RightBreathe enables clinicians and patients to search and filter the options to suit individual circumstances and patients’ needs.It presents specific, tailored information on each option in a standardised format and with assured quality. RightBreathe covers each and every inhaler and spacer device licensed in the UK for treating asthma and COPD.It has significant MI input and collaboration between multidisciplinary healthcare professionals. RightBreathe is a useful website and application about inhaler devices launched in February 2017.The main types of arrhythmia are: atrial fibrillation (AF) this is the most common type, where the heart beats irregularly and faster than normal. Most people with an abnormal heart rhythm can lead a normal life if it is properly diagnosed. Palliation of Breathlessness in Non-Cancer Conditions Arrhythmias or heart rhythm problems are experienced by more than 2 million people in the UK.Strategies to support reduced Inhaler carbon emissions.Review of Inhaled Corticosteroids (ICS) in patients with COPD.Management of COPD Exacerbation - Step by Step Guide for Worsening Symptoms.Asthma/COPD Telephone Consultations and Reviews Protocol.Management of Acute Asthma Wheeze in Primary Care (2-16 year olds) Clinical Assessment / Management tool– Milton Keynes.BLMK Primary Care Paediatric Asthma & Wheeze Guidelines (Children aged 16 and under).Palliative care short term medicines initiated under the supervision of a palliative care specialist - see palliative care chapter 21 for further details on prescribing arrangements.Local Respiratory Guidelines & Resources for use in MK: These products will not routinely be stocked by hospital pharmacies. Not recommended for prescribing (Non-formulary). These products may not routinely be stocked by hospital pharmacies. Not recommended for routine prescribing but may be considered in exceptional circumstances for individual patients (Non-Formulary). Suitable for routine prescribing only in primary care, but may be prescribed in secondary care when necessary. These medicines usually have specialised commissioning arrangements and should only be prescribed in centres providing the relevant specialist service. Suitable for prescribing in specialist centres only. Suitable for prescribing in secondary care settings under specialist supervision only (hospital or community providers). Suitable for prescribing in primary care following initiation by a specialist, with continuation only under a locally approved shared care guideline. Suitable for prescribing in primary care following initiation by a specialist. Suitable for prescribing in primary care following recommendation by a specialist. Suitable for prescribing in primary and secondary care. Oscillating Positive Expiratory Pressure (OPEP) devices.įollowing District Prescribing Committee review, not supported for routine use locally, although may be considered for individual patients in exceptional circumstances if formulary options are unsuitable. PrescQIPP Bulletin 167: Medical Devices DROP-List Feb 2017 Third-line, for patients unsuitable for PARI O-PEP or Aerobika device. Second-line, for patients unsuitable for PARI O-PEP device. Primary care prescribing on FP10 only when required for urgent supply of additional/replacement device (Drug Tariff listed approved appliance). cystic fibrosis, bronchiectasis, COPD.Īll follow up and monitoring of patients, and routine replacement of devices to be carried out in secondary care. For airways clearance in selected patients with chronic sputum-producing lung disease, e.g. Oscillating Positive Expiratory Pressure (OPEP) device.įor initiation by specialist physiotherapist or respiratory clinician only. Oscillating Positive Expiratory Pressure devices NICE TA38: Asthma inhaler devices (older children 5-15years) NICE TA10: Asthma inhaler devices (children under 5) NICE NG115: COPD in over 16s (diagnosis and management) View the local Wessex Adult Asthma Guidelines (2021) here View the local COPD Management and Prescribing Guidelines 2022 NHS Hampshire and Isle of Wight Formularyįormulary Chapter 3: Respiratory system - Full Chapter NHS Hampshire and Isle of Wight Formulary
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