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- As part of the pain management plan was to rationalize medication while the patient waited for his epidural therapy, a consultant pain physician was called to confirm diagnosis.
- In both cases, the administrator was personally responsible for posting out these medicines to the patient, in accordance with a PGD.
In fact, penicillins are probably the least toxic drugs known. Hypersensitivity reactions to penicillins occur in up to from mild skin rashes to exfoliative dermatitis and Stevens-Johnson syndrome (immune vasculitis with arthritis, nephritis, central nervous system abnormalities and myocarditis) and from bronchoconstriction to life-threatening anaphylactic shock.
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Metabolism of drugs tends to make them less lipid soluble, more water soluble and therefore more likely to ionize. Tubular filtrate is normally slightly acid and this favours the excretion of basic drugs because they ionize more readily in acidic conditions and therefore do not diffuse easily back into plasma. Change in pH of the tubular filtrate can affect drug ionization. Manipulation of pH to increase the rate of elimination of a drug has a practical use in cases of overdose as shown by the following examples. Administration of sodium bicarbonate increases the alkalinity of the tubular filtrate therefore acidic drugs, for example aspirin and barbiturates become ionized and cannot diffuse back from the tubules to the plasma.

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Endorphins are endogenous analgesics, which act by inhibiting sensory neurons in the spinal cord and thalamus, thereby preventing or altering perception of pain. See Figure page of potassium ions leads to hyperpolarization of the sensory neuron membrane.
20.08.2020
Daniel
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Apart from nitrous oxide, which is still widely used, earlier inhalation anaesthetics are no longer used. Ether is not suitable because it is explosive and irritant to the respiratory tract.
15.11.2018
Brigitte
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Corticosteroids in the form of nasal drops may be used to treat local inflammation. Sympathomimetic drugs such as xylometazoline can be used as decongestants.
24.10.2018
Reinhard
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Antimetabolites are analogues or antagonists of normal cell constituents, which block or otherwise alter metabolic pathways in the synthesis of DNA. Cytotoxic antibiotics prevent cell division by direct action on DNA or by inhibition of transcription of DNA to RNA, thus preventing protein synthesis.
12.05.2017
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BNMS explains that it allows locally written protocols to be used for the administration of adjunct medicines and in essence, these might look similar to PGDs.
27.09.2020
Klemens
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