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Still poorly controlled? STOP, THINK, TAKE STOCK. Suitable for pulmonary rehabilitation or oxygen? Consider smoking status and co-morbidities. Triple Therapy Inhalers ( ICS + LABA +LAMA)ĬOPD: see Norfolk & Waveney COPD Primary Care Guidelines for appropriate use of ' Triple Therapy' ICS + LABA + LAMA inhalersĬheck inhaler technique & compliance. PCRS shared decision making for greener healthcare: guidance on making safe and clinically appropriate changes to inhalers High quality low carbon asthma care – Greener Practice primary care toolkit

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Inhaler standards and competency document plus other resources Ĭorticosteroids: Implementing the Steroid Emergency Card National Patient Safety Alert January 2021 (PrescQIPP: free registration with Norfolk & Waveney linked nhs.net email)Ĭorticosteroids: Society for Endocrinology- adrenal crisis information and resourcesĬorticosteroids: high dose inhaled alert card order form (NHSE /London Respiratory Network)Ĭorticosteroids: NPPG Position statement 2021-02: Use of Steroid Medication Warning Cards for Children and Young Peopleīeat Asthma - resources for children and young people Inhaler Spacer Devices KM Bulletin 18 (AGEM CSU Norfolk & Waveney) due review Inhalers: How can I tell if my inhaler is empty? Beat Asthma Inhalers - how long inhalers last (quantity) AGEM CSU Norfolk &Waveney

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Inhalers - how to use your inhaler videos ( Asthma UK) Inhalers & Spacers - Rightbreathe: prescribing information Inhalers - COPD: Types & Devices (Norfolk & Waveney) Inhalers - Asthma: Types & Devices (Norfolk & Waveney) Inhaler devices Asthma (older children): NICE TA38:Īsthma: Norfolk & Waveney Primary Care Guideline Jan 2021 (inhaler review in progress)Īsthma: Norfolk & Waveney Management of Acute Asthma in Primary Care (due review)ĬOPD :Norfolk & Waveney Chronic Obstructive Pulmonary Disease Primary Care GuidelineĬOPD: Norfolk & Waveney COPD Rescue Packs: Quick Reference Guide (due review)ĬOPD: Norfolk & Waveney Self-management plan- available in COPD sectionĬOPD: Norfolk & Waveney Self-Management & Advice Booklet ( due review)ĬOPD: Norfolk &Waveney Care Home Best Practice Guidance Bulletin 20- caring for service users who have COPD (AGEM CSU)ĬOPD: Stepping down triple therapy in COPD improvement worksheet (PCRS) Inhaler devices Asthma (children under 5): NICE TA10

#Trelogy ics laba lama update

Inhalers: COPD inhaler types & devices Aug 22 update (Norfolk & Waveney) Inhalers: Asthma inhaler types & devices Aug 22 update (Norfolk & Waveney) Inhalers for asthma - patient decision aid (NICE NG 80)

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Prescribe by brand to the reduce risk of the patient receiving an unfamiliar deviceįor full information on the different devices available see the following:.

Community pharmacists can assess inhaler technique and concordance for patients newly initiated via the New Medicines Service scheme.

Before changing treatment always check concordance.

Check the patient can demonstrate acceptable technique at each contact.

Consider consistency of device if changing treatment approach.

PCRS shared decision making for greener healthcare: guidance on making safe and clinically appropriate changes to inhalers.PrescQIPP inhaler carbon footprint resources - leaflets, videos.Norfolk and Waveney ICB greener inhaler poster.Norfolk & Waveney suggested options to reduce the carbon footprint of inhalers Phase ONE (age 18yrs and over).High carbon footprint most pressurised MDIs.

Medium carbon footprint some pressurised MDIs have less gas so lower carbon footprint.

Dry Powder Inhalers (DPI), Soft Mist Inhaler (SMI) or Metered Dose Inhaler (MDI) with a lower GWP: PrescQIPP categorisation

Where clinically appropriate, choose a device with the lowest global warming potential (GWP)i.e.

Choice should be based on the most suitable device for the patient ideally assessed using the In-Check® DIAL G16.

Management of Acute Asthma in Primary Care Oct 2018 (Norfolk & Waveney) review dueĬhronic Obstructive Pulmonary Disease (COPD) Primary Care Guideline Aug 22 update (Norfolk & Waveney)ĬOPD Rescue Packs: Quick Reference Guide Sep 2019 (Norfolk & Waveney) -review dueĮnsure patients have a self-management action plan They are based on national guidelines with additional comments and advice from local respiratory specialists.Īsthma Primary Care Guideline Jan 2021 ( Norfolk & Waveney) inhaler review in progress - for inhaler choice see updated Asthma inhaler types and devices link below OR relevant net.formulary subchapter These guidelines are written in conjunction with The Norfolk & Waveney Respiratory Working Group. Formulary Chapter 3: Respiratory system - Full Chapterįor the diagnosis and treatment of asthma & COPD please refer to Norfolk & Waveney Primary Care Guidelines