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Type 2 Diabetes
diabetes 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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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.
Asthma Guidelines 2021
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.
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
Inhaled Salbutamol (MDI) 1-2 puffs as required, up …
www.rotherhamccg.nhs.ukFormoterol Delivery Devise Dose per metered inhalation UK licence > 12 years Adult dose regime Atimos MDI 12mcg √ 12mcg BD, increased to max. 24mcg BD
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 …
VITAMIN D PRESCRIBING GUIDANCE for children (<18yrs)
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 ...
Epididymal Cyst
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.
INSULIN PEN DEVICES GUIDE - rotherhamccg.nhs.uk
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.
Two-level DVT Wells score - rotherhamccg.nhs.uk
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
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www.ncqa.orgStatin Therapy for Patients With Diabetes— Received Statin Therapy Patients with diabetes—received statin therapy 1 Statin Therapy for Patients With Diabetes—Statin Adherence 80% Patients with diabetes—statin adherence 80% 1 Heart Disease SPC Statin Therapy for Patients With Cardiovascular Disease—Received Statin Therapy—Total
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www.acc.orgIn patients with diabetes mellitus at higher risk, especially those with multiple risk factors or those 50 to 75 years of age, it is reasonable to use a high-intensity statin to reduce the LDL-C level by ≥50%. 5 In patients 40 to 75 years of age with diabetes mellitus and LDL-C ≥70 mg/dL (≥1.8 mmol/L), start moderate-intensity
Medications - American Diabetes Association
professional.diabetes.orglong-acting insulin in patients with type 1 diabetes and in type 2 diabetes patients who use long-acting insulin. technosphere insulin-inhalation system Afrezza important note: The generic names and brand names are shown to help you know what you take. The American Diabetes Association does not recommend or endorse any specific medication.
Using the CONSORT for Abstracts checklist: some examples
www.consort-statement.orgmass index, HbA1c value, and statin use. Conclusion Over an 18-month treatment period in patients with type 2 DM, pioglitazone slowed progression of CIMT compared with glimepirid e. Trial Registration clinicaltrials.gov Identifier: NCT00225264 BEFORE Mazzone T, Meyer PM, Feinstein SB, Davidson MH, Kondos GT, D'Agostino RB
Long-Term Management of the Successful Adult Liver ...
www.aasld.orgadded, although patients must be followed carefully for side effects, especially with the concomitant use of statins and calcineurin inhibitors (grade 2, level C). 39. All LT patients require ongoing dietary counseling to avoid obesity (grade 1, level C). 40. Among LT recipients who become severely or morbidly obese and fail behavioral weight-
HEDIS MEASUREMENT YEAR 2020 & MEASUREMENT …
www.ncqa.org• Clarified in the measure description that organizations must use the same data collection method for the HbA1c testing and control indicators (this information was previously included in the General Guidelines). • Removed the restriction that only one of the two visits with a diabetes diagnosis be an