Bpac.org.nz

Type 2 diabetes management toolbox: from lifestyle to insulin

Metformin is recommended as the initial pharmacological approach for patients with type 2 diabetes, as it reduces HbA1c levels, decreases cardiovascular disease risk independent of … See more

Actived: 9 days ago

URL: https://bpac.org.nz/2021/diabetes-management.aspx

H. pylori : who to test and how to treat

WebH. pylori infection increases the risk of gastric-related adverse effects. H. pylori is a gram-negative bacterium that is associated with long-term gastric …

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Managing gout in primary care: Part 1 – bpacnz

WebManaging gout in primary carePart 1 - Talking about gout: time for a re-think. Managing gout in primary care. Gout is a treatable form of arthritis that is associated with …

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Bipolar disorder: Identifying and supporting patients in primary …

WebBipolar disorder first appeared in the medical literature in the 1850s when alternating melancholia and mania were paired in a single condition. 1 For a number of years the diagnosis was termed “manic-depressive disorder”, but this was replaced by bipolar disorder in 1980 when the Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition …

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Liver function tests in primary care

WebThe liver is a vital organ for supporting life. When healthy, the liver mediates a wide range of essential bodily processes, including carbohydrate, protein (amino acid) and lipid …

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Introducing the Health Quality & Safety Commission

WebThe aim of the Health Quality & Safety Commission is to work with clinicians and health managers to support and encourage quality and safety improvements, to identify areas where improvements can take place, and to drive change. The Health Quality & Safety Commission was established in November 2010, with an expectation from the …

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Best Practice Advocacy Centre New Zealand

WebIn general, out-of-office systolic blood pressure readings are 5 – 10 mmHg lower and diastolic measurements 5 mmHg lower than clinic-based measurements. 4. Advise patients performing home-based blood pressure monitoring to: 4. Take measurements after sitting for five minutes. Record two consecutive measurements, one minute apart.

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Weight loss: the options and the evidence

WebRequires calorie restriction to be effective for weight loss. May include high amounts of saturated fats, e.g. coconut oil, and processed foods high in calories, sugar …

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A primary care approach to sodium and potassium imbalance

WebHyperkalaemia is defined as a serum potassium level > 5.3 mmol/L. Severe hyperkalaemia is defined as a serum potassium level ≥ 7.0 mmol/L or ≥ 5.4 mmol/L with any ECG …

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Recognising and managing early dementia

WebRecognising and managing early dementia. Dementia (mate wareware - see below) is a growing healthcare challenge. There are an estimated 70,000 people with …

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Managing gastro-oesophageal reflux disease (GORD) in adults

WebReflux of the contents of the stomach into the oesophagus is a normal physiological event that occurs in many people after eating. When gastric reflux causes a person to have …

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Hypertension : B-QuiCK

WebHypertension management: B-QuiCK Is antihypertensive treatment required? Patients with a blood pressure of ≥ 160/100 mmHg should be initiated on antihypertensive treatment …

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Urinary tract infections (UTIs) – an overview of lower UTI …

WebThe symptoms and signs of an uncomplicated UTI. Uncomplicated lower UTIs can be diagnosed with a high level of confidence in people with a focused history of …

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Stay Independent Falls Prevention Toolkit

WebThe Stay Independent Falls Prevention Toolkit is an aid for Primary Care Teams for the assessment of an individual's risk of falling, including practical strategies to reduce this risk. The toolkit is based on the STEADI falls campaign developed by the United States Centers for Disease Control and Prevention (CDC), and has been adapted for use

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An overview of concussion/mild traumatic brain injury …

WebThe pathophysiology associated with concussion is complex and not fully understood. 7, 8 However, the current international consensus is that concussion occurs as a result of …

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What’s new in cardiovascular disease risk assessment and …

Webintermediate risk. 5–15% 10–20% The benefits and risks of blood-pressure and lipid-lowering medicines should be discussed and initiation of treatment considered, particularly for those with a risk at the higher end of this spectrum. High risk. ≥ 15% ≥ 20% Blood pressure and lipid-lowering medicines are recommended.

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An update on the pharmacological management of stable COPD

WebNew national guidelines for the management of chronic obstructive pulmonary disease (COPD) were published by the Asthma + Respiratory Foundation NZ in …

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Chronic kidney disease: the canary in the coal mine

WebChronic Kidney Disease (CKD) is defined as defects in kidney structure or function, with negative implications for the patient’s health, over a period greater than three months. Damage associated with CKD is generally not reversible, and this condition is associated with a substantial increase in CVD risk.

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Recognising and managing mental health problems in Māori

WebIdentifying mental health problems and providing early intervention for Māori is a key priority. The unique perspective of Māori culture should be acknowledged in order to provide the most effective level of care. Recognising that Māori might perceive and deal with mental health problems in different ways is an important first step.

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