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Preface | |
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About the Author | |
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Acknowledgments | |
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Contributors | |
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Reviewers | |
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Introduction | |
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Introduction to Medication Administration | |
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Introduction | |
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Work Settings of Unlicensed Assistive Personnel | |
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Oversight/Supervision | |
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Laws | |
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Nurse Practice Acts | |
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Federal Laws | |
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State Laws | |
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Common Legal Terms | |
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Ethical and Legal Issues | |
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Introduction | |
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Ethical and Legal Standards | |
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Ethical Issues | |
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Ethics Committee | |
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Privacy Issues | |
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Legal Issues | |
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Statutory Violations | |
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Intentional Acts | |
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Negligence | |
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Malpractice | |
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Workplace Policies and Procedures | |
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Role of Unlicensed Assistive Personnel (UAP) in Medication Administration | |
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Introduction | |
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Observation | |
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Initial Observations | |
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Reporting | |
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What to Report and Who to Report To | |
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When to Report | |
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How to Report | |
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Charting/Documentation | |
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Charting Guidelines | |
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Principles of Medication Administration | |
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Introduction | |
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The Five Rights of Medication Administration | |
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Right Individual | |
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Right Medication | |
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Right Dose | |
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Right Time | |
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Right Route | |
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Four Checks | |
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Basic Guidelines for Medication Administration | |
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Precautions | |
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Procedure for Medication Administration | |
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Handling and Counting Controlled Substances: Schedules II-V | |
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Disposal of Medications | |
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Reasons for Disposal of Medications | |
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Rules for the Disposal of Medication | |
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Documentation of Medication Disposal | |
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Medication Errors | |
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Prevention of Medication Errors | |
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Reporting of Medication Errors | |
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Medication Losses | |
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Medication Refusals | |
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Active and Passive Refusals | |
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Ways to Deal with Refusals | |
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Administration of Selected Nonparental Medications | |
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Administration of Enemas | |
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Introduction | |
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Types of Enemas | |
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Cleansing Enemas | |
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Ready-to-Use (Prepackaged) Enemas | |
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Return-Flow Enemas | |
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Proper Positioning for Administration of an Enema | |
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Equipment and Supplies Used in the Administration of Enemas | |
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Special Considerations in the Administration of Enemas | |
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Guidelines for Documentation of the Administration of an Enema | |
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Administration of Oxygen | |
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Introduction | |
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Administration of Oxygen | |
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Signs and Symptoms of an Inadequate Oxygen Supply (Hypoxemia) | |
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Pulse Oximetry | |
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Equipment and Supplies | |
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Special Considerations | |
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Caring for an Individual Receiving Pulse Oximetry | |
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Guidelines for Documentation | |
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Oxygen Therapy | |
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Methods of Delivery | |
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Oxygen Administration Equipment | |
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Oxygen Cylinders | |
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Liquid Oxygen Canisters | |
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Oxygen Concentrators | |
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Humidifiers | |
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Providing Care for an Individual Who is Receiving Oxygen | |
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Oxygen Safety Precautions | |
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Respiratory Positions | |
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Oxygen Toxicity | |
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Additional Equipment | |
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Incentive Spirometer | |
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Aerosol Therapy | |
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Continuous Positive Airway Pressure (CPAP) | |
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Storage of Oxygen | |
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Care and Use of Gastrostomy and Jejunostomy Tubes | |
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Introduction | |
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Nasogastric (NG) Tube | |
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Gastrostomy and Jejunostomy Tubes | |
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Feedings by Gastrostomy and Jejunostomy Tubes | |
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Additional Procedures | |
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Special Considerations | |
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Caring for an Individual with a Gastrostomy or Jejunostomy Tube | |
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Medication Administration by Gastrostomy and Jejunostomy Tubes | |
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Parenteral Medications | |
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Administration of Parenteral Medications | |
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Introduction | |
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Parenteral Routes | |
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Advantages of the Parenteral Route | |
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Disadvantages of the Parenteral Route | |
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Parenteral Medications | |
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Equipment and Supplies for Administration of Parenteral Medications | |
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Syringes and Needles | |
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Selection of Syringe and Needle | |
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Disposal of Syringes and Needles | |
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Prevention of Needlestick Injuries | |
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Administration of Injections | |
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Caring for the Individual Receiving an Injection | |
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Preparation of the Medication for Injection | |
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Basic Guidelines for the Administration of Injections | |
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Types of Injections | |
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Documentation Guidelines for the Administration of Parenteral Medications | |
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Administration of Insulin | |
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Introduction | |
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Diabetes | |
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Types of Diabetes | |
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Prediabetes | |
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Treatment of Diabetes | |
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Complications of Diabetes | |
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Monitoring Diabetes | |
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Blood Glucose Monitoring | |
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Acetone Monitoring | |
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Recordkeeping | |
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Oral Anti-Diabetic Medications | |
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Administration of Oral Anti-Diabetic Medications | |
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Insulin | |
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Types of Insulin | |
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Brands of Insulin | |
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Species of Insulin | |
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Insulin Orders | |
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Insulin Dosing | |
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Insulin Labels | |
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Storage of Insulin | |
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Insulin Syringes | |
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Administration of Insulin | |
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Rotation of Insulin Sites | |
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Mixing Two Types of Insulin in One Insulin Syringe | |
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Special Considerations for the Administration of Insulin | |
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Complications Related to the Use of Insulin | |
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Care of the Individual with Diabetes | |
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Sick Day Guidelines for an Individual with Diabetes | |
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Administration of Epinephrine by EpiPen Auto-Injector | |
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Introduction | |
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Causes of Anaphylaxis | |
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Signs and Symptoms of Anaphylaxis | |
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Treatment of Anaphylaxis | |
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Administration of an EpiPen Auto-Injector | |
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Special Considerations | |
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Documentation Guidelines for Administration of an EpiPen Auto-Injector | |
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Storage and Handling of EpiPen Auto-Injectors | |
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Supplemental Section | |
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Care of Individuals with Epilepsy | |
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Introduction | |
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Epilepsy | |
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Causes of Epilepsy | |
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Seizures | |
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Partial Seizures | |
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Generalized Seizures | |
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Status Epilepticus | |
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Treatment of Epilepsy | |
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Anticonvulsant Medications | |
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Surgery | |
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Ketogenic Diet | |
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Vagus Nerve Stimulation (VNS Therapy) | |
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Complementary Treatment | |
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Care of the Individual with Epilepsy | |
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Medicating Children | |
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Introduction | |
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Challenges of Administering Medication to Children | |
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Stages of Development | |
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Medication Sensitivity | |
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Effects of Medication on Children | |
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Rates of Absorption, Distribution, Metabolism, and Excretion | |
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Determining Medication Dosages for Children | |
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Administration of Medication to Children | |
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Basic Guidelines for Administration of Medication to Children | |
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Routes of Administration | |
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Vital Signs | |
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Children with Diabetes | |
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Adminstration of Insulin | |
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Children with Epilepsy | |
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Causes of Childhood Epilepsy | |
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Treatment of Childhood Epilepsy | |
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Side Effects of Anticonvulsant Medication in Children | |
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Special Considerations with Childhood Epilepsy | |
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Medication Errors in the Care of Children | |
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Poison Control | |
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Introduction | |
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Poisons | |
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Types of Poisons | |
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Treatment for Poisoning | |
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Prevention | |
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Treatment for Ingestion of a Poison | |
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Treatment for Inhalation of a Poison | |
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Treatment for Poisoning of Skin or Eyes | |
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Emergency Care for an Accidental Poisoning | |
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Documentation Guidelines for Emergency Care of the Individual | |
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Poison Control Centers | |
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Answers to Review Questions | |
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Glossary | |
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References | |
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Index | |