By Paediatric Formulary Committee
BNF for kids (BNFC) offers crucial sensible details to all healthcare pros excited by the prescribing, meting out, tracking and management of medications to young children. The source addresses an important wisdom hole in lots of parts of paediatric perform through supplying useful details at the use of medications in kids of every age from delivery to early life.
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Insomnia Children with advanced cancer may not sleep because of discomfort, cramps, night sweats, joint stiffness, or fear. There should be appropriate treatment of these problems before hypnotics (p. 212) are used. Benzodiazepines, such as temazepam, may be useful. Mucosal bleeding Mucosal bleeding from the mouth and nose occurs commonly in the terminal phase, particularly in a child suffering from haemopoeitic malignancy. Bleeding from the nose caused by a single bleeding point can be arrested by cauterisation or by dressing it.
If the subcutaneous infusion runs too slowly check the start button, the battery, the syringe driver, the cannula, and make sure that the injection site is not inflamed; . if there is an injection site reaction make sure that the site does not need to be changed—firmness or swelling at the site of injection is not in itself an indication for change, but pain or obvious inflammation is. BNFC 2009 Prescribing in dental practice 31 Prescribing in dental practice Advice on the drug management of dental and oral conditions is covered in the main text.
Alternatively, glycopyrronium (p. 770) may be given. Benzodiazepines such as rectal diazepam or subcutaneous midazolam may be helpful in the final stages. Fungating tumours Fungating tumours can be treated by regular dressing and antibacterial drugs; systemic treatment with metronidazole (p. 356) is often required, but topical metronidazole (p. 709) is also used. Hiccup Hiccup due to gastric distension may be helped by a preparation incorporating an antacid with an antiflatulent (p. 52). 2. Insomnia Children with advanced cancer may not sleep because of discomfort, cramps, night sweats, joint stiffness, or fear.