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Motor neuron disease is also known as amyotrophic lateral sclerosis. It is a condition in which there is loss of spinal motor neurons and neurons of descending motor pathways from pyramidal cells of the cerebral cortex. The disease results in rapidly progressing muscular weakness, muscle atrophy, fasciculations, spasticity, difficulty speaking, difficulty swallowing and difficulty breathing. Usually the disease is progressive and fatal with most patients dying from respiratory failure and pneumonia within two to three years from onset.
Case study A patient has been receiving abdominal radiotherapy for a period of time for the treatment of colon cancer. She has suffered quite serious nausea as a result of the treatment. You have supplied metoclopramide to the patient on a regular basis under PGDs.
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( applies to members of the health care professions. ) General anaesthesia refers to a loss of sensation accompanied by a change or loss of consciousness. The effects of all general anaesthetics should be reversible.
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This leads to reduction in blood flow to the myocardium. Angina pectoris strictly translated is pain in the pectoral region of the chest. Usually this is referred to simply as angina and the typical presentation is that of a crushing pain in the upper left side of the chest which may radiate into the neck or down the left arm. The pain is usually severe and often produces significant distress in the sufferer. This is referred pain that is brought about because of insufficient blood flow to the myocardium.
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Ultraviolet A requires more specialized equipment and prior administration of an oral or topical photosensitizing drug called psoralen, in which case the treatment is known as photochemotherapy. The combination of psoralen with UVA is known as PUVA.
- As with eczema, emollients can have beneficial effects on dry, cracked skin and may also reduce hyperproliferation in mild psoriasis.
- A radiographer could become a supplementary prescriber, and it is highly likely that radiologists would act as the independent prescribers.
- Adverse effects include bone marrow suppression, liver and kidney toxicity and central nervous system damage.
- There are many antihistamines available and they differ in their duration of action, anticholinergic effects and incidence of drowsiness.
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The first drugs to be effectively used against bacterial infections were the sulphonamides introduced in the drugs have been necessary because of the problem of resistance. This is best exemplified by the staphylococcus strains now called MRSA (meticillin resistant Staphylococcus aureus, or multi-resistant Staphylococcus aureus.
Authored by James A. Spennetta, DC
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Some health care professionals may be treating mainly older patients, or younger patients or high-risk patients, and will become experienced and familiar with drugs in their areas of expertise. Health care professionals can be ideally placed to spot adverse drug reactions and to play an important role in the long-term monitoring of commonly prescribed drugs.
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