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The third case study is a patient who any health care professional might see for different reasons. Mrs Charles is a middle-aged patient who has an ingrowing toenail and requires a TNA.

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Oral routeIt is best to take this medicine on an empty stomach. The next day the person may have little or no memory of their actions.

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Aspirin is more likely to be used as a short-term analgesic than an anti-inflammatory drug. Ibuprofen, fenbrufen and naproxen are now the drugs of first choice because they are the least likely to cause gastric irritation and ulceration, a common side effect of all NSAIDs. This is because another role of prostaglandins is to reduce acid secretion in the stomach. Inhibition of prostaglandin synthesis leads to excessive acid secretion and inflammation of the gastric mucosa and duodenal mucosa. There are different versions of COX.


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Given that prescribing can be considered to include advising a patient on suitable care or medication including over-the-counter drugs as well as the more familiar written orders or prescriptions, there is considerable scope for health care professionals to be involved in patient medication. There are in fact five ways in which suitably qualified and registered health care professionals can supply medicines to patients: patient group directions, patient specific directions (PSDs), supplementary prescribing, independent prescribing and specific exemptions to the Medicines Act.

27.06.2019
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