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The Act exempts various activities of professionals, thus allowing doctors to prescribe and pharmacists to dispense. The law says who can and cannot prescribe medicines. It also allows local arrangements to be developed so medicines can be administered to certain types of patients in certain circumstances, for example PSDs and PGDs. Podiatrists and some other health care professionals are specifically mentioned in the Act as being exempt from some of its provisions. For example paramedics can administer certain named drugs in emergency situations.
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Neither can the use of a PGD be delegated by a radiographer. As a consequence of this, until recently, each adjunct medicine would have been approved by an independent prescriber on a patient-specific basis or the doctor themselves would have administered it.
- Use of antibiotics is covered in more detail in Chapter Asthma is a disease characterized by chronic inflammation and hypersensitivity of the bronchioles leading to obstruction of the airways.
- Other routes of topical administration include application of drugs to the conjunctiva of the eye, the external ear, the vagina and the urethra, usually to treat local infection.
- Treatment of both conditions is by replacement of the missing factor.
- An episode of gout can be triggered by excessive alcohol consumption, a diet high in purines, surgery, sudden severe illness, injury to a joint, use of diuretics or chemotherapy.
- Amphotericin has to be given intravenously and is toxic to the kidneys; itraconazole is given orally or by intravenous infusion and can produce liver toxicity and heart failure; voriconazole is given orally or by intravenous infusion and can be toxic to both liver and kidneys.
- Sodium ion channels can be in three different states open, closed or inactive.
Westbrook, K. and Hodgetts, A.
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Treatment of thromboembolic disease is with anticoagulants and platelet inhibitors to prevent the formation of thrombi and with fibrinolytic drugs to break down thrombi that have already formed. These are used prophylactically postoperatively and in people who have already had a thrombotic episode.
Uk National Prescribing Centre. www. scpod. org The Society of Chiropodists and Podiatrists. The following account illustrates the work of a health care professional using supplementary prescribing in the community.
Because of the anti-inflammatory effects they are known as non-steroidal anti-inflammatory drugs, or NSAIDs ( Figure NSAIDs exert their effects by inhibition of the enzyme cyclo-oxygenase. This results in reduced production of prostaglandins and thromboxanes because COX normally catalyses their formation from arachidonic acid. Prostaglandins play a role in pain by sensitising sensory nerve endings to the effects of other mediators such as bradykinin. Thromboxanes promote platelet aggregation. There are many different drugs of this type, none of which is a more potent analgesic than aspirin. Some of them, however, have a more potent anti-inflammatory action.
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It can be used topically and orally to treat skin and nail infections.
25.08.2017
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All of the drugs in use activate plasminogen resulting in the production of the active enzyme plasmin.
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As with any body system, there is the possibility of disease and malfunction: glands can secrete too much of their hormones; cells in tissues can have altered sensitivity to hormones; feedback control systems can break down. In these cases, hormones or their synthetic analogues are used as drugs.
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