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Clinical Practice Guidelines

  • Ketamine use for procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
    where increased HR and workload are contraindicated, eg ischaemic heart disease, cardiac failure … are maintained Cardiovascular state: blood pressure and heart rate increase slightly Nystagmus and lacrimation …
  • Prolonged fever
    www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
    : acute rheumatic fever (ARF), rheumatic heart disease (RHD), hereditary cancer syndromes, rheumatological …, headache, disseminated (jaundice, renal failure) Blood culture ( <10 days) PCR ( <7 days) Leptospira IgM … and rheumatic heart disease Last updated October 2025 Reference List Rupasinghe H, et al. Prolonged Fever …
  • Hypoglycaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypoglycaemia/
    Diabetes mellitus ), toxin ingestion (see Poisoning ), other illness eg sepsis, congenital heart disease … causes of increased glucose demand eg sepsis, cardiac failure, tumour, trauma History Symptoms …
  • Antimicrobial guidelines
    www.rch.org.au/clinicalguide/guideline_index/Antimicrobial_guidelines/
    A streptococci As for cellulitis 5 days Failure of first-line treatment, high fever or severe persistent pain … Australians Maori and Pacific Islander Personal history of rheumatic fever or rheumatic heart disease Family … history of rheumatic fever or rheumatic heart disease Immunosuppressed Quinsy (peritonsillar abscess …
  • Hyperkalaemia
    www.rch.org.au/clinicalguide/guideline_index/Hyperkalaemia/
     Pseudohyperkalaemia Renal disease (acute/chronic renal failure, renal anomaly) Adrenal mineralocorticoid deficiency … minutes if unstable, over 15-20 minutes if stable Continuous cardiac monitoring. Discontinue if heart rate …
  • Emergency airway management
    www.rch.org.au/clinicalguide/guideline_index/Emergency_airway_management/
    , and respiratory or cardiovascular failure as the indication for intubation Preparation Optimisation …  Monitoring should include: saturations, heart rate, respiratory rate, blood pressure (2-minute cycle …