Guidelines

20 entries

NDoH Hospital-level adult STG

Termination of Pregnancy (TOP)Summary of Choice of Termination of Pregnancy Act of 1996 TOP: Management of pregnancies up to the twelfth week of gestation (12 weeks and 0 days) TOP: From the thirteenth week (12 weeks and 1 day) up to the the twentieth week (20 weeks and 0 days) Referral Early ultrasound examination is more accurate than last normal menstrual period at determining gestational age and is also useful in identify→
TetanusDescription General Measures Medicine Treatment Referral ICD-10 code: A35 *Notifiable medical condition. DESCRIPTION Painful muscle spasms and rigidity following inoculation by trauma of Clostridium tetani spores, which germinate and produce toxins. The wound may be trivial and healing may have occurred before presentation. Incubation period is 3-21 days. Tetanus may be localised, with mus→
The Essential Medicines ConceptStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
The Rhesus Negative WomanStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
Theophylline PoisoningDescription General measures Medicine treatment Referral T48.6 + (X44.99/X64.99/Y14.99) DESCRIPTION Patients present with: tachycardia and tachyarrhythmias, hyperventilation nausea and vomiting tremor agitation profound hypokalaemia seizures GENERAL MEASURES Monitor ECG and treat dysrhythmias. Monitor and correct fluid status and electrolyte abnormalities. Monitor theophylline concentrations, if→
Therapeutic Drug Monitoring (TDM)Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
Thrombocytopaenia and Platelet Dysfunction in Critical CareDescription General measures Medicine treatment Referral ICD-10 code: D69.6 Description Qualitative and quantitative platelet disorders are common in critically ill patients and may be due to decreased production of platelets or increased consumption/sequestration. Common causes of thrombocytopaenia and/or platelet dysfunction include sepsis, blood loss, dilutional thrombocytopaenia, medica→
ThromboprophylaxisDescription General measures Medicine treatment Description See: Venous thrombo-embolism . General Measures All critically ill patients should receive pharmacological (i.e. unfractionated heparin, low-molecular-weight heparin [LMWH]) OR mechanical (intermittent pneumatic compression devices) thromboprophylaxis. Pharmacological thromboprophylaxis is superior to mechanical prophylaxis and should be→
Thrombotic Thrombocytopenic Purpura-Haemolytic Uraemic Syndrome (TTP-HUS)Description Medicine Treatment Referral D59.3 + (M31.1) DESCRIPTION Acute syndromes with abnormalities in multiple organ systems and evidence of micro-angiopathic haemolytic anaemia and thrombocytopenia. This condition presents with varying combinations of the following (only some of which may be present): Microangiopathic haemolytic anaemia and thrombocytopenia, often with purpura but not usuall→
Tick Bite FeverDescription Medicine Treatment ICD-10 code: A77.0-3/A77.8-9/A93.8 DESCRIPTION Tick-borne infection due to R. conorii , acquired from dogs, or R. africae , acquired from cattle and game. The hallmark of tick bite fever is the eschar, a round black lesion ± 5 mm in diameter with an inflammatory halo that occurs in about two thirds of patients with R. conorii and in most cases of R. afri→
Toxicology in ICUDescription General measures Description See: Poisonings . General Measures Poisoning should always be considered in patients who present with an altered level of consciousness. A thorough collateral history and toxicology screen may assist with making the diagnosis. Toxicology screens; where available, may have varied diagnostic reliability in patients with suspected poisoning. These results sho→
Trauma and InjuriesFor trauma-related haemorrhage, presenting within 3 hours of injury, see Hypovolaemic shock . Click here for the pdf . Standard Treatment Guidelines And Essential Medicines List For South Africa, Adult Hospital level, 2020-4_Version 1_June 2024 Chapter 20: Emergencies and Injuries→
Trauma and Stress-Related DisordersDescription General measures Medicine treatment Referral ICD-10 code: F43.0/F43.1/F43.2/F43.8-9 + (Z55-Z65) Description Acute stress and post-traumatic stress disorder arise in response to stressful events. The patient should have experienced the event as life threatening or as a physical threat to themselves or others, at which time they felt fear and helplessness. A range of symptoms are→
Tricyclic Antidepressant PoisoningDescription General Measures Medicine Treatment T43.0 + (X41.99/X61.99/Y11.99) DESCRIPTION TCAs may be life threatening at relatively low doses. Cardiovascular and neurological impairment are the most serious consequences of TCA toxicity, and patients can deteriorate rapidly depending on the severity. LoE:IVb xxxiv Mild to moderate poisoning: Sedation Anticholinergic effects: delirium, tac→
Tuberculosis, Pleural (TB Pleurisy)Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
Tuberculosis, PulmonaryStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
Type 1 Diabetes MellitusStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
Type 2 Diabetes MellitusStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
TyphoidSee Typhoid fever . Click here for the pdf . Standard Treatment Guidelines And Essential Medicines List For South Africa, Adult Hospital level, 2020-4_Version 1_July 2024 Chapter 1: Alimentary tract; 1.3 Diarrhoea; 1.3.7 Typhoid→
Typhoid Fever (Enteric Fever)Description General Measures Medicine Treatment Referral ICD-10 code: A01.0-4 *Notifiable medical condition (Typhoid fever). DESCRIPTION Systemic infection due to S. enteritica serotype Typhi or related organisms (e.g. S. paratyphi , S. choleraesuis ). Initial symptoms are abdominal pain, headache, cough and fever, with diarrhoea developing after a few days. Bacteraemia is common in the first wee→