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How they're different Obviously, the stimulant-based version's 300 milligrams of caffeine is the biggest differentiator

Suitable fluids: Try to choose protein rich liquids in between your meals: Skimmed or semi-skimmed milk (try adding dried skimmed milk powder or protein powder) High protein shakes, protein water Other fluids you can have: Still water Marmite, Bovril, consomm, bouillon Clear soups Herbal or fruit teas Tea and coffee (use sweeteners, not sugar) No added sugar/sugar free squash Sugar free jelly Diluted vegetable juice (no bits) Fluids to avoid: Fruit juices, malt drinks and fruit smoothies Fizzy drinks (including fizzy water) as the gases may cause bloating, pain and can increase your stomach size All alcohol Aim to drink 1.5-2 litres of fluids each day

Immune-modulating peptides could theoretically interact with immunosuppressants, biologics, and corticosteroids in unpredictable ways

Needle sizes most commonly used at the RCH include: 25g x 25mm ORANGE 23g x 25mm BLUE 21g x 38mm GREEN Equipment Appropriate size needle for administration Drawing up needle and syringe (if medication not pre-filled) Sharps container Alcohol impregnated swab (if area visibly soiled) Cotton ball Band-Aid (check for allergies) Personal Protective Equipment (PPE) for hazardous medications or infectious patients The procedure Prepare patient and obtain consent Perform the five moments of hand hygiene Prepare equipment as per Aseptic Technique Complete the six rights of medication administration Don PPE if required (particularly for hazardous medications) Draw up or prime medication as per Paediatric Injectable Guidelines Position patient in a safe and comfortable position Procedure Management Guideline Consider the use of comfort techniques such as distraction, buzzy bee, ice or a countdown Landmark injection site (see above) Clean site with an alcohol swab (if required) Stretch the skin flat (Z-tracking if applicable) Inject the needle to the hub at a 90-degree angle Do not aspirate or drawback as this can increase pain and discomfort in children Inject the medication at a slow and steady pace Remove the needle and apply a cotton ball Place the needle in a sharps container Apply Band-Aid Remove PPE (if required) Perform the five moments of hand hygiene Special considerations Monitor for immediate adverse reactions, e.g., fever, rash, vomiting, shortness of breath