ࡱ> TWS Ebjbjrr *0__NR R 8L3<o<ooooo$$$;;;;;;;$O?Bz<$ #$$$<oo)<)))$oo;)$;))7QJ:1M2$^:H;?<0o<b:lB7%BB:B: $$)$$$$$<<y&$$$o<$$$$B$$$$$$$$$R ]:  SCHOOL EMERGENCY ACTION PLAN Adrenal Insufficiency (Cortisol Deficiency) NAME:            Royal Childrens Hospital, Melbourne. Reviewed December 2018 INSERT PHOTO HERE A child with adrenal insufficiency who becomes unwell or has a significant injury can become very sick very quickly. If left untreated this may cause an adrenal crisis which can be life threatening. Additional hydrocortisone is required to prevent this from happening. Step 1 If the child has a fever (temp above 38C) OR Appears unwell, is vomiting and/or diarrhoea OR Has sustained a significant injury eg: suspected broken bone Additional hydrocortisone will be needed Step 2 Contact parents: Mum mobile: 000 000 000 Dad Mobile: 000 0000 000 Other: Act on parents advice and monitor for improvement or further deterioration. Step 3 If significant injury or further deterioration e.g.: Ongoing vomiting/ diarrhoea drowsiness difficult to wake unconscious Call 000 and advise them the child has Adrenal Insufficiency Step 4 Ambulance Victoria has confirmed with RCH that they will administer patients own hydrocortisone. Give them a copy of the childs emergency letter, or point out childs medic alert bracelet, as they will then be able to administer IMI hydrocortisone. Hydrocortisone IM/IV Stat Dose < 3 years: 25mg 3-12 years: 50mg >12 years: 100mg  . !KLMNOTVWXYZ[\]cdefghijklϻt]NJJJJJJJJJJJhlfhhlfCJ OJQJ^J,jhhDrOJQJU^JmHnHuhu45CJOJQJ^JaJ#hgh5CJOJQJ^JaJ hghCJOJQJ^JaJh, hMh,OJPJQJ^JaJ 'hMh,5CJOJPJQJ^JaJ'hMh,5CJ OJPJQJ^JaJ h5CJOJQJ^JaJjhDrUmHnHu!MNOXZ\]qld_]]$a$$a$gdgdykd$$Ifl`  t 0644 lap ytM $$Ifa$gdM$a$gd5Ha ]cdefhijklmnopqrt~ ^$a$ 9r lmnopqrst~             ! " # I J S [ ` a b c Ⱦ}hX h,h5HaCJOJQJ^JaJ h,hXCJOJQJ^JaJ h,hJvCJOJQJ^JaJh,OJQJ^JhXOJQJ^JhDrjhDrUhlfCJOJQJ hlfCJh hlfCJjhDrUmHnHuhlf/       ! 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