-
Risperidone Poisoning
www.rch.org.au/clinicalguide/guideline_index/Risperidone_Poisoning/
such as arrhythmias and neurological instability including CNS depression, seizures and extra pyramidal symptoms … potentially toxic 12 years or older, an ingestion of more than 5 mg should be considered potentially toxic … and cannabis may enhance CNS depressant effect Examination Toxicity usually manifests within 4 hours Mild …
-
Antihistamine poisoning
www.rch.org.au/clinicalguide/guideline_index/Antihistamine_poisoning/
ingestion of >3 X maximum daily dose All children or young people with intentional self-poisoning … the maximum possible dose per kg Co-ingestants eg paracetamol Examination: CNS depression or confusion … measures for respiratory depression or depressed conscious state Decontamination - Consider activated …
-
Intranasal fentanyl
www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
child (aged 12 months and older) in moderate to severe pain, without IV access. Commonly Painful … the plunger quickly (if depressed too slowly the medication will drip rather than atomise) Ask the child … are uncommon, but may include: Sedation Respiratory depression Hypotension Nausea and vomiting (increased risk …
-
Abdominal pain - chronic
www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_chronic/
and depression) are very common in children with chronic abdominal pain. These may both result from … serology Treatment Treatment is targeted to the underlying cause Constipation For older children … or depression. If present, discuss with the child/young person and family and consider referral to mental health …
-
Basic paediatric ECG interpretation
www.rch.org.au/clinicalguide/guideline_index/Basic_paediatric_ECG_interpretation/
A positive QRS complex in leads I and aVF results in an axis of 0 to +90 0 (normal in older children … Right axis deviation (RAD): +90 to +180 0 . In older children, RAD can be caused by right ventricular … point) and terminates at beginning of T wave Isoelectric in a normal ECG Elevation or depression up to 1 …
-
Nitrous Oxide - oxygen mix
www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Oxygen_Mix/
Airway and/or breathing compromise: acute respiratory depression, current exacerbation of asthma … to deliver gas Suction Oxygen source Nitrous oxide source Mask or mouthpiece (for older children) Scents … on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects …
-
Headache
www.rch.org.au/clinicalguide/guideline_index/Headache/
psychosocial factors which may contribute to headache in older children and adolescents (see Engaging … Tension-type headache Anxiety, depression Somatisation Chronic progressive Tumour Benign intracranial … Psychiatric disorder Anxiety Depression Somatisation disorders Increased psychosocial stressors See Mental …
-
Family violence
www.rch.org.au/clinicalguide/guideline_index/Family_violence/
The MARAM Framework recognises a wider range of risk indicators for children, older people and diverse … facilitated abuse can be found at Australian Government eSafety Commissioner Most people do not disclose FV … attendance Adolescent Eating disorders Depression, anxiety, self-harm, suicidality Substance use, truancy …
-
Asthma in adolescents (12 years and over)
www.rch.org.au/clinicalguide/guideline_index/Asthma_in_adolescents_(12_years_and_over)/
breathing (including vocal cord dysfunction) Depression/anxiety (may present as chest tightness without … and Prevention (for Adults and Children Older than 5 Years 2021. https://ginasthma.org/wp-content/uploads/2021/05 …) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people …
-
Micronutrient deficiency
www.rch.org.au/clinicalguide/guideline_index/Micronutrient_deficiency/
, anxiety, tremor, depression Corn based diets Malabsorption Vitamin B9 (Folate) Clinical signs of anaemia … enteropathica: Periacral, periorificial dermatitis, diarrhoea, alopecia Depressed mood, apathy, and emotional … disturbances in older children Malabsorption Total parenteral nutrition Vegetarian diet Management Children …