Adults and children over 27 kg

g 30-60 min prior to procedure; then, 1 g q 6 hr. Pediatric: 1 g

30-60 min prior to procedure; then, 500 mg/ q 6 hr.

Anaerobic infections. 250 mg q.i.d. See also Penicillin G, Procaine, Aqueous, Sterile.

Prophylaxis of septicemia caused by Staphylococcus pneumoniae in children with sickle cell anemia. 125 mg b.i.d.

Streptococcal pharyngitis in children.

Streptococcal otitis media and sinusitis.

250-500 mg q 6 hr for 14 days.

Lyme disease. 250-500 mg q.i.d. for 10-20 days (for children less than 2 years of age, 50 mg/kg/day in four divided doses for 10-20 days).

NOTE: 250 mg penicillin V is equivalent to 400,000 units.

Vincent's infection of the oropharynx.

250 mg to 500 mg q 6 to 8 hr. DENTAL CONCERNS

See also Dental Concerns for Penicillins.

Client/Family Teaching

1. Clients with a history of rheumatic fever or congenital heart disease need to use and understand the importance of antibiotic prophylaxis prior to any invasive medical or dental procedure.

2. Report if throat and/or ear symptoms do not improve after 48 hr of therapy; may need to reevaluate and alter therapy.

3. With oral administration, if a reaction is going to occur, you usually see it after the second dose. Seek medical intervention immediately if respiratory distress or skin wheals appear.

4. Use an additional nonhormonal form of birth control if taking oral contraceptives because their effectiveness may be diminished.

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