The Doctors Bag

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The Doctors Bag

• Summer Al-Rawi

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Objectives

• Why do I need a Doctors bag?
• What essential equipment should I be carrying?
• What other equipment could I carry?
• What are the essential drugs to carry?
• What other drugs may I wish to consider?
• Where could I buy my Doctors bag?

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Why do I need a Doctors bag?

• An essential supply of tools for the trade!
• Visits
• Emergency drugs
• Cardiac Arrest /ACS
• Anaphylaxis
• ?Meningitis
• Heart Failure
• Convulsions/Hypoglycaemia
• Pain

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What essential equipment should I be carrying?

• Stethoscope
• BP cuff
• Prescription Pad
• Thermometer
• Drugs and BNF
• BM meter

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What other equipment could I carry?

• Gloves (daily use)
• Peak Flow meter
• Auriscope and ophthalmoscope

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What other equipment could I carry?

• Urine dip sticks
• Various helpful charts

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What other equipment could I carry?

• ?Sharps bin
• Headed note paper

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What are the essential drugs to carry?

• Divided into 6 main categories
• Anaphylaxis/allergy/respiratory
• Cardiac
• Pain and vomiting
• Hypoglycaemia
• Convulsions/Psychiatric emergencies
• Infection

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Anaphylaxis/allergy/respiratory

• Adrenaline 11000 IM
• Hydrocortisone
• Chlorpheniramine IV and PO
• Salbutamol inh ?spacer
• Prednisolonbe
• Cetirizine

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Cardiac

• Atropine
• Adrenaline 110000
• Aspirin
• GTN
• Furosemide IV and PO
• Sodium Chloride for flush

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Pain and vomiting

• Paracetamol PO and Calpol
• Codeine Phosphate
• Diclofenac PO/Suppositories/ injection
• ?Morphine
• Cyclizine
• Buccastem

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Hypoglycaemia

• Glucose hypostop gel x2
• Glucagon 1mg for injection

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Convulsions/Psychiatric emergencies

• Diazepam as diazemuls
• Diazepam PR and PO
• Haloperidol inj
• Chlopromazine
• Temazepam PO
• Lorazepam PO

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Infection

• Erythromycin
• Flucloxacillin
• Amoxicillin
• Trimethoprim
• Ciprofloxacin
• Metronidazole
• Benzylpen and Cefotaxime
• WFI

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What other drugs may I wish to consider?

• Depends on your particular practice setting eg
  antibiotics
• Naloxone (Sudbury)
• Lots of emergency drugs esp. anaphylaxis
• No CDs (practice decision), pick up as needed
• Particular patients or situations, think before
  you set off!

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Where could I buy my Doctors bag?

• Think about what type of bag you need? Be
  practical!
• What size is best for you
• How will you organise your bag?
• Look around, enquire at your surgery. Could buy
  directly from supplier at wholesale price VAT

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Summary

• A few essential items will take time to collect
• Experience will select the essential others you
  need
• It will never be always enough so think before
  you leave for a visit

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Questions?