DOSIS OBAT ANAK
(Sumber referensi obat: UKDI CORNER)
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.png "DOSIS OBAT ANAK")
| SKDI | DIAGNOSIS | KETERANGAN | TATALAKSANA |
|---|---|---|---|
| RESPIRASI | |||
| 4 | Pertusis | Eritromisin 40-50mg/kgBB dalam 4 dosis (4 dd 12.5mg) | |
| or Azitromisin 10 mg/kgBB 5 hari | |||
| Alternatif : TMP 8-SMX 40 mg/kgBB dalam 2 dosis 14 hari | |||
| 4 | Bronchiolitis | Simptomatik : Oksigen, paracetamol, dsb | |
| Profilaksis | Kotrimoksasol 4 mg/BB/kali 2x1 or Amoxicillin 25mg/BB | ||
| 4 | Pnemonia | Ampi 50 mg/bb/6 jam + Genta 7.5 mg/bb/24 jam | |
| 4 | TB | 2 RHZ + 4 RH (Tanpa Etambutol) | |
| Dosis FDC | |||
| 5-9 kg | 1 FDC | ||
| 10-14 kg | 2 FDC | ||
| 15-19 kg | 3 FDC | ||
| 20-32 kg | 4 FDC | ||
| Profilaksis | INH 10 mg/kgBB 6 bulan | ||
| (kontak + <5 thn/HIV) | INH 10 mg/kgBB 9 bulan (Mantoux +) | ||
| 4 | Asma (6-11 thn) | Step 1. Intermitten | ICS low dose |
| Step 2. Persisten ringan | ICS low dose | ||
| Step 3. Persisten sedang | ICS low dose + LABA / ICS Medium dose | ||
| Step 4. Persisten berat | ICS Medium dose + LABA | ||
| NEURO | |||
| 4 | Kejang Demam | Pre hospital | Diazepam rectal 5 mg (<12 kg)/10 mg (>12 kg) bisa ulang 2 kali |
| Hospital | Diazepam IV 0.2-0.5 mg/BB or Midazolam 0.2/BB IM/Buccal | ||
| Fenitoin + Nacl / Fenobarbital 20 mg/BB | |||
| Fenobarbital / Fenitoin + Nacl 20 mg/BB | |||
| ICU | Midazolam, Fenobarbital | ||
| Profilaksis Kejang Demam | Rumatan | Asam valproat 15-40 mg, Fenobarbital 3-4 mg/BB | |
| Intermitten (tiap demam) | Diazepam oral 0.3 mg/bb or Diazepam rectal 0.5 mg/bb | ||
| KARDIO | |||
| 2 | Penyakit Jantung Bawaan | Simptomatik, rujuk ! | Oksigen, infus, morfin |
| PDA | Indometasin 0.1-0.2 mg/kg | ||
| DIGESTIF | |||
| 4 | Diare | Tanpa Dehidrasi | <1 thn : 50-100 ml oralit/bab |
| >1thn : 100 ml oralit/bab | |||
| Dehidrasi Ringan-Sedang | Oralit 75 ml/kgBB/ 3 jam | ||
| < 6 bln : Zink 10 mg | |||
| > 6 bln : Zink 20 mg | |||
| Dehidrasi Berat | < 1 thn : 30 ml/kgBB (u/ 1 jam) + 70 ml/kgBB (u/ 5 jam) | ||
| > 1 thn : 30 ml/kgBB (u/ 30 menit) +70 ml/kgBB (u/ 2.5 jam) | |||
| tdk bisa infus : Rujuk + NGT 20 cc/BB/jam selama 6 jam | |||
| Syok Hipovolemi | Guyur RL 20 cc/kgBB secepatnya | ||
| GINJAL | |||
| 3A | Sindrom Nefritik | Eritromisin 30mg/kgBB dalam 3 dosis (3 dd 10mg) | |
| Awal : Diuretik ! | |||
| Sindrom Nefrotik | Continous Day Prednison 2 mg/kgBB (Maks. 60 mg ) (1 bln)->Alternating dose 1.5 mg/BB (Selang-seling 1 bln) |
||
| ENDOKRIN | |||
| 4 /3B |
Hipoglikemia | Sadar | Larutan Gula oral (D10% 50 cc) |
| Tidak sadar | Bolus Dextrose 2 cc/kgBB (selain gizi buruk) | ||
| <2 thn | D10% | ||
| 2-12 thn | D25% | ||
| >12 thn | D50% | ||
| GIZI | |||
| 4 | Gizi Buruk | Atasi Hipoglikemia | Sadar : Dextrose Oral (D10% 50cc) |
| Tdk sadar : NGT + Bolus D10% 5cc/BB | |||
| Atasi Hipotermia | Lampu 40w jarak 50 cm, Perawatan Metode Kanguru | ||
| Atasi Dehidrasi | ReSoMal 5 cc/BB/30 menit selama 2 jam Rehidration Solution for Malnutrition |
||
| 4 | Masalah Susu Formula | Alergi susu sapi | Susu terhidrolisat sempurna ekstensif, susu asam amino |
| Profilaksis alergi | Susu terhidrolisat parsial | ||
| Intoleransi laktosa | Susu bebas laktosa | ||
| INFEKSI | |||
| 4 | Campak | Simptomatik + Vit A | |
| <6 bulan : 50.000 IU Vit A | |||
| <1 thn : 100.000 IU Vit A | |||
| >1 thn : 200.000 IU Vit A | |||
| 3A | Kawasaki Disease | Aspirin 30 mg/kg/hari bagi 4 dosis | |
| IVIG | |||
| 2 | Scarlet Fever | Penicillin, eritromisin | |
| NICU | |||
| HDN | Prematur | Injeksi surfaktan | |
| TTN | SC elektif | laringoskopi direct, suction intratracheal | |
| MAS | Mekonium | Meropenem | |
| Pneumonia kongenital | Ampi 50 mg/bb/6 jam + Genta 7.5 mg/bb/24 jam | ||
