#Bromocriptine (Parlodel)
Used to suppress lactation or manage hyperprolactinemia, not to evacuate the uterus.
#maternity
#abortion #miscarriage

The life cycle of a #virus typically includes the following stages:

Attachment – Virus binds to the host cell surface.

Penetration – Virus or its genetic material enters the host cell.

Uncoating – Viral capsid is removed, releasing the genetic material.

Replication – Viral genome is replicated using host machinery.

Assembly – New viral particles are assembled.

Release – New viruses are released, often destroying the host cell.

#infection control

NHS #anaphylaxis algorithm

✅ Step-by-step priority actions:

Call for help 🆘
Activate emergency response – do this immediately.

Give high-flow oxygen 💨
Usually via a non-rebreather mask at 15 L/min.

Administer intramuscular adrenaline 💉

500 micrograms (0.5 mL of 1:1000) IM into the mid-anterolateral thigh.

Can repeat every 5 minutes if no improvement.

Administer salbutamol nebulisers if wheeze is present and prescribed

5mg via oxygen-driven nebuliser.

Not a first-line treatment, but can relieve bronchospasm.

🏡 #Intermediate Care Facility (ICF)

Purpose:
Support patients who no longer need hospital-level care but aren’t ready to return home.
Focus is on rehabilitation, recovery, and regaining independence.

Key Features:
Staffed mainly by nurses, physiotherapists, occupational therapists, care assistants, and sometimes GPs.
No operating rooms or ICUs.
Caters to patients recovering from illness, surgery, or injury (e.g. stroke rehab, fall recovery).
Patients are medically stable but need help with mobility, self-care, or therapy.
Stay is short to medium term, typically up to 6 weeks in the UK.

Registrants (nurses, midwives, and nursing associates) must only supply and administer #medicines under recognized legal frameworks. The processes that are acceptable include:

✅ Patient Medicines Administration Record (MAR)
Example:
In a care home, a nurse administers paracetamol 500 mg four times a day to Mrs. Smith. The prescription is written by the GP and transcribed onto a MAR chart, which the nurse signs each time the dose is given.

🩺 Used in: Care homes, community nursing, domiciliary care
🧾 MAR chart = legal record of administration.

✅ Patient Group Direction (PGD)
Example:
In a walk-in clinic, a nurse gives a flu vaccine to patients under a PGD authorised by the NHS Trust. The PGD outlines which patients are eligible (e.g., over 65, pregnant women) and what to do if complications occur.

🩺 Used in: Immunisations, emergency contraception, minor ailments
📃 PGD = Legal written instruction for groups of patients.

✅ Medicines Act Exemption
Example:
A midwife administers Vitamin K injection to a newborn without a prescription under a statutory exemption in the Medicines Act 1968.

🩺 Used by: Midwives, paramedics, optometrists (under specific rules)
⚖️ Allows giving certain medicines in specific settings.

In the UK, certain groups of people are exempt from paying for prescription #medications. Here’s a breakdown:

#Exempt from #prescription charges:
معاف
a) Children under 16 – ✅ exempt

c) People receiving income-related benefits (e.g., income support, income-based Jobseeker’s Allowance, income-related Employment and Support Allowance) – ✅ exempt

d) Pensioners over 60 years old – ✅ exempt

b) Women of childbearing age – ❌ NOT automatically exempt

Only pregnant women or those who’ve had a baby in the past 12 months AND have a valid Maternity Exemption Certificate are exempt.

When a #medication #error occurs, the first priority is patient safety, followed by clear communication and documentation. Here's the correct process:

1- Assess the patient for any potential or actual harm caused by the error.
2- Inform the prescriber (to evaluate and provide any corrective treatment if needed).
3- Notify your line manager (as part of the governance and reporting protocol).
4- Document the incident clearly in the patient notes.
5- Follow up with local incident reporting systems, such as DATIX in the NHS.