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(2014-08)

Penicillin-G Procaine Penicillin(3MU) [25.4] cefa

Penicillin-G Benzathine Bicillin(2.4MU) [800] Cefazolin Cefa(1g) [16.1]

Oxacillin IV=Oxacillin(500mg) [20.6]

PO=Ziefmycin(250mg) [1.5]

Cephalexin Cephalexin(500mg)[1.85]

Cephradine PO=Recef(250mg) [2.11]

IV=Lofadine(1g) [28.4]Ampicillin Ampolin(500mg) [10.6]

Sulbactam Maxtam(500mg) [151] cefa

Amoxicillin Amoxicillin(500mg) [1.5] Cefmetazole Metacin(500mg)[97]

Ampicillin + Sulbactam PO = Unasyn [14.3]

IV = Unasyn(1.5g)() [108]

Subacillin(1.5g)() [108]

Cefuroxime PO = Ceflour(250mg) [7.3]

IV = Cefuroxime(750mg) [25.3]

Cefoxitin Lofatin(1g) [124]Cexitin(1g) [124]

Amoxicillin + Clavulanate PO = Curam(1g) [10.3]

IV = Curam(1.2g) [168]

Anbicyn (0.6g) [56]

cefa

Cefotaxime Claforan(2g) [571]

Ceftazidime Tatumcef(0.5g) [37.2], Tatumcef(2g) [469]

Cetazine(1g) [72]Piperacillin + Tazobactam Pip/Taz(2.25g) [298]

Pisutam(2.25) [298]

Pisutam(4.5) [520]

Ceftriaxone Chef(1g) [249]

Flomoxef Flumarin(1g) [392]

cefa

Ciprofloxacin PO = Ciproxin(250mg) [11.2]

IV = Ciproxin(200mg)() [679]

Seforce(400mg)() [1124]

Cefepime Supercef(500mg) [282]Antifect(1g) [487]

Cefpirome Cepiro(1g) [339]

Levofloxacin PO = IV = Cravit [61] [599] Metronidazole PO = Flagyl [1.7]IV = SABS(500mg) [92]

Moxifloxacin PO = IV = Avelox [113] [892] Clindamycin PO = LinDacin [2]IV = Clincin [16.2]

Ertapenem Invanz(1g)()[1144] Azithromycin Zithromax(250mg) [39.9]

Meropenem Mepem(250mg) [400] Clarithromycin Klaricid(500mg) [25.1]

Imipenem Tienam(500mg) [471]

Vancomycin Vanco(500mg) [115]

Gentamicin V-Genta(80mg) [15] Teicoplanin Targocid(200mg) [773]

Isepamicin Exacin(200mg) [175]

Amikacin Aminfec(250mg) [33.7] Fluconazole IV=Diflucan(100mg) [394], PO=Flu-D(50mg) [42]

TMP-SMX PO=Baktar [2]

IV=Sevatrim [18.5]

Acyclovir IV = Zovirax(250mg)[560]

Oph= Devirus[427], Cream = Deherp [46.6]

Colistin Colimycin [131] Linezoid Zyvox(600mg) [1662]

Daptomycin Cubicin(500mg)[3644] Tigecycline Tygacil(50mg) [1708]

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TABLE17A(3)

ADJUSTMENTFORRENA

LFAILURE

Estimatedcreatinineclearance

(CrCl),mL/min

HALF-LIFE

NORMAL/

ESRD)hr

DOSEFOR

NORMALRENAL

FU

NCTION

METHOD

(see

footer)

>5090

1050

1.5

Cr>1.6

TZD

Rosi-glitazone(Avandia

)

Pio-glitazone(Actos

)[27]

(Anxotos

) [18.5]

1 insulin

Fc

III~IV

-Glucosidase inh. Acarbose(Deglu

) [3.61]

Miglitol(Migbose

) [4.1]

0.7

Cr>2.0

*

Amaryl-M

[4.9] Amaryl 2mg Metformin 500mgActosMet

[16.2] Actos 15mg Metformin 850mg

JanuMet

[3.36] Januvia 50mg Metformin 500mg

Kombiglyze

[3.36] Onglyza 5mg Metformin 1000mg

1. Sulfonylurea receptor receptor Sulfonylurea

SUCV risk SU Kludone Amaryl SU

CV risk CP

Metformin

2. Diabetin2# tid

V= =b

3. Kludone Amaryl

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2014 49

4. sulfanyluria

sulfanyluria 1-2

with meal

5. Biguanide TZD CV event diet control

A Biguanide/ Metformin

B TZD

6. Cr > 1.5 / 1.6 Biguanide Phenformin Buformin

Metformin CKDCr < 4

AKI Acute on CKDMetformin

1500mg~3000mg 30-40250mgMetformin

CT(w/ contrast)Kotang QD 2000mg

4bid-qid7. BigunalMetformin

8. MetforminGI upset dose dependent complaint

9. Troglitazone TZD hepatitis risk TZDAvandia Actos

Avandia risk EMA FDA

TZD ActosActos fluid overload

pulmonary edemaCHFFc III-IV MIpulmonary edema

ActosActoseActose

10. contraindication guidelineMetformin/

SU / DPP4i / TZD guideline 3basal insulin

4 guideline support 3

Basal insulin

11. DPP4 inhibitor sulfonylurea

CCr 30-50 CCr < 30

Sitagliptin(Januvia

) 100mg QD 50mg QD 25mg QD

Saxagliptin(Onglyza

) 5mg QD 2.5mg QD

Vildagliptin(Galvus

) 100mg QD 50mg QD AST/ALT > 2

ESRD FDAprove

Linagliptin(Tradjenta

) 5mg QD

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2014 50

4 sulfanyluria insulinAcarboseJanuvia

XD

(1) Type 2 DM contra-indicationcomorbidity Life style modification

Metformin 500mg*BID

(2) 1500~2000mg/day SU

SU DPP4i

(3) DPP4i

(4) Actos

Basal insulin

(5) Basal insulinMetformin +/- DPP4ibasal

Novonorm Acarbose

1-2Novonorm AcarboseMDII

DM neuropathy

DM nephropathy gene time

course

(1) Vitamin B

(2) TCA Imipramine (Tofranil)

(3) SSRIDuloxetine (Cymbalta

)

(4) Anti-convulsant Pregabalin (Lyrica

) Gabapentin (Neurontin

)

(5) Alpha-lipoic acid

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2014 51

( )

1.

Digoxin 1

2Atrial fibrillation rate control LVEF 48 heparin

1. AfAMIinfectionhypoxiadehydrationCHFpain

CBC/DCCRPcardiac enzymepro-BNPU/AABGEKG CXR

2.

Rate control Rhythm control

onset

Onset < 48hr

48

criticize

Rate control

II = Beta-blocker

IV = CCB ( non-DHPVerapamil Diltiazem)

Rhythm control

Ic (Na+ channel blocker) = Propafenone

III(K+ channel blocker) = AmidaroneDronedarone

CHADS2( CHADS2-VASc) aspirin anti-coagulant(Warfarin Dabigatran)

HAS-BLED Score 3

Rate control Verapamil HR Verapamil >> Diltiazemnegative inotropic

potency Diltiazem > Verapamil HR

Verapamil Digoxin CCB

BB Digoxin IV bolus

Diltiazem Diltiazem 30mg 30mg PO q8hHR

dosemax dose = 540mg/dayMHRcontrol120 120 survivalWPWPRdelta wave CCBBB Digoxin

VT amiodarone HR HR

Rhythm control(CHFpermanent Af Pradaxa) Dronedarone

rhythm control amiodarone thyroid

dysfunction amiodarone

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2014 55

Amiodarone Dronedarone

3# QD2# QD 1# QD() 400mg*bid

prevent stroke 3 4

Anti-coagulant Dabigatran110mg*bid Wafarinkeep INR 2-3

thyroid

sinus bradycardia

2-3AV block Lidocaine

Digoxin

Permanent Af

4 CHF 2-3

Dabigatran

QT prolong

rate

10%

70

65-70

HTN/DM/CVA or LVEF

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2014 56

Digoxin

Rhythm control Rate control

Affirm study (2002 NEJM) rhythm control mortality stroke

rhythm controlmortality

Athena trial (2009 NEJM)

rhythm control trial

Inclusion criteria75 70 1 risk factor

Exclusion criteriaCHFpermanent Af

Dronedarone CV death stroke rateSE

(GI upsetCr)

Andromeda trial (2008 NEJM) CHFall cause mortality dronedarone

Pallas trial (2011 NEJM) permanent Afdronedarone

* rhythm control Dronedarone Dronedarone Orz phase II phase III

trial rhythm control

* Dronedarone AthenaAndromeda Pallas

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2014 57

4.

A= ACE inhibitor ( ACEI ARB)

C= calcium-channel blocker

D= thiazide-type diuretic

step123 Beta-blockers

Beta-blocker

HTN 55

A ()

A

RAA system

Ref: NICE guideline 2007

(contra-indication)

1.

A.

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2014 58

AACEI

*Captopril(Apo-capto) 25mg [1.3]Fosinopril(FonosilForsine) 10mg [6]

*Lisinopril(Genopril

) 20mg [5]

*Quinapril(Accupril

) 10mg [10.6]

*Enalapril 20mgRamipril(Tritace)[10.5]Imidapril(Tanatril) 5mg [8.7]

1. CaptoprilQD

DCMCHFACEI/ARB Captopril

2. Captopril CMUH

sBP>220Captopril Trandate3. 10~25%Bradykinin

4. ACEI/ARB 2nd 3rdtrimester

ARB Olmesartan(Olmetec

20mg)[15]Irbesartan(Aprovel 300mg)[18.2]

Losartan(Cozaar)[18.2]*Valsartan(Diovan160mg)[14.4]

*Candesartan(Blopress

8mg)[11]Telmisartan(Micardis80mg)[23.2]

1. ACEIACEI

2. QDARB Diovan 80mgARB

QDDiovan

3. Olmesartan > Irbesartan > Valsartan > Losartan4. Losartan

Direct renin

inhibitor

AliskirenRasilezACEI/ARBRAA system

Co-Aprovel[15.1] Irbesartan 300mghydrochlorothiazide 12.5mg

Hysartan[9.6] Losartan 50mghydrochlorothiazide 12.5mg

Hyzaar

[13] Losartan 100mghydrochlorothiazide 12.5mgExforge[20] Amlodipine 5mgValsartan 80mgExforge HCT

[25.3] Amlodipine 5mgValsartan 160mghydrochlorothiazide 12.5mgSevikar

[14.3] Amlodipine 5mgOlmesartan 20mgSevikar HCT

[14.3] Amlodipine 5mgOlmesartan 20mghydrochlorothiazide 12.5mgTripan

[12.7] Felodipine 2.5mgRamipril 2.5mg

1. ACEI/ARB CHFDCM

2. ACEI/ARB 7 f/u Cr Cr 3% 3. ACEI/ARB4. ACEI/ARB/

effective volume dehydration

5. ACEI/ARB EGF-beta, Insulin-like growth hormone anti-inflammation P/D(1) (2) anti-inflammationAprovelprotectprevent ARB

6. CKD ESRD Acute on CKD AKI Exforge Amlodipine compliance

7. ACEI/ARBACEI + ARB overt proteinuria (> 3g/day)Direct renin inhibitor + ACEI/ARB

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2014 59

B Non-ISA (ISA=Intrinsic sympathetic activity) ISA

Selective 1-blocker AtenololBisoprololMetoprolol Acebutolol(Sectral

) [6.7]

Nonselective -blocker PropranololNadolol(Corgard

) Pindolol

1-blocker +

Nonselective -blocker

CarvedilolLabetalol

Atenolol(Atinol

)50mg/Tab [1.44]

(Ateno

)100mg/Tab [1.49] 1. 1 C.O. Renin 2bronchodilator insulin Selective 1-blocker

2. HTN ISA Acebutolol(Gentolol

)

MINon-ISA

Bisoprolol(Bisol

)1.25mg/Tab [3.24]

(Biso

)5mg/Tab [3.86](Concor

)5mg/Tab [3.86]

Metoprolol (Betaloc)

100mg/Tab [8.7]

Propranolol(Inderol

)10mg/Tab [2]

(Cardolol

)40mg/Tab [2]

1. partial Alpha blocker Beta blocker

2. Primary prophylaxis for EV bleeding Inderolligation keep HR>60 HR25% 5mg bid end stage liver disease Inderol hepatic renal syndrome

Carvedilol(Syntrend

) 6.25mg [4.52]

(Dilatrend

) 6.25mg [4.52]

(Dilatrend

) 25mg [7.5](Loncardio) 25mg [6]

Nonselective -blocker + 1-blockerNon-ISA 6.25mg 25mg

Labetalol (Trandate)25mg/Amp [85]

200mg/tab [3.4]

1.

1. -blocker( 1) HTN -blocker

2. Selective 1-blocker asthma AE -blocker

3. -blocker

mask DM -blocker

CHF -blockerBisoprololMetoprolol(SR)Carvedilol

Trandatewhy?

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2014 60

CDHP() NifedipineAmlodipineFelodipine

LercanidipineLacidipineNicardipine

Non-DHP() DiltilazemVerapamil

Nifedipine(Atanaal)5mg/Cap [1.9]

(Coracten

)20mg/Tab [4.87]

(Adalat

)30mg/Tab [8.9]

(Nifecardia

SR)30mg/Tab [8.9]

1. 2. HTN crisis

Nifedipine HTN crisis target organ damage 10% 160/100

3. Adalat

Amlodipine(

Norvasc)

(Nobar

)5mg/Tab [7.9](Amilo

)10mg/Tab [6.6]

Intern Intern

Felodipine(Fedil

)5mg/Tab [3.74]

(Felopine

)10mg/Tab [5.8]Felodipine

Lercanidipine(Zanidip

)5mg/Tab [9.5]

1. CCB Norvasc2. CCB NorvascNorvascZanidip Lasyn

Lacidipine(Lacipil

)4mg/Tab [8.7]

(Lasyn

)4mg/Tab [8.6]

Nicardipine (Perdipine)10mL/amp [240]

1. Perdipine negativeinotropic effect

2. dose-dependent

3.

4. 5. ICU Trandate duration

IV form STAT 1mL pump perdipine pump

DiltiazemHerbesser

(Cartil

)30mg/Tab [2]

(Diltelan

SR)90mg/Cap[6.2]

(Progor

SR)180mg/Cap [11.5] 1.

2. 23AV block

Verapamil(Cintsu

SR)240mg/Tab [7.5]

(Verpamil

)inj. 5mg/2mL/Amp [65]

1. DHP=Dihydropyridine

2. DHP > Diltilazem >> Verapamil

Verapamil >> Diltilazem > DHP

3. CCB ACEI -blocker isolated systolic HTN

CCB >

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2014 61

D 4ThiazideLoopCarbonic Anhydrase Inhibitor

TrichlormethiazideFluitran

2mg/Tab [2]

1. Na-Cl pump Na2. KNaMg3. Cadose-dependent

4. DM

5. FluitranMycros6. Fluitranduration loop diuretics loop PRN

7. Loop diuretics loop Thiazide

8. thiazide loop loopThiazide Thiazide

ThiazideMetolazone(Mycros

) [4.83]

onset loading 2~4#

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2014 62

Furosemide ( Laxis)

PO=Nadis

40mg/Tab [2]

IV=Rasitol

20mg/Amp[15]

IV

PO

2

( =50% )

1. Henle Loop Na-K-2Cl pump2. thiazide Ca NaKMgCa3. thiazideDM4. CHF Pulmonary

edema5. Laxis

6. LaxisAlbumin LasixAlbumin LaxisAlbumin

7. Laxis Laxis

8. 1amp*q8h 2amp*q8h 2amp*q8h pumprate 0.5 1 4mL/hr

BumetanidePO=Burinex

1mg/Tab [2.44]

IV= Burinex

2mg/amp [47]

1. loop diuretics 100%2. IV form 20mg Laxis IV form 1mg Burinex

LaxisBurinex NEJM

3. Furosemie

Torasemide 1. loop

Spironolactone 25mg/TabAldactin

[1.5]

( Aldactone)

Spiron QD 3~4 bid tid

1. LasixLasix

2. loop

1# Nadis 4# Spiron 12 13

3. SpironGI for AscitesAscites RAA systemSpiron block RAA system Ascites

4. Spiron CHFCHF5. (gynecomastia)

AcetazolamideAcetazolamide

250mg/Tab[1.5]

1. Carbonic Anhydrase Inhibitor2.

3. CXR pulmonary edema1# bid-tid

1. Acetazolamide 5mg/kg/day 2~32

2. Dexamethasone AcetazolamideDexamethasone 4mg*q6h

3. Nifedipine10-20mg*q8h

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2014 63

Hydralazine Apresolin

10mg/tab [1.5] Aprelazine

20mg/amp [27.3]

Direct vasodilator

Millisrol

IV NTG

Minoxidil()

Loniten10mg/tab [9.5]

hirsutismpericardial effusion QD

diureticsRef: Diuretic therapy, NEJM 1998; 339:387-395

5.

Midodrine2.5mg/Tab [3.43]1. 1-Agonist2. / ICU inotropic agent weaning chronic

fatigue syndromehepato-pulmonary syndrome octreotide hepatorenal syndrome3. 4. indicationFDA 2010paper

5. H/D vessel constricture CAD PAOD

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2014 64

6.

/

HMG-CoA Reductase Inhibitors Rosuvastatin(Crestor

) [26]

Simvastatin(Simvahexal) [7.8]

Atorvastatin(Lipitor

) [22]

Fluvastatin(Lescol

) [19]

Lovastatin(Sancos

) [5.3]

Pravastatin(Mevalotin

) [25.7]

Pitavastatin(Livalo

) [34]

LDL

(dose-dependent)

cholesterol

LDL

Fibric acid Bezafibrate(Bezalip

) [12.6]

Fenofibrate(Lipanthyl

) [7.4]

Etofibrate(Lipo-Merz

)

TG

HDL lipoprotein

lipase TG

Nicotinic acid Acipimox(Olbetam

) [7.2] HDL

TGLDL

rash lipoprotein lipaseTG

LDLHDL

Bile acid Sequestrants Cholestyramine(Choles

) [15.4] LDL

LDL

LDL TG

Cholesterol Absorption Inhibitor Ezetimibe(Ezetrol

) [37.7] LDLstatin

statin 3

NPC1L1

(transport protein) cholesterol

LDL

Vytorin

[41.2] = Ezetimibe 10mg + Simvastatin 20mg CKD CV risk

Caduet

[26.3] = Norvasc

5mg + Lipitor

10mg

1.

2. 3

3. TG LDL

A TG >500mg/dl Fibric acid Nicotinic acid TG

B TG45>55)

HTNHDL

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2014 65

5. TGNephrotic syndromeDM(cushing syndrome) estrogenAlcoholism

6. TG Lipoprotein lipase insulin insulin resistant

TG DM TG TG HDL

TGHDL DM HDL HDL

HDL mortality TG

7. TG 90%LDL 10-15% LDL

TG diet control LDL TG

8. HHSTG TG

9. LDL Statin TG Fibrate

fibrate Bezafibrate Fenofibrate statin

Gemfibrozil statin

10. Statin ( HDL) SimvastatinFluvastatinPravastatin

Statin ( HDL) RosuvastatinAtorvastatin

11. RosuvastatinAtorvastatinSimvastatin statininsulin resistance new onset DM

12. Rosuvastatin 35-50% LDL 6% LDL

rule of six

LDL200QD LDL

Ezetrol statin LDL 10-20%

13. bind lipoprotein lipase

LDL

14. Hypothyroidism LDL LDL thyroixin

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2014 66

2013-08-01

CAD / CVA

TC160

LDL-C100

TC160

LDL-C100

3-6

6-12

2 3-6

TC200

LDL-C130

TC200

LDL-C130

1TC240

LDL-C160

TC240

LDL-C160

0 LDL-C190 LDL-C190

( 1) (1) (2) (3) 45 (4) 55 (5)

( 55 65 ) (6) HDL5HDL-C

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(Anti-platelet)

Aspirin1. 2. TXA2/

Atherosclerosis3.

4.

RFA 7

Aspirin

100mg/Tab [2]

Bokey

100mg/Cap [2]

AMIAspirin

loading 3# 1# QD

TiclopidineAspirin

Licodine

100mg[5]1# bid

Clopidogrel1. ADP receptorADP2. loading 600mg (=8)

3.*Aspirin 3ACSAspirin 9

4. PCI CABG 5~7

(: Plavix )

Clopidogrel

75mg/Tab [36.3]Thrombifree

75mg/Tab [45.6]

AMI

Plavix

loading 4# 1# QD

Tirofiban 1. Glycoprotein IIb/IIIa inhibitor fibrinogen

2. Abciximab3. High risk UA/NSTEMI PCI

MI4. * UA PCI heparin non-Q wave MI

Q wave MI12 PTCA

Aggrastat

12.5mg/Vial [7593]

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2014 68

Dipyridamole 4. 5. adenosine adenosine AdenosineA2-receptor

Adenosine6. 7. steal phenomenon

Dipyridamole

25mg/Tab [2]Sancin

50mg/Tab [2]

Peysan

75mg/Tab [2]

Persantin

IV10mg/Amp [8.5 / 30]PO75mg/Tab [2.6 / 5.3]

Pentoxifylline 1. 2. methylxanthine PDEcAMPSE

3. 4. CMUH routine aspirinA Pentoxifylline(Trental

) 1 amp Q8H

B Piracetam(Nootropil

) 1BT QDHigh cortical fuctionPiracetam

Ceretal

400mg/Tab [2.3](Trental)

Stroke guideline anti-platelet1. Aspirin

2. Plavix

3. Licodin

Plavix plateletWBC

4. Aggrenox

[8.5] ( 25mg Aspirin 200mg Dipyridamole) dipyridamole 200mg 25mg*tid200mg 200mg 75mg

5. Dipyridamole(Aspirin)6. Cilostazol(Pletaal

)[10.3] PAOD

** Plavix Aggrenox Aspirin aspirin()

PiracetamNootropilNootropic1200mg IV

GABAIV

(1) High cortical function

(2) heparin

(3) Anti-platelet bleedingPlatelet(eg )

ThrombusPCI anti-platelet PCI anti-platelet

ACS(NSTEMI / STEMIBokey + Plavix 9 12

Stent

1. Bare-metal Bokey + Plavix 3Monotherapy Bokey

Aspirin GI bleeding Plavix ulcerPlavix

2. Drug-elutingBokey + Plavix 3 12

Balloon

1. balloon dual anti-platelet Bokey

2. Drug-eluting balloonBokey + Plavix 1

PCI re-stenosis rateBalloon = 30%Bare-metal stent = 20%Drug-eluting stent < 10%

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2014 69

PAODPeripheral arterial occlusion disease

Aspirin 100-325mg QD

ClopidogrelPlavix 75mg QD CADAspirin Plavix

TiclopidineLicodin PAOD

Dipyridamolepersantin aspirin

PentoxifyllineTrental

1.2g QD

CilostazolPlestar 100mg bid CCB

50mg bid

AlprostadilPromostan

[585]

IV Prostaglandin E1(PGE1)

IV

(Anti-coagulant)

Heparin 1. Antithrombin Factor Iia2. Embolism HyperviscosityDeep Vein Thrombosis Varicose vein

3. Onset 24 Wafarin shiftHeparin

4. aPTT 50-705. OnsetWafarinWafarin onsetoverlapping HeparinWafarin

Heparin

25000 IU/vial

Enoxaparin 1. LMWH(Low Molecular Weight Heparin)2. Factor Xa3. 4. LMWH HeparinHeparin PCI

aPTT PCI5. 75

30mg loading1mg/kg q12h ()1mg/kg QD (eGFR < 30 Cr > 2.5)

75

loading 1mg/kg q12h ()1mg/kg QD (eGFR < 30 Cr > 2.5)

Clexane

60mg/amp [156]SC

DalteparinFor NSTEMI120 iu/kg (max=1 iu)*q12h

For DVT200 iu/kg*QD or 100 iu/kg*q12h

CCr < 30 UpToDate

Fragmin

12h

5000iu/0.2mL [156]

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2014 70

Warfarin 1. Indication Heparin Outpatient2. 4872 48

3. PT INR 2.03.04. Vit K10mg QD x 3 INR 5( 10) 2mg Vit.K INR

5. Atrial fibrillationAspirinWafarin? CHADS20Aspirin 2Wafarin (1)

(CHF, HTN, Age75, DM, Stroke)

Cofarin

1mg/Tab [3.6]Cofarin

5mg/Tab [5]

Coumadin

Dabigatran 1. thrombin thrombin fibrinogen fibrin

unbound thrombin fibrin-bound thrombin

unbound thrombin LMVH

2. (80%)

150mg bid

CCr 30-50 110mg bid

CCr 15-30 75mg bid ( CCr 110mg bid = warfarin

4. 12 17

5. CYP450

6. dronedarone ketocanazole

7. 8. CCr 50 1-2

CCr

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(Thrombolytic Agents)

tPa 1. tPA=Tissue Plasminogen Activator2. 5

A. 2

1B. 3sBP >180 dBP >110 Active internal bleeding

3. A. CPR >10min2

B. INR >2 tPA

Actilyse

[18559]

Urokinase[1010]

1. Plasminogen Plasmin

2. Double lumen PICCPort-A

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2014 72

(Hemostatics)

Vitamin K1 [15]1. TPN2. ProthrombinWafarin

Estrogens Conjugated 1. 2. 3.

4.

5. DVT

Estromon

0.625mg/Tab [2]

Tranexamic Acid 1. plasminogen plasmin Fibrinolysis Fibrin

2. tPA

3. Hemoptysis colon ulcer bleeding

4. evidence5. Hematuria TransaminHematuria Transamin 3-way foley Normal saline irrigation Full run 500ccirrigationCystoscope

Irrigation Transamin Transamin

Transamin

250mg/Cap [1.54]

Transamin

10mL/Amp [37]

1amp*q8hMax = 2amp*q6h

Epinephrine 1.

2. ENTBuccalca Tumor bleeding Bosmin ERCP

3. Bosmin

Epirenamin1mg/mL/Amp [10]

Bosmin

0.1% 500ml/BT

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1.Asthma

Quick reliefA+V

Salbutamol(Albuterol) 1Short-acting 2-agonist(=SABA)23 cAMP

( 2)Ventolin

[9/10]

Ipratropium1Anti-cholinergic2

Atrovent[10/11]Spiriva

[301500]1# QD

1=Ipratropium 0.5mg + Salbutamol 2.5mg2Combivent

[21.6]

Long term control

BA BA

BA= SABA Salbutamol(Ventolin)Terbutaline(Bricanyl)Fenoterol(Berotec)

Budesonide(PulmicortDuasma)Fluticasone(Flixotide)

BA= LABA SalmeterolFormoterol(Formorol)

(LABA+)

Symbicort

= Budesonide + Formoterol (2 puff q12h)

Foster

= Beclomethasone + Formoterol

Seretide

= Futicasone + Salmeterol (1puff bidMDV2puff bid)

A 2-agonist Salbutamol agonist

EphedrinePseudoephedrine -agonist

BXanthine PDE cAMPAminophylline

TheophyllineCaffeine.

2.COPD

P

D

C

OPrevention 65 5

Dilator AsthmaAnti-cholinergic

BAPRN BA

Corticosteroid

Oxygen Cor pulmonale

AE=Acute exacerbation

1. systemic glucocorticoidIV PO 7-10

2. AE CAP

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1.

Emergency

Sodium Bicarbonate 1

2ABG HCO3 X Jusomine24-X/2HCO3=1224-12/2=63IV push Slowly drip

3 Bevt(:)

Sodium bicarbonate

Jusomine

7% 20ml/Amp [15]

Potassium Chloride 1. 4060mEq line Central line

20mEq/L 40mEq/L

10mEq/hr 20mEq/hr

2. Potassium phosphate [50/ 131] 3. Hypokalemia

Slow-K

Radi-K

595mg/Tab [1.93]

12.54mEq

Potassium PhosphateATP diet yeast

Calcium polystyrenesulonate

1. Kalimate 5g/pack [12.2]

Lactulose 5-10mL

enema5 in N/S 100mL (Uptodate 10 Orz)

2. Hyperkalemia EKGpeak TPR prolongPsine wave

3. HyperkalemiaA. Calcium gluconate 10mL ( Calcium chloride 5-10mL)B. RI 4-6U + 2 amp D50Walbuterol 10-20mg in 4mL

N/S, INHLSodium bicarbonate 1-2amp IVPC. Furosemide 20-40mg IVP

Kayexalate 15-30g*q4-q6h

Calcium Gluconate 1. Glucal black

10% 10ml/Amp [21.4]Ca

Calcium Acetate

1. Caphos

667mg/Tab [2] ESRD

2. Ca

P

Calcium Carbonate[0.5]

Caphos Caphos

Caphos

CaphosCalcium carbonate

(1)

(2) ()

(3) Renagel () ()

(4) Lanthanum()( 150 3)

iPTH(1) iPTH

(2) Vit-D Vit-D Vit-D iPTH Vit-DiPTH

(3) Vit-DVit-D iPTH

iPTH 1000 2-3000

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Pamidronate Disodium

1. Aredia

2. hydration loop

diuretics

(1) Pamidronate( 60-90mg) (2-3 )

Pamisol(90mg) NT4000+

Aredia(15mg) NT1461

(2) Zoledronicacid

ZometaNT11871

12 2

3

Ferall2+VitC+VitB12+[2.19]

Ferich

50mg/Cap [3.55]

Ferric hydroxide sucrose complexSucrofer[77]

1. Ferric hydroxide 3

2.

3. 3 ( HbHb) 500~1000 (500-1000

Liver)

50kg Hb=5 3x50x(10-5)+500 = 1250mg

100mg 12 3 4

4. D5Wrun 4( anaphylactic shock)

5. Iron / TIBC > 20% Ferritin > 2006. (?)

Deferoxamine

Desferal

500mg/amp [268]

1. Iron chelating agent

2. (Fe+3)(Al+3)

hemochromatosis

3. 4amp in D5W 500mL, run 25mh/hr, QD x 7-10 Ferritin

1000

Lugols Solution 1. Iodine 30mg+ Potassium Iodide 60mg2. Exophthalmos thyoid goiter

3.

Vasculature[x/ 15]

Tetrastarch(TES) Voluven

Hydroxyethyl starch Haes-Steril

injection 500mL/Bot [256]

Gelofusine

[240] ()

Amiparen

400mL/bot [249]

Mannitol 20%, 500ml/Bot [117](1) Mannitol > Glycerol

I. MCA infarction hemorrhage

Mid-line shift

mannitolII. edmeaGlycerol

III. edemacraniectomy

stable()

(2) Mannitol 0.5~1g/kg 4~6 0.2~2g/kg

~1 loading 1 q8h~q6h

Mannitol rebound()

(3) Glycerol 1 q8h~q6h

Glyceral RI 4-6u

Glycerol 250ml/Bot [93]

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2014 76

2.

CYu sheng C

200mg/Tab [x/ 1.5]

Vitacicol

100mg/Amp [15] NPO

D3

Alfacalcidol(Onealfa

) 0.5 mcg/Tab [10]

Bio-Cal

chewable [0/3.2]Calcitriol(Macalol

)0.25mcg/Cap [2.95]

Calcitriol(U-ca

)0.5mcg/Cap [5.3]

Calcitriol(Cacare

)1mcg/Amp

Chronic renal failureosteoporosis

Hypoparathyroidism

Alfacalcidol Calcitriol calcium

metabolism

B6Pyridoxine(Vitamin-B6

)[x/ 5]

Pyridoxal-5-phosphate(Hibilox

)

INHNeuropathy

L-dopa

B12Mecobalamin (Methycobal

PO/IV)

PO[1.87] IV[15.8] Peripheral neuralgia

BKentamin

(B150mg +B650mg +B120.5mcg)PO [2]

Felinamin

(B15mg +B610mg+B12100mcg+K) IV [15]

B sudden

hearing loss

E Vitamin E [0 / 1]

K1 Vitamin K1 [15] Wafarin

Folic

AcidFolic Acid(Folacin

) [2]

Megaloblastic anemia

MTXFolic AcidMTX

5-FU

Bluplex[25.2]Lyo-povigent[67]

3.Hormone

EPO 1. EPOEPO

Cr >6.0 Hct

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Medroxyprogesterone Acetate

Provera

5mg/Tab [1.6]1. 2.

Oxytocin 1.

2.

(: Piton

)Oxytocin

10IU/amp[6.8]

Thyroxin sodiumEltroxin

100mcg [1.43]

1. T4 Eltroxin T3T4T3 )1.61.7 mcg / kg / day 60 kg 100mcg ( 1) ( 100 2550...)

2. Eltroxin 7 ( 4) 1 1

3. TSH 2.0 Eltroxin

4. Eltroxin cortisol cortisol EltroxinEltroxin cortisol adrenal crisis

Methimazole(

:Lica )Methimazole

5mg [2]

Propylthiouracil (=PTU)Procil

50mg [1.5]

T4 T3

PTU()Propanolol1 Logols solnWC effect

1. 2. 1000mg 1500mg3. D800~1000

Bisphospho-

nates

Alendronic acidFosamax plus[238]

30GERD f/u zoledronic acid

Zometa [11871]

Aclasta [12117]

DenosumabProlia

[6344]RANKLmonoclonal antibodyRANKL

SERMs

Selective Estrogen Receptor Modulators ( breast

endometrialuterine cancers)CAD

Calcitonin Miacalcic

[107]CalcininUpToDate

Parathyroid hormoneteriparatideForteo

[15298] PTH

1. T-score -2.52. T-score -1

FosamaxCr1.6

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2014 78

1. Urine retention 3(1) -blocker(2) 5 -reductase inhibitor ( 5ARI )

(3) Muscarinic receptor

Tamsulosin 11# hs2Alpha 1-blocker BPH3 prostate5ARI prostate BPH complain Tamsulosin

Harnalidge

0.2mg/Tab [10.8]Tamlosin

0.2mg/Cap [9.6]

Urnal

0.2mg/Tab [8.9]

Doxazosin 11-8mg QD2Tamsulosin Tamsulosin -blocker

3SEpostural hypotension

Kinxaben

2mg/Tab [3.23]

Doxaben

4mg/Tab [16.6]

Finasteride 1. 5 -reductase inhibitorBPH

2. For BPH 5mg prostate3. For15mg(NT.23) 1mg(NT.68)5mg 5mg 41/4 impotence

4. 5ARI 25% prostatereduce surgery rate

Propecia

(=)1mg/Tab [68]

Proscar

5mg/Tab=[23.3]Finta

5mg/Tab=[23.3]

Dutasteride

Avodart

0.5mg/tab [40]

Bethanechol 1. (Muscarinic receptor)SE/

2. DM3. Atropine reverse4. 5. asthmaCADPeptic ulcerHyperthyroidism

Dampurine

25mg/Tab

[2.23] (:Wecoli

)

Dicyclomine 1. irritable bowel syndrome anticholinergic(blocksmuscarinic receptors)CMUH TURPTURBTURSBentyl

10mg/Tab

2. 1Anti-cholinergic

Oxybutynin (Oxbu) 5mg/Tab [8.3] 1. Urinary retention,2. GI tract obstruction,

3. GU tract obstruction,4. Untreated close angle glaucomaVesicare

Solifenacin (Vesicare

) 5mg/Tab [33.7]

3.Other

Phenazopyridine (Uroprin

)100mg/Tab [1.5] ( Foley)

Pipoxolan(Rowapraxin)10mg/tab [4.2]

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Note

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1.

Urticaria + CB strongEczema + Topical steroid

Topical steroid

4~6 Elison(4) Rinderon(6)

/1~3 Septon(3) Vimax(1)

/1~2 Topsyn(2) Vimax(1) Esperson(2)

Dr. PIMycomb

Tinea Exelderm and/or Irogen( Zalain)

+

Irogen+ Dr. PI( Dr. PI Neomycin) Acure()()(A) +/- Cleocin() +/- Akana()

Cleocin

Conlifu( Neomycin)( Tetracycline) +/ oral abx(Cefa)

()

10

Famir(250mg)[93] Zovirax(250mg)[560]

V1 / S2

7

Deherp(5g) [46.6]

3

7

10

Famir(250mg)[93] Zovirax(250mg)[560]

V1 / S2

3 5

7

Neomycin( Conlifu) for

Deherp(5g) [46.6]

7

()Oralog

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Class

1 Clobetasol Propionate (Dermovate

Ointment) 5g [16]

(Vimax

Foaming) 25mL [126]

A. 17

B. Ointment > Cream > Lotion

C.

3

4

()4

D. 10

2 Fluocinonide (Topsyn

Cream) 10g/Tube [71]

Desoximetasone(EspersonOintment) 5g/Tube [33.4]

3 Betamethasone(Septon

Sol.) 10g/bot [114]

4 Mometasone Furoate (Elisone

Cream) 5g [28]

5 Triamcinolone Acetonide (Encort

Cream) 15g [15/ 32]

6 Betamethasone(Rinderon

VA Cream) 5g [41.7]

7 Hydrocortisone Acetate(Tricodex

) 15g/Tube [15/ 31]

()

Mycomb[37.4]1. Triamcinolone acetonideNeomycinGramicidinNystatin steroid CandidaCandida

Dr. PI[64]2. Mycomb BetamethasoneClotrimazoleGentamycin3. Mycomb( 16g)

Antifungal

Ketoconazole 1. (tinea)

2. involveFluconazoleItraconazoleKedofu

[50/ 66]

: Isogen

[58] Zalain

[106] bid

: SulconazoleExelderm[73] bid

Anti-Scabies

Scabi

[100]Gamma Benzene Hexachloride 8-12

Ulex[30]

steroid Ulex 24-48

Jaline Lotion

[180]Benzyl Benzoate BB lotion 24

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Other

Bacitracin-Neomycin

34.2g/tube [36.2]

BacitracinBacitracinG(+) Neomycin G(-)

Conlifu

oint 5g/tube [44] : Fucidin

GentamycinOph. Oint. [27]

PolytarLiquid

[166/260]1. 2-3 102. psorasis

Zinc Oxide Ointment[58]

Sinbaby 120g/BT [34/ 68]

zinc oxide

Menphencala

lotion 100mL/Bot [14] Calamine 80mg Zinc oxide80mgCalamine = ZnO +

Fe2O3

Silver sulfadiazine

Silva-Sulfa

50g/Bot [44.6]Canflame

500g/Bot [596]

FradiomycinFramycin

Gauze [x/ 17]

()

Heparinoid[48 / 84]

C.B. Strong

oint. 5g/Tube [11.3]

(1) Menthol()

(2) Chlorpheniramine Maleate()

(3) Lidocaine()

(4) Methyl Salicylate()

Aspirin

(5) Hexachlorophene()

(6) Camphor()

Doxepin 1. Doxepine

2. IchdermIchderm

Cream

5% 15g/Tube [85]

2.

Chlorhexidine gargle 1. Candida(thrush)Candida Candiasis

2. 10 Nystatin [3.1] 500cc N/S

3. 8 KetoconazoleCotrizine[3.54] 500cc N/S

Parmason

0.2% 200ml/BT [58]

Oralog

[28.4] Triamcinolone Acetonide

Comfflam

30mL/bot [0/238] ENT

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2014 83

3.

Sulfamethoxazole

Sulmezole

[12]For

Flucon

(Fluorometholone)Pred

forte(Prednisolone)Rinderon-A

Duratears oint.

[88]Tears Naturale

[62]

Schirmer test 5mm

() Tropicamide

Eyehelp

(O.N.S.D.

)[16]NeostigminAcheseAch

Quinax

[144] AzapentaceneFor cataract

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4.

Hemodin

10g/Tube [60] Lidocaine()Phenylephrine()Betamethasone()

Alcos-anal

20g/Tube [48]

Polidocanol()Chlorcarvacrol()Sodium oletate()

Proctosedyl

15g/Tube [71][5.8] Cinchocaine()Hydrocortisone()

Faktu

100mg/Tab [9.2]Policresulen()Cinchocaine()

1.

order

2. Menthol packing

Rivanol

1. 2.

3. Rivanol packing Ice Packing

Ice packing

Rivanol packing

1. Adapalene(Acure

)[91] Benzoyl Peroxide(Akana

)[28]

2. Tetracycline Doxycycline 1# BID-QID

1. Ofloxacin, Tarivid[87] For/2. Mycomb

optic drop [55] For

Flurbi PAP

NSAIDs[6.8]

16 1patch QOD

Duofilm

[181] 30gQD For

Urea()Sinpharderm

[37.9]/

Ueraly= Urea + Hydrocortisone 16g [49.7]

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2014 85

IV pump

**BWBW BW=50 50

excel

Levophed

2012

sepsis guideline

bradycardia AV block

DopamineDopamine

Epinephrine

cyanosis

Dobutamine

Dobutamine

Levophed Dopamine

Gipamine (Dopamine) 2-20 mL/hr BW

Gendobu (Dobutamine)

BW

2(=500mg) in 250mL D5W, run 3~33

Levophed(Norepinephrine) BW

4(=16mg) in 500mL D5W, run 1-56

Epinephrine BW run 0.120.6

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2014 86

Millistrol 5mg/amp BW

5(=25mg) in 200 250mL D5W, run 3~15

( off 8)

Dormicum

BW

0.5-2 mL/hr line

, 8amp(=120mg) in N/S

100mL (1mg/mL)run 2-10 mL/hr

Propofol BW Apnea

2-25 mL/hr

3 shift Dormicum

Sedation holiday( off 2-3 hrs)control mode sedation,

muscle relaxant (EsmeronNimbex),

weaning,

Amiodarone 150mg/3mL/amp BW

6 500 D5W* 6 run 34 mL/hr (360mg)

* 18 run 17mL/hr (540mg)

Heparin (keep APTT 50-70)BW

Loading : 60IU/kg (max=4000)

Maintain: 12IU/kg /hr (Max=1000/hr)

Loading = 2000-4000 IU

Maintain = 2 5 in IVF 500, run 15-30 mL/hr

Enoxaparin (Clexane 1 60mg)BW

@ 75

30mg loading1mg/kg SC q12h ()

1mg/kg SC QD (eGFR < 30

Cr > 2.5)

@ 75

loading1mg/kg SC q12h ()

1mg/kg SC QD (eGFR < 30

Cr > 2.5)

Pantoloc(pantoprazole)

PPI = 2amp bolus

+ 8mg/hr IVD ( = 200mg/ = 5/ )

2amp bolus+ 5amp in 500run 20

Nexium(esomeprazole)

12

2amp bolus 2amp in 100run 10

Octreotide(Sandostatin) (100mcg/amp)

50-100mcg bolus + 25-50mcg/hr

(600mg/) = 6/

Stilamin(Somatostatin) (3mg/amp)

2amp in N/S 500run 20

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2014 87

1. RitodrineYutopar

(1) Beta2-agonistGA >16wks Yutopar

(2) 100mg in N/S 500mLrun 20-25 30 3-5mL/hr() 40mL/hr 200mg in N/S 500mL (

Yutopar complicationpulmonary edema)

(3) 10 3 HR>120Max dose (Max dose = 200mg

run 50mL/hr)

(4) 100mg 10mL/hr shift Yutopar Adalat

(5)

2. MgSO4 Ca

4g, IVD 15-20 mins 2g/hr 10 3

DTR DTR

3. Adalat(Nifedipine)10mg 15*44 1

cycle(15*4)

4. GA < 12wksprogesterone

5. GA < 32 wks Indomethacin

1. OxytocinSE

2. Methergin(Methyl-ergometrine)SE

3. PGE2(Alprostadil= Promostan)SE

1. Oxytocin 10iu in N/S 500mL, run 3mL/hr 3mL/30mins

> 3times/10mins Max dose = 30mL/hr

2. PGE1(Misoprostol=Cytotec

) C/S

3. Fucon

(Butylscopolamine)

4. PGE2(Alprostadil= Promostan

)

Antibiotics

1. GBS(+)Ampicillin2g, IVP, ST

2. terminationAmocillin250mg, PO, q6h

BP

1. MgSO420g in D5W 300mL, run 300mL in 30minsthen keep 25mL/hr seizure

2. Keep sBP

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by vins 2014-08

Acetaminophen

Tinten(500mg)10mg/kg/dose*q6hPRN/QID

Bubdel(80mg)

IbuprofenIdofensyrup (60mL/bt) (BW/2-4)mL*q6hPRN/QID

Purfen(400mg) 10mg/kg/dose*q6hPRN/QID

Diclofenac Voren(12.5mg) 12.5kg 112.5kg

+++ Anticasyrup (120mL/bt)(BW/4)mL *QID

++ Colin(120mL/bt)

+ Romicon-A(medicon-A)

Acetylcysteine Flucil(100mg/pk)

Cyproheptadine Cypromin(0.4mg/ml, 120ml) (BW/4)mL *QID

pseudophedrine

Histapp Gr.

Peace

Finska-LP 40 BID rule

Cetirizine Cetirizine(1mg/mL, 60mL/bt) (BW/4)mL *QD

Diphenhydramine Diphenhydramine (30mg/amp) 30kg 1amp ST30kg

Terbutaline Bricanyl(2.5mg/ml , 2ml/vial) 20kg 1A in N/S 4mL10kg 1/2A5kg

1/4AIpratropium+salbutamol Combivent

Epinephrine Epirenamin Croup: 0.3mL+N/S 4mL (20~30 3)

Procaterol

Exdila(5mcg/ml ,60ml) (BW/4)mL *BID

Meptin(50mcg/tab) 40 BID rule

Theophylline (

Macrolide)

Thoin(125mg) (?) 40 BID rule

Centertheoliq. (5.34mg/ml ,60ml) (BW/2)mL *BID (20kg)

Methylprednisolone

Methylprednisolone

(40mg/vial)

Loading: 2mg/kg/dose *ST

Maintain: 1mg/kg/day q12h-q6h

PrednisoloneCompesolon(5mg) 1mg/kg/day BID-QID

Kidsolone(80mg/60ml) 1mL/kg/day BID-QID

Pecolin(120 mL /bt) (BW/2-3)mL *QID (20kg)Smecta(3g/pk)

MgO(250mg) double

(50%+50%) Laitest enema (65mL/bot) (BW*3-4)mL

Domperidone

Domtoo(10mg)

Domper supp(10mg) ()

Metoclopramide Primperan(10mg)

Mosapride Mopride(5mg)

Dimethicone Kascoal(40mg)

Lactobacillus biofidus Lac-B( NT 2.7)

40 QID rule 40kg 1* QID40kg 40 QID rule

40 BID rule 40kg 1* BID40kg

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IV

Cefazolin Cefa(1g) 50-100mg/kg/day( Q8H) (Max=2g/ 1g/)

Ampicillin Ampolin(500mg) 25-50mg/kg/dose *Q6H ( 100mg/kg*q6h)(Max=12g/day)

Oxacillin Oxacillin(500mg) 25-50mg/kg/dose *Q6H

Augmentin Curam(1.2g) 40-50mg/kg/dose *Q8H#

Unasyn Unasyn(1.5g) 37.5mg/kg/dose *Q6H (100-300mg/kg/day)

Gentamicin V-Genta (80mg) 2.5mg/kg/dose *Q8H (Max=80mg*q8h)

Taita NO2 ( 100-50-20 rule)

#40*q8h= 120/day Amo 100/day (Amo 200 200 AmoAug Clavu)

PO

Cephlexin(1) Cephalexin(500mg) 40 QID rule

Cephradine(1) Recef(250mg) 25-50mg/kg/day( QID) (Max=4g/day)

Cefuroxime(2) Ceflour(250mg)25kg 1# BID< 25kg

10-25mg/kg/dose*BID (Max=250mg/dose)

Cefixime(3) Cefspan(100mg) 4mg/kg/dose*BID (Max=200mg/dose) ( Staphy.)

Amoxicillin

Amolin(25mg/ml ,60ml)Low dose: (BW/2)mL*QID (10kg)

High dose:

Amoxicillin(500mg)

Low dose: 40-50mg/kg/day( TID QID)

High dose: 80-90mg/kg/day( AOM/)(Max=2g/day)

Dicloxacillin Ziefmycin(250mg) 25-50mg/kg/day( QID) ( 50-100 cloxacillin)

Augmentin@

Augmentinsyrup (35mL/bot) (BW/4)mL*q12h (20kg)

Augmentin/ Curam(1g) 23mg/kg/dose*q12h ( > 60kg 1# TID )

Clarithromycin

Klaricid

(25mg/ml; 70 ml/bt) (NT.303)

15mg/kg/dose

8-11kg 2.5ml

*q12h

*7

Klaricid Zithromax

Lab (IgG 4

IgM(+))

contact hx

etc ()

12-19kg 5 ml

20-29kg 7.5ml

30-40kg 10mlKlaricid(500mg) 0.5# /40kg*q12h *7

Azithromycin$

Zithromax(40mg/ml, 15ml/bt) (BW/4)mL*QD *3 ( 20kg)

Zithromax(250mg) 10mg/kg/dose*QD *3

Oseltamivir Tamiflu(75mg)

15kg 30mg

*BID

5

30mL

30mL 3mL

10

15-23 45mg

23-40 60mg

>40 75mg

$ 10mg/kg/day20kg( 20kg NT.298)25kg

@ Augment(/) low dose(40mg) high dose(low dose double)

Amoxicillin=95%Ampicillin=40%

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ITAIT2 Taita No.2 1~10kg: 100ml/kg + 11~20kg: 50ml/kg + 20kg: 20ml/kg

OIDOF1 Idofen syrup (60cc/bt) [ Ibuprofen ] BW /3 ~ BW /2 ml, Q4-6H

OPURF1 Purfen (400mg) [ Ibuprofen ] 1# /40kg, Qid (10mg/kg)

OTINT1 Tinten (500mg) [ Acetaminophen ] 1# /40kg, Qid (10mg/kg)

OBUBD1 Bubdel (80 mg/tab) [ Acetaminophen ] 10-15 mg/kg/dose, Qid

TVORE3 Voren(12.5mg) [ Diclofenac ] 1#/12.5kg, supp prn/q6h

OANTI5 Antica syrup (120ml/btl) BW /4 ml, QidOCOLI1 Colin (120ml/btl) BW /4 ml, Qid

OROMI1 Romicon-A [ Dextromethorphen ] 1# /40kg, Qid (max: 60 mg/BID).OFLUC1 Flucil (100mg/pk) [ Acetylcysteine ] 1pk /40kg, Qid

OCYPR1 Cypromin (0.4mg/ml, 120ml) [Cyproheptadine] BW/ 4 ml, QId

OHIST1 Histapp Gr. 1pk /40kg, Qid

OPEAC1 Peace [ Triprolidine+pseudophedrine ] 1#/40kg, Qid

OMALE1 Malenate (4mg) [Chlorpheniramine] 1#/40kg, Qid

OFINS1 Finska-LP [loratadine, pseudoephedrine] 1#/40kg , Bid

OCETI3 Cetirizine (1mg/ml, 60ml) [Cetirizine] BW/ 4 ml , QD

OXYZA1 Xyzal (5mg) [Levocetirizine] 1# /40kg, QDIDIPH1 Diphenhydramine (30mg)[Diphenhydramine] 1amp /30kg, IM (1mg/kg)

OPECO1 Pecolin (120ml/btl) [Kaolin+pectin] BW /3 ~ BW /2 ml, Qid

OSMEC1 Smecta 3g/PK [Dioctahedral smectite] 1pk /40kg, Qid

ODOMT1 Domtoo (10mg) [Domperidone] 1# /40kg, Qid

TDOMP2 Domper Supp. (10mg) [Domperidone] 1# /40kg, Qid

IPRIM1 Chiaowelgen Inj. [Metoclopramide]

(10mg/2ml/amp)

0.5amp /40kg, IM( 0.1mg/kg)

OBUSP1 Buspan (10mg) [Scopolamine]

Laitest enema 35,65,120cc 3~4ml/kg

OMAGO2 MgO (250mg) [ Magnesium oxide] 1# /40kg, Qid ( 2#)

OLACB1 Lac-B (10mg/1g) [Lactobacillus biofidus] 1pk /40kg, Qid ()

OKASC1 Kascoal (40mg) [Dimethicone] 1# /40kg, Qid

OBISO1 Bisolvon Soln (2mg/ml , 50ml/btl) [Bromhexine] 2~3ml/dose, QidIEPIR1 Epirenamin(1mg/ml/amp) [Epinephrine] Croup: 0.3cc + N/S 3cc, stTBRIC1 Bricanyl Soln (2.5mg/ml , 2ml/vial) [Terbutaline] 2ml/dose, Q20min *3 dose

TCOMB2 Combivent 2.5ml/vial)[ipratropium+salbutamol] 2.5ml/dose, Q20min *3 dose

Chloral Hydrate (50mg/ml) 0.5-2mL/kg, PO or EnemaIDUPI1 Dupin Inj. [Diazepam]

(10mg/2ml/amp)0.04ml/kg IVP, Q15min0.1ml/kg Enema, Q15min

Dormicum(15mg/3mL), Midatin(5mg/mL) 0.1mg/kg/dose

IMETH6 Methylprednisolone (40mg/vial)[Methylprednisolone]

Loading:0.5-2mg/kg/day, st

Maintain:0.5-1mg/kg/day,Q6h

IMETH4

Methasone (5mg/ml) [Dexamethasone]

Croup:0.6mg/kg/dose, IM/IV

Cerebral edema:1.5 mg/kg, For loading1.5mg/kg/day,Q4h-Q6h * 5days

OCOMP2 Compesolon (5mg) [Prednisolone] 1mg/kg/day divided Qid

OKIDS1 Kidsolone (80mg/60ml) [Prednisolone] BW /4ml, Qid

OMEPT4 Meptin (50mcg/tab) [Procaterol] 1# /40kg, BidOEXDI1 Exdila Liquid(5mcg/ml ,60ml)[Procaterol] BW /4 ml, Bid

OTHOI1 Thoin SRMC (125mg) [Theophylline] 1# / 40kg, BIDOSTRO2 Strolin (0.5mg/ml, 60ml) [Fenoterol] BW /4 ml , TidOCENT2 Centertheo liq.(5.34mg/ml,60ml) [theophylline]BW /1~2 ml, Bid~Qid

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