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PAEDIATRIC ALTERED
CONSCIOUS LEVEL GUIDELINE |
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Round three
13. Metabolic
illness
A child with a reduced conscious level and a laboratory glucose of < 2.6 mmol/l should have the following tests requested from the saved samples, which were taken with the core investigations: …
|
Position |
Comment |
|
PICU |
prefer new stem |
|
ED |
Depends on the child’s overall condition – could significantly delay treatment of hypoglycaemia – if venous access difficult and core samples have not been obtained yet |
|
Agreed |
Neither agree nor disagree |
Disagreed |
|
95% |
5% |
0% |
Change to stem for
statements 13 e
A child with a reduced conscious level and a plasma ammonia level of > 200 micromol/l, should have the following tests requested from the saved samples, which were taken with the core investigations: …
|
Position |
Comment |
|
|
|
|
Agreed |
Neither agree nor disagree |
Disagreed |
|
100% |
% |
% |
Change to stem for
statements 13 f
A child with a reduced conscious level and non-hyperglycaemic ketoacidosis, should have the following tests requested from the saved samples, which were taken with the core investigations: …
|
Agreed |
Neither agree nor disagree |
Disagreed |
|
96% |
4% |
% |