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To give a little more insight into the story behind these strange beasts, we give you the story of Sir Archibald Rockwell.
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There are advantages and disadvantages of administering drugs by the oral route. Advantages are that it is a safe and convenient route, generally acceptable to the patient and requires no particular skills.
- The mechanism of action of general anaesthetics is unknown, but there are two theories to explain their action: the lipid theory and the protein theory.
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Although the context of practice may change and improve, it is likely that most radiotherapy services will continue to be organized in such a way that the patients needs will be partly met through the use of PGDs and partly through supplementary prescribing. Clinical circumstances will dictate when each would be used and a rule of thumb could be the following.
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Many nutrients and a few drugs can pass across the cell membrane by facilitated diffusion. In this case, in addition to the concentration gradient, a membrane protein acts as a carrier to transport a substance from one side of the membrane to the other. Carrier proteins are specific and only transport molecules that they recognize. Glucose enters many body cells by facilitated diffusion and the process appears to be more efficient than simple diffusion. Carrier systems exist for the transport of some amino acids and vitamins and the same carrier can transport drugs that are structurally similar to them.
Although generally asthma responds best to β to antimuscarinic drugs, both types of drugs may be needed. If these do not control symptoms, xanthine bronchodilators may be required in addition to one or both of the other two. Attacks of asthma can be prevented by prophylactic use of cromoglicate, although this drug is of no use in an acute attack or in chronic bronchitis. Leukotriene receptor antagonists can be used to reduce the inflammation of asthma particularly in the late phase. Inhaled corticosteroids are useful for treatment and prophylaxis of asthma and for reducing acute exacerbations of bronchitis.
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Depending on the nature of their work, health care professionals may spend some considerable time with individual patients who might have questions about their drug therapy.
15.11.2018
Zita
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The majority of patients see some improvement within one or two weeks and maximum response is produced within six to eight weeks. Approximately remission of symptoms, although maintenance therapy is usually necessary.
19.11.2020
Johannes
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Examples of sulfonylureas are gliclazide, glipizide and glibenclamide. Adverse effects are increase in appetite and weight gain, which is serious in already obese patients.
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Anxiety can be a reaction to major life events, such as moving house, changing jobs or bereavement.
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David
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