Therapeutics Handbook for Adults: Update May 2016

As reported previously the GGC Medicines App is being upgraded during June and July and no updates to content will occur during this period.  The changes below, which have been made as part of a scheduled review, will therefore be the final updates until after the launch of the new and improved App.  Please run the update on your device when prompted to do so. 

• Referral of Patients to Anticoagulant Clinic: TrakCare should now be used to refer patients on warfarin (and acenocoumarol) to the Glasgow and Clyde Anticoagulation Service (GCAS).
  
   
• Stroke:
  Management of acute stroke 1: New Thrombolysis Service at Glasgow Royal Infirmary; available 9am - 4pm on weekdays (except public holidays).
  Management of acute stroke 2: Swallow test within 4 hours of admission is now recommended, as per national standards.
  Secondary prevention of stroke and TIA:  1) Update to the cholesterol lowering guidance (to bring into agreement with other current guidelines) and 2) Longer ambulatory ECG monitoring in all stroke or TIA patients with possible atrial fibrillation.
  
   
• Parkinson’s Disease (PD) in Acute Care: Update to the location of PD medicines across acute sites and brief guidance on co-careldopa intestinal gel (Duodopa).
  
   
• Management of hypomagnesaemia: Clarity on the use of supplements in renal impairment.

Please note:

Minor updates have also been made and users are encouraged to familiarise themselves with the sections relevant to their area of practice.