Therapeutic Handbook - GGC Prescribing

Central Nervous SystemGeneral Principles of Acute Pain Management......................................................................... 158Management of Postoperative Nausea and Vomiting (PONV).................................................. 164Management of Acutely Disturbed Patients, including Delirium................................................ 167Guidance on Night Sedation...................................................................................................... 171Management of Depression...................................................................................................... 172Management of Alcohol Withdrawal Syndrome ........................................................................ 173Vitamin Prophylaxis and Treatment of Wernicke-Korsakoff Encephalopathy........................... 176Management of Drug Misusers in Hospital................................................................................ 178Management of Suspected Subarachnoid Haemorrhage (SAH)............................................... 183Guidelines for the Management of Patients with Recent Head Injury ...................................... 186Management of Status Epilepticus............................................................................................ 189Guideline for Phenytoin Dose Calculations............................................................................... 192Parkinson’s Disease in Acute Care........................................................................................... 196InfectionsManagement of infections......................................................................................................... 200Gentamicin and Vancomycin: Reducing Patient Risk............................................................... 203Antibiotic Allergy and Interactions............................................................................................. 204IV-Oral Antibiotic Switch Therapy (IVOST) Guideline............................................................... 205Alert Antibiotic Policy................................................................................................................. 207Infection Management Guidelines............................................................................................. 211Severe systemic infections .................................................................................................. 211Immunocompromised patients with fever............................................................................. 214Endocarditis.......................................................................................................................... 216Urinary tract infections (UTIs)............................................................................................... 218Upper respiratory tract infections.......................................................................................... 226Lower respiratory tract infections (LRTI)............................................................................... 230Intra-abdominal or hepatobiliary infections........................................................................... 236Skin and soft tissue infections............................................................................................... 241Bone and joint infection ........................................................................................................ 245Central nervous system infections........................................................................................ 246Viral infections....................................................................................................................... 250Genito-urinary (GU) infections.............................................................................................. 252HIV infection in hospital........................................................................................................ 255Patients with absent or non-functioning spleen.................................................................... 256