Bronchiolitis: when to reassure and monitor, and when to refer

Bronchiolitis is a lower respiratory tract infection, most often caused by Respiratory Syncytial Virus (RSV). In severe illness it is associated with increased respiratory effort, difficulty feeding, dehydration and cyanosis.

View article

Managing adults with asthma in primary care: the four-stage consultation

The New Zealand adult asthma guidelines were released by the Asthma and Respiratory Foundation of New Zealand in November, 2016.

Inhaled corticosteroids for adults with asthma

A key decision in asthma management is when to initiate an inhaled corticosteroid (ICS).

Adding a long-acting beta2-agonist (LABA) to asthma treatment for adults

If a patient using an inhaled corticosteroid for asthma has symptoms which are not adequately controlled...

Seasonal influenza vaccination update: 2017

Immunisation against influenza has begun for the 2017 season. Influvac is the sole subsidised influenza vaccine in 2017.

Topical antibiotics for skin infections: should they be prescribed at all?

In New Zealand, there has been an increasing rate of antibacterial resistance in...

Topical antibiotics for skin infections: when are they appropriate?

In the community, many patients have skin and soft tissue infections that are relatively minor...

Coming up...

Still to come in our “Respiratory” theme: bronchiolitis, the role of exercise and pulmonary rehabilitation in COPD, antibiotics for respiratory infections.

Coming soon...

Our next theme is “Cardiovascular”, featuring topics including beta blockers, lipid management, anticoagulants and blood pressure targets

The Editor

You can find information on how to cite our articles under the FAQ tab at the top of the page. Note that this page is a short summary for peer group discussion, the main article can be found here: http://www.bpac.org.nz/BPJ/2014/April/ankle-brachial.aspx

The ankle-brachial pressure index: An under-used tool in primary care?

Rochelle Clarke

Great article however adding how to cite would be a great help? I am currently a student at a PHC clinic where a wound project is underway, RN's & EN's are trained in ABPI tests with dopler readings and management of slow to heal venous ulcers, together with DN's they manage a patient and if healing is taking longer than 6 weeks? Referral is then made to the specialist. The project is in infancy & still determining if clinical outcomes for VLUs are better managed this way.

The ankle-brachial pressure index: An under-used tool in primary care?

Navin Sivalingam

Tis a shame, we do not delve into other cultures and ethnicities

Building cultural competence: the Medical Council's direction

Kate Wilson

Brief and to the point. Was unaware of prescribing guidelines. Thanks

Peer Group Discussion: Identifying and managing young people with mental health problems

Ciaran Edwards

GOLD 17 is now available with updated information such as LABA+LAMA combo preferred to LABA+ICS combo. This is in line with recent Cochrane review. http://goldcopd.org/wp-content/uploads/2016/11/wms-At-A-Glance-2017-FINAL.pdf

Upfront: Tips for prescribing newly-subsidised medicines for patients with COPD

Made with by the bpacnz team