Beruflich Dokumente
Kultur Dokumente
MAINTENANCE (Ludan’s Method) TFR: Actual wt (kg) x K = cc/day TCR: IBW x K = cal/day
Kg cc/kg/day
0-3 75 0-3 120 0-11 mos 110-120
3-10 100 IMB 10 days – 1yr 150 1-2 y/o 110
11-20 75 1-3 y/o 140 3-6 y/o 90-100
21-30 60 4-6 y/o 120 7-9 y/o 89-90
31-40 50 NM 7-9 y/o 100 10-12 y/o 70-80
41-50 40 10-12 y/o 90 13-15 y/o 55-65
51-60 30 13-15 y/o 70 16-19 y/o 48-69
e.g. 10kg = 10 x 10 = 1000cc/24hrs 16-17 y/o 50
= 42 uggts/min/3 (FEU) TCR >3mos
= 14 gtts/mins for 24 hrs CHO = TCR x 0.5/4
*divided by 4 (CMC) CHON = TCR x 0.15/4
VARICELLA
9 months / 0.5 mL Right deltoid
*Catchup 13- 4 weeks 2 doses regardless of age
12 months IM<SQ
19
OTHER IMMUNIZATION NOT COVERED BY EPI
VACCINE RECOMMENDED SCHEDULE AMT ROUTE
TYPHOID 2 years old 0.5 mL SQ, IM
PCV 1: 6 – 12 weeks
PCV 2: 12 – 16 weeks
PNEUMOCOCCAL 0.5 mL SQ, IM
PCV 3: 14 weeks - 2 years old
PPV: 2 years old then every 5 years
MENINGOCOCCAL 2 years old then every 3 – 5 years 0.5 mL SQ, IM
ROTAVIRUS 2 doses: 4 weeks apart from 2 – 8 months 0.5 mL SQ, IM
First dose: 1 – 2 years old
MMR Second dose: 4 – 6 years old 0.5 mL SQ
Catch up: 13 – 19 years old
First dose: 12 – 18 months
HEP A Second dose: 18 months – 2 years old 0.5 mL IM
Catch up: 2 – 19 years old
HPV 0.5 mL IM
IMMUNIZATION FOR FILIPINO WOMEN
Td/Tdap 3 doses: 0,1,6-12 months; BOOSTER every 10 years 0.5 mL IM
HPV inactivated 3 doses: 0,1-2,6 months 0.5 mL IM
MMR live attenuated 2 doses: 0,1 months NOT given for pregnant women 0.5 mL SQ
Influenza inactivated 1 dose: yearly 0.5 mL IM
Hep B / Hep A 3 doses: 0,1,6-12months // 2 doses: 0,6-12months 0.5 mL IM
Pneumococcal 1 dose inactivated vaccine; repeat every 5 years 0.5 mL IM
Meningococcal 1 dose polysaccharide vaccine; repeat every 3 – 5 years 0.5 mL IM
NORMAL VALUES OF BLOOD PRESSURE, CARDIAC RATE & RESPIRATORY RATE BY AGE
AGE BP CR RR
Premature 55-75 / 35-45 120 – 170 40 - 70
0 – 3 months 65-85 / 45-55 100 – 150 35 – 55
4 – 6 months 70-90 / 50-65 90 – 120 30 – 40
7 – 11 months 80 – 110 / 55-65 80 – 120 25 – 40
1 – 3 years old 90-105 / 55-70 70 – 110 20 – 30
4 – 6 years old 90-110 / 60-75 65 – 100 20 – 25
7 – 12 years old 100-120 / 60-75 60 – 95 17 – 22
13 – 15 years old 110-135 / 75-85 55 – 85 12 – 14
> 18 years old 110-120 / 80-89 60 - 100 16 - 20
CONVERSION FACTOR
mEq/L to mg/dl Mg/dl to mEq/L mg/dl to umol/L
Na 2.30 0.4348 Creatinine 88.4
K 3.91 0.2558 Total Bilirubin 17.1
Ca 2.005 0.4988 Mg/dl to mmol/L
Mg 1.215 0.8230 BUN 0.357
Cl 3.55 0.2817 Cholesterol 0.0259
HCO3 6.1 0.1639 Glucose 0.5555
Glucose Infusion Rate (GIR) NV: 6-8 mg/kg/min
GRADING OF SEVERITY OF DHF
Grade I Fever, Non-specific constitutional symptoms, (+) hemoconcentration, (+) Tourniquet test
Grade II Grade I + spontaneous bleeding
Grade III Grade II + circulatory collapse (narrowing pulse pressure)
Grade IV Grade III + irreversible shock + massive bleeding
DAILY WEIGHT GAIN LIVER SPAN OF INFANTS MURMUR INTENSITY
0 – 3 mos 30 gms AGE MALE FEMALE Grade I soft, not heard in all position, no thrill
4 – 6 mos 20 gms 6 mos 2.4 2.6 Grade II soft, heard in all position, no thrill
7 – 9 mos 18 gms 1 2.8 3.1 Grade III Loud, no thrill
10 – 11 mos 10 gms 2 3.5 3.6 Grade IV Loud with thrill present
1 – 3 yrs 8 gms 3 4.0 4.0 Grade V Louder murmur with thrill
4 – 6 yrs 6 gms 4 4.4 4.3 Grade VI Loudest heard even without stethoscope, (+) thrill
Premature 10-20gm/day 5 4.8 4.5
Term 20-30gm/day 6 5.1 4.8 *Grade 1-2/6 Systolic murmur – innocent in newborn
8 5.6 5.1 * Diastolic murmur - pathology
TEMPERATURE
Subnormal . oC 10 6.1 5.4
Normal 36.6 – 37.4oC 12 6.5 5.6
Subfebrile 37.5 - 38oC
14 6.8 5.8
Low grade 37.8 – 38.4oC
Mod grade 38.5 – 39.5oC 16 7.1 6.0
High grade 9. oC 18 7.4 6.1
H perp re ia oC
20 7.7 6.3
GLASSGOW COMA SCALE Common X-ray Request
ADULT PEDIA Cervivcal APL open mouth
EYE OPENING (E) ThoracolumbaR AP
Spontaneously 4 Spontaneously Lumbosacral APL
To speech 3 To speech Shoulder AP
To pain 2 To pain Arm APL
No response 1 No response Elbow APL
BEST VERBAL RESPONSE (V) Forearm APL
Oriented 5 Coos, Babbles Wrist APL
Confused 4 Irritable, cries Hand APO
Inappropriate words 3 Cries to pain Thigh APL
Incomprehensible 2 Moans, grunts Knee APL
No response 1 No response Legs APL
BEST MOTOR RESPONSE (M) Foot APO
Obeys command 6 Obeys command T-cage APO
Localizes pain 5 Localizes pain Pelvis AP
Withdraws from pain 4 Withdraws from pain Chest AP, APL, PAL, Apicolordotic,
Flexion (decorticate) 3 Flexion (decorticate) L/P Decubitus, AP sitting
% NEUTRO 61 45 35 32 33 50
% LYMPHO 31 41 56 61 59 30 M F