Part 3 contains brief notes on a range of additional drugs and groups of drugs that are often taken by mothers during pregnancy, labour, or during breast feeding where effects on either the fetus or infant can be seen. The monographs also contain links to Cochrane Database of Systematic Reviews and national guidelines supported by bodies such as the National Institute for Health and Care Excellence or the Royal Colleges. Each monograph is divided into sections covering use, pharmacology, treatment, drug interactions, or other administration information, supply, and administration, and references. Part 2 consists of drug monographs for over 250 drugs that may find use in the neonatal population but which nonetheless may also find use outside the neonatal unit.
Patient safety, excipients, and therapies that affect drug metabolism (such as therapeutic hypothermia) are also covered. It also explains to the reader why the metabolism of drugs differs in premature and sick infants and why the practice of extrapolating doses from adult studies is wrong. Part 1 concentrates on drug prescribing and drug administration, presenting general information on drug storage, drug licensing, and drug prescribing. The book offers information to allow practitioners to make informed choices whether to use such a drug or not by presenting data from published studies to support such a use. using licensed drugs but for an indication that is outside the licensed use-in many cases simply because the studies and the licensing application did not include data about neonatal use).
Much of drug use during pregnancy, lactation, and in neonates and young infants is ‘off license’ (i.e. Neonatal Formulary bridges a gap between a standard formulary (stating doses, indications, etc.) and a standard neonatal textbook by expanding information about the conditions for which each drug is used.
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This book is written for any health professional who may be required to participate in the stabilization of sick or preterm babies within their scope of practice. Each chapter includes educational objectives, key concepts, learning points, and at least one case scenario with questions and answers to reinforce content and learnings.
The ACoRN mnemonic defines stabilization steps and chapter structure: alerting signs, core steps, organization of care, response, next steps, and specific diagnosis and management. ACoRN-trained providers learn to gather information, prioritize, intervene appropriately, and deliver high quality care to at-risk and unwell newborns in any setting.īecause research and practice have advanced dramatically in recent years, the need for a new ACoRN text, the program’s centrepiece, became essential-hence the development of this new edition, which reflects current guidelines and evidence-based best practices.ĪCoRN teaches the concepts and skills required to stabilize unwell newborns through system-based algorithms (Sequences), each with its own chapter: respiratory, cardiovascular, neurology, surgical conditions, fluid and glucose, jaundice, thermoregulation, and infection. The ACoRN program provides a unique, prioritized, and systematic approach to newborn stabilization for health care professionals with any degree of experience. Clinical care standards and educational programs to address these requirements are needed. Early assessment, intervention, and management of at-risk or unstable infants can be critical for their survival and long-term health. The Acute Care of at-Risk Newborns (ACoRN) program trains health care providers to stabilize that most challenging and enigmatic of medical patients: the unwell newborn. Oxford Specialty Training: Revision Notes Oxford Specialty Training: Revision Texts Oxford Specialty Training: Basic Sciences International Perspectives in Philosophy and Psychiatry The European Society of Cardiology Textbooks Clinical Cytogenetics and Molecular GeneticsĪnesthesiology: A Problem-Based Learning Approach