BNF for Children 2011-2012

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PAEDIATRIC BASIC LIFE SUPPORT(Healthcare professionals with a duty to respond)UNRESPONSIVE?Shout for helpOpen airwayNOT BREATHING NORMALLY?5 rescue breathsNO SIGNS OF LIFE ?15 chest compressions2 rescue breaths15 compressionsCall resuscitation teamReproduced with the kind permission of the Resuscitation Council (UK) from Resuscitation Guidelines, October 2010
PAEDIATRIC ADVANCED LIFE SUPPORTUnresponsive?Not breathing or only occasional gaspsCPR(5 initial breaths then 15:2)Attach defibrillator/monitorMinimise interruptionsCallResuscitation Team(1 min CPR first,if alone)Assess rhythmShockable(VF/pulseless VT)Non-shockable(PEA/Asystole)1 Shock4J / kgReturn ofspontaneouscirculationImmediately resumeCPR for 2 minMinimise interruptionsImmediate post cardiacarrest treatment• Use ABCDE approach• Controlled oxygenationand ventilation• Investigations• Treat precipitating cause• Temperature control• Therapeutic hypothermia?Immediately resumeCPR for 2 minMinimise interruptionsDuring CPR• Ensure high-quality CPR: rate, depth, recoil• Plan actions before interrupting CPR• Give oxygen• Vascular access (intravenous, intraosseous)• Give adrenaline every 3-5 min• Consider advanced airway and capnography• Continuous chest compressions whenadvanced airway in place• Correct reversible causesReversible causes• Hypoxia• Hypovolaemia• Hypo- / hyperkalaemia / metabolic• Hypothermia• Tension pneumothorax• Toxins• Tamponade - cardiac• ThromboembolismReproduced with the kind permission of the Resuscitation Council (UK) from Resuscitation Guidelines, October 2010
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Medicines information servicesInfor
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Published byBMJ GroupTavistock Squa
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iv BNFC 2011-2012PrefaceBNF for Chi
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vi BNFC 2011-2012BNF StaffDigital D
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viii BNFC 2011-2012Nurse Prescriber
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x BNFC 2011-2012. incorporating the
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xii BNFC 2011-2012prescribing notes
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Branded oral liquid preparations th
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xvi BNFC 2011-2012Finding significa
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xviii BNFC 2011-2012Epilim Chronosp
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xx BNFC 2011-2012Tears Naturale c S
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2 General guidance BNFC 2011-2012Ge
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4 Prescription writing BNFC 2011-20
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6 Supply of medicines BNFC 2011-201
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8 Emergency supply of medicines BNF
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10 Prescribing Controlled Drugs BNF
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Adverse reactions to drugs12 Advers
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Prescribing in hepatic impairment14
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Prescribing in pregnancy16 Prescrib
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18 Prescribing in palliative care B
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20 Prescribing in palliative care B
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22 Prescribing in dental practice B
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Emergency treatment of poisoning24
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26 Emergency treatment of poisoning
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36 1.1.1 Antacids and simeticone BN
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38 1.1.2 Compound alginate preparat
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40 1.2 Antispasmodics and other dru
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42 1.3 Antisecretory drugs and muco
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44 1.3.3 Chelates and complexes BNF
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46 1.4 Acute diarrhoea BNFC 2011-20
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48 1.5 Chronic bowel disorders BNFC
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50 1.5.1 Aminosalicylates BNFC 2011
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52 1.5.1 Aminosalicylates BNFC 2011
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54 1.5.3 Drugs affecting the immune
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56 1.5.4 Food allergy BNFC 2011-201
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58 1.6.1 Bulk-forming laxatives BNF
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60 1.6.2 Stimulant laxatives BNFC 2
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62 1.6.4 Osmotic laxatives BNFC 201
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64 1.6.5 Bowel cleansing preparatio
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66 1.7 Local preparations for anal
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68 1.8 Stoma and enteral feeding tu
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70 1.9.2 Bile acid sequestrants BNF
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72 1.9.4 Pancreatin BNFC 2011-20121
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74 2.1.1 Cardiac glycosides BNFC 20
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76 2.2 Diuretics BNFC 2011-20122 Ca
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78 2.2.2 Loop diuretics BNFC 2011-2
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BNFC 2011-2012 2.2.4 Potassium-spar
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BNFC 2011-2012 2.3.2 Drugs for arrh
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BNFC 2011-2012 2.3.2 Drugs for arrh
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BNFC 2011-2012 2.4 Beta-adrenocepto
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BNFC 2011-2012 2.5.1 Vasodilator an
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BNFC 2011-2012 2.5.4 Alpha-adrenoce
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BNFC 2011-2012 2.5.5 Drugs affectin
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BNFC 2011-2012 2.5.5 Drugs affectin
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BNFC 2011-2012 2.6.2 Calcium-channe
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BNFC 2011-2012 2.7.1 Inotropic symp
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BNFC 2011-2012 2.7.2 Vasoconstricto
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BNFC 2011-2012 2.8.1 Parenteral ant
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BNFC 2011-2012 2.8.1 Parenteral ant
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BNFC 2011-2012 2.8.2 Oral anticoagu
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BNFC 2011-2012 2.10 Myocardial infa
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BNFC 2011-2012 2.11 Antifibrinolyti
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BNFC 2011-2012 2.12 Lipid-regulatin
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BNFC 2011-2012 2.14 Drugs affecting
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BNFC 2011-2012 1333 Respiratory sys
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BNFC 2011-2012 3.1 Bronchodilators
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BNFC 2011-2012 3.1.1 Adrenoceptor a
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BNFC 2011-2012 3.1.1 Adrenoceptor a
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BNFC 2011-2012 3.1.2 Antimuscarinic
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BNFC 2011-2012 3.1.3 Theophylline 1
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BNFC 2011-2012 3.1.5 Peak flow mete
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BNFC 2011-2012 3.2 Corticosteroids
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BNFC 2011-2012 3.3 Cromoglicate and
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BNFC 2011-2012 3.4 Antihistamines,
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BNFC 2011-2012 3.4.1 Antihistamines
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BNFC 2011-2012 3.4.2 Allergen immun
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BNFC 2011-2012 3.4.3 Allergic emerg
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BNFC 2011-2012 3.4.3 Allergic emerg
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BNFC 2011-2012 3.6 Oxygen 163ment
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BNFC 2011-2012 3.7 Mucolytics 165HO
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BNFC 2011-2012 3.9 Cough preparatio
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BNFC 2011-2012 1694 Central nervous
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BNFC 2011-2012 4.1.2 Anxiolytics 17
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BNFC 2011-2012 4.2.1 Antipsychotic
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BNFC 2011-2012 4.3 Antidepressant d
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BNFC 2011-2012 4.3.1 Tricyclic anti
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BNFC 2011-2012 4.3.3 Selective sero
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BNFC 2011-2012 4.4 CNS stimulants a
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BNFC 2011-2012 4.5 Drugs used in th
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BNFC 2011-2012 4.6 Drugs used in na
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BNFC 2011-2012 4.7 Analgesics 199Sc
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BNFC 2011-2012 4.7.1 Non-opioid ana
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BNFC 2011-2012 4.7.2 Opioid analges
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BNFC 2011-2012 4.7.4 Antimigraine d
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BNFC 2011-2012 4.8 Antiepileptics 2
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BNFC 2011-2012 4.8.1 Control of the
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BNFC 2011-2012 4.8.2 Drugs used in
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BNFC 2011-2012 4.8.3 Febrile convul
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BNFC 2011-2012 4.9.2 Antimuscarinic
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BNFC 2011-2012 4.10.2 Nicotine depe
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BNFC 2011-2012 4.10.2 Nicotine depe
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BNFC 2011-2012 5.1 Antibacterial dr
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BNFC 2011-2012 5.1.1 Penicillins 25
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BNFC 2011-2012 5.1.2 Cephalosporins
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BNFC 2011-2012 5.1.3 Tetracyclines
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BNFC 2011-2012 5.1.4 Aminoglycoside
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BNFC 2011-2012 5.1.4 Aminoglycoside
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BNFC 2011-2012 5.1.5 Macrolides 281
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BNFC 2011-2012 5.1.6 Clindamycin 28
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BNFC 2011-2012 5.1.7 Some other ant
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BNFC 2011-2012 5.1.7 Some other ant
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BNFC 2011-2012 5.1.8 Sulfonamides a
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BNFC 2011-2012 5.1.9 Antituberculos
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BNFC 2011-2012 5.1.9 Antituberculos
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BNFC 2011-2012 5.1.11 Metronidazole
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BNFC 2011-2012 5.1.12 Quinolones 29
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BNFC 2011-2012 5.1.13 Urinary-tract
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BNFC 2011-2012 5.2.1 Triazole antif
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BNFC 2011-2012 5.2.1 Triazole antif
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BNFC 2011-2012 5.2.2 Imidazole anti
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BNFC 2011-2012 5.2.4 Echinocandin a
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BNFC 2011-2012 5.3 Antiviral drugs
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BNFC 2011-2012 5.3.1 HIV infection
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BNFC 2011-2012 5.3.2 Herpesvirus in
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BNFC 2011-2012 5.3.2 Herpesvirus in
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BNFC 2011-2012 5.3.3 Viral hepatiti
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BNFC 2011-2012 5.3.5 Respiratory sy
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BNFC 2011-2012 5.4 Antiprotozoal dr
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BNFC 2011-2012 5.4.1 Antimalarials
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BNFC 2011-2012 5.4.2 Amoebicides 33
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BNFC 2011-2012 5.4.6 Trypanocides 3
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BNFC 2011-2012 5.4.8 Drugs for pneu
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BNFC 2011-2012 5.5.2 Ascaricides 34
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BNFC 2011-2012 5.5.8 Drugs for stro
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BNFC 2011-2012 6.1.1 Insulins 349Tr
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BNFC 2011-2012 6.1.1 Insulins 351So
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BNFC 2011-2012 6.1.1 Insulins 353IN
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BNFC 2011-2012 6.1.1 Insulins 355Hi
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BNFC 2011-2012 6.1.2 Antidiabetic d
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BNFC 2011-2012 6.1.2 Antidiabetic d
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BNFC 2011-2012 6.1.4 Treatment of h
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BNFC 2011-2012 6.1.6 Diagnostic and
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BNFC 2011-2012 6.2 Thyroid and anti
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BNFC 2011-2012 6.2.2 Antithyroid dr
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BNFC 2011-2012 6.3.2 Glucocorticoid
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BNFC 2011-2012 6.4 Sex hormones 377
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BNFC 2011-2012 6.4.2 Male sex hormo
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BNFC 2011-2012 6.4.3 Anabolic stero
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BNFC 2011-2012 6.5.1 Hypothalamic a
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BNFC 2011-2012 6.5.2 Posterior pitu
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BNFC 2011-2012 6.5.2 Posterior pitu
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BNFC 2011-2012 6.6.2 Bisphosphonate
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BNFC 2011-2012 6.7.3 Metyrapone 391
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BNFC 2011-2012 3937 Obstetrics, gyn
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BNFC 2011-2012 7.2.2 Vaginal and vu
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BNFC 2011-2012 7.3.1 Combined hormo
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BNFC 2011-2012 7.3.2 Progestogen-on
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BNFC 2011-2012 7.3.2 Progestogen-on
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BNFC 2011-2012 7.3.4 Contraceptive
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BNFC 2011-2012 7.4 Drugs for genito
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BNFC 2011-2012 7.4.2 Drugs for urin
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BNFC 2011-2012 7.4.5 Drugs for erec
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BNFC 2011-2012 8.1 Cytotoxic drugs
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BNFC 2011-2012 8.1 Cytotoxic drugs
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BNFC 2011-2012 8.1.1 Alkylating dru
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BNFC 2011-2012 8.1.2 Cytotoxic anti
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BNFC 2011-2012 8.1.3 Antimetabolite
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BNFC 2011-2012 8.1.3 Antimetabolite
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BNFC 2011-2012 8.1.5 Other antineop
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BNFC 2011-2012 8.1.5 Other antineop
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BNFC 2011-2012 8.2 Drugs affecting
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BNFC 2011-2012 8.2.2 Corticosteroid
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BNFC 2011-2012 8.2.4 Other immunomo
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BNFC 2011-2012 8.2.4 Other immunomo
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BNFC 2011-2012 9.1.1 Iron-deficienc
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BNFC 2011-2012 9.2.1 Oral preparati
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BNFC 2011-2012 9.2.1 Oral preparati
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BNFC 2011-2012 9.2.2 Parenteral pre
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BNFC 2011-2012 9.3 Intravenous nutr
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BNFC 2011-2012 9.4.2 Enteral nutrit
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BNFC 2011-2012 9.5 Minerals 471dren
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BNFC 2011-2012 9.5.1 Calcium and ma
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BNFC 2011-2012 9.5.2 Phosphorus 475
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BNFC 2011-2012 9.5.3 Fluoride 477Ch
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BNFC 2011-2012 9.6.2 Vitamin B grou
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BNFC 2011-2012 9.6.3 Vitamin C 481I
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BNFC 2011-2012 9.6.4 Vitamin D 483N
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BNFC 2011-2012 9.6.5 Vitamin E 4851
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BNFC 2011-2012 9.6.7 Multivitamin p
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BNFC 2011-2012 9.8.2 Acute porphyri
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BNFC 2011-2012 49910 Musculoskeleta
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BNFC 2011-2012 10.1.1 Non-steroidal
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BNFC 2011-2012 10.1.3 Drugs that su
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BNFC 2011-2012 10.1.3 Drugs that su
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BNFC 2011-2012 10.1.4 Gout and cyto
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BNFC 2011-2012 10.2.2 Skeletal musc
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BNFC 2011-2012 10.2.2 Skeletal musc
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BNFC 2011-2012 51711 Eye11.1 Admini
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BNFC 2011-2012 11.3.1 Antibacterial
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BNFC 2011-2012 11.3.3 Antivirals 52
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BNFC 2011-2012 11.4.2 Other anti-in
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BNFC 2011-2012 11.6 Treatment of gl
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BNFC 2011-2012 11.6 Treatment of gl
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BNFC 2011-2012 11.7 Local anaesthet
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BNFC 2011-2012 11.8.1 Tear deficien
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BNFC 2011-2012 11.9 Contact lenses
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BNFC 2011-2012 12.1.1 Otitis extern
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BNFC 2011-2012 12.1.2 Otitis media
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BNFC 2011-2012 12.2.2 Topical nasal
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BNFC 2011-2012 12.3 Drugs acting on
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BNFC 2011-2012 12.3.2 Oropharyngeal
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BNFC 2011-2012 12.3.4 Mouthwashes a
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BNFC 2011-2012 12.3.5 Treatment of
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BNFC 2011-2012 13.1.1 Vehicles 551m
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BNFC 2011-2012 13.2.1 Emollients 55
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BNFC 2011-2012 13.2.1 Emollients 55
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BNFC 2011-2012 13.3 Topical antipru
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BNFC 2011-2012 13.4 Topical cortico
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BNFC 2011-2012 13.5 Preparations fo
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BNFC 2011-2012 13.5.2 Preparations
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BNFC 2011-2012 13.5.3 Drugs affecti
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BNFC 2011-2012 13.6.1 Topical prepa
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BNFC 2011-2012 13.6.1 Topical prepa
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BNFC 2011-2012 13.6.2 Oral preparat
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BNFC 2011-2012 13.7 Preparations fo
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BNFC 2011-2012 13.8.2 Camouflagers
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BNFC 2011-2012 13.10 Anti-infective
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BNFC 2011-2012 13.10.1 Antibacteria
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BNFC 2011-2012 13.10.2 Antifungal p
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BNFC 2011-2012 13.10.3 Antiviral pr
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BNFC 2011-2012 13.11.2 Chlorhexidin
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BNFC 2011-2012 13.12 Antiperspirant
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BNFC 2011-2012 59914 Immunological
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BNFC 2011-2012 14.1 Active immunity
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BNFC 2011-2012 14.4 Vaccines and an
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BNFC 2011-2012 14.5.1 Normal Immuno
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BNFC 2011-2012 14.5.2 Disease-speci
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BNFC 2011-2012 14.6 International t
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BNFC 2011-2012 15.1.1 Intravenous a
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BNFC 2011-2012 15.1.1 Intravenous a
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BNFC 2011-2012 15.1.2 Inhalational
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BNFC 2011-2012 15.1.3 Antimuscarini
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BNFC 2011-2012 15.1.4 Sedative and
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BNFC 2011-2012 15.1.5 Neuromuscular
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BNFC 2011-2012 15.1.5 Neuromuscular
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BNFC 2011-2012 15.1.7 Antagonists f
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BNFC 2011-2012 15.2 Local anaesthes
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BNFC 2011-2012 655A1InteractionsTwo
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BNFC 2011-2012 Appendix 1: Interact
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BNFC 2011-2012 743A2Borderline subs
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Nutrison c(Nutricia Clinical)Nutris
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A2.1.2 Enteral feeds (non-disease s
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A2.1.2.2 Enteral feeds: Less than 1
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A2.1.3 Enteral feeds (non-disease s
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Infatrini c(Nutricia Clinical)Nutri
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Frebini c EnergyDrink(Fresenius Kab
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A2.2.1.2 Nutritional supplements: M
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Fortisip c Range(Nutricia Clinical)
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Forticreme cComplete(Nutricia Clini
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A2.3 Specialised formulasA2.3.1 Spe
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Nutramigen c Lipil 2(Mead Johnson)S
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Specialised formulas: Infant and ch
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KetoCal c(SHS)Standard dilution(20
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A2.4 Feed supplementsA2.4.1 High-en
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Medium-chainTriglyceride (MCT)Oil(S
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Calshake c(Fresenius Kabi)Powderper
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BNFC 2011-2012 A2.5 Feed additives
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BNFC 2011-2012 A2.6.1 Gluten-free f
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BNFC 2011-2012 A2.7 Nutritional sup
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BNFC 2011-2012 Appendix 3: Cautiona
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BNFC 2011-2012 Appendix 4: Intraven
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BNFC 2011-2012 Dental Practitioners
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Page 821 and 822: BNFC 2011-2012 799Non-medical presc
Page 823 and 824: BNFC 2011-2012 Index of manufacture
Page 831 and 832: BNFC 2011-2012 809Special-orderManu
Page 833 and 834: BNFC 2011-2012 Abacavir—Alfacalci
Page 835 and 836: BNFC 2011-2012 Anthelios—Arthrofe
Page 837 and 838: BNFC 2011-2012 Benzodiazepines—Bu
Page 839 and 840: BNFC 2011-2012 Cetrimide—Cocaine
Page 841 and 842: BNFC 2011-2012 Coumarins—Dermatop
Page 843 and 844: BNFC 2011-2012 Disinfectants—Emer
Page 845 and 846: BNFC 2011-2012 Eye—Formaldehyde 8
Page 847 and 848: BNFC 2011-2012 Glycogen—Homatropi
Page 849 and 850: BNFC 2011-2012 Ibuprofen—Iodide 8
Page 851 and 852: BNFC 2011-2012 Laxatives—Magnesiu
Page 853 and 854: BNFC 2011-2012 Methylenedioxymetham
Page 855 and 856: BNFC 2011-2012 Nicardipine—Oftaqu
Page 857 and 858: BNFC 2011-2012 Paramax—Plaquenil
Page 859 and 860: BNFC 2011-2012 Procarbazine—Regul
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Page 863 and 864: BNFC 2011-2012 Syringes—Tocophero
Page 865 and 866: BNFC 2011-2012 Ursofalk—Waxsol 84
Page 869: NEWBORN LIFE SUPPORTDry the babyRem
Page 873 and 874: BODY SURFACE AREA IN CHILDRENBody-w
Page 875 and 876: Croup(section 3.1)Dexamethasone ora
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BNF for Children 2011-2012

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