DOCTOR S DOSING CHART 2008 Streeterville Pediatrics, S.C

DOCTOR’S DOSING CHART 2008 Streeterville Pediatrics, S.C.

William H. Barrows, M.D. Kathleen Kuo Starr, M.D.

Donald K. Brown, M.D. Nisha C. Kakodkar, M.D.

#1 Fever and Pain

Generally fevers over 101 taken rectally can easily be treated by either giving acetaminophen taken every 3-4 hours or ibuphrofen taken every 6-8 hours. We recommend temperatures be taken rectally
especially in young children since the oral route is inappropriate and the ear thermometers and forehead scanners or arm pit temperatures are inaccurate. Children who may have nausea, vomiting or diarrhea may be better off to be given acetaminophen since it is gentler on the stomach.

· To take a rectal temperature, simply lubricate the thermometer with a dab of white

petrolatum (Vaseline) and insert into the rectum one inch. Because this seems like a long distance, it may help to pre-mark on the thermometer with a Sharpy pen.

· Rectal suppositories can also be given to those who are vomiting or those resistant to taking

oral medications.

· With fevers where the temperature fails to go down on one fever medicine by itself, you can give acetaminophen every 3 hours and ibuprophen every 6 hours. (This means giving acetaminophen at Noon, 3, 6, 9, MN and giving ibuphrophen at Noon and 6 and MN).

#2 Cough medicines every 6 hours

Colds come with coughs. The cough has a purpose. It clears secretions out of the lungs. A cough that is a few times an hour generally is not bothering the child and need not be treated. However,
sometimes a cough becomes more often and disrupts sleeping or feeding and these coughs can be treated every 6 hours with the medicines in this group. We find the guaifenesin to be useful to loosen the cough and the dextromethorophan to slow the cough down. Cough medicines should not stop a cough as this can lead to retained secretions and this can set up for a pneumonia.

· Coughs where you hear a wheeze especially one that the respirations are much faster than usual may be asthma and generally warrant a call to the doctor’s office for an appointment in the office. Infants breath normally at 25-40, toddlers 15-25 breaths per minute. Faster rates than these warrant a call to the doctor in the office and may need to be seen.

#3 Runny noses and nasal congestion medicines can be given every 6 hours

Colds come with runny noses and may interfere with sleeping or eating. If so, medications can help
slow symptoms while nature cures the cold with time. Side effects can be jitteriness and sleeplessness in
some cases.

· Nasal secretions can be treated with salt water (1 tsp salt in one cup water) as a nose drop. These can be used as often as needed. Plunging the nose can irritate the front of the nose and we generally do not suggest doing this.

#4 Allergic reactions or allergy symptoms

For allergic reactions that give hives (urticaria), itchy red welts or swelling of eyes or hands can be
treated with dipheneramine every 6 hours. Side effects include drowsiness and should not be taken when
driving (this is for our older patients!). Half doses can be given if drowsiness is excessive often with enough
results. Wheezing and allergy symptoms should be reported to the doctor during an appointment in the
office.

Combining medicines

Medications that are for fever only (#1) can be combined with runny nose (#3) medicines and/or

cough (#2) medicines. However, combination medicines that are not on our list may double up on the same
medicines and should not be given at the same time. Antibiotics are fine together with these medicines.

Doctor's Dosing Chart 2011

233 East Erie Street Suite 304 Chicago, Il 60611

#1 Fever or Pain

1 tsp=5 ml=5 cc 5-10 Lbs
Acetominophen(Tylenol,Tempra)

Infant drops 0.2-0.4ml 80mg/0.8ml

Childrens Suspension 0.7-1.4 ml

80mg/1/2 tsp(2.5ml)=160mg/tsp

Childrens Chewable Tablet
80mg/Tablet NA

William H. Barrows, M.D.
Donald K . Brown, M.D.
Kathleen Kuo Starr, M.D.
Nisha C. Kakodkar, M.D.

10-15 Lbs 15-20 Lbs 20-25 Lbs 25-30 Lbs 30-35 Lbs 35-40 Lbs 40-50 Lbs Frequency every 3-4 hours as needed for Fever or Pain

0.4-0.8ml 0.8-1.0ml 1.0-1.2ml 1.2-1.6ml NA NA NA

1.4-2.0 ml 2.0-2.75 ml 2.75-3.5 ml 3/4-1tsp 1tsp 1-1 1/4tsp 1 1/4-1 1/2tsp

NA 1 Tab 1 1/2 Tab 1 1/2-2 Tab 2 Tab 2 Tab 3 Tab

50-60 Lbs

1 1/2-1 3/4tsp

3 1/2 Tab

60-70 Lbs 70-80 Lbs 80-90 Lbs 90-100 Lbs

NA NA NA NA

1 3/4-2tsp 2-2 1/4tsp 2 1/4-2 1/2tsp 3 tsp

4 Tab 4 1/2 Tab 5 Tab NA

Junior Strength Chewable Tablet or Swallowable Caplet

160mg/Tablet NA NA NA NA 1 Tab 1Tab 1 Tab 1 1/4 Tab 1 1/2 Tab 2 Tab 2 1/2 Tab

Adult Strength Capsule

325mg/Capsule NA NA NA NA NA NA NA NA NA 1 Tab

Extra Strength Capsulle

500mg/Capsule NA NA NA NA NA NA NA NA NA NA NA NA 1 Tab

Rectal Supository 80 mg 120 mg 325 mg

Ibuprophen(Advil, Motrin, Nuprin) Frequency every 6 hours as needed for Fever or Pain

Childrens Drops

50mg/1.25ml NA 1.25ml 1.5ml 2.0ml 2.5ml NA NA NA NA NA NA NA NA

Childrens Suspension

100mg/tsp(=5ml) 1/4-1/2tsp 1/2-3/4tsp 3/4-1tsp 1 1/4tsp 1 1/4-1/2tsp 1 1/2tsp 1 3/4tsp 2tsp 2 1/2tsp 3tsp

Junior Strength Chewable Tablet

100mg/tablet NA NA NA 1 Tablet 1 1/2 Tab 2 Tab 2 1/2 Tab 3 Tab

Regular Strength Tablets

200mg/Tablet or Capsule NA NA NA NA NA NA 1 Tab

#2 Cough Suppressants Frequency every 6 hours

Robitussin Infant Cough

10mg Dextromethorphan+200mg Guaifenesin/5ml 1/4 tsp 2/3 tsp 3/4 tsp 1 tsp NA NA NA

Robitussin Pediatric Cough

7.5mg Dextromethorphan/5ml 1/2 tsp 3/4 tsp 1 tsp 1 1/2 tsp 2 tsp NA NA NA NA NA NA NA

Robitussin DM Adult

10mgDextromethorphan+100mgGuaifenesin/5ml 1/4 tsp 2/3 tsp 3/4 tsp 1 tsp 1 tsp 1 1/4 tsp 1 1/4 tsp 1 1/2 tsp 2 tsp 2 tsp 2 1/4 tsp

#3 Decongestants for Runny noses Frequency every 6 hours

Pediatric Sudafed Drops

7.5mg Pseudoephedrine/0.8ml 0.4 ml 0.6 ml 0.8 ml 1.2 ml 1.6 ml 2.0 ml 2.4 ml NA NA NA NA NA

Sudafed Childrens

15mg pseudoepehrine/5ml 1/4 tsp 1/4-1/2tsp 1/2-2/3tsp 2/3-3/4tsp 3/4-1 tsp 1-1 1/4tsp 1 1/4 tsp 1 1/2 tsp 2 tsp 2 1/4 tsp 2 1/2 tsp 3 tsp

Sudafed Nasal Decongestant Chewable Tablets

15mg Pseudoepehrine/Tablet NA NA 1/2 tab 3/4 tab 1 tab 1 tab 1 1/2 tab 2 tab 2 tab 2 1/2 tab NA NA

Sudafed Tablets

30mg Pseudephedrine/Tablet NA NA NA NA NA NA NA 1 tab 1 tab 1 tab 1 tab 2 tab

Dimetapp Infant Drops

7.5mg Pseudoephedrine/0.8ml 0.4 ml 0.6 ml 0.8 ml 1.2 ml 1.6 ml 2.0 ml 2.4 ml NA NA NA NA NA

Dimetapp Elixer

Bromphenaramine 1mg+15mg Pseudoephederine/Tablet 1/2-2/3tsp 2/3-3/4tsp 3/4-1 tsp 1-1/4tsp 1 1/4 tsp 1 1/2 tsp 2 tsp 2 1/4 tsp 2 1/2 tsp 3 tsp

#4 Antihistamine for Allergy Symptoms or Cough Frequency every 6 hours

Benadryl Elixer

12.5mg Diphenaramine/5ml 1/4 tsp 1/2 tsp 2/3 tsp 3/4 tsp 1 tsp 1 1/4 tsp 1 1/2 tsp 2 tsp 2 1/4 tsp 2/1/2 tsp 3 tsp 3 tsp

Benadryl Tablets

25mg Diphenaramine/Tablet NA NA NA NA NA NA NA 1 tablet 1 tablet 1 tablet 1 tablet 2 tablets

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