• Cerebral Palsy - Increased Seizures
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Increased_Seizures/
    ) Vomiting, diarrhoea or feed intolerance causing reduced absorption of AED Exposure to medications … for upper airway obstruction Suction secretions/blood/vomit Treat intercurrent illness as appropriate …
  • Phenytoin poisoning
    www.rch.org.au/clinicalguide/guideline_index/Phenytoin_poisoning/
    , tremor, drowsiness, involuntary movements, seizures, coma GIT Nausea & Vomiting Other Massive ingestion …, diplopia, ataxia, slurred speech, tremor, hyperreflexia, drowsiness, nausea, vomiting 160 to 200 umol/L (40 …
  • Nicotine Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Nicotine_Poisoning/
    minutes and may include agitation, diaphoresis, nausea and vomiting, tachycardia, bronchoconstriction … clinical signs (<1 hour) Gastrointestinal – nausea and vomiting, abdominal pain, salivation CVS …
  • Hypertension in children and adolescents
    www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
    Drug-induced Corticosteroids, OCP, stimulants History Headache/vomiting Blurred vision Change in mental state …, eg headache vomiting, vision changes and neurological symptoms (facial nerve palsy, lethargy …, seizures, coma) +/- target-end organ damage >180/120 associated with encephalopathy, eg headache vomiting
  • Adrenal crisis and acute adrenal insufficiency
    www.rch.org.au/clinicalguide/guideline_index/Adrenal_crisis_and_acute_adrenal_insufficiency/
    GI: anorexia, nausea/vomiting, abdominal pain, weight loss Neurological: dizziness/syncope, headache … and carbohydrate intake Vomiting and diarrhoea: If one or two vomits give hydrocortisone 30 mg/m 2 /day (note … with this) Increase fluids and carbohydrates  If ongoing vomiting, consider child to have an imminent …
  • Head injury
    www.rch.org.au/clinicalguide/guideline_index/Head_injury/
    of consciousness Persistent vomiting Known bleeding disorder/anticoagulation Ventriculoperitoneal shunt … behaviour, including agitation, confusion and drowsiness Headache Nausea and vomiting Other injuries … History of loss of consciousness Post-traumatic seizure Severe headache Persistent vomiting Non-frontal …
  • Anaphylaxis
    www.rch.org.au/clinicalguide/guideline_index/Anaphylaxis/
    and/or vomiting) are a sign of anaphylaxis of any cause Mild GI symptoms (abdominal pain and/or … vomiting) are a sign of anaphylaxis when caused by insect stings or parenteral medications Mild GI symptoms … (abdominal pain and/or vomiting) are not a sign of anaphylaxis when caused by food Skin signs (including …
  • Hypokalaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypokalaemia/
    disorder Poor nutrition Gastrointestinal Vomiting Diarrhoea Fistula Laxative overuse Renal Osmotic diuresis …, vomiting Lethargy Fatigue Confusion Polyuria, usually if prolonged hypokalaemia Features of underlying … cause Acute diarrhoea/vomiting Decreased intake Use of medications such as salbutamol, diuretics …
  • Iron poisoning
    www.rch.org.au/clinicalguide/guideline_index/Iron_poisoning/
    Vomiting Diarrhoea * Lack of symptoms within the first 6 hours makes significant toxicity unlikely. 2 … Hypoglycaemia Coma 5: Bowel obstruction 2–8 weeks Abdominal pain Vomiting Gastrointestinal fibrosis Cirrhotic … and tablets visible on AXR or symptomatic (nausea, vomiting, diarrhoea, abdominal pain, haematemesis, fever …
  • Headache
    www.rch.org.au/clinicalguide/guideline_index/Headache/
    Associated vomiting without another clear cause Significant change in an established headache pattern … by significant stress ie emotional distress, poor sleep, missed meals Nausea and vomiting, photophobia … Ondansetron 0.15 mg/kg (max 8 mg) oral/IV if vomiting If ≥8 yo: IV Chlorpromazine (Largactil) 0.25 mg/kg (max …