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  • Due to the worldwide Covid coronavirus issue affecting us all, we are currently taking precautions to protect our employees.
  • Asthma is not among the top 10 chronic health problems in people who have died from coronavirus disease COVID in New York state, even though many health experts have warned that people with asthma are at increased risk for severe illness if they get COVID

On examination, you find that this sore has all the characteristics of an ulcer. Mr Buckleys feet are cold to the touch and he confirms that he often finds it difficult to keep his feet warm.

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Normally, drugs for injection can only be administered by the patient or by a medical practitioner. However, in an emergency, when used for the purposes of saving life, certain drugs may be administered parenterally by anyone.

In practice, this means that the majority of her prescribing is for antibiotics and dressings for the treatment of infected diabetic foot ulcers. The consultant podiatrist is a member of a rapid access referral team for the treatment of patients with serious skin ulcers. As a team, they use Scottish Intercollegiate Guidelines Network (SIGN) guidelines for antibiotic therapy. Members of the team are also responsible for drug monitoring for adverse effects and drugdrug interactions and, if necessary, referral of patients for liver and renal blood tests. The clear advantages of such a scheme are that patients benefit from treatment at the point of access, can have the treatment immediately and can be given a prescription without the need to refer back to their GP. Initial referral from GPs of these high-risk patients includes the drawing up of pre-arranged CMPs, with the patients consent, before consultation with the podiatrist.

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However, this aim has to be weighed up against the toxicity of the drugs used and the fact that treatment must be continued over many years.

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