Guidelines
3,191 entriesNDOH Standard Treatment Guidelines and clinical protocols
- Influenza NICD Recommendations for the Diagnosis, Prevention, Management and Public Health ResponseVersion 1.3 (02 April 2020) New guidance on influenza vaccine and COVID and quadrivalent influenza vaccinesOther→
- Influenza vaccinesInfluenza vaccinesOther→
- Information for Medical Offers/InternsDistrict level hospital guidelines applicable for interns and comm service doctors. Published in 2016Other→
- Information for Pregnant WomenThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.Other→
- Informed Consent for Blood TransfusionInformed Consent for Blood TransfusionOther→
- Informed Consent for rt-PA (Alteplase) FormClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Stroke Physician Clinical Decision Pack_2024Other→
- Informed Consent for rt-PA (Alteplase) FormClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Treating Doctor_Stroke patient acute treatment forms_2024Other→
- Infrequent AsthmaAlthough infrequent asthma is thought not to exist in the adolescent and adults, it is still considered in the classification for children up to 12 years of age. To relieve symptoms: ß 2 -agonist (short-acting), e.g.: Salbutamol, inhalation, 100–200 µg , as required 3–4 times daily using a metered-dose inhaler with a spacer device until symptoms are relieved. Note: Failure to respond to 2 doses oPEML (Paeds)→
- Infusion: AdrenalineAdrenaline InfusionOther→
- Infusion: AmiodaroneAmiodarone InfusionOther→
- Infusion: Atropine - Organophosphate PoisoningOrganophosphate poisoning – avoid aminoglycosides, suxamethonium, phenothiazines and theophylline. Control convulsions with a benzodiazepine.Other→
- Infusion: DobutamineDOBUTAMINE INFUSIONOther→
- Infusion: Drug ProtocolsGeneral CommentsOther→
- Infusion: Glyceryl TrinitrateGLYCERYL TRINITRATE INFUSIONOther→
- Infusion: Insulin (Fast-acting)INSULIN INFUSION (FAST-ACTING)Other→
- Infusion: KetamineKetamine InfusionOther→
- Infusion: LabetalolLabetalolOther→
- Infusion: Magnesium SulphateMAGNESIUM SULPHATE INFUSIONOther→
- Infusion: MannitolMANNITOL INFUSION (FAST-ACTING)Other→
- Infusion: MidazolamMidazolam InfusionOther→
- Infusion: Midazolam and Morphine combinedMIXING OF MIDAZOLAM AND MORPHINE INTO THE SAME 50ML SYRINGE:Other→
- Infusion: MorphineMORPHINE INFUSIONOther→
- Infusion: N-AcetylcysteineN-ACETYLCYSTEINE INFUSION / PARVOLEXOther→
- Infusion: PropofolPROPOFOL INFUSIONOther→
- Infusion: Salbutamol - Obstetric IndicationSALBUTAMOL INFUSION – OBSTETRIC INDICATIONOther→
- Ingestion of Caustic SubstancesDescription General measures T54.1A/T54.2/T54.3/T54.9 + (X46.99/X66.99/Y16.99) DESCRIPTION Alkaline: Toilet bowl cleaners, drain cleaners, oven cleaners. Acids: Various e.g. domestic descalers. Caustic substances can cause necrosis of the gut mucosa and underlying tissue, resulting in acute perforation (particularly strong alkalis), and possible strictures later (which can occur with acids and alEML (Adult)→
- Ingestion of Caustic or Corrosive AgentsDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: T54 DESCRIPTION Alkalis, e.g. sodium hydroxide, potassium permanganate. Acids, e.g. hydrochloric acid. The severity of the injury is dependent on the concentration and duration of exposure to the acid or alkali. DIAGNOSTIC CRITERIA Clinical Chief symptom is pain. Young children may presePEML (Paeds)→
- Inguinal HerniaInguinal HerniaOther→
- Inguinal PathologyIntroduction Background Important details on history Important details on examination Inguinal Hernia Hydrocele Inguinal Sepsis Undescended Testes SETTING Primary and Secondary Healthcare Institutions in the Western Cape which refer to Red Cross War Memorial Children’s Hospital (RCWMCH) FOR STAFF Primary and Secondary Doctors and Nurses who refer patients to RCWMCH PATIENTS Patients under tOther→
- Inhalation, Foreign BodyDescription Diagnostic criteria General and supportive measures Referral ICD-10 code : T17.9 DESCRIPTION Accidental inhalation of a solid object that may obstruct the airway at any level. DIAGNOSTIC CRITERIA Ask specifically about a possible choking episode if there is any suspicion of a foreign body aspiration. Initial symptom is frequently sudden onset of choking followed by persistPEML (Paeds)→
- Initiating ART in ChildrenIMCI - Anti-retroviral therapy (ART)IMCI→
- Initiation of Antiretroviral Therapy (ART) for InpatientsInitiation of Antiretroviral Therapy (ART) for InpatientsOther→
- Initiation of Renal Replacement TherapyUnderstanding and communicating prognosis Patient-centred decision making “Provision of dialysis should benefit the patient, and not just prolong life” [3] . In South Africa, there are substantial limitations to accessing chronic dialysis [4] . Treatment options are limited in the public sector. Many patients, therefore, are on a conservative pathway, not through choice or medical recOther→
- Injectable (Contraception, Hormonal)Using the Progestin-only IM injection Using the Progestin-only SC injection Referral Z30.0/Z30.4 Dual protection with barrier methods is recommended to reduce the risk of STIs, including HIV. Progestin-only injectable contraceptive, e.g.: Medroxyprogesterone (long-acting), IM, 150 mg, 12 weekly LoE:IIIb 14 OR Medroxyprogesterone (long-acting), SC, 104 mg, 12 weekly Progestin-only hormonal contracPrimary Care→
- Inotropes / Vasoactive Medications in the Emergency CentreRational use of vasoactive therapy in the ECOther→
- Inotropes And VasopressorsChoice depends on desired effect. There is no ‘one size fits all’ strategy for inotrope/vasopressor choice. Each agent has dose-dependent effects on inotrope (improved contractility) or vasopressor effect (increasing the SVR). Important components of the cardiovascular system: Preload – is the child pre-load replete (not overfilled and not underfilled) – fluid therapy. Contractility – does the hePEML (Paeds)→
- Insect Bites and StingsDescription General measures Medicine treatment T63.4 + (X23.99/X24.99/X25.99/X29.99) DESCRIPTION Toxicity due to insect bites and stings usually results in local effects only and systemic effects are rare. Occasionally, hypersensitivity reactions are encountered, varying from minor local inflammation to acute anaphylaxis. Multiple bee stings can result in systemic toxicity and may require ICU caEML (Adult)→
- Insect Bites and StingsDescription General measures Medicine treatment ICD-10 code: T63.4 + (X29.99/X23.99) + External Cause Code (V,W,X,Y) DESCRIPTION Toxicity due to insect bites and stings usually results in local effects only; systemic effects are rare. Occasionally, hypersensitivity reactions are encountered, which may vary from minor local inflammation to acute anaphylaxis. Multiple bee stings can resPEML (Paeds)→
- Insect Stings, Scorpion Stings and Spider BitesDescription Medicine Treatment Referral ICD-10 code: T63.2-4 + External Cause Code (V, W, X, Y) Poisons Information Helpline: 0861555777 See: Exposure to poisonous substances . DESCRIPTION Spider bites and stings by bees, wasps, scorpions and other insects. Symptoms are usually localised such as pain, redness, swelling and itching. Bees and wasps Venom is usually mild but may provoke severePrimary Care→
- Insertion of The Gastric TubeManagement 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→
- Insertion of the PD CatheterCatheter type Surgical techniques Early exit site care Local expertise at individual centres should govern the choice of method of PD catheter insertion. For chronic dialysis a permanent peritoneal dialysis catheter should preferably be implanted surgically in theatre by a surgeon with experience in the placement of PD catheters As an alternative to standard surgical insertion, laparoscopic PD caOther→
- InsomniaAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
- InsomniaDescription General Measures Medicine Treatment Referral ICD-10 code: G47.0/G47.9 Description Insomnia may be an independent disorder or associated with comorbid conditions. Insomnia may persist despite successful treatment of the comorbidity and may necessitate separate treatment. Patients presenting with insomnia may complain of difficulty falling asleep, frequent waking during the night, earlyEML (Adult)→
- Instrumental DeliveryThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.Other→
- Insulin Preparations in South AfricaInsulin Preparations in South AfricaOther→
- Insulin Pump TechnologyInsulin Pump TechnologyOther→
- Intensive CareStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Intensive Care UnitAnalgesics used in the ICU The duration of sedation and analgesia in the intensive care unit (ICU) should be limited to decrease the duration of ventilatory support and limit the complications thereof. To this end, the availability of well-trained staff, good monitoring and resuscitation equipment allow for more potent agents to be used more safely. Multiorgan physiological derangements may develOther→
- Inter-Facility Transport of ChildrenVersion 1.4 April 2019Other→
- Internal Oral Signs/Symptoms: Teeth and Gingival and Mucosal Signs and SymptomsInternal oral signs/symptoms: Teeth and gingival and mucosal signs and symptomsOther→