NPO
IVF (20 mL/kg boluses)
Analgesia
Ketorolac
Morphine
Antibiotics
Ampicillin/sulbactam OR cefoxitin
Penicillin allergy?
Gentamicin + (clindamycin OR
metronidazole)
Perforation or complicated<unk> IV antibiotic regimen as below:
Ampicillin 100 mg/kg/d q6hr, max 8 g per dose AND
Gentamicin 5 mg/kg QD, max 300 mg AND
Metronidazole 30 mg/kg/d q8hr, max 1.5 g
Daily doses of ceftriaxone and metronidazole just as effective:
Ceftriaxone 50 mg/kg, max 2 g QD AND
Metronidazole 30 mg/kg, max 1.5 g QD
Ketorolac
Morphine
Ampicillin/sulbactam OR cefoxitin
Penicillin allergy?
Gentamicin + (clindamycin OR
metronidazole)
Perforation or complicated<unk> IV antibiotic regimen as below:
Ampicillin 100 mg/kg/d q6hr, max 8 g per dose AND
Gentamicin 5 mg/kg QD, max 300 mg AND
Metronidazole 30 mg/kg/d q8hr, max 1.5 g
Daily doses of ceftriaxone and metronidazole just as effective:
Ceftriaxone 50 mg/kg, max 2 g QD AND
Metronidazole 30 mg/kg, max 1.5 g QD
Gentamicin + (clindamycin OR
metronidazole)
IV antibiotic regimen as below:
Ampicillin 100 mg/kg/d q6hr, max 8 g per dose AND
Gentamicin 5 mg/kg QD, max 300 mg AND
Metronidazole 30 mg/kg/d q8hr, max 1.5 g
Daily doses of ceftriaxone and metronidazole just as effective:
Ceftriaxone 50 mg/kg, max 2 g QD AND
Metronidazole 30 mg/kg, max 1.5 g QD
Ampicillin 100 mg/kg/d q6hr, max 8 g per dose AND
Gentamicin 5 mg/kg QD, max 300 mg AND
Metronidazole 30 mg/kg/d q8hr, max 1.5 g
Ceftriaxone 50 mg/kg, max 2 g QD AND
Metronidazole 30 mg/kg, max 1.5 g QD
Appendicitis 
Emergent
Cervicitis
Necrotizing Enterocolitis
Uvulitis
Volvulus
Orchitis
Testicular torsion