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Pediatric Dose Tricks: A Quick Reference Guide for Accurate Medication Dosing Volume 1: Paracetamol, Domperidone Syrup, Osia (Ondansetron), and ORS

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table summarizing the dosing tricks for each drug discussed:

Drug

Concentration

Dosage Calculation

Paracetamol

Syrup: 120 mg/5 ml

Weight ÷ 2


Drops: 100 mg/ml

Weight ÷ 10

Domperidone

Syrup: 5 mg/5 ml (1 mg/ml)

Weight ÷ 4

Osia (Ondansetron)

--

0.13-0.15 mg/kg

Oral Rehydration Solution (ORS)

--

Weight × 5 (Vomiting)


--

Weight × 10 (Diarrhea)

Paracetamol Dosing Guide

Syrup (120 mg/5 ml):

  • Dosage calculation: Weight divided by 2.

  • Example: For a child weighing 8 kg, the dose is 8 divided by 2, which equals 4 ml.

Drops (100 mg/ml):

  • Dosage calculation: Weight divided by 10.

  • Example: For a child weighing 8 kg, the dose is 8 divided by 10, which equals 0.8 ml.

Domperidone Syrup

Concentration: 5 mg/5 ml (1 mg/ml)

  • Dosage calculation: Weight divided by 4.

  • Example: For a child weighing 8 kg, the dose is 8 divided by 4, which equals 2 ml.

Osia (Ondansetron)

Dosing: 0.13-0.15 mg/kg

  • Example: For a child weighing 8 kg, the dose range is 0.13 multiplied by 8, which equals 1.04 mg to 0.15 multiplied by 8, which equals 1.2 mg.

Oral Rehydration Solution (ORS)

For Vomiting:

  • Dosage calculation: Weight multiplied by 5.

  • Example: For a child weighing 8 kg, the volume is 8 multiplied by 5, which equals 40 ml.

For Diarrhea:

  • Dosage calculation: Weight multiplied by 10.

  • Example: For a child weighing 8 kg, the volume is 8 multiplied by 10, which equals 80 ml.

Summary of Dosing Tricks

Paracetamol:

  • Syrup (120 mg/5 ml): Weight divided by 2.

    • Example: 8 kg child = 4 ml.

  • Drops (100 mg/ml): Weight divided by 10.

    • Example: 8 kg child = 0.8 ml.

Domperidone Syrup (1 mg/ml):

  • Weight divided by 4.

    • Example: 8 kg child = 2 ml.

Osia (Ondansetron):

  • 0.13-0.15 mg/kg.

    • Example: 8 kg child = 1.04 mg to 1.2 mg.

ORS:

  • Vomiting: Weight multiplied by 5.

    • Example: 8 kg child = 40 ml.

  • Diarrhea: Weight multiplied by 10.

    • Example: 8 kg child = 80 ml.

This guide provides a quick reference for calculating dosages of common medications based on the child’s weight. Always verify with clinical guidelines and consult with a healthcare professional if needed.

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