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NNU Patient X - Coggle Diagram

- - - - Contraindications/ considerations.
        
        Optimal protocol ( dose, timing, duration, birthweight, gestational age and feeding regimen) is uncertain
        
        Other protocols reported to be efficacious and are suitable for use
        
        Caution if gut integrity compromised (e.g. diarrhoea lasting more than 12 hours)
        
        Cease when receiving all suck feeds or after 42 days of administration of infloran.
        
        Increase dosage (from half to one capsule) when feed volume more than 4mL every 3 hours.
        
        Side effects.
        
        Risk of probiotic translocation and sepsis is higher in critically ill and/or extremely preterm neonates with potentially compromised gut integrity.
        
        Reduction in time to full feeds.
        
        Contains 1billion CFU
  - - - Caffeine treatment for premature infants is supposed to increase breathing frequency, decrease the number of apneic spells, and reduce partial tension of carbon dioxide (PCO2) and the need for (and duration of) mechanical ventilation.
        
        Caffeine acts as a selective adenosine antagonist at the A2a receptors and a non-selective adenosine antagonist at A1 receptor
        
        The route of administration of caffeine does not affect its pharmacokinetics as there is almost complete bioavailability after its administration orally or intravenously. Caffeine is absorbed rapidly from the gastrointestinal tract with minimal-to-no first pass metabolism, and its peak plasma concentrations frequently occur in less than one hour.
        
        Infants on Caffine need full monitoring to keep a guide on Heart rate, desperate and temperature.
  - - - Contraindications:Calcium and magnesium antacids (e.g. acetate, carbonate, citrate, hydroxide etc.) reduce phosphate absorption — separate doses by at least 2 hours.
        
        Possible adverse effects: Diarrhoea, Hypocalcamia,Hypomagnesaemia. Regular blood tests to check level required.
  - - - Used in combination with Amoxicillin for 48 hours as routine prophylactic antibiotic cover.
        
        Used to treat systemic infections caused by susceptible gram negative organisms e.g. E coli, Klebsiella species, Pseudomonas species.
        
        Monitoring:Take a trough level two hours before 3rd dose is due no trough levels have been taken prior to this. (Follow up the level prior to giving any subsequent doses).
  - - - Contraindications: Known hypersensitivity to beta-lactam antibiotics eg: Penicillins and cephalosporins.
        
        Precautions: Reduced urine output- risk of crystalluria. Maintain adequate fluid intake and urinary output to reduce possibility. Renal impairment: Reduce does.
- - - - only health practitioners who are registered under the Act are able to use the titles protected by the Act or claim to be practising a profession that is regulated by the Act
        
        registered health practitioners are not permitted to practise outside their scopes of practice
        
        regulatory authorities are required to certify that a practitioner is competent to practise in their scope of practice when they issue an annual practising certificate
        
        certain activities are restricted and can only be performed by registered health practitioners as specified in the Act.
  - - - defines what a medicine is
        
        requirements for the approval, classification, manufacture, sale, distribution, advertising, prescribing and dispensing of medicines
        
        licensing requirements for the medicines distribution chain, including wholesalers and pharmacies
        
        requirements for the approval of related products
        
        post-market controls on medicines and medical devices.