Pocket prescriber 2014

301 Pages·2019·3.7 MB·English

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Pocket Prescriber 2014 is a concise, up to date prescribing guide. It
1
contains all the ‘must have’ information that junior doctors, nurse
0 Adult ALS (Advanced Life Support) cardiac arrest algorithm
prescribers and medical students need at their fingertips.
2 Pocket European Resuscitation Council Guidelines 2010
NICE TIA Algorithm 2008 Key features
Unresponsive?
Suspected TIA • A–Z list of the 500 most commonly prescribed drugs with each entry Not breathing or only occasional gasps
a••n TBdrSP ect oaamrntatms niAdeasnegprtei rtwmihnieet 3h nf0 tos0tll aomtwignisng: Yes Is histworiyth c oTmIAp?atible Yes syNmerepustrooolmlvoesgd if?cuallly No • cFoocnutaseinsi nogn tshaefe kteyy i spsrueessc,r iwbainrgn iinngfso,r dmruagti oenrrors and adverse effects Prescriber CRTeaealslumscitation
• Lifestyle management
No See stroke algorithm • Practical guidance on drug selection, plus protocols and guidelines CPR 30:2
Attach defibrillator/monitor
Asvsaelsids aritsekd o sfc ostrrionkge s yusstienmg a alternaCtoivnesi ddeiargnosis • Advice and reference information for complicated prescriptions • Minimise interruptions
such as ABCD2* • Concise management summaries for the common medical emergencies
• Includes the European Resuscitation Council algorithms
Specialist assewssimtheinn t1 a wndk investigation Specialist assewssimtheinnt 2 a4n hd investigation • Clinically useful reminders of basic pharmacology (e.g. receptor profiles) Assess Rhythm
Shockable Non-shockable
Best medical treatment (e.g. control of Best medical treatment (e.g. control of From reviews of the previous editions: (VF/Pulseless VT) (PEA/Asystole)
BP, antiplatelet drugs and cholesterol ↓ BP, antiplatelet drugs and cholesterol ↓
through diet and drugs and smoking through diet and drugs and smoking ‘A pocket book that is truly pocketable, every medical student and junior
cessation) cessation) Return of
doctor should carry this book…If you’re unsure about prescribing a drug, a spontaneous
circulation
Where vascular territory or Yes Where vascular territory or Yes quick glance at the relevant page in this book will tell you everything you
pathology uncertain pathology uncertain
need to know…I really cannot recommend Pocket Prescriber highly enough.’ IMMEDIATE POST CARDIAC
No Bwraiitnh iDmsyWamgIp*in*tog (m wp irotehnfiesner at1)b wlyk M oRfI No Ur2g4eM nhtR obI fwr aoiintnhs e iDmt WoagfI *isn*ygm ( wppritteohfmeinrsa) b ly Oxford Medical School Gazette 1 Shock A• RURseE SATB TCRDEEA aTpMpEroNaTch
• Controlled oxygenation and
‘The simple precaution of checking facts in any unfamiliar prescribing ventilation
• 12-lead ECG
situation is likely to prevent mistakes and exemplifies current emphasis • Treat precipitating cause
Carotid imaging if patient is candidate Carotid imaging if patient is candidate • Temperature control/therapeutic
No for carotiodf isnytmerpvteonmti oonn sweitthin 1 wk Yes No for carotiodf isnytmerpvteonmti oonn sweitthin 1 wk Yes on safe practice and cPlrionfiecsasol rr Cis.Mk . mBlaacnka (Pgaesmt Perenstid.’e nt of the Royal College of Physicians) MImiCnPmimRe i3dz0eia: 2itne ftloeyr rr r2eu spmutmiinoens hypothermia MImiCnPmimRe i3dz0eia: 2itne ftloeyr rr r2eu spmutmiinoens
No surgery Level of symptomatic No surgery Level of symptomatic
carotid stenosis carotid stenosis ‘Do not rely on your memory when prescribing drugs – it is fallible. 4
70%–99%† <70%† 70%–99%† <70%† This neat vade mecum puts the information you need at your fingertips.’ DURING CPR R• EHVyEpRoSxIiBaLE CAUSES
Carotiwd iethnidna 2rt werkesctomy No surgery Carotiwd iethnidna 2rt werkesctomy No surgery Professor R.M. Kirk (ex-member of the Royal College of Surgeons’ Council) 1 ••• EPGnliavsneu raoecx thyigoigenhns- qbuefaolirtey iCnPtRer: rruapteti,n dge CpPthR, recoil ••• HHHyyypppooov-t/hohelyarpememirakiaalaemia/metabolic
• Consider advanced airway and capnography
K23350 • Continuous chest compressions when advanced airway in place • Thrombosis – coronary or pulmonary
• Vascular access (intravenous, intraosseous) • Tamponade – cardiac
*†*acecxocredpitn wg htoe rteh eco Enutrroapinedainca Cteadro, tiind wSuhricghe rcya sTeri aClT ( EshSoCuT)ld c rbitee urisaed ISBN-13: 978-1-48229-0410301-00 0 •• GCoivrere acdt rreenvaelrisnibel e(e cpainuesepshrine) every 3–5 min •• TToenxisniosn pneumothorax
Edited by
Timothy RJ Nicholson 2
9 781482 241310
www.crcpress.com and Donald RJ Singer
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Adult BLS (Basic Life Support) algorithm for in-hospital cardiac arrest
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trachea intubated give 10 breaths/min.
** Airway, Breathing, Circulation, Disability & Exposure
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Pocket Prescriber
K17K224343_5C00.i0n0d.bin d 1d 1 033//3015//1143 85::0587 PPMM
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Pocket
4
Prescriber
1
0
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Edited by
Timothy RJ Nicholson MBBS BSc MSc PhD MRCP
MRCPsych
Academic Clinical Lecturer, Section of Cognitive Neuropsychiatry,
Institute of Psychiatry, London, UK
Donald RJ Singer BMedBiol MD FRCP FBPharmacolS
Professor of Clinical Pharmacology and Therapeutics,
Fellowship of Postgraduate Medicine, London, UK
Boca Raton London New York
CRC Press is an imprint of the
Taylor & Francis Group, an informa business
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CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2014 by Timothy RJ Nicholson and Donald RJ Singer
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20140305
International Standard Book Number-13: 978-1-4822-4134-1 (eBook - PDF)
This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been
made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or
liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed
in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions
of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care
professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of
the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the
rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently veri-
fied. The reader is strongly urge to consult the relevant national drug formulary and the drug companies’ printed instructions,
and their websites, before administering any of the drugs recommended in this book. This book does not indicate whether a
particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical
professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and pub-
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Contents
Contributors vii
Foreword ix
Acknowledgements x
How to use this book xi
List of abbreviations xiii
How to prescribe safely xxiii
Common/useful drugs 1
Drug selection 169
Antibiotics 170
Hypertension management 180
Asthma 184
Analgesia 186
Palliative care and subcutaneous pumps 187
Antiemetics 190
Alcohol withdrawal 193
Antidepressants 195
How to prescribe 199
Insulin 200
Anticoagulants 205
Thrombolysis 213
Controlled drugs 218
Miscellaneous 219
Intravenous fluids 220
Steroids 223
Sedation/sleeping tablets 225
Benzodiazepines 227
Combined hormonal contraception 229
Side effect profiles 232
Cytochrome P450 235
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vvii Contents
Medical emergencies 237
Acute coronary syndromes (ACS) 238
Acute LVF 241
Accelerated hypertension 242
Atrial fibrillation 243
Acute asthma 245
COPD exacerbation 246
Pulmonary embolism 246
Acute upper GI haemorrhage 247
Sepsis (severe or septic shock) 249
Epilepsy 250
DKA 251
HONK 253
↓Glucose 254
Thyrotoxic crisis 254
Myxoedema coma 255
Addisonian crisis 255
Electrolyte disturbances 256
Overdoses 258
Reference information 265
Coma 266
Cognitive impairment 267
Useful formulae 268
Common laboratory reference values 269
Index 273
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Contributors
Adam MC Archibald BSc(Hons) MBChB
StR Obstetrics and Gynaecology, NHS Greater Glasgow and Clyde
Peter J Barnes DM DSc FRCP FMedSci FRS
Professor and Consultant in Respiratory Medicine, National Heart &
Lung Institute, Imperial College London
Alison Bedlow BSc MBBS FRCP DipRCPath
Consultant Dermatologist, South Warwickshire NHS Foundation Trust
Aodhan Breathnach MD FRCPath
Consultant Medical Microbiologist, Department of Medical
Microbiology St George’s Hospital, London
Emma C Derrett-Smith BSc MBBS MRCP
Clinical Research Fellow, Centre for Rheumatology and Connective
Tissue Diseases, UCL Medical School, London
Timothy WR Doulton BSc MD MRCP
Consultant Nephrologist, Kent Kidney Care Centre, East Kent Hospitals
University NHS Foundation Trust
David Hall BSc(Hons) MBChB(Hons)
Royal Air Force Medical Office
H Nikki Hall MBChB BSc(Hons)
Specialist Trainee in Ophthalmology, Queen Margaret Hospital,
Dunfermline
Beth D Harrison MA BM BCh DM(Oxon) FRCP FRCPath
Consultant Haematologist, University Hospital Coventry and
Warwickshire NHS Trust
Steven Harsum MBBS BSc PhD FRCOphth
Consultant Ophthalmologist, Epsom & St Helier University Hospitals
NHS Trust
Robin DC Kumar BSc MBBS FRCA
Specialist Registrar in Anaesthesia and Intensive Care, King’s College
Hospital, London
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vviiiiii Contributors
Pete Maskell MBBS FRCP MSc
Consultant Stroke Physician and Elderly Care Lead, Maidstone and
Tunbridge Wells NHS Trust
Allison C Morton BMedSci MBChB MRCP PhD
Consultant Cardiologist, Sheffield Teaching Hospitals NHS Foundation
Trust and Clinical Research Manager, NIHR Cardiovascular Biomedical
Research Unit, Northern General Hospital, Sheffield
Victor Pace FRCP
Consultant in Palliative Medicine, St Christopher’s Hospice, Sydenham,
London
Stephen Derek Quinn MBBS BSc MRCOG
Clinical Research Fellow, St Mary’s Hospital, London
James JH Rucker MBBS BSc MRCPsych
Clinical Research Fellow, Social, Genetic and Developmental Psychiatry
Centre, Institute of Psychiatry, King’s College London and Honorary
Specialist Registrar in General Adult Psychiatry, The South London and
Maudsley NHS Foundation Trust, London
Biba Stanton BMedSci MBBS MRCP PhD
Specialist Registrar, National Hospital for Neurology and Neurosurgery,
Queen Square, London
Alex Tulloch PhD MRCP MRCPsych
Lecturer, Health Services and Population Research Department,
Institute of Psychiatry, King's College London
Esther Unitt BMedSci MBBS MRCP DM
Consultant Gastroenterologist and Hepatologist at the University
Hospital, Coventry and Warwickshire Hospitals NHS Trust
W Stephen Waring BMedSci MB PhD FRCP(Edin)
Consultant in Acute Medicine, York Teaching Hospital NHS Foundation
Trust, and Honorary Senior Lecturer, Hull York Medical School
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