NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Medicines
Medicines Update

Therapeutics Handbook Update May 2018

The Adult Therapeutics Handbook content has now been updated and includes the following main changes:

Central Nervous System

  • Management of Acutely Disturbed Patients, including Delirium guideline has been updated in line with the GGC Delirium, Risk Reduction and Management in Acute Services guideline available in the clinical repository on StaffNet. The emphasis is on using non-pharmacological methods first. Pharmacological methods should only be used when non-pharmacological management is unsuccessful and symptoms are causing significant distress to the patient, or symptoms threaten the safety of the patient or others. The pharmacological options have been updated and cautions, contraindications and monitoring advice should be carefully considered before prescribing.

Electrolyte Disturbances

  • Management of Hypercalcaemia guideline (aimed at the management of non-tumour related hypercalcaemia) has been updated and expanded. There is now more detail included around signs / symptoms and assessment / monitoring. The therapeutic management has been updated as well.  For patients who have tumour-related hypercalcaemia or are palliative then see separate guidance.

If you have not already done so please update your app on receipt of the notification. If you are not able to update your app then please refer to the GGCMedicines desktop site here as the website content is always live with the most up to date information. For more information or assistance with any aspect of the GGC Medicines app or Therapeutics handbook please click here or contact therapeutics.handbook@ggc.scot.nhs.uk.


Published 22/05/18