|
Drug
|
Comment
|
Oral
|
|
|
|
Child
|
Adult
|
Injectable
|
Other
|
|
|
ANALGESIA
|
|
|
|
|
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Codeine or equivalent
|
Oral formulations to be supplied as a full course to appropriately treat the presenting condition.
Codeine preferred as it has a dual role for pain relief and diarrhoea.
|
|
Y
|
|
|
|
Diamorphine
|
Diamorphine is preferred for its use in both cardiac pain and palliative care.
|
|
|
Y
|
|
|
Non Steroidal Anti-Inflammatory Drug (NSAID)
|
Oral formulations to be supplied as a full course to appropriately treat the presenting condition. The exact preparation(s) should be decided after local negotiation.
Intramuscular injection of a NSAID may avoid the need for controlled drug use.
|
Y
|
Y
|
Y
|
|
|
Paracetamol
|
Supply as a full course to appropriately treat the presenting condition.
|
Y
|
Y
|
|
|
|
ASTHMA
|
|
Inhaled Ipratropium
|
Supply as a full course to appropriately treat the presenting condition.
|
|
|
|
Y
|
|
Inhaled Salbutamol or equivalent
|
Supply as a full course to appropriately treat the presenting condition.
|
|
|
|
Y
|
|
Prednisolone
|
Oral formulations to be supplied as a full course to appropriately treat the presenting condition. Soluble tablets may be preferable for dual use in children and adults.
|
Y
|
Y
|
|
|
|
Spacer Device
|
Or nebuliser device.
|
|
|
|
Y
|
|
CARDIAC EMERGENCIES
|
|
Adrenaline/Epinephrine
|
Strength/formulation suitable for treatment of cardiac arrest.
|
|
|
Y
|
|
|
Aspirin
|
For use in all patients with suspected Myocardial Infarction unless contraindicated or already taken.
|
|
Y
|
|
|
|
Atropine
|
For use in cardiac emergencies.
|
|
|
Y
|
|
|
Diamorphine
|
|
|
|
Y
|
|
|
Furosemide
|
Supply as a full course to appropriately treat the presenting condition. Full course of oral tablets is expected to be 7 days maximum.
|
|
Y
|
Y
|
|
|
Glyceryl Trinitrate Sub-lingual
|
Supply as a full course to appropriately treat the presenting condition.
|
|
Y
|
|
|
|
ALLERGY/ANAPHYLAXIS
|
|
Adrenaline/Epinephrine
|
Strength/formulation suitable for treatment of anaphylaxis.
|
|
|
Y
|
|
|
Hydrocortisone
|
Hydrocortisone sodium succinate can be used for anaphylaxis, asthma and hypoadrenalism.
|
|
|
Y
|
|
|
Chlorphenamine
|
Supply as a full course to appropriately treat the presenting condition.
|
Y
|
Y
|
Y
|
|
|
Non-Sedating Antihistamine
|
Supply as a full course to appropriately treat the presenting condition. Choice of preparation to be decided locally.
|
|
Y
|
|
|
|
DIABETIC EMERGENCIES
|
|
Glucagon Injection
|
Current recommendation is for both Glucose IV and Glucagon to be carried. Children may not respond to Glucagon so are more likely to need glucose. Patients not responding should be admitted.
|
|
|
Y
|
|
|
Glucose
|
|
|
Y
|
|
|
OPIOID OVERDOSE
|
|
Naloxone
|
Any patient with an opioid overdose should be admitted to hospital, as repeated doses may be required.
|
|
|
Y
|
|
|
GASTROINTESTINAL
|
|
Antacid
|
Supply as a full course to appropriately treat the presenting condition taking into account manufacturers' pack sizes.
|
|
Y
|
|
|
|
Domperidone
|
Supply as a full course to appropriately treat the presenting condition (see also metoclopramide).
|
|
Y
|
|
|
|
Glycerol Suppositories
|
Included for immediate symptom relief (may be suitable for use by other healthcare professionals).
|
|
|
|
Y
|
|
Anti-Spasmodic Agent
|
Supply as a full course to appropriately treat the presenting condition.
|
|
Y
|
|
|
|
Loperamide
|
Supply as a full course to appropriately treat the presenting condition.
|
|
Y
|
|
|
|
Metoclopramide
|
Included as there is no parenteral formulation of domperidone
|
|
|
Y
|
|
|
Oral Rehydration Sachets
|
Supply as a full course to appropriately treat the presenting condition.
|
Y
|
|
|
|
|
Phosphate Enema
|
Included for immediate symptom relief (may be suitable for use by other healthcare professionals).
|
|
|
|
Y
|
|
Prochlorperazine
|
Oral formulations to be supplied as a full course to appropriately treat the presenting condition.
|
|
Y
|
Y
|
Y
|
|
|
PSYCHIATRIC EMERGENCIES/CNS
|
|
|
|
|
|
Diazepam
|
Supply as a full course to appropriately treat the presenting condition. Course length to be decided locally taking into account local policies and guidelines. Small quantities may be more appropriate. An appropriate rectal formulation to be included.
|
Y
|
Y
|
Y
|
Y
|
|
Haloperidol
|
Supply as a full course to appropriately treat the presenting condition. May also be used for treatment of severe nausea and vomiting.
|
|
Y
|
Y
|
|
|
Procyclidine
|
Supply as a full course to appropriately treat the presenting condition.
|
|
Y
|
Y
|
|
|
OBSTETRIC AND GYNAECOLOGY
|
|
Levonorgestrel 1500
|
Full course to be supplied - included as current evidence suggests early treatment is appropriate.
|
|
Y
|
|
|
|
Syntometrine Injection
|
Rarely used but essential to have available for intra or post partum obstetric emergencies. Special storage arrangements may be necessary.
|
|
|
Y
|
|
|
PALLIATIVE CARE DRUGS
|
|
Diamorphine
|
|
|
|
Y
|
|
|
Cyclizine
|
It is expected that these drugs would be part of a special tamper proof palliative care pack that would be locally available. Local discussions will be necessary to determine appropriate access. The quantities supplied should be enough to allow appropriate symptom relief until formal review by palliative care team or General Practitioner.
|
|
|
Y
|
|
|
Dexamethasone
|
|
Y
|
|
|
|
Hyoscine Butylbromide
|
|
|
Y
|
|
|
Ketorolac/Diclofenac
|
|
|
Y
|
|
|
Methotrimeprazine/Levomepromazine
|
|
|
Y
|
|
|
Midazolam
|
|
|
Y
|
|
|
LOCAL ANTIBIOTIC CHOICE
|
|
Following local discussion, antibiotics should be made available to appropriately treat the conditions listed below.
Choice of preparation(s) should take into account local resistance patterns.
|
|
Cellulitis and other skin infections
|
Supply as a full course to appropriately treat the presenting condition. Choice of preparation(s) should be made after local discussion taking into account local resistance patterns.
|
Y
|
Y
|
|
|
|
Respiratory infections
|
Y
|
Y
|
|
|
|
Upper respiratory tract infections
|
Y
|
Y
|
|
|
|
Urinary tract infections
|
Y
|
Y
|
|
|
|
INFECTION
|
|
Bacterial conjunctivitis
|
Supply as a full course to appropriately treat the presenting condition. Choice of preparation(s) should be made after local discussion taking into account local resistance patterns.
|
|
|
|
Y
|
|
Candidiasis (Topical)
|
Included for immediate symptom relief.
|
|
|
|
Y
|
|
Herpes Zoster
|
Supply as a full course to appropriately treat the presenting condition. Choice of preparation to be decided locally. Included as current evidence suggest early treatment is appropriate.
|
|
Y
|
|
|
|
Benzylpenicillin
|
For immediate treatment of meningococcal meningitis or septicaemia. Patients with suspected meningitis should be transferred to hospital urgently.
|
|
|
Y
|
|
|
MISCELLANEOUS
|
|
Sodium chloride for injection/ infusion
|
Also to include IV giving set and canula
|
|
|
Y
|
|
|
Water for injection
|
For dissolving injectable drugs.
|
|
|
Y
|
|
|
Blood glucose testing sticks
|
Use where diagnosis cannot safely wait e.g. to identify patients who have urgent treatment needs or who should be admitted to hospital.
|
|
|
|
Y
|
|
Urine testing sticks
|
Use where diagnosis cannot safely wait e.g. to identify patients who have urgent treatment needs or who should be admitted to hospital.
|
|
|
|
Y
|
|
DRUGS WHERE SPECIAL ARRANGEMENTS MAY BE APPROPRIATE
|
|
Oxygen
|
It may be appropriate for some organisations to keep a supply of oxygen. Alternatively, local discussion and specific arrangements will need to be made for the delivery of oxygen.
|
|
|
|
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