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Clinical Practice Guidelines

  • 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 … Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650. Consider discharge when Normal GCS Normal ECG …
  • Phenytoin poisoning
    www.rch.org.au/clinicalguide/guideline_index/Phenytoin_poisoning/
    Confusion, disorientation, lethargy, hyperactivity, mania, respiratory depression > 200 umol/L (50 mg/L) - … or persistent symptoms after 6 hours of observation (eg Depressed conscious state or cardiac arrhythmias) Admit …, call the Paediatric Infant Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650. Discharge …
  • Inhalants / volatile substance use - chroming
    www.rch.org.au/clinicalguide/guideline_index/Inhalants_/_volatile_substance_use_-_chroming/
    depression similar to ethanol intoxication Supportive care is the mainstay of treatment Management …, disinhibition, hallucinations and impulsive behaviour followed by CNS depression, slurred speech and ataxia … and paediatric or neonatal ICU transfers, call the Paediatric Infant Perinatal Emergency Retrieval (PIPER …
  • Use of Activated Charcoal in Poisonings
    www.rch.org.au/clinicalguide/guideline_index/Use_of_Activated_Charcoal_in_Poisonings/
    of substances which could cause rapidly reduced CNS depression or may cause seizures Faecal discolouration GI … Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650.    Discharge Criteria See individual poisoning …
  • Selective serotonin re-uptake inhibitors SSRIs poisoning
    www.rch.org.au/clinicalguide/guideline_index/Selective_serotonin_re-uptake_inhibitors_SSRIs_poisoning/
    a benign course. SSRIs are commonly used in the treatment of depression, anxiety and obsessive compulsive … For emergency advice and paediatric or neonatal ICU transfers, call the Paediatric Infant Perinatal Emergency …
  • Local anaesthetic poisoning
    www.rch.org.au/clinicalguide/guideline_index/Local_anaesthetic_poisoning/
    , asystole Respiratory:  respiratory depression, apnoea. Methaemoglobinaemia:  blue mucous membranes … Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650. Discharge information and follow-up Intentional …
  • Anticholinergic syndrome
    www.rch.org.au/clinicalguide/guideline_index/Anticholinergic_syndrome/
    mouth and skin Fever Agitated delirium Urinary retention Hypertension Hyperthermia CNS depression / coma … advice and paediatric or neonatal ICU transfers, call the Paediatric Infant Perinatal Emergency Retrieval …