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Camphor poisoning
www.rch.org.au/clinicalguide/guideline_index/Camphor_poisoning/
accidental ingestion Any symptomatic patient Gastrointestinal irritation and CNS depression may occur …, delirium, hallucinations, and restlessness Respiratory depression is common, often following seizure GIT … There are seizures There is decreased conscious state or respiratory depression Consult Contact Victorian Poisons …
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High risk - low dose paediatric ingestions
www.rch.org.au/clinicalguide/guideline_index/High_risk_-_low_dose_paediatric_ingestions/
toxic) Coma Respiratory depression Propranolol and sotolol (other beta blockers are better tolerated … Hyponatraemia with ecstasy Gamma-hydroxybutyrate (GHB) Rapid onset respiratory depression and coma with recovery …
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Headache patterns
www.rch.org.au/clinicalguide/guideline_index/Headache_patterns/
Depression Somatisation Chronic progressive Tumour Benign intracranial hypertension Brain abcess …
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Basic paediatric ECG interpretation
www.rch.org.au/clinicalguide/guideline_index/Basic_paediatric_ECG_interpretation/
point) and terminates at beginning of T wave Isoelectric in a normal ECG Elevation or depression up to 1 … mm in limb leads may be normal in infants and children Elevation or depression up to 2 mm … variants: J-point depression: the J point is depressed without sustained ST depression, ie upsloping ST …
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Ethanol poisoning
www.rch.org.au/clinicalguide/guideline_index/Ethanol_Posioning/
/ injury, especially trauma to head Level of neurological depression, and progression of symptoms which … depression Adapted from Baum, C.A “ Ethanol intoxication in children: Epidemiology, estimation of toxicity … ingestion, DKA etc) respiratory depression co-morbidities Resuscitation Standard procedures and supportive …
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Anxiety: identification and management
www.rch.org.au/clinicalguide/guideline_index/Anxiety__identification_and_management/
or traumatic event resulting in a disability Family history of anxiety, depression, obsessive compulsive …) are first-line medication for anxiety As no SSRIs are currently licensed by TGA for use in anxiety or depression … As fluoxetine and escitalopram are approved by FDA for depressive episodes, it is sensible to consider using …
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Unsettled or crying babies
www.rch.org.au/clinicalguide/guideline_index/Crying_Baby_Infant_Distress/
baby syndrome) See Child abuse Parental post-natal depression (PND) and social isolation Screen for PND … using the Edinburgh Postnatal Depression Scale . See Additional Notes for other languages Concern … reassurance and education are essential. If screening for postnatal depression raises significant concerns …
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Procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
sedation may cause a wide range of side-effects, including airway compromise and respiratory depression …, as well as depression of the central nervous system, requiring careful monitoring and skilled response … therapeutic window Respiratory and cardiovascular depression Lack of analgesic property # Extra analgesia eg …
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Quetiapine Poisoning
www.rch.org.au/clinicalguide/guideline_index/Quetiapine_Poisoning/
toxicity: In adolescents who have ingested less than 3 grams expect mild CNS depression and tachycardia … be associated with severe toxicity. Examination CNS depression – any decrease is significant Tachycardia …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
difficulties (consider changes in environment eg home, school or family) Anxiety or depression ASD or ADHD … to increased risk of respiratory depression. Seek specialist advice early Under guidance of specialist …