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By Derek McCulloch

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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. Tranexamic acid (p. 158) may be effective applied topically or given systemically. Nausea and vomiting Nausea and vomiting are common in children with advanced cancer. 6) is started. Nausea and vomiting with opioid therapy are less common in children than in adults but may occur particularly in the initial stages and can be prevented by giving an antiemetic.

55) is effective in bowel colic, is less sedative than hyoscine hydrobromide, but is not always adequate for the control of respiratory secretions; it is given by subcutaneous infusion (important: hyoscine butylbromide must not be confused with hyoscine hydrobromide, above). g. owing to uraemia) antiepileptic medication should not be stopped. Midazolam (p. 286) is the benzodiazepine antiepileptic of choice for continuous subcutaneous infusion. Nausea and vomiting Levomepromazine (methotrimeprazine) (p.

Most childhood poisoning is accidental. Other causes include intentional overdose, drug abuse, iatrogenic and deliberate poisoning. The drugs most commonly involved in childhood poisoning are paracetamol, ibuprofen, orally ingested creams, aspirin, iron preparations, cough medicines, and the contraceptive pill. org. It provides information about routine diagnosis, treatment, and management of patients exposed to drugs, household products, and industrial and agricultural chemicals. Specialist information and advice on the treatment of poisoning is available day and night from the UK National Poisons Information Service on the following number: Tel: 0844 892 0111 Advice on laboratory analytical services can be obtained from TOXBASE or from the National Poisons Information Service.

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In The Train with Uncle Mac by Derek McCulloch

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