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References Bolam v Friern Hospital Management Committee All England Law Reports Bolitho v City and Hackney Health Authority All England Law Reports Burke, L.

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Intravenous anaesthetics can be used for short surgical procedures of Their elimination from the body is too slow to allow rapid control of the depth of anaesthesia needed for long procedures. They are most often used for induction because, even the fastest acting inhalation anaesthetics take a few minutes to act and cause excitement before anaesthesia is produced, which would be unpleasant for the patient. It also means that the amount of inhalation anaesthetic can be reduced. Thiopental is a barbiturate, which is highly soluble in lipid, with a rapid onset and shorter duration of action than many other barbiturates. Its mode of action is by enhancement of inhibitory actions of GABA in the brain.

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This chapter describes some disorders of the central nervous system and the drugs used to treat these conditions. It is an overview of a few disorders of the CNS, rather than an attempt to cover them all comprehensively.

  • The clear advantages of such a scheme are that patients benefit from treatment at the point of access, can have the treatment immediately and can be given a prescription without the need to refer back to their GP.
  • PAdverse joints of etoposide are nausea and vomiting, stroke loss and bone marrow depression.

Plant derived drugs work in various ways. Vinca alkaloids inhibit formation of microtubules so that cell division is halted because the spindle cannot form.

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Considerable amounts of drug may be stored in certain tissues, particularly fat and muscle.

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Psychiatric disorders include types of depression, schizophrenia, anxiety and insomnia and attention deficit hyperactivity disorder. Neurological disorders include epilepsy and Parkinsons disease, dementia and Alzheimers disease.

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The reticular activating system is a network of neural pathways extending from the brain stem to the thalamus and other parts of the limbic system. It plays a role in controlling arousal and awareness.

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Non-medical prescribing is the term applied to prescribing by members of the health care professions who are not medically qualified. Prior to allowed to prescribe medicinal products in the United Kingdom were doctors, dentists and veterinary practitioners.

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This needs to be explored further. Although the context of practice may change and improve, it is likely that most radiotherapy services will continue to be organized in such a way that the patients needs will be partly met through the use of PGDs and partly through supplementary prescribing.

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