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Clinical Practice Guidelines

  • Unsettled or crying babies
    www.rch.org.au/clinicalguide/guideline_index/Crying_Baby_Infant_Distress/
    likely if there is poor weight gain   Differential diagnoses to consider Non-IgE cow milk / soy protein … vomiting diarrhoea with blood or mucus poor weight gain wide-spread eczema Clinical diagnosis by trialing …
  • Hereditary angioedema (C1-esterase inhibitor deficiency)
    www.rch.org.au/clinicalguide/guideline_index/Hereditary_angioedema_(C1-esterase_inhibitor_deficiency)/
    /immunology specialist as required Acute treatment Treatment and administration Age or weight Dosage … mL) Any weight Second dose can be given 6 hours after first dose (<10% relapse) (max 3 doses/24 hours …
  • Diabetic Ketoacidosis
    www.rch.org.au/clinicalguide/guideline_index/Diabetic_Ketoacidosis/
    of Dehydration Weigh child – compare to recent weight if available. Caution The degree of dehydration is often … fluid rates (mL/hr) based on degree of dehydration Weight (kg) Mild/nil dehydration (mL/hr) Moderate … with increased risk of cerebral oedema Sodium bicarbonate dose (mmol) = 0.15 x body weight (kg) x base deficit …
  • Substance use (abuse)
    www.rch.org.au/clinicalguide/guideline_index/Substance_use_abuse/
    around nostrils, septum or mouth, evidence of rectal damage, dehydration, rapid weight loss. Review …
  • Acceptable ranges for physiological variables
    www.rch.org.au/clinicalguide/guideline_index/Acceptable_ranges_for_physiological_variables/
    charts Acceptable ranges for physiological variables Age Approximate Weight (kg) Systolic BP (mmHg) Heart …
  • Enuresis - Bed wetting and Monosymptomatic Enuresis
    www.rch.org.au/clinicalguide/guideline_index/Enuresis_-_Bed_wetting_and_Monosymptomatic_Enuresis/
    difficulties (vulnerable child/family) Examination Height, weight, BP —  poor growth / loss of weight …
  • Neck of femur - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/neck_of_femur_emergency/
    clinically? The patient will have a painful leg or hip and will not want to weight bear.  The leg may …
  • Von Willebrand Disease vWD
    www.rch.org.au/clinicalguide/guideline_index/Von_Willebrand_Disease_vWD/
    g/dose) tds orally for 5-7 days Weight (kg) Tranexamic acid <20 250 mg tds 20 - 30 500 mg tds 30 - …
  • Autopsy Consent
    www.rch.org.au/clinicalguide/guideline_index/Autopsy_Consent/
    weight, shows any sign of life (heartbeat, respiration) after birth. Death of an Infant or Child  (Infant …
  • Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    violence Fractures Head injury Slow weight gain Straddle injuries See Additional Resources Key points … children require a top-to-toe physical examination This includes: Recording height, weight, head …

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.