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Clinical Practice Guidelines

  • Intranasal fentanyl
    www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
    R, Harlan SS, Smeltzer MP and Kink RJ. Intranasal Fentanyl and Midazolam Use in Children 3 Years …Intranasal fentanyl …Clinical Practice Guidelines : Intranasal fentanyl …
  • Procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
    hydrate # Oral  Narrow therapeutic index  No analgesic effect Midazolam # Oral, intranasal, buccal, IM … discharge Agent failure No analgesic effect Intranasal fentanyl Synergistic with nitrous oxide Reduces need … Chloral hydrate Midazolam Ketamine * General anaesthetic Diagnostic (painful) IV insertion LP Port access …
  • Seizures acute management
    www.rch.org.au/clinicalguide/guideline_index/Seizures_acute_management/
    st line Midazolam 0.15 mg/kg IV/IM (max 10 mg) 0.3 mg/kg buccal/intranasal (max 10 mg) Diazepam 0.3 … 2-5 mg/kg IV/intraosseus slowly stat followed by infusion at 1-4 mg/kg/hr  Midazolam infusion 1 microg … written information consider need for emergency medication (buccal midazolam) Follow-up after a first …
  • Peripheral extravasation injuries: Initial management and washout procedure
    www.rch.org.au/clinicalguide/guideline_index/Peripheral_extravasation_injuries__Initial_management_and_washout_procedure/
    Etomidate Erythromycin Flucloxacillin Ganciclovir Lorazepam Midazolam Morphine Mycophenolate Nitroglycerine … with adrenaline Intranasal fentanyl or ketamine Inhaled nitrous oxide IV/IM ketamine General anaesthesia Use …
  • Intravenous access - Peripheral
    www.rch.org.au/clinicalguide/guideline_index/Intravenous_access_Peripheral/
    therapy, distraction, relaxation and other coping skills, Consider oral midazolam, intranasal …