• Hydrocarbon poisoning
    www.rch.org.au/clinicalguide/guideline_index/Hydrocarbon_poisoning/
    of hydrocarbon aspiration Ongoing care and monitoring Asymptomatic children with normal vital signs should …, tachypnoea, hypoxia, haemoptysis and pulmonary oedema are signs of evolving chemical pneumonitis …
  • Essential Oil Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Essential_Oil_Poisoning/
     Ongoing care and monitoring Asymptomatic children with significant exposure (>5 mL) and normal vital signs …) is usually within one hour. Signs of aspiration usually appear immediately, but can be delayed up to 6 hours … Smaller Ingestions of 2-3 mL of some essential oils have been associated with toxicity in children Signs
  • Petechiae and purpura
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
    they have: Abnormal vital signs: tachycardia, tachypnoea and/or desaturation in air Cold shock: narrow pulse … treatment with antibiotics may mask signs of a bacterial infection High risk groups: immunosuppression …
  • Sickle cell disease
    www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
    or Hydroxyurea Management at home Examination Vital signs Pallor or jaundice Hydration Signs of infection … infiltrate on CXR. Chest pain and hypoxaemia may be the only signs. Chest pain should be treated as an acute …
  • Nonsteroidal Anti-inflammatory Drug NSAID poisoning
    www.rch.org.au/clinicalguide/guideline_index/Nonsteroidal_Anti-inflammatory_Drug_NSAID_poisoning/
    discharge when: Asymptomatic children with normal vital signs 4 hours post-ingestion may be discharged …
  • Acceptable ranges for physiological variables
    www.rch.org.au/clinicalguide/guideline_index/Acceptable_ranges_for_physiological_variables/
    of hypertension . J Hypertens.  2009;27(9):1719–42. Sepanski RJ et al. Pediatric Vital Sign Distribution Derived …
  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    under 2 years vital signs including HR and BP electrolytes, urea, creatinine and blood glucose Isolation … Hyper or hypotonia Neck stiffness  (may be absent in infants) Focal neurological signs  Purpuric rash … and Brudzinski signs (see Additional notes below) Altered conscious state Confusion Fever Bradycardia  and …
  • Fever and suspected or confirmed neutropenia
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_suspected_or_confirmed_neutropenia/
    over a maximum of 10 minutes (not through an infusion pump) Monitor for improvement in vital signs … neutropenia (FN) is a medical emergency. Children with FN and signs of sepsis require urgent treatment (Triage … Category 3). Antibiotics must be administered within 30 minutes if there are signs of sepsis and within 60 …
  • Adolescent gynaecology - Heavy menstrual bleeding
    www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
    medical conditions Adolescent assessment (HEADSS screen) Examination Vital signs: hypotension … signs of PCOS: acne, excess facial or body hair, weight gain Vaginal examination is rarely indicated … with focal neurological signs, thrombosis risk All patients may benefit from iron supplements Consider …
  • Hypertension in children and adolescents
    www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
    (AKI) Examination Confirm hypertension (See measuring blood pressure section below) Vitals: tachycardia …, four limb BP for upper and lower limb discrepancy Height and weight: obesity, growth retardation Signs …, oedema Chronic renal failure: palpable kidneys Focal neurology eg facial nerve palsies Signs

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.