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Epilepsy surgery: invasive monitoring for epilepsy surgery, nursing management

This guideline is intended to guide and facilitate the care of patients under the care of the clinical teams at Great Ormond Street Hospital for Children NHS Trust (GOSH). It has been approved by the Guideline Approval Group and is for use by staff of all disciplines and levels in these health care teams. The guidance contained here in is not intended to replace individual assessment and personalised treatment of the patient.

Adalimumab injections

Anti-TNF medicines, such as adalimumab, etanercept and infliximab, act against a protein in the blood called Tissue Necrosis Factor Alpha (TNFα). This protein can cause inflammation when it is present in large amounts in the blood.

Skin biopsy: punch method

The skin is complex with an array of functions. It is the body’s largest organ, protecting the deeper tissues and organs from mechanical damage, chemical damage, bacterial damage, ultraviolet radiation and thermal damage. The skin aids in regulating body temperature, in excretion of urea and uric acid and also synthesis of vitamin D (Marieb 2012). 

Fludarabine

Fludarabine is a chemotherapy medicine used to treat certain types of leukaemia such as acute myeloid leukaemia (AML) and acute lymphoblastic leukaemia (ALL). It is also used to prepare some children for bone marrow transplant.

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