19:00 bricanyl 1 vial + NS 2 cc inh stat
21:10 bricanyl 1 vial + NS 2 cc inh stat
21:23 dexamethasone 4mg po stat
關於DEXAMETHASONE的劑量，好像0.15～0.9mg/kg都有人給過。
http://www.drugs.com/dosage/dexamethasone.html
Usual Pediatric Dose for Cerebral Edema
Initial loading dose: 1 to 2 mg/kg once orally, IV or IM.
Maintenance: 1 to 1.5 mg /kg/day, give in divided doses every 4 to 6 hours for 5 days then taper for 5 days, then discontinue. Maximum dose: 16 mg/day.
Usual Pediatric Dose for Meningitis - Meningococcal
Meningitis (H. influenzae type b): Infants and Children 6 weeks or older: IV: 0.15 mg/kg/dose every 6 hours for the first 2 to 4 days of antibiotic treatment; start dexamethasone 10 to 20 minutes before or with the first dose of antibiotic. If antibiotics have already been administered, dexamethasone use has not been shown to improve patient outcome and is not recommended. Note: For pneumococcal meningitis, data has not shown clear benefit from dexamethasone administration; risk and benefits should be considered prior to use.
Usual Pediatric Dose for Meningitis - Haemophilus influenzae
Meningitis (H. influenzae type b): Infants and Children 6 weeks or older: IV: 0.15 mg/kg/dose every 6 hours for the first 2 to 4 days of antibiotic treatment; start dexamethasone 10 to 20 minutes before or with the first dose of antibiotic. If antibiotics have already been administered, dexamethasone use has not been shown to improve patient outcome and is not recommended. Note: For pneumococcal meningitis, data has not shown clear benefit from dexamethasone administration; risk and benefits should be considered prior to use.
Usual Pediatric Dose for Meningitis - Pneumococcal
Meningitis (H. influenzae type b): Infants and Children 6 weeks or older: IV: 0.15 mg/kg/dose every 6 hours for the first 2 to 4 days of antibiotic treatment; start dexamethasone 10 to 20 minutes before or with the first dose of antibiotic. If antibiotics have already been administered, dexamethasone use has not been shown to improve patient outcome and is not recommended. Note: For pneumococcal meningitis, data has not shown clear benefit from dexamethasone administration; risk and benefits should be considered prior to use.
Usual Pediatric Dose for Meningitis - Listeriosis
Meningitis (H. influenzae type b): Infants and Children 6 weeks or older: IV: 0.15 mg/kg/dose every 6 hours for the first 2 to 4 days of antibiotic treatment; start dexamethasone 10 to 20 minutes before or with the first dose of antibiotic. If antibiotics have already been administered, dexamethasone use has not been shown to improve patient outcome and is not recommended. Note: For pneumococcal meningitis, data has not shown clear benefit from dexamethasone administration; risk and benefits should be considered prior to use.
Usual Pediatric Dose for Anti-inflammatory
0.08 to 0.3 mg/kg/day or 2.5 to 5 mg/meter squared/day in divided doses every 6 to 12 hours.
Usual Pediatric Dose for Nausea/Vomiting - Chemotherapy Induced
Prior to chemotherapy:
10 mg/meter squared IV for first dose (maximum 20 mg) then 5 mg/meter squared/dose every 6 hours as needed.
Usual Pediatric Dose for Asthma - Acute
Asthma exacerbation: Oral, IM, IV: 0.6 mg/kg once (maximum dose: 16 mg)
Usual Pediatric Dose for Croup
Croup (laryngotracheobronchitis): Oral, IM, IV: 0.6 mg/kg once (maximum: 20 mg). A single dose of 0.15 mg/kg has also been shown effective.
Usual Pediatric Dose for Adrenal Insufficiency
Physiological replacement: Oral, IM, IV (should be given as sodium phosphate): 0.03 to 0.15 mg/kg/day or 0.6 to 0.75 mg/m2/day in divided doses every 6 to 12 hours.
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Dialysis
Supplemental dose is not necessary.
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