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https://www.bsped.org.uk/media/1798/bsped-dka-guideline-2020.pdf
Shocked patients should receive a 20 ml/kg bolus of 0.9% saline over 15 minutes. Shock is defined by the APLS definition of tachycardia, prolonged central capillary refill, poor peripheral pulses and hypotension (though this is a late sign of shock). It is not just poor peripheral
http://pathlabs.rlbuht.nhs.uk/hyponatraemia.pdf
10mmol/L during the first 24 hours additional 8mmol/L for every 24 hours or 18mmol/L in 48hours • Continue till serum Na reaches 130mmol/L Please contact the Duty Biochemist in Clinical Biochemistry or On call Endocrinology SpR (through the switch board) for advice on management of hyponatraemia.
https://www.wslhd.health.nsw.gov.au/ArticleDocuments/1624/Fluids%20and%20Electrolytes%202017.pdf.aspx
second half over 16 hours. If the patient has poor cardiac reserve, reduce the rate to half over 12 hours and the second half over 24 hours. Assessment of Fluid Overload Signs include: Increased daily weight, raised JVP, peripheral oedema, and overt LVF Management: Minimise fluid given, consider diuretic.
https://www.rcem.ac.uk/docs/Local%20Guidelines_Audit%20Guidelines%20Protocols/12p.%20Paracetamol%20overdose%20(Barts%20Health,%202012).pdf
Treatment is 150mg/kg in 200mls of 5% dextrose over 60 minutes, then 50mg.kg in 500mls of 5% dextrose over 4 hours and finally 100mg/kg in 1000mls of 5% over 16 hours. The aim is to administer 300mg/kg over 21 hours. The infusions should be continuous with no gaps between doses.
https://geekymedics.com/intravenous-iv-fluid-prescribing-adults/
Feb 26, 2021 · The electrolyte contents of 1000mls of Hartmann’s is as follows: Na + ... a fair estimate would be a further 1000 ml over 24 hours. Therefore using the table as before we would estimate the following approximate ongoing losses over the next 24 hours: 40 mmol Na + ...
https://www.ausmed.com/cpd/articles/postpartum-haemorrhage
May 19, 2018 · Secondary PPH is defined as a loss of more than 500 mL of blood between 24 hours postpartum and 12 weeks postpartum (RWH 2019). Risk Factors for Postpartum Haemorrhage. PPH is common and difficult to predict, so all women giving birth should be considered at risk of this complication (RANZCOG 2017).
http://www.portsmouthicu.com/resources/RRT.pdf
< 24 hours post surgery Intracerebral / GI bleed Therapeutic anticoagulation Moderate risk of bleeding * INR 1.3-1.4 APTR 1.3-1.4 Platelets 60-99 < 48 hours post surgery Low risk of bleeding Normal clotting INR ≤ 1.2 APTR ≤ 1.2 Platelets ≥ 100
http://www.diabetologists-abcd.org.uk/JBDS/Winning_Chart.pdf
Out of hours contact the on-call Medical Registrar. Increase doses of oral agents or insulin doses. Observe. ... Give 100mLs of IV 20% glucose over 10-15 mins* or ... Use 5% Glucose with 40mmol KCl in 1000mls at 100mL/hour. If the patient needs restricted fluids use 10% Glucose with 20mmol
https://www.hey.nhs.uk/wp/wp-content/uploads/2016/03/prescribingSpecialistInfantFormula.pdf
Suggest Infant Gaviscon® more than 6 times in 24 hours or where the infant has diarrhoea or a fever, due to its sodium content. Prescribe low lactose/lactose free formulae in children with secondary lactose intolerance over 1 year who previously tolerated cow’s milk, since they can use lactose free products (e.g.Lactofree®) from supermarkets.
https://www.kemh.health.wa.gov.au/~/media/Files/Hospitals/WNHS/For%20health%20professionals/Clinical%20guidelines/OG/WNHS.OG.FallsRisksPreventionManagement.pdf
Postpartum haemorrhage 1000mls and or symptomatic and /or anaemic <90g/L Significant medical co-morbidities You, or the woman, have any other concerns e.g. low blood pressure, drowsy, dizzy, feels faint, extreme fatigue etc. Regular systemic opioid analgesia/sedatives Altered …
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