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As a team, they use Scottish Intercollegiate Guidelines Network (SIGN) guidelines for antibiotic therapy. Members of the team are also responsible for drug monitoring for adverse effects and drugdrug interactions and, if necessary, referral of patients for liver and renal blood tests.
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When a nerve impulse arrives at a synapse, chemical substances are released. These are neurotransmitters, which are stored in pre-synaptic vesicles.
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As a result of xanthine oxidase inhibition less uric acid is produced. Intermediate metabolites xanthine and hypoxanthine are produced in larger amounts, but these are freely water soluble and eliminated by the kidneys.
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Amiodarone is effective in both atrial and ventricular arrhythmias. Adverse effects include photosensitivity and skin reactions and the rare but more serious risk of pulmonary fibrosis.
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A new system of reporting adverse reactions, the National Reporting and Learning System has recently been set up by the National Patient Safety Agency.
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