A-Z
Acne
- ?cease steroids/phenytoin/fluconazole/lithim
- avoid picking, cosmetics, sunscreens, chlorine, grease, saunas, spas
OTC salicylic acid
1) benzoyl peroxide 5% TOP
IF no improvement
Comedones minimal inflammation > go to 2
Comedones more than inflammation > go to 4
Inflammation more than comedones > go to 5
2) Switch to Isotrex (TOP retinoid) 0.05% nocte (if inflammation as well as comedones skip to 4th)
3) Increase Isotrex strength
4) TOP benzoyl peroxide AND Isotrex
5) TOP benzoyl peroxide AND TOP Clindamycin
6) for Males: PO doxycycline (if not tolerated > minocycline, if not tolerated > erythromycin )
- if no response try other antibiotic
6) for Females: PO AB as above or COCP or Spironolactone
7) Dermatologist for isotretinoin (Roaccutane
Adolescence (What, How (means), (Who, When+Where (opportunity)), Why (motive))
H ome
E ducation & Employment
- bullying/detention
Eating
- diet, exercise, menstration, wt
A ctivities
- extracurr/social/screen
D rugs
- cig, OH, Drugs, financed/regrets
S exuality
- gender identity, activity, preg/contracept, STI
S uicide/Depression
- Psychologist x 10
- kids help line
- headspace
Safety
- seatbelts, intoxicated drivers, safety gear, abuse, criminal activity
- seizures(strobe/tired)/intoxication
Aspiration
- Swallow v GOR
- Barium meal (video fluoroscopy), pH study, NM: milk scan, salivagram, gastric emptying / GIT transit study
- reduce volume
- slow feed
- thicken feed
- position up
- PEG if swallow, PEG or PEJ or fundo if GOR
- ?prokinetic
Behaviour
- Selective mutism
- Reactive attachment disorder
- Disinhibited attachment disorder
Child health nurse
Mother Baby Unit
Safe Start, Sustaining NSW Families, Brighter futures, Getting on track in time (Keep them safe > Services)
Cancer / Chemotherapy
- look good feel better
Education / Health literacy
- Translator
- factsheets
Finances
Housing
Menstration
Nutrition
Growth
High > IGF1
Transport
- ?cease steroids/phenytoin/fluconazole/lithim
- avoid picking, cosmetics, sunscreens, chlorine, grease, saunas, spas
OTC salicylic acid
1) benzoyl peroxide 5% TOP
IF no improvement
Comedones minimal inflammation > go to 2
Comedones more than inflammation > go to 4
Inflammation more than comedones > go to 5
2) Switch to Isotrex (TOP retinoid) 0.05% nocte (if inflammation as well as comedones skip to 4th)
3) Increase Isotrex strength
4) TOP benzoyl peroxide AND Isotrex
5) TOP benzoyl peroxide AND TOP Clindamycin
6) for Males: PO doxycycline (if not tolerated > minocycline, if not tolerated > erythromycin )
- if no response try other antibiotic
6) for Females: PO AB as above or COCP or Spironolactone
7) Dermatologist for isotretinoin (Roaccutane
Adolescence (What, How (means), (Who, When+Where (opportunity)), Why (motive))
H ome
E ducation & Employment
- bullying/detention
Eating
- diet, exercise, menstration, wt
A ctivities
- extracurr/social/screen
D rugs
- cig, OH, Drugs, financed/regrets
S exuality
- gender identity, activity, preg/contracept, STI
S uicide/Depression
- Psychologist x 10
- kids help line
- headspace
Safety
- seatbelts, intoxicated drivers, safety gear, abuse, criminal activity
- seizures(strobe/tired)/intoxication
Aspiration
- Swallow v GOR
- Barium meal (video fluoroscopy), pH study, NM: milk scan, salivagram, gastric emptying / GIT transit study
- reduce volume
- slow feed
- thicken feed
- position up
- PEG if swallow, PEG or PEJ or fundo if GOR
- ?prokinetic
Behaviour
- Selective mutism
- Reactive attachment disorder
- Disinhibited attachment disorder
Child health nurse
Mother Baby Unit
Safe Start, Sustaining NSW Families, Brighter futures, Getting on track in time (Keep them safe > Services)
Cancer / Chemotherapy
- look good feel better
Education / Health literacy
- Translator
- factsheets
Finances
Housing
Menstration
Nutrition
Growth
High > IGF1
Transport