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Read the guidance on the prevention and emergency management of adult patients with adrenal insufficiency that accompanies the nhs steroid emergency card Below are examples of emis ardens templates where steroid treatment card and emergency cards are embedded however please note emergency card is yet to be incorporated in all of them. This card and its associated guidance is intended for use by adults (16+)
Each item listed below gives the drugs and doses which require a steroid emergency alert card to be issued If you're taking prednisolone for longer than 3 weeks, or you've been prescribed a high dose of more than 40mg daily, your doctor or pharmacist will give you a blue steroid treatment card. Decisions to issue cards should be made for each patient individually and specialists may suggest an alternate course of action.
Patients on oral corticosteroids for periods of more than three weeks should receive a steroid treatment card at the outset of treatment
If receiving more than four short oral courses per year, a card may be issued at the discretion of the prescriber or pharmacist. When should steroid treatment cards be issued The tables below provide some detail on the routes, doses and durations of steroid therapy which place individuals at risk of ai and which should prompt the issue of a steroid emergency card. A steroid treatment card (blue/white card), shown in figure 1 below
This is a card containing general advice for patients receiving steroids and also has a place to record the current steroid treatment regimes. When dispensing systemic corticosteroids, check that the patient has a card and that the prescription information recorded on the card is up to date A new/replacement card should be issued at the point of dispensing, if required.
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