Resultados de Búsqueda
Assessing risk factors in adults having iodine-based contrast media
NICE
1.1.5Before offering iodine-based contrast media to adults for non‑emergency imaging, investigate for chronic kidney disease by measuring eGFR or by checking an eGFR result obtained within the past 3 months. [2013] 1.1.6Before offering iodine-based contrast media to adults, assess their risk of acute kidney injury but do not delay emergency imaging. Be aware that increased risk is associated with: chronic kidney disease (adults with an eGFR less than 40 ml/min/1.73 m2 are at particular ...
ver más ... 2019Assessing risk of acute kidney injury
NICE
Identifying acute kidney injury in people with acute illness 1.1.1Investigate for acute kidney injury, by measuring serum creatinine and comparing with baseline, in adults with acute illness if any of the following are likely or present: chronic kidney disease (adults with an estimated glomerular filtration rate [eGFR] less than 60 ml/min/1.73 m2 are at particular risk) heart failure liver disease diabetes history of acute kidney injury oliguria (urine output less than 0.5 ...
ver más ... 2019Do recommend considering a period of observation in hospital (with or without investigations) as part of the assessment to help differentiate non-serious from serious illness, In children aged 3 ...
NICE
National Institute for Health and Clinical Excellence (NICE)
When a child has been given antipyretics, do not rely on a decrease or lack of decrease in temperature at 1–2 hours to differentiate between serious and non-serious illness. Nevertheless, in order to detect possible clinical deterioration, all children in hospital with 'amber' or 'red' features should still be reassessed after 1–2 hours.
ver más ... 2019Do recommend assessing febrile children with proven respiratory syncytial virus or influenza infection for features of serious illness. Consideration should be given to urine testing for urinary ...
NICE
National Institute for Health and Clinical Excellence (NICE)
ver más ... 2019
Do recommend the following investigations in children with fever without apparent source who present to paediatric specialists with 1 or more 'red' features:
NICE
National Institute for Health and Clinical Excellence (NICE)
- full blood count - blood culture - C-reactive protein - urine testing for urinary tract infection (see NICE's guideline on urinary tract infection in under 16s). The following investigations should also be considered in children with 'red' features, as guided by the clinical assessment: - lumbar puncture in children of all ages (if not contraindicated) - chest X-ray irrespective of body temperature and WBC - serum electrolytes and blood gas Children with fever without apparent source ...
ver más ... 2019