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Worried about the coronavirus? About Author — Margaret Spera is a Connecticut-based nurse practitioner.

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Doses cannot be altered and medication cannot be changed to an alternative medicine (within a specific PGD); PGDs require regular updating in accordance with Trust policies, and the associated processes can be labour intensive; supplementary prescribing allows therapy radiographers to have broad professional latitude within their competence in the medicines they prescribe and the amount they administer.

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They are not intended to have pharmacological activity; nevertheless adverse reactions are possible. Adverse reactions to iodine contrast agents are related to iodine concentration, osmolality, whether the agent is ionized or not, the rate and frequency of injection and the dose given and the chemical composition of the agent.

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Examples of osmotic laxatives used prior to imaging are magnesium citrate and magnesium sulphate. Lactulose is a disaccharide with a similar action.

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