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Describe the mechanism by which the problem arises. In medicinal use, drugs are usually administered with the best of intentions, which is to have a beneficial therapeutic effect. However, all drugs have the potential to cause unwanted effects too, and these range from being minor or trivial to being life threatening. Unwanted effects are known as adverse reactions or side effects and can occur by a variety of mechanisms. It is important for health care professionals to be aware of potential adverse effects of drugs and to know how to report new ones when they occur.

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In addition to drugs used to treat diseases of the major systems, the treatment of infections and parasites, the use of cancer chemotherapy, the use of anaesthetics and analgesics and the use of contrast agents and adjuncts to radiotherapy are included in Part The final part has two chapters. The first of the two is about legislation around the use of medicines with discussion of salient points from the Medicines Act patient group directions, supplementary prescribing and independent prescribing and a brief history of non-medical prescribing are considered. The final chapter Prescribing in Practice consists of contributions from podiatry, radiography and physiotherapy colleagues. They have described the use of xvi PREFACE various forms of access, supply, administration and prescription of medicines in their professions today and considered future developments in the light of the recent legislation allowing pharmacists and nurses to train as independent prescribers. Hopefully this will give the reader a realistic view of what is currently happening and what might happen in non-medical prescribing.


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This is not intended to be a physiology book or a pathophysiology book.

16.11.2020
Friedrich Verified

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Where this has happened, both names are listed in the BNF. Wherever possible, drugs should be prescribed by their generic name; this allows any suitable product to be dispensed and in many cases, it saves the health service money.

22.11.2018
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Although drugs do appear in faeces, expired air, sweat and breast milk, these are normally minor routes of excretion. The following two case studies could be of relevance to any health care professional.

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Digoxin is a drug with a narrow therapeutic ratio, which means therapeutic doses are very close to those that can cause toxic effects.

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There are a number of criteria that must be met for supplementary prescribing to occur (www. gov.

30.12.2020
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