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Only specific professional groups can work within a PGD, including radiographers, paramedics, nurses, podiatrists, physiotherapists, speech therapists and pharmacists. If a non-permitted professional group uses a PGD then they will break the law. The mechanism for creating and approving a PGD is rigorous, requiring formal input from the Trust as a whole (through Trust medicines management processes). The Department of Health provides templates that can be helpful (www. portal.
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PAnticoagulant therapy is also allowed as prophylaxis against further infarctions. Birth may result from inadequate fibrillation, heart block or asystole (see below under arrhythmias).
Authored by Dr. Joseph A. Cabaret, MD
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MAO-A is the enzyme preferentially responsible for degrading serotonin and noradrenaline. Inhibition of this enzyme allows the concentration of these monoamines to increase in the brain, thereby producing an antidepressant effect.
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With the doses and routes of administration used in podiatry, physiotherapy and radiography drugdrug interactions can be expected to be a rare event.
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Adrenaline and noradrenaline are secreted from the adrenal medulla in response to sympathetic stimulation.
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