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There is a potential role for independent prescribers in diagnostic radiography, and this is particularly evident in areas of acute medical practice. There are examples of radiographers working in accident centres whose role involves diagnosis and on the basis of this they propose treatment and discharge patients. This treatment can involve the supply and administration of medicines, particularly for pain relief. The current arrangements are that these radiographers work within PGDs.

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The use of broad-spectrum antibiotics can reduce populations of normal flora (the resident harmless bacteria that we all have), which can cause adverse effects and superinfections of fungi and other drug-resistant micro-organisms. Bacteriostatic antibiotics inhibit bacterial growth and proliferation, while bactericidal antibiotics actually kill bacteria.

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Cortisol also has anti-inflammatory and immunosuppressive actions, which under physiological conditions help to limit response to injury and infection. When used pharmacologically, these effects are useful in treating chronic inflammatory conditions.

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Other adverse reactions can be due to the contrast agent binding to body proteins, particularly enzymes.

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Death of a part of the myocardium occurs due a disruption in its blood supply. General treatment includes relief of pain, treatment of arrhythmia, treatment of shock and correction of heart failure.

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Both toxoplasma and pneumocystis are treated with drugs containing sulphonamides.

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The law says who can and cannot prescribe medicines. It also allows local arrangements to be developed so medicines can be administered to certain types of patients in certain circumstances, for example PSDs and PGDs.

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