• Nasogastric Fluids
    www.rch.org.au/clinicalguide/guideline_index/Nasogastric_Fluids/
    Assessment of hydration status at least daily is required to titrate nasogastric fluid requirements Repeated …/cg84/evidence>. Oakley, E et al, 2013, ‘Nasogastric hydration versus intravenous hydration for infants …Nasogastric Fluids …
  • HSV Gingivostomatitis
    www.rch.org.au/clinicalguide/guideline_index/HSV_Gingivostomatitis/
    hydration and analgesia Aciclovir should be administered in children who are immunocompromised Background …)  Assess hydration See dehydration Differential Diagnosis Hand foot and mouth disease Facial eczema … is mainly supportive (analgesia and hydration) Analgesia Pain relief options include; Simple oral analgesia …
  • Bronchiolitis
    www.rch.org.au/clinicalguide/guideline_index/Bronchiolitis/
    feeds are continued When non-oral hydration is required, nasogastric (NG) hydration is the route … is a clinical diagnosis. Investigations are not indicated The goal of management is to maintain hydration … monitoring if clinically deteriorating Hydration/nutrition Children are often more settled if comfort oral …
  • Gastroenteritis
    www.rch.org.au/clinicalguide/guideline_index/Gastroenteritis/
    See also Nasogastric fluids Vomiting IV fluids Dehydration Key points In a child with red flag … not require investigations, including stool testing Whenever possible, the enteral route (oral or nasogastric … and monitoring of hydration Failure of initial management should prompt reconsideration of the diagnosis …
  • Diabetes insipidus
    www.rch.org.au/clinicalguide/guideline_index/Diabetes_insipidus/
    to water. Never restrict fluid intake Urine output may not reflect hydration status Close monitoring … desmopressin which can rapidly lead to fluid overload and life-threatening hyponatraemia Central DI: hydration … Perform hydration assessment If IV fluids are required, use sodium chloride 0.9% with glucose 5% (avoid …
  • Neonatal intravenous fluids
    www.rch.org.au/clinicalguide/guideline_index/Neonatal_intravenous_fluids/
    of fluid administration is to maintain hydration and achieve biochemical balance, particularly to avoid … appearance and hydration status Signs of fluid overload – eg periorbital, genital, sacral or peripheral … tract losses via nasogastric tube or stoma of more than 20 mL/kg/day should be replaced mL for mL …
  • Dehydration
    www.rch.org.au/clinicalguide/guideline_index/Dehydration/
    enterally (orally or via nasogastric route), unless severe dehydration or shock Background Dehydration can … Assess hydration level based on a combination of signs (see Assessment of severity table below) Children …
  • Constipation
    www.rch.org.au/clinicalguide/guideline_index/Constipation/
    hydration. These solutions provide no net fluid input and there is a risk of dehydration. For older children … who refuse a nasogastric tube or prefer oral treatment, fixed dose sodium picosulphate preparations … adequate hydration to reduce the risk of dehydration and electrolyte disturbance (over 1 L recommended …
  • Influenza
    www.rch.org.au/clinicalguide/guideline_index/Influenza/
    or throat swab or nasopharyngeal aspirate) Treatment Supportive care eg hydration and/or respiratory support … virus replication Oseltamivir is usually first line therapy (oral or nasogastric) Treatment may have …
  • Abdominal pain - acute
    www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
    of comfort Vital signs, hydration Abdomen Inspect for distension, herniae, bruising Palpate for focal vs … diagnoses requiring surgical or gynaecological management Consider a nasogastric tube if bowel obstruction …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.