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Procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
) Ensure adequate analgesia and monitor for combined effects of sedation and opiate analgesia Choice … therapy, distraction and other non-pharmacological strategies Provide analgesia for potentially painful … Choice of sedative agent Choice of agent depends on the aims of sedation (eg reduce movement, analgesia …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
Provide analgesia while assessing the child but be cautious with opioid prescription Admission may … identifiable causes Provide adequate analgesia Caution with opioid use in children with cerebral palsy due …, consider trial of medication if unable to identify cause eg Empiric analgesia with paracetamol or NSAIDs …
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Intranasal fentanyl
www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
for use Initial analgesia for children aged 1 year and older, in moderate to severe pain, with Fractures … to provide adequate analgesia - 0.75 - 1.5 mcg/kg After 2nd dose, if further analgesia is required, review … and consider alternative or additional analgesia Dosage schedule Weight estimate (kg) Initial dose (1.5 mcg/kg …
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Spider Bite – Redback Spider
www.rch.org.au/clinicalguide/guideline_index/Spider_Bite_–_Redback_Spider/
cause severe pain and adequate analgesia is a priority Redback spiders rarely cause significant … is not controlled by simple analgesia Risk Assessment History Diagnosis is made on the basis of a typical history … Management First aid: Ice pack Pressure immobilisation is NOT used Treatment Adequate analgesia is a priority …
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Burns - Post Acute Care and Dressings
www.rch.org.au/clinicalguide/guideline_index/Burns_-_Post_Acute_Care_and_Dressings/
infection Promote healing Optimise nutrition Prevent complications Analgesia Manage pain using multimodal … analgesia Control itch with non-sedating antihistamines Mitigate stress and anxiety with techniques … such as distraction and therapeutic play Additional analgesia and sedation should be used prior to dressing care …
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Thoracocentesis and chest drain insertion
www.rch.org.au/clinicalguide/guideline_index/Thoracocentesis_and_chest_drain_insertion/
undergoing thoracocentesis should receive analgesia both pre- and post-procedure. Nitrous oxide should … transparent adhesive dressing x 2 Analgesia, Anaesthesia, Sedation Analgesia and local anaesthesia … oral and/or parenteral analgesia both pre- and post-procedure Procedure Establish patient …
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HSV Gingivostomatitis
www.rch.org.au/clinicalguide/guideline_index/HSV_Gingivostomatitis/
hydration and analgesia Aciclovir should be administered in children who are immunocompromised Background … is mainly supportive (analgesia and hydration) Analgesia Pain relief options include; Simple oral analgesia … analgesia. Severe dehydration or failure of rehydration may necessitate nasogastric tube or IV management …
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Clavicle fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Clavicle_fractures_Emergency_Department/
for opinion Give parent fracture of the clavicle (collarbone) fact sheet . Advise to give regular analgesia … are easily managed with a sling and analgesia. Indications for prompt consultation include: Severely … comfortable No evidence to support Figure of 8 bandage or brace Regular analgesia as required Lateral third …
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The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
and physical examination ambulating with mild or no discomfort with simple analgesia a clear working diagnosis … malignancy Treatment Definitive management is determined by the working diagnosis Simple analgesia - … paracetamol +/- NSAID. Escalation of analgesia may be required but should prompt reassessment for red flags …
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Acute Knee Injuries - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Acute_Knee_Injuries_-_Emergency_Department/
it is often not possible to adequately examine the knee, even with good analgesia. Thus, making an accurate … after adequate analgesia has been arranged – which may include opioids or nitrous. The joint should … defect – requires admission and arthoscopic removal 5. Emergency Department Management Early Analgesia …