Inhaled Salbutamol (MDI) 1-2 puffs as required, up …
Formoterol Delivery Devise Dose per metered inhalation UK licence > 12 years Adult dose regime Atimos MDI 12mcg √ 12mcg BD, increased to max. 24mcg BD
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Management of Menopausal Symptoms v3
www.rotherhamccg.nhs.ukHormone Replacement Therapy Options for the Management of Menopausal Symptoms. Indications: Hormone replacement therapy for oestrogen deficiency symptoms in post and peri-menopausal women (unless contra-indicated) & prevention of osteoporosis. Contraindications: Oestrogen-dependent cancer, history of breast cancer, active thrombophlebitis, active or …
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www.rotherhamccg.nhs.ukdiabetes patients. Using QRISK Is 10 year risk > 10%* Yes No Initiate Atorvastatin 20mg daily Reassess in one year • Maintain current statin prescription No • Discuss adherence and timing of statin dose • Optimise diet and lifestyle measures • Consider increasing Atorvastatin if not already on maximal dose *Use clinical judgement if;
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www.rotherhamccg.nhs.ukSupport concordance – use combination inhaler (care not to increase ICS dose). Consider once daily preparation where appropriate . Option 2 Add-on LTRA . Prescribe low dose ICS + LTRA + SABA PRN . Cost effective option but consider patient factors: patient preference, compliance with inhaled ICS and oral therapy, prescription charges.
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www.rotherhamccg.nhs.uk2. British Paediatric and Adolescent Bone Group. December 2012. Position statement on vitamin D deficiency. 3. National Osteoporosis Society. December 2018. Vitamin D and bone health: A practical clinical guideline for patient management in children and young people. 4. British National Formulary for Children 2018-2019. 2018. Section 7. Vitamin ...
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www.rotherhamccg.nhs.ukCystic fibrosis: an inherited illness in which there are cysts in the lungs, pancreas and other areas of the body. Polycystic kidney disease: an inherited condition in which cysts develop in the kidneys and other parts of the body. Von Hippel-Lindau disease: an inherited disease in which tumours develop in the eye, kidneys and nervous system.
MIGRAINE PROPHYLAXIS
www.rotherhamccg.nhs.ukProphylaxis treatment is used to reduce the number of migraine attacks in circumstances when acute therapy, used appropriately, fails to provide adequate symptom control (two or more attacks per month that produce disability lasting for 3 days or more). Always discuss the benefits and risks of prophylactic treatment for migraine with the
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www.rotherhamccg.nhs.ukINSULIN used in pen LIFESPAN (to be replaced after) *Rx ISSUED Humapen SAVVIO Eli Lilly 1-60 units Lilly 3ml cartridges from Humalog and Humulin ranges 6 years A Humapen LUXURA HD Eli Lilly 0.5-30 units (half unit increments) (audible clicks) Lilly 3ml cartridges from Humalog and Humulin ranges 3 years A
PUQE INDEX ASSESSMENT PUQE Index Score <6 (mild)
www.rotherhamccg.nhs.ukor Prochlorperazine or Metoclopramaide Dehydration – Refer Secondary Care PUQE Index Score >13 (severe) Refer Secondary Care BUMPS Patient Information Sheet 1. On an average day, how long do you feel nauseated or sick to your stomach? > 6hrs (5 points) 4-6 hrs (4 points) 2-3 hrs (3 points) > 1 hr (2 points) Not at all (1 point) 2.
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www.rotherhamccg.nhs.uk12 weeks requiring general or regional anaesthesia 1 Localised tenderness along the distribution of the deep venous system 1 Entire leg swollen 1 Calf swelling at least 3 cm larger than asymptomatic side 1 Pitting oedema confined to the symptomatic leg 1 Collateral superficial veins (non-varicose) 1 Previously documented DVT 1
ACUTE KIDNEY INJURY GUIDELINES FOR PRIMARY CARE
www.rotherhamccg.nhs.ukfunction. It is not a traumatic injury to the kidney as the name may imply, nor is it a diagnosis in its own right, rather a syndrome with many different underlying causes WHY IS AKI IMPORTANT? AKI is extremely common in hospitalised patients, occurring in 10-20% of emergency hospital admissions and is associated with extremely poor outcomes.
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