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In this section
About Clinical Practice Guidelines
CPG index
Paediatric Improvement Collaborative
Nursing Guidelines
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Parent resources
Retrieval services
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CPG information
Other resources
CPG feedback
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Basic paediatric ECG interpretation
www.rch.org.au/clinicalguide/guideline_index/Basic_paediatric_ECG_interpretation/
Basic paediatric
ECG
interpretation
… > Basic paediatric
ECG
interpretation
Print Share Facebook LinkedIn Email In this section About Clinical … resources CPG feedback Basic paediatric
ECG
interpretation
Basic paediatric
ECG
interpretation
PIC Endorsed …
Hyperkalaemia
www.rch.org.au/clinicalguide/guideline_index/Hyperkalaemia/
Hyperkalaemia Hyperkalaemia PIC Endorsed See also Basic Paediatric
ECG
interpretation
Electrolyte abnormalities … and cardiac arrest. Perform an
ECG
and commence cardiac monitoring Stop any medications or fluids which cause … an
ECG
to identify conduction disturbance (see Additional information and Basic paediatric
ECG
…
Hypocalcaemia
www.rch.org.au/clinicalguide/guideline_index/Hypocalcaemia/
Hypocalcaemia Hypocalcaemia PIC Endorsed See also Electrolyte abnormalities Basic paediatric
ECG
interpretation
… monitoring in cases of severe and/or symptomatic hypocalcaemia or if changes on
ECG
The oral/enteral route …, phosphate PTH 25 hydroxy vitamin D UEC
ECG
to identify conduction abnormalities (see Basic paediatric
ECG
…
Syncope
www.rch.org.au/clinicalguide/guideline_index/Syncope/
Seizures Supraventricular Tachycardia Altered conscious state Basic Paediatric
ECG
interpretation
Key … and there is no additional concern (see
ECG
interpretation
) BGL can be useful if the child is seen shortly after the event … Investigations
ECG
should be obtained in all children at least once. May not be required if done previously …
Hypokalaemia
www.rch.org.au/clinicalguide/guideline_index/Hypokalaemia/
also Basic Paediatric
ECG
interpretation
Dehydration Diabetic ketoacidosis (DKA) Electrolyte … of cardiac arrhythmia, or serum potassium <3 mmol/L. See Basic Paediatric
ECG
interpretation
Decreased T wave … to treatment (hypomagnesaemia promotes potassium wasting)
ECG
: if signs/symptoms of hypokalaemia, risk …
Hypomagnesaemia
www.rch.org.au/clinicalguide/guideline_index/Hypomagnesaemia/
24-hour urinary magnesium excretion The clinical context of the child is required to
interpret
…: arrhythmias and
ECG
changes (PR/QT prolongation) Metabolic: hypokalaemia, hypocalcaemia Central nervous system …
Ethanol poisoning
www.rch.org.au/clinicalguide/guideline_index/Ethanol_Posioning/
to
interpret
If only mild symptoms (decreased inhibition, slight incoordination) consider blood alcohol … acidosis)
ECG
if any consideration of poly drug overdose Consider CT brain if decreased conscious state …
Diabetic ketoacidosis
www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
) See
ECG
Interpretation
Consider antibiotics for febrile children with signs of infection Consider … or shock Cardiac monitoring for assessment of
ECG
changes related to potassium levels hyperkalaemia: peaked …
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