BNSSG Adult Joint Formulary
3. Respiratory System
|First line drugs||Second line drugs||Specialist drugs||Secondary care drugs|
|Recommended in both primary and secondary care||Alternatives (often in specific conditions) in both primary and secondary care||Where a specialist input is needed (see introduction for definition)||Prescribing principally within secondary care only|
Respiratory System Information
- Refer to the British Guidelines on the Management of Asthma
- Refer to NICE Clinical Guideline 101 - Chronic obstructive pulmonary disease: Management of chronic obstructive pulmonary disease in adults in primary and secondary care
- Refer to the BNSSG Adult Asthma Guidelines and COPD Guidelines.
- The Home Oxygen supplier for the South West Region is Air Liquide. Home oxygen should be ordered using the Home Oxygen Order Form (HOOF) which is accessed via the web base portal.
- Prescribers will be required to complete the Initial Home Oxygen Risk Mitigation (IHORM) and consent form and store in the patient’s records.
- The Part A portal allows non specialist staff to order static equipment (concentrators and static cylinders) and will ask you to confirm that the patient has a signed consent form and that you have completed a risk assessment. These forms can be found on the access Part A HOOF portal click here (and for the 2020 HOOF Part A update click here)
- The Part B portal is restricted to respiratory nurses and specialist teams.
- If a patient requires ambulatory oxygen or a change in their ambulatory prescription, they will need to be referred to the local respiratory team. The Air Liquide HCP support team can be contacted on 0808 202 2099.
- NHS Guidelines for patients on home oxygen who are known to smoke can be found here
- 3.1 Airways disease, obstructive
- 3.2 Allergic conditions
- 3.3 Conditions affecting sputum viscosity
- 3.4 Cough and congestion
- 3.5 Idiopathic pulmonary fibrosis
- 3.6 Respiratory depression, respiratory distress syndrome and apnoea