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AgeRespiratory Rate
<2 months<60
<1 year<50
<5 years<40
<8 years<30
Adult<20
AgeHeart Rate
<1 year<160
<2 years<120
<8 years<110
Adult<100
CKD StageseGFR
I> 90
II< 90
III A< 60
III B< 45
IV< 30
V< 15
Blood ParameterHbHCTTWCPlt
<3 months13.0 - 20.042 - 665 - 21150 - 450
(Lower in children)
<6 months9.5 - 14.531 - 416 - 18
<6 years10.5 - 14.033 - 426 - 15
<12 years11.0 - 16.034 - 404.5 - 13.5
Male Adult14.0 - 18.042 - 525 - 10
Female Adult12.0 - 16.037 - 475 - 10
DrugAgeDoseSaline
Salbutamol<2 years0.5ml3.5ml
>2 years1ml3ml
Combivent<5 years1ml3ml
>5 years2ml2ml
>12 years1 vial-
Pulmicort<2 years1 vial (0.25mg/ml)-
>2 years2 vial (0.5mg/ml)-
LocationRemovalSuture Size
Face3-5 days6-0
Scalp7-10 days4-0
Upper Extremity7-10 days4-0
Trunk10-14 days4-0
Lower Extremity10-14 days4-0
Hand or Feet10-14 days4-0
Palms or Soles10-14 days4-0
NameContentIndicationDose
VorenDiclofenac sodium (25mg/ml)β€’ Painβ€’ IM 50-75mg STAT
TramadolTramadol (50mg/ml)β€’ Pain
β€’ Safer for CKD
β€’ IM 50-100mg STAT
ZycortHydrocortisone (100mg/vial)β€’ Allergic reaction
β€’ AEBA / COPD
β€’ <12yo: 4mg/kg (max 100mg)
β€’ Adult: 200mg STAT
PenatoneDexamethasone (4mg/ml)β€’ Allergic reaction
β€’ AEBA / COPD
β€’ IM 8mg STAT
ShincortTriamcinolone (40mg/ml)β€’ Allergic reaction
β€’ Arthritis
β€’ IM 40mg STAT
PirimatChlorpheniramine (10mg/ml)β€’ Allergic reactionβ€’ <50kg: 0.2mg/kg (max 40mg/day)
β€’ Adult: 10mg STAT
PantoprazolePantoprazole (40mg/vial)β€’ Gastritisβ€’ IV 40mg STAT
BuscopanHyoscine (20mg/ml)β€’ Abdominal pain/crampβ€’ IM 20mg STAT
GastrilRanitidine (25mg/ml)β€’ Gastritisβ€’ IM 50mg STAT
ATTTetanus toxoidβ€’ Tetanus protectionβ€’ <7yo: Not required if complete immunization
β€’ β‰₯7yo: IM 0.5mL STAT
StemetilProchlorperazine (12.5mg/ml)β€’ Dizziness
β€’ Vomit
β€’ IM 12.5mg STAT
PulinMetoclopramide (5mg/ml)β€’ Vomitβ€’ IM 10mg STAT
MedicineDose Adjustment
Metforminβ€’ No adjustment
Gliclazideβ€’ Suhoor: Β½ morning dose
β€’ Iftar: Evening dose
Gliclazide MRβ€’ Take the same dose during iftar
Vildagliptinβ€’ OD: Take the same dose during iftar
β€’ BD: No adjustment
Saxagliptinβ€’ Take the same dose during iftar
Empagliflozinβ€’ Take the same dose during iftar
Basal Insulinβ€’ Before bed: Same dose
β€’ ↓ 20% dose if hypoglycemia
Pre-mixed Insulinβ€’ Suhoor: ↓ 50% evening dose
β€’ Iftar: Morning dose
Actrapidβ€’ Suhoor: ↓ 50% evening dose
β€’ Afternoon: Omit
β€’ Iftar: Morning dose
Antihypertensive
  • Continue usual medications
  • Shift to once daily at iftar if possible
  • For BD regimens, split between Iftar & Suhoor
  • Encourage hydration during non-fasting hours
  • Monitor BP regularly (elderly, CKD, diuretic users)
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