PHARMACY UPDATE
Joanna Edwards – 0435962527 (in hours)
Analgesia
Please chart ongoing doses of analgesia for patients admitted to EOU – headache, back pain…
Refer to the “analgesia guideline” on www.ozemedicine.com/wiki or therapeutic guidelines
Non-occupational Post-exposure Prophylaxis
Take a thorough history, consult on-call ID physician for advice
Available form after hours cupboard
Epipen – educate your patients!
training device is held by nurse in-charge
online videos
ACTION PLANS:
Methadone and Buprenorphine
Chart mg (and confirm mg vs ml dose)
Options for analgesia: PCA
Ketamine
Be generous with opiates
PAEDIATRIC INTRODUCTION
Dr Ilse Spillane
Age appropriate questions
Opportunistic engagement of teenagers
“Look for the common, exclude the deadly and identify the red flags – everyone has a deadly virus, bacteria or tumour until your history or examination proves otherwise”
Make sure you have a “safety net” – a safe discharge plan and education about when to return (documented in the letter)
Bronchiolitis
-unlikely to be ventolin responsive <12 months
– steroids don’t work
– supportive care à air à oxygen à CPAP à intubation
– high flow O2 – close the mouth (dummy or towel to lift chin), NGT to decompress stomach