• Hypomagnesaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypomagnesaemia/
    hypomagnesaemia and no gastrointestinal intolerance present eg diarrhoea, nausea, vomiting Intravenous magnesium … Diarrhoea Laxative abuse Excessive gastric suctioning or vomiting Drug-induced Loop diuretics, thiazides …
  • 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 …
  • 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 …
  • 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 …
  • 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
  • Iron poisoning
    www.rch.org.au/clinicalguide/guideline_index/Iron_poisoning/
    . May occur without systemic toxicity. 0.5-6 hours Abdominal pain Vomiting Diarrhoea * Lack of symptoms …–8 weeks Abdominal pain Vomiting Gastrointestinal fibrosis Cirrhotic liver disease Always check for …, vomiting, diarrhoea, abdominal pain, haematemesis, fever) The child has significant symptoms of altered …
  • 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 …
  • 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 …
  • 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 …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.