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Clinical Practice Guidelines

  • Hyponatraemia
    www.rch.org.au/clinicalguide/guideline_index/Hyponatraemia/
    Hyponatraemia …Clinical Practice Guidelines : Hyponatraemia The Royal …   >   Clinical Practice Guidelines   >   Hyponatraemia In this section About Clinical Practice Guidelines CPG …
  • Neonatal intravenous fluids
    www.rch.org.au/clinicalguide/guideline_index/Neonatal_intravenous_fluids/
    Dehydration Hypernatraemia Hyponatraemia Pyloric stenosis Recognition of the seriously unwell neonate … hypoglycaemia and hyponatraemia For all neonates, start enteral feeds as soon as possible The percentage … hyponatraemia or hypernatraemia and notify senior clinician Short gut or other significant gastrointestinal …
  • Diabetes insipidus
    www.rch.org.au/clinicalguide/guideline_index/Diabetes_insipidus/
    See also Hypernatraemia Hyponatraemia Intravenous fluids Dehydration Key points Children … desmopressin which can rapidly lead to fluid overload and life-threatening hyponatraemia Central DI: hydration … risk of SIADH and sudden hyponatraemia has passed Central DI: initiate desmopressin to reduce urine …
  • Intravenous fluids
    www.rch.org.au/clinicalguide/guideline_index/Intravenous_fluids/
    hypernatraemia , hyponatraemia , diabetic ketoacidosis and pyloric stenosis Cardiac, liver and renal impairment … or significant change of >0.5 mmol/L/hr on a repeat measure. See hyponatraemia or hypernatraemia and notify … hyponatraemia Calculating fluid rate Maintenance fluid rates Hourly fluid rates can be calculated using …
  • Adrenal crisis and acute adrenal insufficiency
    www.rch.org.au/clinicalguide/guideline_index/Adrenal_crisis_and_acute_adrenal_insufficiency/
    and formal): low in cortisol deficiency UEC: hyperkalaemia and hyponatraemia. Note that mineralocorticoid … deficiency may not be present in secondary adrenal sufficiency. Mild hyponatraemia and normal potassium … to clinical situation Avoid rise in serum sodium >8 mmol/L in 24 hours (see Hyponatraemia) Mild …
  • High risk - low dose paediatric ingestions
    www.rch.org.au/clinicalguide/guideline_index/High_risk_-_low_dose_paediatric_ingestions/
    Hyponatraemia with ecstasy Gamma-hydroxybutyrate (GHB) Rapid onset respiratory depression and coma with recovery …
  • Hyperkalaemia
    www.rch.org.au/clinicalguide/guideline_index/Hyperkalaemia/
    , aldosterone and hormonal precursor levels (particularly if hyponatraemia) Digoxin level (if relevant … together) Severe hyperkalaemia Glucose 10% 5 mL/kg IV bolus (if no hyponatraemia) Insulin short acting (eg …
  • Recreational drug use and overdose
    www.rch.org.au/clinicalguide/guideline_index/Recreational_drug_use_and_overdose/
    , rhabdomyolysis, seizures, intracranial haemorrhage, hyponatraemia, cerebral oedema - 12 lead ECG - BSL - …
  • Haemophilia Treatments
    www.rch.org.au/clinicalguide/guideline_index/Haemophilia_Treatments/
    <3 years old or children with seizure disorders (can cause hyponatraemia and seizures)  Fluid …
  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    for hyponatraemia Consider coagulation studies if shock or coagulopathy suspected Consider LFTs, metabolic … be required if there is hyponatraemia or risk of raised intracranial pressure, seek senior advice In all …