Guidelines
170 entriesNDOH Standard Treatment Guidelines and clinical protocols
- Hypoglycaemia and HyperglycaemiaHypoglycaemia Hyperglycaemia Hypoglycaemia ICD-10 code: E10.0/E10.6/E11.0/E11.6/E12.0/E12.0/E12.6/E13.0/E13.6/E14.0/E14.6/E16.0/E16.1/E 16.2 Description Hypoglycaemia, defined as a glucose concentration <4 mmol/L, is common in critically ill patients, and is associated with increased mortality. Risk factors associated with hypoglycaemia in critically ill patients include severity of illnEML (Adult)→
- Hypoglycaemia and Hypoglycaemic ComaDescription Emergency Treatment Referral ICD-10 code: E10.0/E11.0/E12.0/E13.0/E14.0/E16.0/E16.1/E16.2 DESCRIPTION Hypoglycaemia is a blood sugar < 3 mmol/L (< 2.6 mmol/L in neonate) and may rapidly cause irreversible brain damage and/or death. Clinical features include: tremor confusion sweating delirium tachycardia coma dizziness convulsions hunger transient aphasia or speech disorders heaPrimary Care→
- Hypoglycaemia in ChildrenDescription Diagnostic criteria Medicine treatment Referral ICD-10 Code: E16.2 DESCRIPTION Infants and small children have relatively limited glycogen stores with larger brain/body ratios than adults and are, therefore, at greater risk of hypoglycaemia during starvation. The causes of hypoglycaemia (outside the neonatal period) include: hypopituitarism, adrenal insufficiency, growth hormone deficPEML (Paeds)→
- Hypoglycaemia in DiabeticsHypoglycaemia in DiabeticsPEML (Paeds)→
- Hypoglycaemia, NeonatalDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: P70.4 DESCRIPTION Neonate presenting with whole blood glucose below 2.6 mmol/L. Risk factors include: prematurity, respiratory distress, small for gestational age, rhesus iso-immunisation, neonate of diabetic mother, hyperinsulinism, sepsis, post maturity, hypothermia/hyperthermia, feediPEML (Paeds)→
- HypokalaemiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- HypokalaemiaHypokalaemiaOther→
- HypokalaemiaHypokalaemiaPEML (Paeds)→
- Hypokalaemia - Emergency Management in ChildrenManagement of hypokalaemiaOther→
- HyponatraemiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- HypopituitarismDescription Diagnostic criteria Medicine treatment Referral ICD-10 Code: E23.0 DESCRIPTION Multiple or isolated deficiencies of adrenocorticoid hormone (ACTH), luteinising hormone, thyroid stimulating hormone, prolactin, and growth hormone manifesting as hypoglycaemia, abnormal body proportions and failure to grow and develop. If the posterior pituitary is involved (ADH deficiency), then this conPEML (Paeds)→
- HypothyroidismStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Hypothyroidism in AdultsHypothyroidismPrimary Care→
- Hypothyroidism in Children and AdolescentsHypothyroidismPrimary Care→
- Hypothyroidism in NeonatesHypothyroidismPrimary Care→
- Hypothyroidism in Older Children and AdolescentsHypothyroidism in Older Children and AdolescentsPEML (Paeds)→
- Hypothyroidism, CongenitalDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 Code: E03.1 DESCRIPTION Congenital deficiency of thyroid hormone due to: aplasia/hypoplasia or ectopia of the thyroid gland, thyroglobulin defects, defects in thyroid hormone biosynthesis, or intrauterine exposure to antithyroid medicines. Congenital hypothyroidism is one of the common treatable cauPEML (Paeds)→
- Hypovolaemic ShockNon-trauma related hypovolaemic shock Trauma related hypovolaemic shock Massive transfusion NON-TRAUMA RELATED HYPOVOLAEMIC SHOCK ICD-10 code: R57.1 DESCRIPTION This happens when there is loss of intravascular fluid, e.g. severe diarrhoea and dehydration, haemorrhage or fluid shifts. GENERAL MEASURES Control obvious bleeding with direct pressure. Insert one or two large bore IV catheters; pEML (Adult)→
- Hypoxia-Ischaemia Of The Newborn (Perinatal Hypoxia/Hypoxic-Ischaemic Encephalopathy (HIE))Description Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: P21.9 DESCRIPTION Ischaemia and decreased oxygen delivery to the foetus/baby during the prepartum, intrapartum or immediate postpartum period, with hypoxic-ischaemic damage to the central nervous system and to other body systems. Complications include: Cardiovascular: heart rate and rhytPEML (Paeds)→
- Hypoxic Ischaemic Encephalopathy (HIE) Score ChartManagement guidelines for students, interns and registrars on a variety of routine and emergency situations in our neonatal service at Tygerberg Children’s Hospital. Published in 2014.Other→