-
Hyperphosphataemia
www.rch.org.au/clinicalguide/guideline_index/Hyperphosphataemia/
hyperphosphataemia, particularly those with acute or chronic kidney injury, may require dialysis. Discuss with local …, vomiting Renal: acute or chronic kidney failure Cardiac: tachycardia, arrhythmias, ECG changes … or intravenous products that contain phosphate Assess for renal impairment (acute or chronic) in the presence …
-
Post-streptococcal glomerulonephritis (PSGN)
www.rch.org.au/clinicalguide/guideline_index/Post-streptococcal_glomerulonephritis_(PSGN)/
services) Acute kidney injury Calculate eGFR (using revised Schwartz formula) . For children >2 years: eGFR … risk factor for chronic kidney disease in Aboriginal and Torres Strait Islander people Priorities … glomerulonephritis in children The disease commonly occurs 2-4 weeks following an acute group A Streptococcal …
-
Trauma – secondary survey
www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
points The secondary survey allows the identification of injuries that were not detected in the primary … a management plan for each injury identified Refer to the relevant specialty teams and activate relevant … retrieval services Background The purpose of the secondary survey is the identification of injuries …
-
Hypophosphataemia
www.rch.org.au/clinicalguide/guideline_index/Hypophosphataemia/
Hyperkalaemia , hypocalcemia Acute kidney injury Dyspnoea, oedema Extravasation injury Consider consultation … be asymptomatic. Phosphate levels should be monitored in high-risk clinical scenarios Acute severe … ranges vary substantially by age and assay Severe acute hypophosphataemia ( <0.5 mmol/L) may …
-
Hypertension in children and adolescents
www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
Seizures Chest pain/palpitations Shortness of breath Cardiac failure Past history of Acute Kidney Injury … concerns, eg chronic kidney disease, diabetes Causes of Hypertension Primary Hypertension Situational … Hypertension Stress, pain, anxiety Secondary Hypertension Renal parenchymal disease GN, polycystic kidneys, CKI …
-
Paracetamol poisoning
www.rch.org.au/clinicalguide/guideline_index/Paracetamol_poisoning/
RUQ tenderness Hypotension Hypoglycaemia Acute kidney injury Encephalopathy Signs of fulminant hepatic … to be available within 8 hours of a potentially toxic ingestion Child has symptoms of hepatic injury Acute …, electrolytes, creatinine (5% of patients with paracetamol toxicity will develop acute renal injury) Consult …
-
Nephrotic syndrome
www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
infusions) as may precipitate intravascular volume depletion, acute kidney injury and increase risk … suppression See Adrenal crisis and acute adrenal insufficiency Vitamin D, thyroid hormone, lipid lowering … information given about the potential need for steroids in the case of acute illness or trauma Plan made …
-
Antibiotic prescribing in children with reported penicillin or cephalosporin allergy
www.rch.org.au/clinicalguide/guideline_index/Antibiotic_prescribing_in_children_with_reported_penicillin_or_cephalosporin_allergy/
) For suspected severe cutaneous adverse reaction (SCAR)*: avoid all β-lactams For cytopenias, acute kidney … or drug-induced liver injury: discuss with local paediatric team or drug allergy service Safe to prescribe all non … with eosinophilia and systemic symptoms (DRESS) and acute generalised exanthematous pustulosis Consider consultation …
-
Hyponatraemia
www.rch.org.au/clinicalguide/guideline_index/Hyponatraemia/
or impaired free water excretion Acute hyponatraemia can result in cerebral oedema Severity: Mild (125-135 … ventilation CNS: infections, injury, tumour Post-operative, trauma, pain Endocrine: Hypothyroid, low cortisol … administration Nephrotic syndrome Cirrhosis Heart Failure Acute/Chronic Renal Failure Obstructive uropathy …
-
Diabetic ketoacidosis
www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
and its treatment are Cerebral injury Acute kidney injury Hypoglycaemia Hypo/hyperkalaemia Hypo … be the initial presentation of type 1 diabetes mellitus (T1DM) Cerebral injury is the key life-threatening … normalising blood glucose and electrolytes, and monitoring for acute complications Children with DKA have …