- Treatments and Medicines
- For Healthcare Professionals
- THERAPEUTIC GUIDELINES
THERAPEUTIC GUIDELINES
-
ACUTE PAIN
- Pain assessment
- Adult oral analgesia
- Acute pain management in adults with renal impairment
- Subcutaneous opioid algorithm
- Patient Controlled Analgesia (PCA)
- Spinal opioids
- Post-operative nausea and vomiting (PONV)
- Naloxone and managing opioid complications
- Local anaesthetic infusion
- Epidural analgesia
- Ketamine infusion: high dependency and intensive care units only
- Rib fracture management in trauma - Raigmore
- ANAESTHETICS
- BREAST
-
CANCER
- Highland Formulary - Malignant disease and immunosuppression
- NHS Highland oncology guidelines
- SACT protocols (Systemic Anti-Cancer Therapy) (NHS Highland intranet access required)
- North Cancer Alliance SACT guidelines
- North Cancer Alliance Clinical Management Guidelines
- COVID-19 National Cancer Medicines Advisory Group (NCMAG) accessed via WOSCAN
- Scottish referral guidelines for suspected cancer
- UKONS tool for the management and referral of oncological emergencies
- Patient information
- COVID-19 Vaccine FAQ for patients receiving Systemic Anti-Cancer Therapy (BOPA)
- Imaging Pathway for Primary Care Direct Access to CT CAP for Suspected Malignancy
- FAQ for GP CT Referral for Cancer Pathway
- CARDIOVASCULAR
- CHRONIC PAIN
- DEATH
- DENTAL
-
DERMATOLOGY
-
- For GP advice and inter unit referrals, please email nhsh.highlanddermatology@nhs.scot
- British Association of Dermatologists Clinical Guidelines at www.bad.org.uk
- For dermatologicals in children, refer to BNF for Children
- Dermatology Patient Pathways
- Adverse reactions to topical therapy
- Emollients
- Incontinence dermatitis
- Topical corticosteroids
- DMARD monitoring during COVID-19
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-
DIABETES
- Acute Diabetic Emergency
- Pre-Diabetes and Type 2 Diabetes Referral and Self Management Pathway
- Newly diagnosed patient with Diabetes Mellitus
- Type 1 Diabetes Mellitus
- Type 2 Diabetes Mellitus
- Glucose monitoring
- Diabetic Complications
- Gestational Diabetes
- Diabetes in adults in palliative care
- Diabetes Regular Follow up
- Referral to Community Diabetes Specialist Nurses
- Information for patients: Diabetes
-
EAR, NOSE AND OROPHARYNX (ENT)
- Aural Discharge
- Dizziness
- Facial Pain
- Feeling of Lump in Throat
- Hearing problems: adults
- Hearing Problems: children
- Hoarseness
- Nasal Blockage
- Nasal Discharge
- Nasal Injury
- Nose bleed acute and chronic (Epistaxis)
- Sore Throat
- Snoring
- Thyroid nodules- Euthyroid, Thyroid dysfunction and Suspected cancer
- EMERGENCY DEPARTMENT
- EMERGENCY MEDICAL RETRIEVAL SERVICE (EMRS)
-
ENDOCRINE
- Adrenarche
- Adult haemodialysis patients undergoing parathyroidectomy
- Diagnostic evaluation of adult men with suspected hypogonadism
- Duration of bisphosphonate therapy
- Liothyronine in hypothyroidism
- Menopause & HRT prescribing guidance
- Peri-operative guidelines for patients with or at risk of adrenal insufficiency
- Prevention of skeletal-related events in cancer patients
- Thyroid nodules- Euthyroid, Thyroid dysfunction and Suspected cancer
- EYES
- FLU
- FLUID AND ELECTROLYTES
-
FOOD FLUID AND NUTRITION
-
Nutrition News can be accessed on the NHS Highland webpages under 'Publications' here
“Nutrition News” is a quarterly newsletter aimed at (but not exclusively) social care staff. It provides; links to useful websites and information to support safe, evidence-based, high quality food, fluid and nutritional care; examples of good practice from Highland social care settings; information about developments in practice; and news about the people living in our care homes. - Enteral Feeding in Adults
- Healthy weight
- Malnutrition in adults in hospital settings (MUST)
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- GASTRO-INTESTINAL
-
GYNAECOLOGY
-
To access NHS Highland Maternity, Neonatal & Gynaecology Services intranet site click here.
- Cervical Smear Recall Guidance
- Early Medical Abortion at Home (EMAH)
- Early Medical Abortion at Home (EMAH): Patient Information
- Female urinary incontinence
- Management Following Colposcopy
- Menopause & HRT prescribing guidance
- Menorrhagia
- Subfertility
- Suspected Gynaecological Malignancy
- Termination of Pregnancy
- Who not to refer to gynaecology clinic
- Palpitations and tachycardia in pregnancy: Secondary Care, HHSCP only
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-
HAEMATOLOGY
- Andexanet alfa: administration quick reference guide
- Anticoagulant Recommendations
- Anaemia Main Page
- B12 deficiency testing and management
- Folate testing and management
- Lymphopenia Assessment
- Major haemorrhage and emergency invasive procedures for direct novel anticoagulants
- Macrocytic Anaemia
- Microcytic Anaemia
- Monoclonal Gammopathy of Uncertain Significance (MGUS): Follow up of patients in the community
- Normocytic Anaemia
- Possible Polycythaemia
- Thrombocythaemia
- Thrombophilia Screening
- Thrombosis and Thrombocytopenia post coronavirus vaccine:
- Management of major haemorrhage and emergency invasive procedures in patients on direct oral anticoagulants (DOACs)
- INFECTIONS (ANTIMICROBIAL GUIDANCE)
- LIVER
-
LYMPHOEDEMA
-
- Compression Hosiery formulary
- Lymphoedema Service including FAQs
- The Lymphoedema Support Network - Provides information and support to those living with or affected by lymphoedema/chronic oedema
- Maggies - Contains local and national information and resources about lymph and lymphoedema
- MLDUK - Promotes public awareness of Manual Lymphatic Drainage (MLD) from the point of view of both the patient & potential practitioners.
- NHS inform - Lymphoedema
- Macmillan - Lymphoedema: side effects and symptoms
- Cancer Research UK - Lymphoedema and cancer
- Assessing vascular status
- Cellulitis in patients with Lymphoedema
- Cellulitis - Patient information leaflet
- Chronic Leg Oedema Referral Pathway
- Leg lymphoedema - patient information leaflet
- Lower limb lymphoedema
- Lymphoedema Diagnosis, Treatment and Care- Home Page
- Lymphorrhoea
- Recurrent Cellulitis
- Red legs pathway
- Upper limb lymphoedema
- Upper limb lymphoedema - patient information leaflet
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-
MENTAL HEALTH
-
For local policies, procedures, protocols and guidelines click here.
Visit the Choice and Medication website for further information about mental health conditions, treatment and medicines: www.choiceandmedication.org/nhs24
- NEW CRAIGS HOSPITAL
- COMMUNITY MENTAL HEALTH TEAM (CMHT)
- ANXIETY AND DEPRESSION
- Computerised cognitive behavioural therapy (cCBT)
- DEMENTIA
- EATING DISORDERS
- NEUROLEPTIC MALIGNANT SYNDROME (NMS)
- Patients admitted to Raigmore Hospital with opioid misuse
- PSYCHOTIC DISORDERS
- PSYCHOLOGICAL SERVICES
- RAPID TRANQUILISATION
- SEROTONIN SYNDROME
- SLEEP DISORDERS
- SMOKING CESSATION
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- MIDWIFERY & OBSTETRICS
- NEONATAL
- NERVOUS SYSTEM
- OCCUPATIONAL THERAPY
- OOH: OUT OF HOURS
- ORTHOPAEDICS
-
PAEDIATRICS
-
To access NHS Highland Paediatric intranet site click here.
- ACUTE PAIN PAEDIATRICS
- Adrenarche
- Allergy
- Behavioural concerns in preschool aged children
- Colic
- Constipation in Children
- Croup
- Developmental concerns for preschool aged children
- Diabetes
- Infant Feeding Difficulties Clinic (IFDC) & Infant Feeding Allergy Clinic (IFAC)
- Information on Highland Council Allied Health Professionals
- Neurodevelopmental Assessment Service (NDAS)
- Non-IgE Cows' Milk Protein Allergy Guidance
- Paediatric Anxiolytic Premedication Dose Guideline
- Paediatric UTI Guidance
- Patient information : Urinary Tract Infection (UTI) Prevention in Children
- Prevention and Treatment of Post-operative Vomiting in Children
- Proton pump inhibitor (PPI) selection and administration in children
- Sleep onset difficulties
- Toddler and young children; food, mood and health guidance
- Use of urokinase with blocked central venous access device (Paediatric)
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-
PALLIATIVE CARE
-
- Palliative Care Formulary (PCF) is available via Medicines Complete (log in required)
- Palliative care newsletters are available here (NHS Highland intranet access required)
- End of Life Care eLearning from NHS Health Education England
- Anticipatory care (Just in case)
- End of life care COVID-19
- Gold standards framework
- Highland Hospice
- Palliative care advice
- Palliative care guidelines
- Palliative care network
- Palliative care patient information
- Palliative care pharmacy information
- Palliative care syringe pumps
- Supportive and Palliative Care Indicators Tool (SPICT)
-
- PATIENT TRANSFER
- PUBLIC HEALTH
- RADIOLOGY
-
RENAL DISORDERS
- Acute Kidney Injury (AKI)
- Acute pain management in adults with renal impairment
- Adult haemodialysis patients undergoing parathyroidectomy
- Anticoagulation of the extracorporeal circuit during haemodialysis in adult patients
- Management of Chronic Kidney Disease (CKD)
- Newly Detected Abnormal eGFR
- Screening and Diagnosis of Chronic Kidney Disease (CKD)
- Prescribing medicines in renal impairment
- Rituximab in renal patients
- Blood Borne Virus in patients under the care of a Consultant Nephrologist
- Hypertension
- TauroLock™-Hep500 for Maintenance of Central Venous Catheters in Adult Haemodialysis Patients
- RESPIRATORY
-
RHEUMATOLOGY
-
Extensive Rheumatology Advice and DMARD Guidance is available on the NHS Highland Rheumatology intranet site: click here.
- DMARD monitoring
- Giant Cell Arteritis (GCA)
- Non-steroidal anti-inflammatory drugs (NSAIDS)
- Osteoporosis
- Polyarthritis / Polyarthropathy
- Subcutaneous methotrexate - shared care protocol
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-
SEXUAL HEALTH
- Chlamydia
- Emergency Contraception
- Highland Sexual Health referral service
- Incorrect use of combined hormonal contraception
- Referral pathway for Deep Subdermal Implant (SDI) removal
- Sayana press
- Genital Tract
- HIV
- Syphilis referral pathway
- Menopause & HRT prescribing guidance
- Management of Non-visible Threads & Suspected Perforation of Uterus with Intrauterine Contraception (IUC)
- Testosterone Replacement in Menopause
-
STROKE
- Acute treatment and secondary prevention of transient ischaemic attacks (TIA) and ischaemic stroke
- Admission & discharge from the Stroke Unit
- Assessment of carotid artery stenosis following TIA and minor stroke and referral for carotid endarterectomy
- CT scanning in acute stroke patients (at home or Community Hospital)
- Dysphagia / stroke swallowing problems
- Echocardiography for Stroke/TIA: Secondary care
- ED Stroke Thrombolysis Pathway (Raigmore)
- Exercise after Stroke Pathway
- Further information for healthcare professionals
- Integrated Patient Pathway for Chronic Sialorrhea in Adults
- Management of Nutrition (In-Patient)
- Patient information - Stroke
- Referral
- Stroke Visual Pathway for Assessment and Referral
- Swallowing Screening Procedure
-
SURGICAL
- Guideline for Improving the Safety of Patients with a Tracheostomy
- Management of major haemorrhage and emergency invasive procedures in patients on direct oral anticoagulants (DOACs)
- Management of Warfarin and Direct Oral Anticoagulants (DOACs) in Adult Patients Undergoing Surgery or Invasive Procedures
-
UROLOGY
- Catheter
- Erectile Dysfunction
- Nephrostomy
- PSA (prostate-specific antigen) Testing and Male Lower Urinary Tract Symptoms (LUTS)
- PSA (prostate-specific antigen) follow-up monitoring
- Urinary tract disorders
- Urology referral criteria
- Patient information : Urinary Tract Infection (UTI) Prevention in Children
-
VASCULAR
- Abdominal aortic aneurysm (AAA)
- Acute mesenteric ischaemia in the acute hospital setting
- GP management of suspected Deep Vein Thrombosis (DVT) requiring doppler ultrasound in Raigmore Hospital
- Intermittent claudication/ critical ischaemia
- Management and referral of varicose veins
- Suspected leg Deep Vein Thrombosis (DVT)
- Venous thromboembolism (VTE) prophylaxis on discharge
- Iloprost in Adults with Peripheral Vascular Disease or Raynaud’s Phenomenon
Close
Guidance Notes
-
For Healthcare Professionals
- COVID-19 (Coronavirus)
-
THERAPEUTIC GUIDELINES
- ACUTE PAIN
- ANAESTHETICS
- BREAST
- CANCER
- CARDIOVASCULAR
- CHRONIC PAIN
- DEATH
- DENTAL
- DERMATOLOGY
- DIABETES
- EAR, NOSE AND OROPHARYNX (ENT)
- EMERGENCY DEPARTMENT
- EMERGENCY MEDICAL RETRIEVAL SERVICE (EMRS)
- ENDOCRINE
- EYES
- FLU
- FLUID AND ELECTROLYTES
- FOOD FLUID AND NUTRITION
- GASTRO-INTESTINAL
- GYNAECOLOGY
- HAEMATOLOGY
- INFECTIONS (ANTIMICROBIAL GUIDANCE)
- LIVER
- LYMPHOEDEMA
- MENTAL HEALTH
- MIDWIFERY & OBSTETRICS
- NEONATAL
- NERVOUS SYSTEM
- OCCUPATIONAL THERAPY
- OOH: OUT OF HOURS
- ORTHOPAEDICS
- PAEDIATRICS
- PALLIATIVE CARE
- PATIENT TRANSFER
- PUBLIC HEALTH
- RADIOLOGY
- RENAL DISORDERS
- RESPIRATORY
- RHEUMATOLOGY
- SEXUAL HEALTH
- STROKE
- SURGICAL
- UROLOGY
- VASCULAR
- ANTIMICROBIAL GUIDANCE
- FORMULARIES (and the Pink One)
- PATIENT INFORMATION
- FURTHER CLINICAL RESOURCES