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Oral Anticoagulants (VKA and NOAC) Guidelines for ...
3. Manage anticoagulation for medical and surgical patients requiring monitoring to facilitate discharge, and patients requiring additional monitoring for unstable anticoagulation. Once anticoagulation is stable the care will then be transferred to the GP or to the Countess of Chester monitoring service where applicable
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Clinical Guideline Pain Management
mm.wirral.nhs.ukContinuous pain warrants continuous analgesia, avoid prescriptions for when required analgesia. Prescribe a regular dose. Intermittent pain warrants intermittent analgesia. Patients should have their pain control regularly assessed. Consider new presentations of pain eg: neuropathic pain - see Neuropathic Pain Guidelines.
Phosphate replacement IV - clinical guideline
mm.wirral.nhs.ukPhosphate replacement (intravenous) Approved as part of the Medicines Guide Review: Nov 2011 Clinical guideline Phosphate replacement (intravenous)
Therapeutic drug monitoring - mm.wirral.nhs.uk
mm.wirral.nhs.ukTherapeutic drug monitoring — Medicines Formulary, Version 7 Principal Author: Gareth Malson Updated with approvals from Wirral Drug and Therapeutics Committee: Nov 2010 Review: Nov 2013
Heart failure: Managing newly diagnosed and …
mm.wirral.nhs.ukHeart failure — managing newly diagnosed and decompensated patients in acute care — clinical guidelines, v1 Principal author: Dr P Saravanan Approved by Medicines Clinical Guideline Team: July 2013 Review by: July 2016 Page 1 of 27 If current Diagnosis confirmed by ...
Clinical guideline Massive pulmonary embolism ...
mm.wirral.nhs.uk6. If thrombolysis is contraindicated or not suitable, contact the on call thoracic surgeons at Liverpool Heart and Chest Hospital (Options: Surgical embolectomy / interventional embolectomy /clot fragmentation) References 1. British Thoracic Society Standards of Care Committee Pulmonary Embolism Guideline Development Group.
MHRA recommendations on simvastatin interactions: …
mm.wirral.nhs.ukMyopathy is an adverse effect associated with statins. The risk of myopathy increases with higher plasma levels ... • Use 40mg simvastatin or drug of similar efficacy and acquisition cost. ... Comparative costs for 28 days treatment (Drug Tariff September 2012) Amlodipine 10mg . Simvastatin 40mg .
STOPP START Tool to Support Medication Review
mm.wirral.nhs.ukother drug interactions or contra-indications not listed here. The final decision to stop the drug should be weighed against the daily symptomatic benefit or prevention of rapid worsening of symptoms. Where there is any doubt with the above information please check that it is in line with
VTE prophylaxis Trauma and Orthopaedics
mm.wirral.nhs.ukj) Lumbar puncture/epidural/spinal anaesthesia expected within the next 12 hours k) Lumbar puncture/epidural/spinal anaesthesia within the previous 4 hours l) No identified bleeding risk 2. Treatment recommendations Once the assessment form has been completed, the system will recommend a treatment
Wound dressings - Guidance for use
mm.wirral.nhs.ukDo not use in the presence of wound infection, unless an appropriate systemic antibiotic is given concurrently. Not appropriate for use on cavity wounds in the absence of a cavity filler. Dressings must be removed prior to radiation treatment (X-rays, ultrasonic treatment, diathermy and microwaves). Dressing change.
Melatonin for children
mm.wirral.nhs.ukAvailability: 2mg modified release tablets Circadin ® are available from local wholesaler, produced by: Flynn Pharma Limited, Alton House, 4 Herbert Street, Dublin 2, Republic of Ireland. Telephone +44 (0)1438 727 822. Cost of Circadin ® 2mg is £10.77 for 21 x 2mg tablets. 3mg capsules of melatonin are available from various suppliers.
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Long-Term Acute Care Hospitals Admission Criteria
lhcgroup-wpengine.netdna-ssl.comtreatment outcomes in an outpatient setting Admission Criteria Long-Term Acute Care Hospitals ... • Intensive sepsis management • IV and oral anticoagulation in conjunction with INR management ... • Acute care of pre- and post-cardiac surgery patients • Endocarditis drug therapy and monitoring • External wound infection management
Department Directory - Lahey Health
www.lahey.orgAnticoagulation Clinic : 31 MALL RD . Aortic Surgery Center : 5 EAST ... Pain Management . 7 WEST Pathology Administration, Anatomic 1 CENTRAL Patient Financial Services ... 3 WEST Physical Therapy, Inpatient . 7 CENTRAL Physical Therapy, Outpatient . 67 S.Bedford St. Plastic and Reconstructive Surgery . 6 WEST . Podiatry . 7 CENTRAL . Post ...
Guidelines on Perioperative Management of Anticoagulant ...
www.cec.health.nsw.gov.auThis clinical guideline is intended to assist clinicians with the inpatient and outpatient management of adult patients (over 16 years of age) undergoing procedures* who are taking anticoagulant or antiplatelet therapy.
Atrial Fibrillation Management of Acute Atrial ...
www.med.umich.edu- Obtain Neurology consult prior to initiation of anticoagulation for patients with recent ischemic stroke within the prior two weeks - Patients with valvular disease and those requiring concomitant treatment with dual antiplatelet therapy should be anticoagulated with warfarin
Pulmonary Embolism Diagnosis & Treatment Guideline ...
wa.kaiserpermanente.orgoutpatient treatment or early discharge of low-risk PE patients (Singer 2016). The purpose of this guideline is five-fold: • Provide an evidence-based approach to the diagnosis and management of acute pulmonary embolism in clinically stable patients.
Left Ventricular Assist Device - AnMed Health
anmedhealth.orgINR Ranges Reasons for Anticoagulation 1.5-2.0 (if only 1 reason to be on blood thinner) 2.0-3.5 (if 2 reasons for being on blood thinner) 2.5-3.5 (if 3 or more reasons for being on blood thinner) LVAD Mechanical Mitral or Aortic valve Atrial or Ventricular Fibrillation DVT/PE Stroke Anticoagulant protocol
Anticoagulation Desktop Reference
anticoagulationtoolkit.orgAnticoagulation Desktop Reference (Version 2.4) A Consortium-Developed Compendium of Anticoagulation Information This reference was produced by the Michigan Anticoagulation Quality Improvement Initiative (MAQI2), a consortium of anticoagulation clinics and experts from across the state of Michigan.