kg po q24 hrs 120 MG q24 hrs 400 MG
Cephalexin (KeflexÒ)
otitis media 25 mg/kg po q6 hrs 375 MG q6 hrs 1000 MG

skin, pharyngitis, tonsillitis (mild-moderate) 25 mg/kg po q8hrs 375 MG q8 hrs 1000 MG

Clindamycin

>1 month (otitis media, pharyngitis, tonsillitis) 10 mg/kg po q8 hrs 150 MG q8 hrs 450 MG
Penicillin VK
<12 yrs (pharyngitis) 15 mg/kg po q8 hrs 225 MG q8 hrs 250 MG
≥12 yrs (pharyngitis) 500 mg po q8hrs
TMP/SMX (BactrimÒ)
>2 months (otitis media, urinary) 5 mg TMP/kg po q12 hrs 75 MG q12 hrs 160 MG

Antiemetics
Metoclopramide
GERD 0.1 mg/kg po q6 hrs prn 1.5 MG q6 hrs 5 MG
Ondansetron 0.15 mg/kg po q8 hrs prn 2.25 MG q8 hrs 4 MG
Promethazine (DO NOT use if <2 yrs) 0.25 mg/kg po q6 hrs prn 3.75 MG q6 hrs 12.5 MG

Antihistamines
Cetirizine (ZyrtecÒ)
6-12 months 2.5 mg po q24 hrs
12 months -5 yrs 2.5-5 mg po q24 hrs
≥6 yrs 5-10 mg po q24 hrs
Diphenhydramine (BenadrylÒ)
2-<6 yrs 6.25 mg po q6 hrs prn
6-<12 yrs 12.5-25 mg po q6 hrs prn
Fexofenadine (AllegraÒ)
6 months -<2 yrs 15 mg po q12 hrs
2-<12 yrs 30 mg po q12 hrs
≥ 12 yrs 60 mg po q12 hrs -OR- 180 mg po q24 hrs
Hydroxyzine
<6 yrs (pruritis, anxiety) 0.5 mg/kg po q6 hrs prn 7.5 MG q4-6 hrs 25 MG
≥6 yrs (pruritis, anxiety) 12.5-25 mg po q6 hrs prn
Loratadine (ClaritinÒ)
2-5 yrs 5 mg po q24 hrs
≥6 yrs 10 mg po q24 hrs

Analgesics
Acetaminophen
Low dose 10 mg/kg po q4-6 hrs 150 MG q4-6 hrs 500 MG
High dose 15 mg/kg po q4-6 hrs 225 MG q4-6 hrs 500 MG
NOTE: MAX of Acetaminophen by weight is 75mg/kg/day or 500mg per dose, whichever is less.
Ibuprofen
Low dose 5 mg/kg po q6-8 hrs 75 MG q6-8 hrs 800 MG
High dose 10 mg/kg po q6-8 hrs 150 MG q6-8 hrs 800 MG
NOTE: MAX of Ibuprofen is 40mg/kg/day or 800mg per dose, whichever is less.
Hydrocodone/APAP (LortabÒ) [7.5/500 mg
per 15 ml]
<2 yrs 0.25 mL/kg po q4-6 hrs 2.5 ML q4-6 hrs 2.5 ML
2-12 yrs 0.25 mL/kg po q4-6 hrs 3.75 ML q4-6 hrs 10 ML
> 12 yrs 0.25mL/kg po q4-6 hrs 3.75 ML q4-6 hrs 15 ML
Oxycodone/APAP (RoxicetÒ) [5/325 mg per
5 ml]
Low dose 0.05 ml/kg po q4-6 hrs 0.75 ML q4-6 hrs 5 ML
High dose 0.15 ml/kg po q4-6 hrs 2.25 ML q4-6 hrs 5 ML

Sedatives
Diazepam Rectal Gel (DiastatÒ)
0.5 mg/kg PR (Round dose up to nearest 2.5
2-5 yrs (Siezure -Acute therapy) mg increment) 7.5 MG Once 20 MG
0.3 mg/kg PR (Round dose up to nearest 2.5
6-11 yrs (Siezure - Acute therapy) mg increment) 4.5 MG Once 20 MG
0.2 mg/kg PR (Round dose up to nearest 2.5
≥ 12yrs mg increment) 3 MG Once 20 MG
Diazepam (ValiumÒ)
Low range (muscle relaxation, anxiety) 0.03 mg/kg po q6-8 hrs 0.45 MG q6-8 hrs 10 MG
High range (muscle relaxation, anxiety) 0.2 mg/kg po q6-8 hrs 3 MG q6-8 hrs 10 MG

Steroids
Prednisone or Prednisolone
<12 yrs (Low range - acute asthma) 1 mg/kg po q24 hrs x 5-10 days 15 MG q24 hrs 60 MG
<12 yrs (High range - acute asthma) 2 mg/kg po q24 hrs x 5-10 days 30 MG q24 hrs 60 MG

Laxatives
Docusate (Colaceâ)
<3 yrs 10 mg po daily to 4x/day
3-6 yrs 20 mg po daily to 4x/day
6-12 yrs 40 mg po daily to 4x/day
≥12 yrs 100 mg po daily to 4x/day
Lactulose [10 g/15 ml]
Infants (Chronic constipation) 1-3 ml po q8 hrs
Children (Chronic constipation) 15-30 ml po q8 hrs
Polyethylene Glycol (MiralaxÒ)
Low range 0.5 mg/kg po q24 hrs 7.5 MG q24 hrs 17 MG
High range 1.5 mg/kg po q24 hrs 15 MG q24 hrs 17 MG

Antacids
Lansoprazole (PrevacidÒ) [Preferred PPI due to available solutab]
<30 kg 15 mg po q24 hrs
>30 kg 30 mg po q24 hrs
Omeprazole (Prilosecâ) 1 mg/kg po q24 hrs 15 MG q24 hrs 20 MG
Pantoprazole (Protonixâ)
Low range 2 mg/kg po q24 hrs 15 MG q24 hrs 40 MG
High range 6 mg/kg po q24 hrs 40 MG q24 hrs 40 MG
Ranitidine (Zantacâ)
Low range 2 mg/kg po q12 hrs 30 MG q12 hrs 150 MG
High range 4 mg/kg po q12 hrs 60 MG q12 hrs 150 MG
Famotidine (Pepcidâ)
<3 months 0.5 mg/kg po q24 hrs 7.5 MG q24 hrs 20 MG
3 months-16 yrs 0.5 mg/kg po q12 hrs 7.5 MG q12 hrs 20 MG

Misc.
Epipenâ
<30 kg (Allergic reaction) Epipenâ Jr 0.15 mg IM
>30 kg (Allergic reaction) 0.3 mg IM