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Milton Keynes Formulary
Milton Keynes University Hospital NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes Clinical Commissioning Group
Milton Keynes Community Health Services
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 Formulary Chapter 3: Respiratory system - Full Chapter
Notes:

Local Respiratory Guidelines & Resources for use in MK:

 

Patient Counselling Resource:

www.rightbreathe.com

  • RightBreathe is a useful website and application about inhaler devices launched in February 2017. It has significant MI input and collaboration between multidisciplinary healthcare professionals.
  • RightBreathe covers each and every inhaler and spacer device licensed in the UK for treating asthma and COPD. It presents specific, tailored information on each option in a standardised format and with assured quality.
  • RightBreathe enables clinicians and patients to search and filter the options to suit individual circumstances and patients’ needs.
Chapter Links...
 Details...
03.01.05  Expand sub section  Peak flow meters, inhaler devices and nebulisers
Aerobika (Device)
(Oscillating positive pressure therapy system)
Formulary
Red

Single patient use medical device.

For airway clearance for patients who produce and retain or cannot easily clear sputum.

Note:

  • This should be initiated and supplied by Specialist Respiratory Physiotherapists only.
  • Not to be prescribed by the GP, however the GP may be asked to refer patients to the Respiratory Physiotherapists to review the patients using the device or to replace lost, damaged or worn out devices.
 
   
Flutter (Device)
Formulary
Red Red

This device has been replaced by the Aerobika® device (oscillating positive expiratory pressure system).

 
   
03.01.05  Expand sub section  Peak flow meters
Standard range peak flow meter (Mini-Wright)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Peak flow meters

  • Mini-Wright® Standard, EU range (60-800 litres/minute)
  • Mini-Wright® Low range, EU range (30-400 litres/minute)

Notes:

  • Mini-Wright® meters are recommended as they have an in-built non-return valve.
  • Peak flow charts are a useful way of diagnosing and monitoring asthma. They should also be used in cases of suspected occupational asthma.
  • All suspected cases of occupational asthma should be referred to the chest clinic for detailed peak flow monitoring.
 
   
03.01.05  Expand sub section  Drug delivery devices
AeroChamber Plus Flow-Vu Anti-Static
Formulary
Green

1. AeroChamber Plus® Flow-Vu® with small mask for infants (0-18 months) [Orange]
2. AeroChamber Plus® Flow-Vu® with medium mask for children (1-5 years) [Yellow]
3. AeroChamber Plus® Flow-Vu® with youth mouthpiece (5+ years) [Mint Green]
4. AeroChamber Plus® Flow-Vu® Adult mouthpiece [Blue]
5. AeroChamber Plus® Flow-Vu® adult with small mask [Purple]
6. AeroChamber Plus® Flow-Vu® adult with large mask [Blue]

Notes:

One size mask doesn’t fit all – there are now multiple mask sizes to fit patients of different ages (e.g. a small and large adult mask, etc)

 

Spacer device compatible MDI masks available

Volumatic Clenil Modulite, Ventolin, Flixotide, Serevent, Seretide Paediatric

Aerochanber Plus Flow-Vu - All pressurised metered dose inhalers - Infant, child and adult

 
Spacer device Compatible MDI Masks available
AeroChamber Plus® Flow-Vu® All pressurised metered dose inhalers Infant, child and
Adult
Volumatic Clenil Modulite, Ventolin, Flixotide, Serevent, Seretide Paediatric

 

 
   
Volumatic
View adult BNF View SPC online View childrens BNF
Formulary

Adult

Paediatric with mask

Note:

Wash spacers weekly, do NOT wipe dry.
Replace every six to 12 months.

Spacer device compatible MDI masks available

Volumatic Clenil Modulite, Ventolin, Flixotide, Serevent, Seretide Paediatric

Aerochanber Plus Flow-Vu - All pressurised metered dose inhalers - Infant, child and adult

 
   
03.01.05  Expand sub section  Nebulisers
03.01.05  Expand sub section  Nebuliser Diluent to top
 ....
 Non Formulary Items
AeroChamber Plus

View adult BNF View SPC online View childrens BNF
Non Formulary
 
AeroTrach Plus

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drug Delivery Device  (Able Spacer®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drug Delivery Device  (Babyhaler)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drug Delivery Device  (E-Z Spacer®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drug Delivery Device  (E-Z Spacer®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drug Delivery Device  (Nebuchamber)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drug Delivery Device  (Nebuhaler)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drug Delivery Device  (PARI Vortex® Spacer)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drug Delivery Device  (Pocket Chamber®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drug Delivery Device  (Spinhaler®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flo-Tone MDI

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Low range peak flow meter  (Mini-Wright)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Low range peak flow meter  (Pocketpeak)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Standard range peak flow meter  (MicroPeak)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Standard range peak flow meter  (Piko-1)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Standard range peak flow meter  (Pocketpeak)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Standard range peak flow meter  (Vitalograph)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Routine prescribing within licensed indication  

Amber 1

Specialist recommendation followed by GP initiation and continuation  

Amber 2

Specialist or GP initiation in line with local guideline after 1st line failure followed by GP continuation   

Amber 3

Specialist initiation and stabilisation followed by GP continuation  

Amber SCG

Specialist initiation and stabilisation followed by GP continuation in line with an agreed shared care guideline  

Red

Hospital or specialist prescribing only  

Red Red

These medicines have been evaluated and rejected by MKPAG and are NOT approved for use within MK. They are not recommended for use because of lack of clinical effectiveness, cost effectiveness or safety.  

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