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Food allergy - IgE mediated food allergy
www.rch.org.au/clinicalguide/guideline_index/Food_allergy_-_IgE_mediated_food_allergy/
cardiovascular symptoms, even if skin symptoms are not present, and may be life threatening Children … non-IgE cow-milk allergy and FPIES (see flowchart below) Assessment The goal of assessment is to identify … who are clinically well but have a history of possible food allergy Further assessment should focus …
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Hydrocarbon poisoning
www.rch.org.au/clinicalguide/guideline_index/Hydrocarbon_poisoning/
with accidental poisoning as non-accidental poisoning should be considered. Risk Assessment History Was exposure … Period of observation as above For deliberate ingestion a risk assessment should indicate … Essential oils Mineral Turpentine Patients requiring assessment All patients with deliberate self-poisoning …
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Nicotine Poisoning
www.rch.org.au/clinicalguide/guideline_index/Nicotine_Poisoning/
GCS Normal ECG Period of observation as above For deliberate ingestion. A risk assessment should … be rapidly absorbed and can cause severe toxicity resulting in seizures, cardiovascular collapse and coma … cigarette or more than three butts requires medical assessment. The quantity of nicotine in various products …
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Sodium valproate poisoning
www.rch.org.au/clinicalguide/guideline_index/Sodium_valproate_poisoning/
poisoning as non-accidental poisoning should be considered Risk assessment History Intentional overdose … ingestions need a risk assessment regarding the likelihood of further ingestions or other attempts … to self-harm Assessment of other drug and alcohol use should also be undertaken If, after risk assessment …
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Carbamazepine poisoning
www.rch.org.au/clinicalguide/guideline_index/Carbamazepine_poisoning/
Risk Assessment Red flag features in Red History Intentional overdose or accidental Dose: Stated … GCS Normal ECG Child remains symptom free after 8 hour period of observation Assessing risk … a risk assessment regarding the likelihood of further ingestions or other attempts to self-harm …
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Procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
: Child factors (see ‘Medical assessment of the child’ below) Clinician factors (see ‘Choice of sedative … and its urgency Review patient risk factors and contraindications relevant to that child and the drug … be readily available prior to commencing procedural sedation Medical Assessment of the child The following …
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Anticholinergic syndrome
www.rch.org.au/clinicalguide/guideline_index/Anticholinergic_syndrome/
is suspected please seek senior advice and discuss with toxicologist. Risk assessment Anticholinergic syndrome … discharge are in place In cases of deliberate ingestion, a risk assessment should indicate that the child … and cardiovascular toxicity may not be mediated by muscarinic effects, rather secondary to drug effects at other …
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Ketamine use for procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
are maintained Cardiovascular state: blood pressure and heart rate increase slightly Nystagmus and lacrimation … lacerations and dental procedures Procedures that will stimulate the posterior pharynx Cardiovascular disease … management and advanced monitoring of child . This nurse must be assessed as competent in ketamine sedation …
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Recreational drug use and overdose
www.rch.org.au/clinicalguide/guideline_index/Recreational_drug_use_and_overdose/
guidelines for initial management High Risk Low Dose Paediatric Ingestions Acute behavioural disturbance … known as Assessment Investigations Management Notes Amphetamines (small dose may produce significant …/A Benign symptoms: - supportive care until asymptomatic Anxiety: - Diazepam Cardiovascular effects …
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Meningitis and encephalitis
www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
Assessment Making a clinical distinction between meningitis and encephalitis can be difficult … chorea Vesicular rash, corneal ulcer/keratitis (HSV) Risk factors for meningitis Maternal group B … neurological signs, ongoing seizures, markedly reduced GCS, cardiovascular compromise or coagulopathy), defer …