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Total plasma cholesterol is the sum of cholesterol carried in all forms of lipoproteins, with about In the liver, cholesterol can be stored in liver cells, used to form more VLDLs, used to form bile acids or excreted as cholesterol in bile. Hyperlipidaemias are conditions where levels of LDL cholesterol are raised relative to HDL levels. They can be primary or secondary to other conditions such as diabetes or hypothyroidism.
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This may be useful in the event of an overdose. Conversely, the elimination of basic drugs such as amfetamine, antihistamines, morphine and tricyclic antidepressants can be increased by making tubular filtrate more acidic by administration of ammonium chloride. Although generally not as important as renal excretion, other routes of excretion account for elimination of some drugs. It is possible for drugs to move back across the intestinal wall by diffusion or active transport and be lost in faeces. Some drugs, particularly hormones, can also be excreted into the intestine via bile.
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Insulin also stimulates the uptake of amino acids and formation of protein in skeletal muscle and suppresses protein breakdown in the liver. Secretion of insulin rises in response to increased blood glucose concentration. When glucose concentration falls to normal insulin secretion drops back to basal levels. A summary of the actions of insulin on glucose, protein and lipid metabolism. Diabetes mellitus is a chronic metabolic disorder caused by deficiency of insulin.
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Alteration in absorption can also make older people more vulnerable to the ulcerogenic effects of some drugs, for example non-steroidal anti-inflammatory drugs. Distribution of drugs around the body is likely to be different in older people because of changes in body composition, plasma protein concentration and blood flow to major organs.
- These are abnormalities of movement that resemble Parkinsons disease (see page Anti-psychotics that also have anti-cholinergic activity cause fewer Parkinsonian side effects.
- These drugs are used to treat leukaemia, lymphoma, testicular cancer and lung cancer.
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- Local anaesthetics preferentially bind to channels in the inactive state and prevent them from opening again.
- An example of each is given.
Glitazones can cause oedema and are contraindicated in people with cardiac failure. In addition to drug therapy, with insulin or oral hypoglycaemics and keeping as tight a control on blood glucose concentration as possible, changes in lifestyle can reduce the risk of diabetic complications.
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Clonidine stimulates presynaptic receptors on sympathetic neurons in the brain, which reduces the amount of noradrenaline released. Through both of these mechanisms, there is a decrease in sympathetic output to the peripheral blood vessels.
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The rate at which a zyban us cost is metabolized will affect its distribution. Similarly the rate of elimination or excretion also affects distribution and vice versa. Volume of distribution is a concept that describes the body compartments into which a drug could be distributed.
And Hogg, D. Prescription, supply and administration of drugs in radiography. Synergy, March, Loughran, C. Intravenous Urography injection of contrast agents by radiographers. Clinical Radiography, Medicines Regulations Administration of Radioactive Substances.
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Unless a drug is injected directly into the blood stream it will be absorbed from its site of administration, then enter the systemic circulation and be transported to the tissues in plasma. The body can be considered to be made up of aqueous and lipid compartments.
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Anxiety and insomnia are discussed together because the drugs used to treat them are often the same.
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Ventricular fibrillation is the asynchronous contraction of the ventricles, which rapidly leads to circulatory failure if not treated as an emergency. Heart block occurs if there is AV node damage; in this situation, the atria and ventricles beat independently reducing the efficiency of the heart as a pump.
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An anxiolytic is a drug that reduces feelings of anxiety, whereas a hypnotic is a drug that induces sleep.
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Patients must not be taking other photosensitizing drugs, for example phenothiazines and benzodiazepines, NSAIDs and some antibiotics.
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