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Diabetic ketoacidosis
www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
of DKA Vital signs including blood pressure Weigh child, compare with recent weight if available Children … of dehydration Clinical signs Assessment Percentage Mild <5% No clinical signs alert and responsive normal vital … passage of urine (ask child to void) 0.9% sodium chloride +/- potassium 1 hour Fluid balance Vital signs …
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Bradycardia during sleep
www.rch.org.au/clinicalguide/guideline_index/Bradycardia_during_sleep/
or differential diagnoses Review: History (neurological, cardiac or metabolic conditions) Medications Vital signs … with sleep bradycardia: Bradycardia when accompanied by another abnormal vital sign or poor peripheral … vital signs Consider consultation with local paediatric team when Local medical emergency response …
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Stroke
www.rch.org.au/clinicalguide/guideline_index/Stroke/
* Visual or speech disturbance* Limb incoordination or ataxia* Headache with other neurological signs … or symptoms^ Altered mental state^ Signs of raised intracranial pressure^ New onset seizures associated … with persistent neurological signs or symptoms *Arterial ishaemic stroke more likely ^Haemorrhagic stroke …
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Dehydration
www.rch.org.au/clinicalguide/guideline_index/Dehydration/
Immunocompromise Use of nephrotoxic medications Post-organ transplant Examination Obtain vital signs Obtain weight … child Key points Weight loss is the best measure of dehydration. Clinicals signs can help estimate … Assess hydration level based on a combination of signs (see Assessment of severity table below) Children …
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Lumbar puncture
www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
medication Note: abnormal vital signs eg tachycardia or tachypnoea are not contraindications to LP … than 30 minutes in a child with signs of meningitis or sepsis In a child with fever and purpura in whom …/fluctuating level of consciousness Signs of raised intracranial pressure: diplopia, abnormal pupillary …
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Toxidromes poisoning
www.rch.org.au/clinicalguide/guideline_index/Toxidromes_poisoning/
is a 'clinical fingerprint', characterised by a classic constellation of symptoms and signs due to toxic effects …/Toxidromes The Agitated/Confused Child Vitals Toxidrome T HR BP RR Mental status Pupils Other findings … Child Vitals Toxidrome T HR BP RR Mental status Pupils Other findings Examples Antidote Opioid …
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Vomiting
www.rch.org.au/clinicalguide/guideline_index/Vomiting/
Consider discharge when Alert and able to tolerate small amounts of oral intake Normal vital signs … Differential diagnoses by age Assessment History Symptoms and signs associated with possible diagnoses (table … vomiting Raised ICP Associated signs and symptoms Respiratory Wheeze, stridor, rash, cough, chest pain …
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Eucalyptus Oil Poisoning
www.rch.org.au/clinicalguide/guideline_index/Eucalyptus_Oil_Poisoning/
exposure and normal vital signs, including normal GCS, should be observed for 4 hours post exposure before …, apnoea, bronchospasm, signs of aspiration pneumonitis GIT: Nausea, vomiting and diarrhoea(early symptoms … patient, or any other signs of underlying medical condition (fingerprick marks etc) Investigations …
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Hydrocarbon poisoning
www.rch.org.au/clinicalguide/guideline_index/Hydrocarbon_poisoning/
of hydrocarbon aspiration Ongoing care and monitoring Asymptomatic children with normal vital signs should …, tachypnoea, hypoxia, haemoptysis and pulmonary oedema are signs of evolving chemical pneumonitis …
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Trauma: Tertiary Survey
www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
and ensure the child is covered when the tertiary survey is complete Assess vital signs and GCS . Children … skull fracture), bruising behind the ears (Battle’s sign: may indicate base of skull fracture … Inspect for signs of injury such as bruising, seatbelt marks, wounds In cases of stabbing or other …