Section

Topic

Description

Gastroenterology

Acute Pancreatitis

• Investigations - The information for lipids was revised.

Section

Topic

Description

Cardiology

Infective Endocarditis Prophylaxis

• Updated the link to the Heart Foundation guideline.

Endocrinology / Diabetes / Metabolic Disorders

Hypertriglyceridaemia

• Added a link to Acute Pancreatitis.

Gastroenterology

Acute Pancreatitis

• Added guidance for managing triglycerides over 15 mmol/L.

Haematology and Stroke

Patients on Oral Anticoagulants Undergoing Surgery, Anticoagulant Overdosage, Acute Management of Intracerebral Haemorrhage

• Clarified how to access Prothrombinex-VF
• Specified the dosage of Vitamin K as 5 mg

For patients on warfarin who:

• are undergoing emergency surgery, or
• have clinically significant bleeding where warfarin-induced coagulopathy is considered a contributing factor, or
• have suspected intracerebral haemorrhage

Poisoning/Drug Overdose

Paracetamol Toxicity Treatment Nomogram

• Added a note about calculating the N-acetylcysteine dose based on the patient's actual weight, capped at 110 kg. This is based on the 2015 update to the MJA paracetamol poisoning guideline.

Respiratory

Management of COPD

• Updated antimicrobial advice.

Oxygen Therapy

• Moved comment about oxygen being a drug to top of page.

Section

Topic

Description

Older Persons Health Specialist Service

Management of the Confused Elderly Patient

• We've added a statement about appropriate consent in impaired patients, and a link to the full OPHSS Guidelines for Applying Coercive Treatments.

Psychiatry

Management of Delirium

Section

Topic

Description

Pain Management

Severe Acute Pain

• Updated this section in line with the new dosing guide/lanyard for acute pain.

Section

Topic

Description

General

Home Page

Updated the frequently used links to reflect usage data.

Links to CDHB resources

• Updated.

Haematology and Stroke

Patients on Oral Anticoagulants Undergoing Surgery, Anticoagulant Overdosage, Acute Management of Intracerebral Haemorrhage

• Clarified how to access Prothrombinex-VF
• Specified the dosage of Vitamin K as 10 mg

For patients on warfarin who:

• are undergoing emergency surgery, or
• have clinically significant bleeding where warfarin-induced coagulopathy is considered a contributing factor, or
• have suspected intracerebral haemorrhage

Clinical Procedures

Central Venous and PICC Lines

Added link to CVAD Resources.

Treatment of VTE (DVT/PE)

LMWH monitoring

Anti-Xa levels should be taken 4 hours after LMWH (not 3 hours as stated before).

Acute Pyelonephritis

Management

Dose of ciprofloxacin increased to 500 mg BD.

Hospital Acquired Pneumonia

Management

Removed reference to clarithromycin.

Notifiable Diseases (New Zealand)

Notifiable Diseases

Added link to notification form.