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  • Coagulation disorder can be secondary to liver disease because most clotting factors are synthesized in the liver.
  • Adverse effects are bradycardia, heart block and possible precipitation of heart failure.
  • The rate of absorption depends on the usual parameters for passage across cell membranes but also on the blood or lymphatic supply to a particular region.
  • Tetracyclines accumulate in tooth enamel and bone and are not recommended for use in children because they cause discolouration of the teeth and stunt bone growth.
  • According to the protein theory, the site of action is a hydrophobic region of cellular proteins, possibly receptors or proteins involved in transmitter release.
  • Supplementary prescribing will have a limited range of applications because of the reasons indicated above.

Certain drugs are excreted via expiration; the rate of excretion depends on plasma concentration, alveolar air concentration and blood-gas partition. Anaesthetic gases are the only group of drugs that are significantly excreted in expired air.

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In addition, the patient has slight impairment of vision and high levels of anxiety, which causes her to rush. The following case study shows a situation where it would be appropriate for a physiotherapist supplementary prescriber to prescribe medication for a patient.

The practice and attitudes of therapeutic radiographers have always placed the patient experience at the centre of care and responsibility. In strategic importance with the publication of the Calman Hine Report (Department of Health, This importance was, in part, due to the reports recognition of the need for seamless care, because it was noted that therapy radiographers were well placed to enhance the delivery of seamless care in the support of patients undergoing radiotherapy. It also recognized that radiographers should play a central role in monitoring patients physical and psychosocial welfare and in identifying the need for referral, as well as ensuring that routine reviews were undertaken during the course of external beam radiotherapy. Throughout the aware of the amount of unnecessary waiting that patients endured because of lack of timely access to doctors for prescription andor review of their medicines for radiotherapy toxicity management. They also recognized that they had untapped potential and could contribute more to care and management if given the opportunity.

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Right ventricular failure can occur due to chronic lung disease, pulmonary valve disease and congenital defects. The symptoms are systemic oedema, particularly of the legs and ankles. Biventricular failure often follows left ventricular failure and consequently oedema develops in the peripheral tissues, causing swelling of the legs, and in the lungs, causing breathlessness. There are no drugs to cure cardiac failure but the condition can be controlled by drug therapy. Drug groups used to control cardiac failure are cardiac glycosides, diuretics, ACE inhibitors and angiotensin II receptor antagonists.

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An example is bromocriptine. Dopamine receptor agonists can be used alone in newly diagnosed patients, but are most often used together with levodopa in the later stages of Parkinsonism.

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A drug commonly given by inhalation for a local effect is salbutamol, used to treat asthma.

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