Guidelines

9 entries

NDoH Hospital-level paediatric STG

Gastro-Oesophageal Reflux Disease (GORD)Description Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: K21 DESCRIPTION Gastro-oesophageal reflux is repetitive regurgitation/reflux of gastric contents into the oesophagus. It is termed “Complicated GOR” or “GORD” if associated with the diagnostic criteria below. It should be differentiated from “Uncomplicated GOR” if the only symptom is fre→
General Anaesthesia - Induction of AnaesthesiaDescription Medicine treatment for induction of anaesthesia Induction should be learnt in an appropriate learning situation. DESCRIPTION Anaesthesia should only be administered by medical practitioners with appropriate training in anaesthesia. Induction of anaesthesia is the critical part of the transition from consciousness to general anaesthesia. This is a period which requires highly skil→
General Anaesthesia - Maintenance of AnaesthesiaDescription Medicine treatment DESCRIPTION After induction, the focus shifts to the maintenance of an adequate level of hypnosis, immobility and analgesia. Anaesthetic goals include maintaining normothermia and normoglycaemia, maintenance of cardiovascular stability, prevention of hypoxia and hyper/hypocapnia, providing appropriate analgesia, and the prevention of post-operative complications. ME→
General Anaesthesia - PreparationDescription General and supportive measures Medicine treatment DESCRIPTION All patients should be starved before general anaesthesia to prevent regurgitation and aspiration of gastric contents. The preoperative starvation period is: clear fluid: 1 hour, breast milk: 4 hours, and, solids, breast milk substitutes, non-human milk: 6 hours. Clear fluids include water, clear juices with→
Generalised Anxiety Disorders (GAD)Generalised Anxiety Disorders (GAD)→
Gingivitis, UncomplicatedDescription General and supportive measures Medicine treatment ICD-10 code: K05.1 DESCRIPTION Inflammation of the gum margin causing the gums to separate from the teeth. Pockets form between the gums and the teeth where pus and bacteria can collect, eventually causing periodontitis, a disease in the tissue that surrounds and supports the teeth – See: Periodontitis . Characteristics of→
Group B StreptococcusDescription Diagnostic criteria General and supportive measures Medicine treatment Referral DESCRIPTION Group B streptococcus is an encapsulated Gram-positive coccus that colonises the gastrointestinal and genitourinary tracts. Infection in the first 6 days of life is referred to as early-onset disease (EOD). Late-onset disease (LOD) refers to infection from day 7–89 of life. DIAGNOSTIC CRITERIA→
Growth DisordersDescription Diagnostic criteria General and supportive measures Referral ICD-10 Code: R62 DESCRIPTION Pathological growth failure may be suspected if a child is short relative to his/her peers, his/her parents and possibly disproportionate to his/her weight. It is confirmed by a reduced growth velocity. This could be due to endocrine causes, chronic or bone disease or dysmorphic syndromes. →
Guidelines for Management of Diabetics on Sick DaysDescription Diagnostic criteria General and supportive measures Medicine treatment Referral DESCRIPTION Illness associated with fever tends to raise blood glucose because of higher levels of stress hormones, gluconeogenesis and insulin resistance. Illness associated with vomiting and/or diarrhoea may lower blood glucose, with the possibility of hypoglycaemia and the development of starvation keto→