Medicines Dosage Form Dose according to body weight (calculate if weight is below or over) 3-6 kg 6-10 kg 10-15 kg 15-20 kg 20-29 kg albendazole 200 mg (half tablet) 12-24 months chewable tablet, 400mg 400 mg (one tablet) over 24 months amodiaquine 10 mg base/kg/3 days (total dose 30 mg base/kg) tablet, 200mg - - 1 1 1 amoxicillin 15 mg/kg/dose for 7 days tablet/capsule 250 mg ¼ ½ ¾ 1 1½ oral suspension, 125mg/5ml 2.5 ml 5 ml 7.5 ml 10 ml - non-severe pneumonia: 25 mg/kg 2 times per day for 3 days tablet/capsule 250 mg ½ 1 1½ 2 2½ oral suspension, 125mg/5ml 5 ml 10 ml 15 ml - - ampicillin IM 50 mg/kg/6 hours Vial of 500 mg mixed with 2.1 ml 1 ml 2 ml 3 ml 5 ml 6 ml sterile water to give 500 mg/2.5 ml artemether IM 3.2 mg/kg once on day 1 injection, 40mg/ml in 1ml ampoule then injection, 80mg/ml in 1ml ampoule see Chapter 5, management of the child with malaria IM 1.6 mg/kg daily until oral therapy is possible, total therapy one week artemether + fixed dose treatment (20+120 mg) twice daily for 3 days tablet 10+120 mg see Chapter 5, management of the child with malaria lumefantrine artesunate severe malaria: IV or IM 2.4 mg/kg over 3 minutes at 0, 12 and 24 vial of 60 mg in 0.6 ml with 3.4 ml hours on day 1. water or saline to give 60 mg/4 ml then continue with 2.4 mg/kg over 3 minutes on day 2 until oral vial of 60 mg in 0.6 ml with 3.4 ml therapy is possible water or saline to give 60 mg/4 ml see Chapter 5, management of the child with malaria If/when possible change to oral 2 mg/kg total treatment one week. tablet, 50mg uncomplicated malaria falciparum: oral 4 mg/kg/day for 3 days tablet, 50mg combined with mefloquine, sulfadoxine-pyrimethamine or amodiaquine. benzathine IM 1.2million units over 5 years, 0.6 million units below 5 years vial of 1.2 million units in 4 ml benzylpenicillin benzylpenicillin IM 60 mg/kg/6 hours vial of 600 mg mixed with 9.6 ml 4 ml 8 ml 12 ml 18 ml 25 ml sterile water to give 600 mg /10 ml ceftriaxone IM IV 50-100 mg/kg for 2 to 5 days vial of 1 g mixed with 9.6 ml sterile 4 ml 8 ml 12 ml 18 ml 25 ml water to give 1 g/10 ml ANNEX 4: DRUG DOSAGES FOR CHILDREN (FORMULARY) CHILDREN FOR DOSAGES DRUG 4: ANNEX 95 96 MANUAL FOR THE HEALTH CARE OF CHILDREN IN EMERGENCIES Medicines Dosage Form Dose according to body weight (calculate if weight is below or over) 3-6 kg 6-10 kg 10-15 kg 15-20 kg 20-29 kg charcoal, activated under 1 year 1 g/kg, over 1 year, 25-50 g/kg tablets chloramphenicol IM 25 mg/kg/6 hours maximum dose 1 g vial 1 g/ 10 ml Calculate exact quantity required: 0.25 ml contains 25 mg oral 50 mg/kg every 8 hours capsule, 250 mg - - 1 1½ 2 oral suspension, 150 mg/5 ml 3-5 ml 6-9 ml 10-14 ml 15-19 ml - chlorhexidine cetrimide 20 ml made up to 1 ll with clean water solution, 5% for dilution solution chloroquine 10 mg base once daily for 2 days then 5 mg base/kg on day 3 (in tablet, 100mg, Day 1 and 2 ½ 1 1½ 2 2½ chloroquine-sensitive areas) Day 3 ½ ½ ½ 1 1 tablet, 150mg Day 1 and 2 - ½ 1 1½ 1½ Day 3 - ½ ½ 1 1 syrup, 50mg/5ml Day 1 and 2 5 ml 7.5 ml 15 ml - - Day 3 2.5 ml 5 ml 10 ml - - ciprofloxacin oral 15 mg/kg twice daily for 5 days tablet 100 mg ½ 1 ½ 2 3 clindamycin oral 5mg/kg 3 times daily for 7 days capsule, 150 mg - - - - 1 dexamethasone IM 0.6 mg/kg single dose vial 5 mg/ 1 ml 0.5 ml 0.9 ml 1.4 ml 2 ml 3 ml diazepam convulsions:rectal 0.5 mg/kg vial 10 mg/ 2 ml 0.4 ml 0.75 ml 1.2 ml 1.7 ml 2.5 ml NOT TO BE USED for neonates give phenobarbital! convulsions:IV 0.2-0.3 mg/kg vial 10 mg/ 2 ml 0.25 ml 0.4 ml 0.6 ml 0.75 ml 1.25 ml NOT TO BE USED for neonates give phenobarbital! sedation before procedures: IV 0.1-0.2 mg/kg vial 10 mg/ 2 ml 0.1 ml 0.2 ml 0.3 ml 0.4 ml 0.6 ml dihydro artemisinin + fixed dose treatment, 3 or 4 doses over 3 days piperaquin (artekin)* doxycycline oral, not below 8 years capsule or tablet, 100mg erythromycin oral, 12.5 mg/kg 4 times daily for 3 days capsule or tablet, 250mg ¼ ½ 1 1 1½ ferrous sulphate + oral 3 mg Fe/kg/day oral solution 20 mg/ml iron 1 ml 1.25 ml 2 ml 2.5 ml 4 ml folic acid furazolidone* oral, 1.25 mg/kg 4 times daily for 3 days tablet, 100 mg - - ¼ ¼ ¼ furosemide IV 1-2 mg/kg every 12 hours vial, 10 mg/ml 0.8 ml 1.6 ml 2.4 ml 3.4 ml 5 ml gentamicin IM 7.5 mg/kg once daily vial 10 mg/ml Calculate exact quantity required: 0.1 ml contains 7.5 mg Medicines Dosage Form Dose according to body weight (calculate if weight is below or over) 3-6 kg 6-10 kg 10-15 kg 15-20 kg 20-29 kg gentian violet 1 teaspoon in 1 litre of clean water aqueous solution 0.5% (methylrosanilinium chloride) glucose (dextrose) 5 ml/kg of 10%, or 1 ml/kg of 50% by slow push injectable solution 10% isotonic injectable solution 50% hypertonic Ipecacunaha, pediatric 6-24 months 10 ml, over 24 months 15 ml in case of poisoning for oral solution inducing vomiting mebendazole NB over 12 months ONLY and if not treated in previous 6 chewable tablet, 100mg months 100 mg 2 times per day for 3 days, or: 500 mg once only mefloquine 25 mg/kg once(or as 15 mg/kg then 12-24 hours later 10 mg/kg) tablet, 250mg (as hydrochloride) NB not under 5 months! morphine NB dosage must be calculated exactly! oral solution 10 mg/5 ml; injection 10 Calculate exact quantity required oral 0.2-0.4 mg/kg 4-6 hourly, increase if necessary for severe mg in 5 ml ampoule painIM 0.1-0.2 mg/kg 4-6 hourlyIV 0.05-0.1 mg/kg 4-6 hourlyIV infusion 0.005-0.01 mg/kg/hour oral rehydration salts plan A: after each loose stool: up to two years 50-100 ml after each ORS solution (ORS) loose stool, over two years 100-200 ml plan B: first 4 hours ORS solution 200-400 ml 400-700 ml 700-1000 ml 1000-1400 ml oxygen paracetamol 10-15 mg/kg, up to 4 times per day tablet 100 mg - 1 1 3 tablet 500 mg - ¼ ¼ ½ paraldehyde* IM 0.2 mg/kg max 10 mg vial 5 ml 0.8 ml 1.5 ml 2.4 ml 5 ml rectally 0.4 ml/kg (with blunt syringe) vial 5 ml 1.6 ml 3 ml 4.8 ml 10 ml phenobarbital convulsions: IV or IM 20 mg/kg vial 200 mg/ml Calculate exact quantity required: 0.1 ml contains 20 mg if convulsions continue: 10 mg/kg after 30 minutes vial 200 mg/ml Calculate exact quantity required: 0.05 ml contains 10 mg pivmecillinam* oral, 20 mg/kg (max 300 mg) 4 times daily for 5 days tablet, 200 mg ½ ¾ 1 2 procaine penicillin burns: IM 100.000 IU/kg/dayfor 7 days vial 3 million units in 4 ml water 0.5 ml 1 ml 1.6 ml 3.5 ml benzylpenicillin stridor: IM 50.000 IU/kg/day for 7 days vial 3 million units in 4 ml water 0.35 ml 0.5 ml 0.8 ml 1.7 ml ANNEX 4: DRUG DOSAGES FOR CHILDREN (FORMULARY) CHILDREN FOR DOSAGES DRUG 4: ANNEX 97 98 MANUAL FOR THE HEALTH CARE OF CHILDREN IN EMERGENCIES Medicines Dosage Form Dose according to body weight (calculate if weight is below or over) 3-6 kg 6-10 kg 10-15 kg 15-20 kg 20-29 kg quinine total max one week, oral preferred, minimal 3 IV doses before changing to oral medication loading dose: IV 20 mg salt/kg over 4 hours once in 5-10 % vial 150 mg/ml 0.6 ml 1.2 ml 2 ml 2.4 ml 4 ml dextrose or 0.9% saline to 10 ml/kg maintenance doses: IV 10 mg salt/kg over 4 hours three times daily 0.3 ml 0.6 ml 1 ml 21.2 ml 2 ml for 4 days in 5-10 % dextrose or 0.9% saline to 10 ml/kg maintenance dose: oral 10 mg salt/kg three times daily tablet 300 mg - - ½ ½ 1 Ringer’s lactated 20 ml/kg, maximum two times 20 ml bolus severe dehydration : injectable solution solution under 1 year 100 ml of which 30 ml in first hour, rest over 5 hours, over 1 year up to 5 years total 100 ml of which 30 ml in 30 minutes then rest on 2.5 hours salbutamol if child wheezes or coughs at night 1 puff (demonstrate proper use to inhalation (aerosol), 100micrograms (as caregiver) sulfate) per dose silver sulfadiazine topical preparation for burns cream 1% in 500 g container sodium chloride (saline) injectable solution, 0.9% isotonic (equivalent to Na+ 154mmol/l, Cl- 154mmol/l) sulfamethoxazole + oral trimethoprim PCP prophylaxis (cotrimoxazole) tetracycline eye ointment eye ointment, 1% (hydrochloride) vitamin A (retinol) 50.000 IU under 6 months, 100.000 IU over 6 months 200.000 IU tablet 50.000, 100.000 or 200.000 units over 2 years and adults measles two doses, on day 1 and 2 malnutrition one dose on day 1 vitamin K (menadion)* according to national guidelines vial 1 or 2 mg/ml zinc sulfate 10 mg/day under 6 months 20 mg/day over 6 months tablets, 20 mg.