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Clinical Practice Guidelines

  • Diabetes Mellitus: new presentation
    www.rch.org.au/clinicalguide/guideline_index/Diabetes_Mellitus__new_presentation/
    , when diabetes autoantibodies are negative: Type 2 diabetes: obesity, acanthosis nigricans, strong …) in discussion with a paediatric specialist Most cases of diabetes in children are due to Type 1 diabetes … mellitus The possibility of other types of diabetes should be considered in the following circumstances …
  • Diabetes mellitus: management of unwell children with established diabetes in hospital
    www.rch.org.au/clinicalguide/guideline_index/Diabetes_mellitus__management_of_unwell_children_with_established_diabetes_in_hospital/
    diabetes BGL and ketone interpretation in type 1 diabetes BGL Ketones Hypoglycaemia ≤3.9 mmol/L Normal … High >15 mmol/L (check ketones) >1 mmol/L (insulin required) Background Children with type 1 diabetes … of diabetes (how long since diagnosis) Current insulin type, dosage and insulin regimen Typical total daily …
  • Diabetes mellitus: management of unwell children with established diabetes at home
    www.rch.org.au/clinicalguide/guideline_index/Diabetes_mellitus__management_of_unwell_children_with_established_diabetes_at_home/
    and ketone interpretation in type 1 diabetes BGL Ketones Hypoglycaemia ≤3.9 mmol/L Normal pre-meals 4-7 mmol … day plan Parent information Diabetes at the RCH : Type 1 diabetes toolkit National Diabetes Services …., Conn, J., & Silink, M. National evidence-based clinical care guidelines for type 1 diabetes in children …
  • Diabetic ketoacidosis
    www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
    of type 2 diabetes in adolescents. Fluid deficits are typically more severe than DKA and early specialist … Euglycaemic ketoacidosis is a clinical syndrome occurring both in type 1 and type 2 diabetes mellitus … be the initial presentation of type 1 diabetes mellitus (T1DM) Cerebral injury is the key life-threatening …
  • Hyperosmolar hyperglycaemic state
    www.rch.org.au/clinicalguide/guideline_index/Hyperosmolar_hyperglycaemic_state/
    be overestimated Precipitants and risk factors Obesity Undiagnosed or uncontrolled diabetes, especially type 2 … of type 2 diabetes Examination Assess dehydration Signs of severe dehydration may include shock (poor … of renal function Following recovery many children with type 2 diabetes and HHS will require insulin …
  • Diabetes mellitus and endoscopy
    www.rch.org.au/clinicalguide/guideline_index/Diabetes_mellitus_and_endoscopy/
    Diabetes mellitus and endoscopy …Clinical Practice Guidelines : Diabetes mellitus …   >   Clinical Practice Guidelines   >   Diabetes mellitus and endoscopy In this section Guidelines index CPG …
  • Fasting for general anaesthesia
    www.rch.org.au/clinicalguide/guideline_index/Fasting_for_general_anaesthesia/
    feedback Fasting for general anaesthesia Fasting for general anaesthesia See also Fasting in PICU Diabetes … of hypoglycaemia (diabetes mellitus, certain metabolic disorders) will have special requirements; consult … of fluids and food Clear fluids are those which when held to light, are transparent Type of fluid  Examples …
  • Enuresis - Bed wetting and Monosymptomatic Enuresis
    www.rch.org.au/clinicalguide/guideline_index/Enuresis_-_Bed_wetting_and_Monosymptomatic_Enuresis/
    and constipation History of recurrent urinary tract infections Comorbidities such as type 1 diabetes, physical … enuresis; developmental or behavioural problems, diabetes mellitus or sleep apnoea  Family history …, continue treatment until 2 weeks of uninterrupted dry nights are achieved Discontinue treatment if no early …
  • Intravenous fluids
    www.rch.org.au/clinicalguide/guideline_index/Intravenous_fluids/
    hypernatraemia , hyponatraemia , diabetic ketoacidosis and pyloric stenosis Cardiac, liver and renal impairment … fluid type is sodium chloride 0.9% with glucose 5% +/- potassium The majority of unwell children … will retain water and require less than full maintenance fluids eg 2/3 maintenance Children receiving IV …
  • Nasogastric fluids
    www.rch.org.au/clinicalguide/guideline_index/Nasogastric_fluids/
    Situations where specialised fluid management is required eg diabetes, cardiac, metabolic and renal … their usual feed type (EBM or formula) once rehydration is complete, orally or via NGT if unable to drink … restriction Maintenance rates can be calculated using this maintenance fluids calculator 2/3 maintenance …