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Clinical Practice Guidelines

  • Basic paediatric ECG interpretation
    www.rch.org.au/clinicalguide/guideline_index/Basic_paediatric_ECG_interpretation/
    Basic paediatric ECG interpretation …Clinical Practice Guidelines : Basic paediatric ECG …   >   Basic paediatric ECG interpretation Print Share Facebook LinkedIn Email In this section About Clinical …
  • Hyperkalaemia
    www.rch.org.au/clinicalguide/guideline_index/Hyperkalaemia/
    Hyperkalaemia Hyperkalaemia PIC Endorsed See also Basic Paediatric ECG interpretation Electrolyte abnormalities … and cardiac arrest. Perform an ECG and commence cardiac monitoring Stop any medications or fluids which cause … an ECG to identify conduction disturbance (see Additional information and Basic paediatric ECG …
  • Hypokalaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypokalaemia/
    also Basic Paediatric ECG interpretation Dehydration Diabetic ketoacidosis (DKA) Electrolyte … to treatment (hypomagnesaemia promotes potassium wasting)  ECG: if signs/symptoms of hypokalaemia, risk … of cardiac arrhythmia, or serum potassium <3 mmol/L. See Basic Paediatric ECG interpretation Decreased T wave …
  • Hypocalcaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypocalcaemia/
    Hypocalcaemia Hypocalcaemia PIC Endorsed See also Electrolyte abnormalities Basic paediatric ECG interpretation … monitoring in cases of severe and/or symptomatic hypocalcaemia or if changes on ECG The oral/enteral route …, phosphate PTH 25 hydroxy vitamin D UEC ECG to identify conduction abnormalities (see Basic paediatric ECG …
  • Antihistamine poisoning
    www.rch.org.au/clinicalguide/guideline_index/Antihistamine_poisoning/
    requiring further assessment:  ECG: initially and repeat 4-6 hourly until normal.    Pathology:  Paracetamol … see  Seizure Cardiac monitoring should be instituted and an initial 12 Lead ECG preformed and assessed … for Long QT and arrhythmias. Consider repeat ECG at 6 hours if symptomatic. The use of anticholinesterases …
  • Serotonin and noradrenaline re-uptake inhibitors SNRIs poisoning
    www.rch.org.au/clinicalguide/guideline_index/Serotonin_and_noradrenaline_re-uptake_inhibitors_SNRIs_poisoning/
    signs of underlying medical condition (fingerprick marks etc) Investigations ECG on presentation and ECG … hourly ECG is recommended blood glucose and paracetamol level in deliberate self-poisoning    Acute … continuous ECG monitoring and serial 12-lead ECGs for: at least 6 hours after ingestion …
  • Syncope
    www.rch.org.au/clinicalguide/guideline_index/Syncope/
    Seizures Supraventricular Tachycardia Altered conscious state Basic Paediatric ECG interpretation Key … Investigations ECG should be obtained in all children at least once. May not be required if done previously … and there is no additional concern (see  ECG interpretation ) BGL can be useful if the child is seen shortly after the event …
  • Tricyclic Antidepressant (TCA) Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Tricyclic_Antidepressant_(TCA)_Poisoning/
    useful if diagnosis in doubt, not useful as a predictor of outcome ECG on admission and repeated … and regular ECGs If altered conscious state, GCS <12, seizures, widened QRS or arrhythmia, contact ICU Treat …: Investigations as above, observe for 6 hours and discharge if ECG remains normal   When to admit/consult local …
  • Chest pain
    www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
    Upper gastrointestinal or biliary Anxiety      Investigations such as ECG, CXR and blood tests should … Feelings of palpitations Abnormal BP and or heart rate ECG changes possible (eg sinus tachycardia …) Tachycardia Pericardial rub ECG changes possible (eg diffuse ST elevation with PR depression; T wave …
  • Selective serotonin re-uptake inhibitors SSRIs poisoning
    www.rch.org.au/clinicalguide/guideline_index/Selective_serotonin_re-uptake_inhibitors_SSRIs_poisoning/
    ). Investigations 12 lead ECG, blood glucose and paracetamol concentration in deliberate self-poisoning. Cardiac … monitoring and serial ECG if large citalopram or escitalopram ingestion, duration of monitoring will depend … Retrieval (PIPER) Service: 1300 137 650. Consider discharge when Normal GCS Normal ECG Period of observation …