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Supplementary prescribing is intended to improve patient access to care, make it easier for patients to get the medicines they need, make the best use lasix 40 tablet price clinical skills of health care professionals and enhance professional relationships. Time spent on developing a CMP should save time when the patient returns for review with the supplementary prescriber rather than the doctor. Supplementary prescribers prescribe in partnership with an independent prescriber who must be a doctor or dentist. They are able to prescribe for the full range of medical conditions, providing they do so under the terms of a patient-specific CMP. Discussion between the independent prescriber and the supplementary prescriber will determine which patients would benefit from supplementary prescribing. Following diagnosis of the patient by an independent prescriber and following consultation and agreement between the independent prescriber and the supplementary prescriber an individual CMP can be drawn up.

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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.

  • Case study The following case study shows a situation where a physiotherapist working in a pain clinic is involved in the management of a patient.
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Technicians are not legally permitted to use PGDs and as such cannot work within them. Neither can the use of a PGD be delegated by a radiographer.

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Other contrast agents are said to be radio-opaque and as such they absorb X-rays. That is, they attenuate X-rays positively and appear white or lighter on X-ray film. They are used to enhance radiological examination of parts of the body not normally visualized by X-rays, by providing a greater contrast of structures such as blood vessels, ducts and hollow organs of the body. Such contrast agents are based on iodine or barium because these particular atoms absorb X-rays well. The more radio-opaque atoms per molecule in a contrast agent, the greater the X-ray absorption is. Ideally, contrast agents should be non-toxic, should not be absorbed or metabolized and should be excreted rapidly after imaging.


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