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Clinical Practice Guidelines

  • Slow weight gain
    www.rch.org.au/clinicalguide/guideline_index/Slow_weight_gain/
    serial measurements plotted on appropriate growth charts Nutrition is the main driver of growth … of abuse or neglect Observe feed if able Growth charts <2 years of age: WHO growth standards. Correct … for prematurity (<37 weeks) until 2 years old ≥2 years of age: CDC growth reference charts Use specific growth …
  • Death of a child: Sudden unexpected death in infancy SUDI
    www.rch.org.au/clinicalguide/guideline_index/Death_of_a_child__Sudden_unexpected_death_in_infancy_SUDI/
    Other medical information: infant health record book, growth chart, information from other healthcare …
  • Pyloric stenosis
    www.rch.org.au/clinicalguide/guideline_index/Pyloric_stenosis/
    gain Examination Dehydration Assess degree of  dehydration Weigh and plot on growth chart with previous …
  • Constipation
    www.rch.org.au/clinicalguide/guideline_index/Constipation/
      Bristol stool chart) Blood on wiping and/or in the nappy (may indicate anal fissure or organic cause … malformation) Ribbon like stools  — consider anorectal malformation Weight loss/poor growth Persistent vomiting … child for sitting on toilet. Ensure toileting remains a positive experience Chart or diary …
  • Post-streptococcal glomerulonephritis (PSGN)
    www.rch.org.au/clinicalguide/guideline_index/Post-streptococcal_glomerulonephritis_(PSGN)/
    Examination Growth parameters and comparison to pre-illness weight (may be an isolated sign of fluid overload … (SBP) <95 th centile for age, sex and height (see percentile charts for girls and boys ) Mostly driven …
  • Diabetes insipidus
    www.rch.org.au/clinicalguide/guideline_index/Diabetes_insipidus/
    dehydration) Symptoms in babies can be non-specific such as irritability, poor feeding and slow growth (or … response is what keeps serum sodium in the high normal range Strict fluid balance chart with at least twice …
  • Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    , genitourinary, respiratory and neurological symptoms) Growth, development Menstrual history Mental health … circumference on percentile charts ENT examination (including ear drums, nostrils, frenulum, teeth) Fundoscopy …
  • Intravenous fluids
    www.rch.org.au/clinicalguide/guideline_index/Intravenous_fluids/
    milk (150-180 mL/kg/day) to meet nutritional and growth requirements, but this higher volume should … fluid balance charts should be used in any child receiving IV fluids Where possible, always use premixed …