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Acute pain management
www.rch.org.au/clinicalguide/guideline_index/Acute_pain_management/
Pharmacological management Local analgesia Context Suggested topical agent Limb or finger injuries: local … (CoPhenylcaine Forte®) nasal spray See also Procedural sedation Systemic analgesia All pain management should … Ongoing reassessment is essential, particularly to assess intervention and whether further analgesia …
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Lacerations
www.rch.org.au/clinicalguide/guideline_index/Lacerations/
thorough assessment prior to closure Ensuring suitable analgesia and anaesthesia (local +/- sedation … experienced staff Sedation/analgesia/anaesthesia Time Equipment and instruments Assistance (medical … surgical specialty may be required Consider sedation (eg nitrous or ketamine) and analgesia in addition …
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Lumbar puncture
www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
examination and once contraindications have been considered Careful preparation, adequate analgesia … sedation, local anaesthetic and analgesia) Post-dural puncture headache (uncommon, 5-15%) Transient … (kg) + 7, children (mm) = 0.4 x weight (kg) + 20 Analgesia Ensure acute pain management including …
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Headache
www.rch.org.au/clinicalguide/guideline_index/Headache/
Supportive therapy with simple analgesia is the mainstay of treatment for most cases of primary headache … with and assessing the adolescent patient ) Characterise the headaches including pattern of headaches , analgesia … Tension-type headache Provide simple analgesia Paracetamol 15 mg/kg (max 1g) Ibuprofen 10 mg/kg (max 400 mg …
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Gastrostomy acute replacement of displaced tubes
www.rch.org.au/clinicalguide/guideline_index/Gastrostomy_acute_replacement_of_displaced_tubes/
and does not leak before inserting the new tube. Analgesia Reinsertion of a gastrostomy tube can be painful …. Analgesia should be considered prior to commencing any procedure. Appropriate analgesics include parenteral …
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Bier block
www.rch.org.au/clinicalguide/guideline_index/Bier_block/
or suture material) needed once block is complete Analgesia, Anaesthesia, Sedation Ensure adequate analgesia …
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Sore throat
www.rch.org.au/clinicalguide/guideline_index/Sore_throat/
Simple analgesia See Acute pain management Corticosteroids Consider in children with severe pain … unresponsive to simple analgesia dexamethasone 0.15 mg/kg (max 10 mg) oral/IV/IM as a single dose … poorly responsive to supportive management (including analgesia and steroids) Consider consultation …
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Acute scrotal pain or swelling
www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
Provide adequate analgesia Irreducible hernia If unable to reduce, urgent surgical review Fast (nil … on free drainage if bowel obstruction is suspected Provide adequate analgesia Torsion of testicular … to confidently exclude testicular torsion Once diagnosis confirmed, treatment is supportive, with analgesia …
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Penetrating eye injury
www.rch.org.au/clinicalguide/guideline_index/Penetrating_eye_injury/
prompt and adequate analgesia. Do not give any eye drops If identified or suspected, stop examination … the child from the time they are seen Do not give any eye drops Use appropriate analgesia. Consider NSAIDs …
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Corrosives - Caustic Poisoning
www.rch.org.au/clinicalguide/guideline_index/Corrosives_-_Caustic_Poisoning/
NBM Commence intravenous PPI Analgesia – see Acute pain management . If opiate or parenteral … analgesia required, please consult local pain management service. Dermal Remove clothing / particulate …