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Tricyclic Antidepressant (TCA) Poisoning
www.rch.org.au/clinicalguide/guideline_index/Tricyclic_Antidepressant_(TCA)_Poisoning/
is inconsistent with accidental poisoning as non-accidental poisoning should be considered. Risk Assessment … of observation for 6 hours if stable For deliberate ingestion, a risk assessment should indicate that the patient … serious effects are cardiovascular and CNS instability. Patients have the potential to deteriorate quickly …
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Risperidone Poisoning
www.rch.org.au/clinicalguide/guideline_index/Risperidone_Poisoning/
with accidental poisoning as non-accidental poisoning should be considered Risk assessment History Intentional … may occur up to 3 days later Assessing risk and connecting to community services Prior to discharge …, adolescents who present with deliberate ingestions need a risk assessment regarding the likelihood of further …
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Phenobarbitone poisoning
www.rch.org.au/clinicalguide/guideline_index/Phenobarbitone_poisoning/
with accidental poisoning as non-accidental poisoning should be considered. Risk Assessment History Intentional … For deliberate ingestion a risk assessment should indicate that the child is at low risk of further self-harm … to depression of the central nervous system and effect on the cardiovascular system. Onset of clinical features …
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Serotonin and noradrenaline re-uptake inhibitors SNRIs poisoning
www.rch.org.au/clinicalguide/guideline_index/Serotonin_and_noradrenaline_re-uptake_inhibitors_SNRIs_poisoning/
or adults (please discuss with toxicologist) Risk Assessment Red flag features in Red History Intentional … life-threatening Overdoses frequently causes seizures and in large ingestions can cause cardiovascular toxicity … with Venlafaxine having the highest risk of toxicity in overdose: ingestion of >2 g is associated with seizures …
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Sepsis – assessment and management
www.rch.org.au/clinicalguide/guideline_index/SEPSIS_assessment_and_management/
not have sepsis (see assessment section below) Septic shock is sepsis with evidence of cardiovascular organ …Sepsis – assessment and management …Clinical Practice Guidelines : Sepsis – assessment …
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Management of Eating Disorders in the Emergency Department
www.rch.org.au/clinicalguide/guideline_index/Management_of_Eating_Disorders_in_the_Emergency_Department/
Disorders in the Emergency Department PIC Endorsed See also Engaging with and assessing the adolescent … and adolescents with eating disorders (EDs) can appear well despite being medically unstable with cardiovascular … is discussed with the admitting team There is a risk of refeeding syndrome when commencing nutrition Children …
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Hypertension in children and adolescents
www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
) Hypertension in childhood is a key predictor of risk for hypertension, cardiovascular disease and end organ … Assessment Risk factors Overweight/obesity Male sex Family history of hypertension Low birth weight … cause. This population is at greater risk of hypertensive emergencies due to an underlying condition …
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Benzodiazepine poisoning
www.rch.org.au/clinicalguide/guideline_index/Benzodiazepine_poisoning/
poisoning should be considered. Risk assessment Red flag features in Red History Intentional overdose … discharge when Normal GCS after 4 hours observation Child able to ambulate Assessing risk and connecting … of other drug and alcohol use should also be undertaken. If, after risk assessment, it is deemed safe …
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Antihistamine poisoning
www.rch.org.au/clinicalguide/guideline_index/Antihistamine_poisoning/
is inconsistent with accidental poisoning as non-accidental poisoning should be considered. Risk Assessment … assessment should indicate that the child or young person is at low risk of further self harm … also cause sodium channel blockade with subsequent cardiovascular effects including QT prolongations …
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High risk - low dose paediatric ingestions
www.rch.org.au/clinicalguide/guideline_index/High_risk_-_low_dose_paediatric_ingestions/
preparation or a mouthful. These agents demand a cautious approach to risk assessment. Drugs or chemicals …High risk - low dose paediatric ingestions …Clinical Practice Guidelines : High risk - low dose …