See:
RPHCM Corrections and updates to content or formatting
AND PAGE
OR CORRECTION
Table 5.4
Modified Clinical Institute Withdrawal Assessment (CIWA)
Multiple errors due to transposed formatting
Please
(can be cut out and glued over current table)
Anaemia (weak blood) in children and youth
Oral iron supplementation
Iron doses throughout protocol
Clarification:
Please note that iron doses throughout protocol are expressed as elemental iron
Antibiotic doses table
Benzathine benzylpenicillin
(Bicillin L-A)
WBM 365
Benzathine benzylpenicillin for Chickenpox, Skin sores, Sore throat
Note: Comment re paediatrician consult belongs in the RHD rowCorrection:
Benzathine benzylpenicillin for RHD
Antibiotic doses table
Pyrantel dose
WBM 372
Pyrantel dose for 10yrs or 32kg patient
320mg
or 3 sq
or 3½ tab – 125mg
(tablet dose incorrect)
Correction:
Pyrantel dose for
10yrs or 32kg patient
320mg
or 3 sq
or 2½ tab – 125mg
Table 4.5 HIGH cardiovascular risk
(if one or more present)
Diabetes AND kidney disease with urine ACR 5mg/mmol or more for males, 3.5mg/mmol or more for females
Diabetes AND kidney disease with urine ACR 2.5mg/mmol or more for males, 3.5mg/mmol or more for females
Otoscopy examination
Do not syringe if any pain or any holes in ear drum
Do not syringe if painful
Ear and hearing problems
Chronic suppurative otitis media (CSOM)
(DO)
Clean until ear drum visible using tissue spears
Correction:
(DO)
Clean until ear drum visible using tissue spears or syringe with dilute betadine (1:20).
Syringing should be done first if the pus is thick or if eardrum cannot be seen
(adapted from 2020 OTITIS MEDIA guidelines for Aboriginal and Torres Strait Islander
Children)
Obstetric REWS Table
WBM 15
Correction:
Obstetric REWS score of 3 RR is
8 or less
(Note: the versions in ‘Printable resources’ have been updated)
STM Flowchart 1.1
WBM Flowchart 1.2
WBM 19
Clarification:
Please go to ‘Printable resources’ for a new version of the flowchart suitable for pasting into the hardcopy of the
manuals, or printing out in A3 as a small wall poster
Hypertension
(High BP)
Table 4.17: BP result and action if not already on a BP management plan
Table 4.17 has incorrect cross references to Tables 4.1 and 4.20
Table 4.18 Management of high BP by cardiovascular risk
(located below Table 4.17)
Pain medicines - Paracetamol
A single dose of 30mg/kg may be used for night time dosing
Pain management (acute)
Table 7.4
Acute pain relief (Adult)
Intramuscular (IM) morphine doses not included in table.
Morphine doses IM
- Under 39 years AND over 50kg — 7.5–12.5mg
- 40–59 years — 5–10mg
- 60–69 years — 2.5–7.5mg
- 70–85 years — 2.5–5mg
- Over 85 years — 2–3mg
Every 2 hours as needed
PleaseAmiodarone
WBM 6
Undiluted After 3rd shock.
Slow IV push THEN 20mL normal saline flush.
Correction:
Undiluted After 3rd shock.
Slow IV push THEN 20mL flush with glucose 5% or sodium chloride 0.9%
Table 7.39
Worm treatment if positive faeces or serology test
Oral once a day for 3 days
Repeat dose in 2 weeks
Pyrantel dose should be:
Oral single dose
Repeat dose in 2 weeks
(see STM p509 for doses)
RPHCM Changes to practice
Changes in practice since the printing of the 2022 edition of the RPHCM
PAGE
Gonorrhoea
Geographical treatment areas for gonorrhoea have changed since publication of manuals.
STM Table 6.1
WBM Tables 5.3, 5.5
STM 311
WBM
256, 265
Penicillin SENSITIVE
• All of the NT outside of Darwin
• The Kimberley, Goldfields, Midwest and Pilbara regions of WA
Penicillin RESISTANT
• Darwin
• All other areas except those mentioned above
Updated geographical areas:
Penicillin SENSITIVE
• The Kimberley, Goldfields, Midwest and Pilbara regions of WA
Penicillin RESISTANT
• All of the NT
• All other areas except those mentioned above
Please note
- These updates address the increased cases of penicillin-resistant gonorrhoea in the NT. Please see the NT Centre for Disease Control notification for more information.
-
Click here for a print out of the updated text which can be glued over the existing table in the CARPA STM or Women’s Business Manual