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  • Valacyclovir is an antiviral drug that is indicated for the treatment of cold sores and genital herpes in adult patients.
  • As a result, more LDLs are taken up from the circulation by the liver to provide the cholesterol needed to synthesize bile acids.
  • An example of PGD use is in accident and emergency analgesia, where a nurse or physiotherapist would be allowed to administer an analgesic before a patient has been seen by a doctor.
  • Lipid-soluble substances diffuse easily through the lipid bilayer and include oxygen, carbon dioxide, fatty acids, steroids and fat-soluble vitamins.
  • As such, the indicated medicinal products are commonly incorporated into PGDs within diagnostic imaging departments.
  • He tells you that he has his blood tested every three months and that last time he went to the clinic they prescribed him a new drug that he had not taken before and told him to come back in a week.
  • In particular, they increase the risk of myopathy with statins.

The small intestine is the most important part of the digestive system for digestion because it produces many enzymes and is highly adapted for absorption of nutrients. It has a large overall surface area because of its length and because its inner lining is folded into villi.

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In the following case study, you must discuss how you would answer the patients questions and offer advice about her condition and medication. Mrs Begum has been prescribed methotrexate by her consultant rheumatologist for rheumatoid arthritis that has not responded to other therapies.

Drug therapy aims to prevent cell division or cause cell death in the tumour without damaging normal healthy cells. Cancer cells are similar to normal cells, so this is often impossible and explains many of the side effects of chemotherapy. Cytotoxic drugs affect normal dividing cells producing unwanted adverse effects on bone marrow and the cells produced there; reduced healing; loss of hair due to damage to hair producing cells in hair follicles; damage to the gastrointestinal lining; reduced growth in children; sterility; and damage to the foetus. Nausea and vomiting are common with cheap valtrex online anti-cancer drugs and are caused by toxic effects on the chemotrigger zone of the central nervous system. Another adverse effect of cancer chemotherapy is known as tumour lysis syndrome.

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Independent prescribing would grow out of supplementary prescribing for specific conditions and particular patient groups. Nuclear medicine is worthy of special mention for three reasons: Medicines for Human Use Miscellaneous Amendments Order, While working within nuclear medicine, technicians and radiographers often have similar responsibilities. This is particularly true for activities involving the scanning of patients where there is frequently a requirement to administer adjunct medicines, such as diuretics. For this activity, radiographers have been working within PGDs or in limited cases using PSDs. Technicians are not legally permitted to use PGDs and as such cannot work within them. Neither can the use of a PGD be delegated by a radiographer.


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Premedication is used to prepare the patient for general anaesthesia. The objective is to reduce feelings of anxiety and lightly sedate the patient.

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Under a PGD, the supply and administration of medicine should apply only when this route offers advantages to the patient without compromising safety. Only specific professional groups can work within a PGD, including radiographers, paramedics, nurses, podiatrists, physiotherapists, speech therapists and pharmacists.

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Use of patient group directions by health care professionals.

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