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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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Diabetic Ketoacidosis
www.rch.org.au/clinicalguide/guideline_index/Diabetic_Ketoacidosis/
Vital signs Neurological observations, VBG, VBG and bedside ketones UEC (must check serum potassium … based on glucose and electrolytes 3 hours Fluid balance Vital signs Neurological observations BGL … and bedside ketones Adjust fluids if required based on glucose 4 hours Fluid balance Vital signs Neurological …
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Stroke
www.rch.org.au/clinicalguide/guideline_index/Stroke/
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 more likely …
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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/
fingerprint', characterised by a classic constellation of symptoms and signs due to toxic effects of chemicals … The Agitated/Confused Child Vitals Toxidrome T HR BP RR Mental status Pupils Other findings Examples Antidote … Phenobarbitone ) The Sedated/Confused Child Vitals Toxidrome T HR BP RR Mental status Pupils Other findings …
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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 … Diagnoses by Age Assessment History Symptoms and signs associated with possible diagnoses (table below … signs and symptoms Evidence of diarrhoea Gastroenteritis Fever or systemic Illness Infection or sepsis …
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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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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 …
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COVID-19
www.rch.org.au/clinicalguide/guideline_index/COVID-19/
Cyanosis Hydration status Assessment of severity Use standardised, age-specific vital sign charts … be severe without derangement of vital signs. Consider also the stage and progression of the current illness … Signs of severe illness include: severe respiratory distress severe hypoxaemia or cyanosis marked …