Ketotic hypoglycaemia (KH) - Evelina London
please call the hospital switchboard, t: 020 7188 7188, and ask for the bleep desk. Ask to bleep the specialist registrar covering paediatric metabolic and wait for a response. This will connect you directly to them. For more information leaflets on conditions, procedures, treatments and …
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Clinical Guidance - Evelina London
www.evelinalondon.nhs.ukmarkers discuss urgently with ID team. Immunomodulation to be guided by ID and MDT. Consider entry into RECOVERY trial, will influence the following: IVIG 2g/kg (use IBW) (must save serum before giving) monitor for fluid overload during infusion. Methylprednisolone 10mg/kg (max 1 gram) daily for 3 days Additional immunomodulation may include:
Clinical Guidance - Evelina London
www.evelinalondon.nhs.ukEarly IVIG 2g/kg(use IBW)(must save serum before giving) Severe myocardial dysfunction common: If intubation required: cardio-stable induction (ketamine+ draw up emergency drugs) Caution on moving or transferring ventilated patients - instability observed in presence of severe cardiac dysfunction (extremely preload dependant)
Adrenaline 1:10,000 IV ml (0.1ml/kg) Lorazepam IV mg
www.evelinalondon.nhs.ukEmergency Drug Calculator (MAXIMUM WEIGHT = 50KG) Enter patient weight in KG . Adrenaline 1:10,000 IV ml (0.1ml/kg) Adenosine. mg (100mcg/kg, MAX 500 mcg/kg)
gastrostomy at home (PEG) - Evelina London
www.evelinalondon.nhs.ukTurning ®the Freka PEG The PEG should be rotated 360° in a full circle, against the skin to avoid the bumper becoming embedded. This should be done at least twice a week. 1 Wash your hands thoroughly with soap and water. 2 Hold the end of your child’s PEG. 3 Rotate the end of the PEG. 4 The tube should be rotated 360° in a full circle.
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www.swbh.nhs.ukIf you would like to suggest any amendments or improvements to this leafiet please contact the communications department on 0121 50 5303 or email: swb-tr.swbh-gm …