New and updated guidance

NB this section is being updated on a daily basis throughout the month.

New guidance

• Refugee and asylum seeker support 
• Protocol for the administration of intravenous mannitol to reduce raised intra-ocular pressure

Amended guidance 

• TAM310 GP Out of Hours HSCP
• COVID111 Non hospitalised patients with symptomatic COVID-19 infection 
• COVID039 Aeroso generating procedures
• TAM185 Ophthalmology diagnosis/flowcharts 
• TAM148 Achieving control in type 2 diabetes 
• TAM UTI guidance 

New guidance

• TAM535 ADHD pilot pathway

Amended guidance 

• TAM528 Delirium management 
• TAM281 Parkinsons disease
• TAM148 Achieving control in type 2 diabetes
• TAM481 Giant cell arthritis (GCA)
• TAM331 Non-IgE Cows Milk Protein Allergy Guidance 
• TAM135 Acute coronary care syndrome 
• AMT101 Amikacin
• AMT152 Influenza treatment
• Urinary tract (UTI)
• TAM508 Pre-Diabetes and type 2 referrals

Removed guidance 

• COVID078 Emergency management of tracheostomy patient on LTV  
• COVID019 Rheumatology COVID-19 
• COVID102 Anticoagulant COVID-19 
• COVID004 Cancer COVID-19 
• COVID052 End of life Acute COVID-19
• COVID006 Diabetes COVID-19  
• TAM302 Management following colposcopy  
• TAM299 Cervical smear recall  
• TAM387 Incontinence dermatitis
• FCR110 Inner Moray Firth Investigation and Treatment Room Service  
• COVID021 SKIN COVID-19
• COVID020 Sexual Health
• COVID013 Mental Health COVID-19 

New Guidance: 

• Silver Diamine fluoride 
• Bronchiolitis 
• Raigmore emergency ophthalmology admission protocol

Updated Guidance: 

• Pre diabetes and type 2 diabetes referrals 
• Testosterone replacement in menopause 
• Gentamicin 
• Subcutaneous Methotrexate 
• Highland eating disorder (HEDS) and MEED 
• Subcutaneous opioids 
• Acute pain management in adults with renal impairment 
• Epidural analgesia 
• Assessing vascular status 
• Wet legs lymphorrhoea 
• Ketamine infusion 
• Amputation 
• Pain assessment
• Pain controlled analgesia 
• Post operative nausea and vomiting 
• Naloxone and managing opioid 
• Local anaesthetic infusion 

Removed guidance: 

• Information for patients, carers and families 
• Treatment of medically unwell patients with anorexia nervosa 
• MARSIPAN checklist 
• Summary of a dieticians role 
• Increased levels of care 

New guidance:

• Bronchiolitis 
• Emergency admission of adults with acute constipation 
• Groin hernia pathway 
• Gallstone disease 
• Anti reflux surgery 

Updated guidance:

• Amputation pain Raigmore 
• Ketamine
• Teicoplanin 
• Gentamicin dosing in infective endocarditis in adults 
• Naloxone and managing opioid 
• Post operative nausea and vomiting
• Patient controlled analgesia PCA 
• Subcutaneous opioid 
• Epidural analgesia 
• Local anaesthetic infusion
• Wet legs lymphorrehoea

Guidance removed: 

• None 

• None 

New guidance:

• Colorectal secondary guidance 

Updated guidance:

• Testosterone replacement in menopause TAM492 
• Gestational diabetes 
• Computerised cognitive behaviour (cCbt) 
• Folate testing and management 
• B12 deficiency testing and management
• Children empirical antibiotic therapy 
• Intermittent claudication/critical ischaemia 
• Baricitinib for adults and children aged 2 years and older 
• Clostridium dificile 
• NTproBNP
• Pre diabetes and type 2 diabetes referrals 

Guidance removed:

• Toddler and young children food mood and health guidance 

New guidance:

• Short synacthen test
• Resuscitation
• Hypercalcaemia 
• Plasma metanephrines measurement
• Delirium management 
• Child healthy weight 
• Faecal incontinence 
• Investigation of primary hyperaldosteronism 

Updated guidance:

• SGLT2 inhibitors type 2 diabetes 

Guidance removed:

• Toddler and young children; food, mood and health guidance