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Clinical Practice Guidelines

  • Minimising distress in healthcare setting
    www.rch.org.au/clinicalguide/guideline_index/Minimising_distress_in_healthcare_setting/
    those who will need ongoing medical care Minimise distress by keeping the child with a carer, allow them … of deterioration if they are upset, sedated or repositioned Tailor assessment and management to the specific needs … in the child’s condition from moderate to severe, or severe to critical Assessment When clinically appropriate …
  • Vulval and vaginal conditions
    www.rch.org.au/clinicalguide/guideline_index/Vulval_and_vaginal_conditions/
    Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee Calendar CPG … Guidelines CPG index Paediatric Improvement Collaborative Nursing Guidelines Paediatric palliative care … cultures should be assessed for vulvodynia Do not perform an internal vaginal examination or take internal …
  • Poisoning - Acute Guidelines For Initial Management
    www.rch.org.au/clinicalguide/guideline_index/Poisoning_-_Acute_Guidelines_For_Initial_Management/
    Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee … Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee … are highly toxic in a dose of 1-2 tablets in this age group (see table below)  Resuscitation and risk …
  • Acute behavioural disturbance: Acute management
    www.rch.org.au/clinicalguide/guideline_index/Acute_behavioural_disturbance__Acute_management/
    assessment, a child who does not need acute medical or psychiatric care should be discharged from … Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee … Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee …
  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    Assessment Making a clinical distinction between meningitis and encephalitis can be difficult … and mycobacteria) History of neurosurgery or penetrating head injury VP shunt Cochlear implant Younger age … minutes Blood Blood culture FBE (may be normal) Blood glucose level Blood gas for lactate UEC, assess …
  • Autism and developmental disability: management of distress/agitation
    www.rch.org.au/clinicalguide/guideline_index/Autism_and_developmental_disability__management_of_distress/agitation/
    opportunistically A careful assessment is required. Examine and re-examine again until a cause is identified … Improvement Collaborative Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval … Paediatric Improvement Collaborative Nursing Guidelines Paediatric palliative care guidelines Parent …
  • Hypertension in children and adolescents
    www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
    also Online paediatric BP centile calculator BP by age and height centile tables: boys girls Key points … measurement Background This guideline will focus on the paediatric population aged 1–17 years (not infants … Assessment Risk factors Overweight/obesity Male sex Family history of hypertension Low birth weight …
  • Upper limb non-use
    www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
    palliative care guidelines Parent resources Retrieval services CPG Committee Calendar CPG information Other … Nursing Guidelines Paediatric palliative care guidelines Parent resources Retrieval services CPG Committee … Assessment History History of trauma and mechanism of injury History of “pull” on the arm Unable to move arm …
  • CSF interpretation
    www.rch.org.au/clinicalguide/guideline_index/csf/
    in the first 2 weeks of life        Assessment Normal values White cell count Age Neutrophils (x 106/L … antimicrobial treatment for bacterial meningitis CSF parameters vary with age, which influences how a sample … is interpreted The presence of any neutrophils in the CSF, regardless of age, may indicate bacterial meningitis …
  • Trauma - Pelvic injury
    www.rch.org.au/clinicalguide/guideline_index/Trauma_-_Pelvic_injury/
    May help manage shock by reducing blood loss from an unstable pelvic fracture Assessment History High … collision Fall from height (typically >3 m, also consider mechanism and age) Heavy object fall onto patient … of end organ hypoperfusion eg GCS <15 Assess for signs of pelvic injury Bruising, wounds, asymmetry …