We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.
To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
To provide a consistent and safe approach to the pharmaceutical post-operative management of patients following hypospadias repair.
Applies to all patients following hypospadias repair within The Royal Hospital for Children Glasgow.
Roles and Responsibilities
All health care professionals providing medicines for the postoperative management of patients following hypospadias repair.
Duration of treatment is for the duration the stent remains in place. This is usually 7 days although may be ten days depending on the day surgery falls upon.
If stent is suprapubic duration of treatment may be extended as per surgical consultants instruction.
Antimicrobial prophylaxis is recommended in all patients with a stent. Co-amoxiclav is a broad spectrum antibiotic that will cover the patient from several organisms.
Co-amoxiclav (Augmentin) 125/31 suspension
|
Age |
Dose |
Frequency |
|
1 month – 1 year |
0.25mL/kg (125/31 suspension) |
Once daily at night |
|
1 – 5 years |
5mL of 125/31 suspension |
Once daily at night |
Co-amoxiclav (Augmentin) 250/62 suspension
|
Age |
Dose |
Frequency |
|
>5 years |
5ml of 250/62 suspension |
Once daily at night |
Trimethoprim
If the patient has a history of UTI’s, is at a higher risk of UTIs or is allergic to penicillin, prophylactic Trimethoprim may be prescribed where appropriate. Dose for all ages is 1-2mg/kg at night.
Oxybutynin 2.5mg/5ml elixir
The prescriber must check the patient’s weight is appropriate for age before prescribing.
|
Weight |
Dose |
|
<10kg |
0.2mg/kg |
|
10 – 14kg |
2mg three times daily |
|
15 – 25kg |
2.5mg three times daily |
|
>25kg |
5mg three times daily |
Paracetamol 120mg/5mL suspension
For first 48 hours paracetamol should be given regularly, after which time ‘when required’ paracetamol should be prescribed.
Refer to current BNFc for age based dosing of paracetamol
Ibuprofen 100mg/5mL suspension
If appropriate and required, prescribe ‘when required’ for all patients.
Refer to current BNFC for age based dosing of ibuprofen
Lactulose solution
If patient has history a of constipation or is suffering with symptoms of constipation lactulose should be prescribed when required.
|
Age |
Dose |
|
<1 year |
2.5mL twice daily |
|
1 - 5 years |
5mL twice daily |
|
5 - 10 years |
10mL twice daily |
Adjust dose according to response.
Staged repairs may also require the use of Normal Saline 0.9% for twice daily flushing of the catheter. Prescribe if appropriate for patient.
Duration of treatment 5 - 7 days.
Unless surgery is extensive antimicrobial prophylaxis is not recommended. If surgery is thought to be extensive and patient at a high risk of infection, Co-amoxiclav should be prescribed as above in section 1.1.
Without the use of a catheter oxybutynin is not required.
Paracetamol and Ibuprofen should be prescribed if required as above in section 1.3.
If required lactulose should be prescribed as above in section 1.
