Connect with us


Lucozade is no longer as effective at treating hypoglycemia

James M



Due to changes in its recipe and a significant reduction in glucose, Lucozade will not be as effective as a treatment for hypoglycemic patients.

Subscribe to the NursingNotes 'Handover' - our weekly nursing newsletter.

Recipe changes to Lucozade Original Energy product line mean it will no longer be as effective at treating hypoglycemic patients – this is due to a 50% reduction in glucose based carbohydrates. Healthcare Professionals should seek guidance from their local specialist team on alternative treatment protocols.

This change applies to all Lucozade Energy Flavours. New products started appearing on shelves in April 2017. However, for a short time, both the new and old recipe will be available.

Previously, 100ml of Lucozade Original contained 17g of carbohydrate; this was reduced to 8.9g in April 2017.

According to, patients who experience a hypoglycemic episode are advised to consume 15-20g of sugar when treating low blood sugar, but this will no longer be equivalent to 100ml of Lucozade.

Lucozade Ribena Suntory, which also makes Ribena and Orangina, among other drinks, is lowering its sugar content by replacing these sugars with low-calorie sweeteners, such as aspartame.

You can also visit for more information on Lucozade’s changing nutritional values or speak to your local diabetes specialist team.

Continue Reading
Click to comment

Leave a Reply


Shift Planner for Nurses, Students & Support Staff

Matt B




Shift planning is essential for safe care, some people using a piece of paper others have their thoughts well arranged in their head, either way everybody does it.

Subscribe to the NursingNotes 'Handover' - our weekly nursing newsletter.

This shift planner has been designed with newly qualified nurses and student nurses in mind but would be suitable for anybody to use.

You can download our Shift Planner for FREE. You are free to download, print and distribute our shift planner as you wish. You will need a PDF reader on your PC to download. 

The planner has been created with two primary columns, one for your main nursing priorities and one to remind you to hand over jobs to the next shift. It also features a small key and area for general notes. Due to limited space we have only included enough room to plan up to eight patients, if you need more we encourage you print doublesided.

We encourage you to make comments or suggestions in the comments section below. The most popular will be implemented in a version 2.

Continue Reading


Top 100 Most-Prescribed Medications in UK Hospitals

We take a look at the 100 most-prescribed medication in hospitals around the UK.

Matt B




We take a look at the 100 most-prescribed medications in hospitals around the UK.

Subscribe to the NursingNotes 'Handover' - our weekly nursing newsletter.

We have created a list of the most popular prescribed medications in UK hospitals. This list if by no means definitive or exhaustive and is designed as a learning tool only. The information has been taken from various sources including the NHSBS audit of prescribed medications. 

You can download a copy of this list in PDF or DOC format. 

Some items may appear in more than one category as they have primary and secondary usages i.e. Amitriptyline is an antidepressant but is also used as analgesia for chronic pain.


Analgesics or painkillers are drugs that help relieve pain and usually fall into one of several categories; opioids, nonopioids, non-steroidal anti-inflammatory (NSAID) and ‘other’.

  • Paracetamol.
  • Ibuprofen.
  • Co-codamol (paracetamol and codeine mix)
  • Codeine.
  • Tramadol.
  • Morphine.
  • Diclofenac.
  • Asprin.
  • Naproxen.
  • Dihydrocodeine.
  • Oxycodone.
  • Nefopam.
  • Gabapentin.
  • Fentanyl.
  • Ketamine.

Long and short acting variants such as Zomorph, Oxycontin and MST should also be considered.


Antiarrhythmics are used to suppress abnormal rhythms of the heart (cardiac arrhythmias), such as atrial fibrillation, atrial flutter, ventricular tachycardia, and ventricular fibrillation.

  • Bisoprolol.
  • Atenolol.
  • Digoxin.
  • Amiodarone.
  • Adenosine.
  • Diltiazem.


Antibiotics are used to help the body fight infection and these are usually administered orally or intravenously (IV). They usually fall into one of several categories; penicillins, cephalosporins, aminoglycosides, tetracyclines, macrolides and fluoroquinolones.

  • Amoxicillin.
  • Flucloxacillin.
  • Meropenem.
  • Vancomycin.
  • Gentamycin.
  • Clarithromycin.
  • Co-amoxiclav.
  • Doxycycline.
  • Ceftazidime.
  • Piperacillin / Tazobactam (tazocin).
  • Ciprofloxacin.
  • Levofloxacin.
  • Cephalexin.
  • Cefuroxime.
  • Clindamycin.
  • Trimethoprim.
  • Nitrofurantoin.


Anticoagulants, commonly referred to as blood thinners, are chemical substances that prevent or reduce coagulation of blood, prolonging the clotting time.

  • Warfarin.
  • Rivaroxaban.
  • Apixaban.
  • Enoxaparin.
  • Funderparinex.
  • Heparin.


Anticonvulsants are a diverse group of pharmacological agents used in the treatment of both epileptic and non-epileptic seizures.

  • Sodium valproate (Epilim).
  • Phenytoin.
  • Levetiracetam (Keppra).
  • Gabapentin.
  • Clonazepam
  • Diazapam.
  • Lorazepam.
  • Carbamazepine.


Antidepressants are drugs used for the treatment of depressive disorders and usually fall into one of the following categories; selective serotonin reuptake inhibitors (SSRIs), serotonin-noradrenaline reuptake inhibitors (SNRIs), noradrenaline and specific serotonergic antidepressants (NASSAs) and tricyclic antidepressants (TCAs).

  • Citalopram.
  • Fluoxetine.
  • Amitriptyline.
  • Sertraline.
  • Venlafaxine.
  • Mirtazapine.
  • Trazodone.


Antiemetics are drugs used to treat vomiting and nausea and are typically used to treat motion sickness and the side effects of opioid analgesics, general anaesthetics and chemotherapy directed against cancer.

  • Cyclizine.
  • Ondansetron.
  • Metoclopramide.
  • Prochlorperazine.
  • Levomepromazine.


Antihypertensives are used to treat hypertension and usually fall into one of several categories; angiotensin converting enzyme (ACE) inhibitors, calcium channel blockers (CCBs), angiotensin receptor blockers (ARBs) and beta-blockers. You should also see Diuretics. 

  • Ramipril.
  • Doxazosin.
  • Candesartan.
  • Losartan.
  • Lisinopril.
  • Atenolol.
  • Bisoprolol.
  • Amlodipine.
  • Diltiazem.
  • Nifedipine.


Antihyperglycemics are used in the treatments of raised blood sugars, typically in diabetic patients.

  • Metformin.
  • Insulin.
  • Gliclazide.


Bronchodilators are used to help make breathing easier by relaxing the muscles in the lungs and widening of the bronchi.

  • Salbutamol.
  • Ipratropium.
  • Tiotropium.
  • Theophylline.


Diuretics are drugs that increased the production of urine these usually fall into one of several categories; loop diuretics, potassium-sparing diuretics and thiazides.

  • Furosemide.
  • Bumetanide.
  • Spironolactone.
  • Bendroflumethiazide.
  • Indapamide.
  • Amiloride.

Intravenous Fluids

Intravenous Fluids are infusion fluids and usually fall into one of two categories; colloid and crystalloid and can include supplements such as potassium and magnesium.

  • Normal Saline.
  • Plasmalyte.
  • Hartmann’s solution.
  • Geloplasma / Plasmalyte.
  • Glucose.


Sedatives are a group of medications that are using for a calming effect. They can be used to promote sleep, ease withdrawal symptoms or reduce agitation and irritability.

  • Zopiclone.
  • Haloperidol.
  • Lorazepam.
  • Midazolam.
  • Diazepam.
  • Chlordiazepoxide.
  • Temazepam.
  • Phenobarbitol.


Statins or lipid-lowering medications are a group of medications that have been found to lower the level of low-density lipoprotein (LDL) cholesterol in the blood. Usually, they are prescribed to help reduce the risk of; stroke, coronary heart disease, heart attacks and angina.

  • Simvastatin.
  • Atorvastatin.
  • Pravastatin.


Supplements are medications that generally include hormones, vitamins, minerals, fibre, fatty acids or amino acids and other substances.

  • Levothyroxine
  • Adcal / Calcichew.
  • Ferrous Fumarate.
  • Ferrous Sulphate.
  • Multivitamins.
  • Thiamine.
  • Cholecalciferol.
  • Quinine.
  • Folic Acid.
  • Sandoz-K
  • Sandoz-Phosphate
  • Slow sodium.
  • Alendronic Acid.


Laxatives are used to treat either acute or chronic constipation and usually fall into one of the following categories; bulk-forming, osmotic, stimulant or stool softening.

  • Lactulose.
  • Senna.
  • Movicol.
  • Sodium Docusate.
  • Bisacodyl.
  • Phosphate Enema.
  • Microlax Enema.
  • Glycerine Suppositories.

Proton Pump Inhibitors

Proton Pump Inhibitors (PPIs) are a group of drugs whose main action is the reduction in gastric acid production.

  • Omeprazole.
  • Lansoprazole.
  • Esomeprazole.
  • Ranitidine (H2-receptor-blocker).
  • Peptac. 
Continue Reading