Asthma for the 21st century

Why has the National Review of Asthma Deaths made little apparent difference to the standard of care of people with asthma? We review the findings and examine latest developments to see if they can help to address the issues NRAD revealed
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British Guideline on the Management of Asthma, 2019 

The new BTS/SIGN Guideline provides a simplified approach to treatment to ensure that all patients with asthma are prescribed an inhaled corticosteroid (ICS) and that treatment for any patient using more than three doses of a short-acting bronchodilator a week is stepped up
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• Australia gripped by flu
• Alarming rise in asthma deaths
• Sign up to activity charter to lead by example
• Cervical screening inaccessible to women with disabilities
• NICE approves first SGLT2 inhibitor for type 1 diabetes
• NHS savings from meeting treatment targets
• Improve CVD risks to reduce dementia risk in later life
• Cold chain breeches cost NHS £6m
• First full cycle of revalidation deemed a success
• STOP PRESS! Have your say about asthma 

NSAIDs prescribing issues

NSAIDs have analgesic, antipyretic and anti-inflammatory properties, but are also associated with a number of side effects that may be serious in vulnerable individuals. Prescribers should be aware of the contraindications, interactions and adverse effects before initiating NSAIDs, and know how to manage their cardiovascular, renal and gastrointestinal risks. 

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On this site you will find:

CURRICULUM - Clinically rich, case-based, self-assessment CPD modules to help you prepare for revalidation. Click on the scrolling icons or select a module from the drop down menu to test your knowledge

ESSENTIALS - back-to-basics, full text articles, by clinical topic from our Primary Care Essentials series

PRESCRIBING NURSE - written for the nurse prescriber or those with an interest in prescribing and the medical management of clinical conditions

ADVANCED PRACTICE - Expert articles providing in depth knowledge of key therapeutic areas

CLINICAL A-Z - Information, definitions, Red Flags, live links to guidelines and relevant Practice Nurse articles

GUIDELINES IN A NUTSHELL - Brief summaries of essential clinical and practice guidelines

• Anyone can read FEATURED ARTICLE, and IN THE NEWS or try the FEATURED CURRICULUM MODULE, below - or use the CLINICAL A-Z
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• Asthma for the 21st century
• Anxiety: assessment and management
• How should we screen for atrial fibrillation in primary care?
• Fitness to Fly
• Continuous glucose monitoring for type 1 diabetes management
• New flu vaccine and potential delays to start of flu campaign

19 Jul 2019

GLP1 receptor agonists – back in the premier division! FSRH Clinical Guideline: Overweight, Obesity and Contraception Getting spirometry right: an innovative approach to training Travel health update What should we be doing for our patients with difficult or severe asthma? Pain in dementia: A multi-modal approach to assessment and management

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12 Jun 2019

In praise of general practice nurses Pancreatic exocrine insufficiency: what you ‘need to know’ Multimorbidity and prescribing Frailty, a long-term condition The UK Immunisation Schedule Finding the evidence to support best practice Accidents abroad – a salutary tale

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15 May 2019

Managing the vaccine fridge Annual reviews in long term conditions Practice in pictures:Eczema Global Initiative for Asthma: Asthma management and prevention, 2019 Travel health update Taking the initiative in asthma care: the 2019 Global Initiative for Asthma guidelines Inducible Laryngeal Obstruction: not all that wheezes is asthma

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17 Apr 2019

The need for awareness of all contraception options Non-alcoholic fatty liver disease: hiding in plain sight Urinary incontinence and pelvic organ prolapse in women Learning disabilities and the role of the practice nurse Travel health update Social media: blurred lines between personal and professional behaviour Group consultations: the why and the how

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