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Lumbar puncture
www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
signs and neurological observations as indicated by sedation used and child's clinical state Document … antibiotic administration over performing LP LP should only be performed after a thorough neurological … a normal CT Diagnosis, monitoring and treatment of a range of haematological, malignant and neurological …
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Ketamine use for procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
with their premorbid neurological baseline Discharge instructions Careful family observation and supervision … Baseline observations should include BP, HR, RR and O 2 saturation Facilitate/encourage non-procedural … recovery is well established Close observation of the airway and chest movements is necessary Potential …
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Camphor poisoning
www.rch.org.au/clinicalguide/guideline_index/Camphor_poisoning/
of symptoms can be early, within 15 mins of ingestion of more than 30 mg/kg Neurologic complications … Consider co-ingestants eg paracetamol Examination Often a characteristic odour is present Neurologic … Charcoal is not recommended If asymptomatic; observe for 4 hours & discharge if no symptoms develop …
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Nicotine Poisoning
www.rch.org.au/clinicalguide/guideline_index/Nicotine_Poisoning/
Neurologic – agitation, fasciculation, seizures Late clinical signs in larger exposures (1 to 4 hours) CVS … – bradycardia, arrhythmia, hypotension, shock Respiratory – hypopnoea, apnoea Neurologic – lethargy, muscle …. Consider discharge when Normal GCS Normal ECG Period of observation as above For deliberate ingestion …
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Hypermagnesaemia
www.rch.org.au/clinicalguide/guideline_index/Hypermagnesaemia/
is in the extracellular fluid Asymptomatic laboratory diagnosis is sometimes observed following intravenous magnesium … supplements that may contain magnesium Assess for signs/symptoms of hypermagnesaemia Neurological: loss …
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Bronchiolitis
www.rch.org.au/clinicalguide/guideline_index/Bronchiolitis/
disease Congenital heart disease Chronic neurological conditions Gestational age <37 weeks … desaturation) may benefit from a period of hospital observation, even if they do not require fluid …, discontinue oxygen saturation monitoring. Continue observations 2-4 hourly and reinstate intermittent oxygen …
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Immune thrombocytopenic purpura
www.rch.org.au/clinicalguide/guideline_index/Immune_thrombocytopenic_purpura/
, vomiting, lethargy, irritability, decreased consciousness or neurological symptoms Preceding viral … infection or recent live virus immunisation eg MMR Well looking with normal clinical observations Red flags …/suspected_or_known_immune_thrombocytopenia_management_plan__children_.pdf > Heitink-Pollé KM, 2018, 'Intravenous immunoglobulin vs observation in childhood immune …
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Procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
cardiac disease Neurological Acute: altered level of consciousness, seizure, meningitis, trauma, space … Monitoring Pulse oximetry, cardiac monitoring and blood pressure Close observation of the airway and chest … to their premorbid neurological baseline Alternatives if sedation not successful Trial of alternative sedation choice …
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Henoch-Schönlein purpura
www.rch.org.au/clinicalguide/guideline_index/HenochSchonlein_Purpura/
Examination Assess for Features General observations Hypertension Blood pressure must be measured at initial … Diffuse alveolar haemorrhage Neurological (rare) Changes in mental status Labile mood, apathy …, hyperactivity, encephalopathy Focal neurological signs Consider intracranial haemorrhage Urinalysis Haematuria …
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Benzodiazepine poisoning
www.rch.org.au/clinicalguide/guideline_index/Benzodiazepine_poisoning/
substances. Close observation and supportive care are the mainstay of management. All intentional overdoses … Neurologic – confusion, dysarthria, nystagmus, lethargy, ataxia, areflexia, hypotonia, seizure Respiratory … (PIPER) Service: 1300 137 650. Consider discharge when Normal GCS after 4 hours observation Child able …