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Mr Warchowski has recently been diagnosed with benign enlargement of the prostate gland and is due to have suspected ischaemic heart disease investigated at the cardiology clinic. Mr Warchowskiвs current medication is as follows: в Aspirin в Atenolol в Doxazosin в Amlodipine Discuss this patientвs medical conditions and treatment using the questions as a guide. в Determine which medication is for which condition.
в Are there likely to be any interactions between the drugs Mr Warchowski is currently taking.
В Apart from the consultant pain physician, who else should be informed of the CMP and prescription. в When and by whom should the patient be reviewed. Case study A patient has been receiving abdominal radiotherapy for a period of time for the treatment of colon cancer. She has suffered quite serious nausea as a result of the treatment. You have supplied metoclopramide to the patient on a regular basis under PGDs.
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Following oral administration, absorption of a drug is from the stomach or intestine directly via the hepatic portal system to the liver before reaching the general circulation. The liver is the main site of drug metabolism and inactivation.
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This practice was widely condemned by the clergy as the work of the devil until Today, either inhalation or intravenous anaesthetics or a combination of the two is used to produce general anaesthesia.
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Pain-relieving drugs can be divided into peripherally acting analgesics and centrally acting analgesics.
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However, the book may be of interest to other health care professionals.
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Calcitonin is secreted by the thyroid gland in response to high levels of plasma calcium.
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It can take onto the small intestine.
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However, the advent of HIV infections and AIDS has led to the development of several new antiviral drugs.
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They may specialize in particular areas of work, for example diabetology, rheumatology or sports medicine.
It is extremely important that patients are warned of the dangers of exceeding the stated dose on inhalers; this would increase the incidence of the above side effects. Antimuscarinic drugs are used to relieve, or at least partially reverse, bronchoconstriction that is refractory to О receptors in the bronchioles.
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Normal cells can synthesize asparagine; therefore the drug is selective for certain tumours. Biological response modifiers are drugs that enhance the patientsв natural response to cancer.
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Fluorouracil is used to treat gastrointestinal and breast cancers, often together with synthetic folinates. Adverse effects of fluorouracil are less likely, but similar to methotrexate. Cytarabine is a pyrimidine analogue, which is incorporated into both RNA and DNA and interferes with the action of DNA polymerase.
According to the Department of Health definition, a supplementary prescriber вforms a voluntary partnership with an independent prescriberв. A CMP is agreed with individual patient and the supplementary prescriber manages the patientвs clinical condition, including prescribing, according to the CMP. Supplementary prescribers have few restrictions on the medicines that they can prescribe.
The magnitude of the response to a given dose of a drug in a population of patients shows a normal distribution. The vast majority, approximately within acceptable limits. A small percentage of patients do not respond to the drug. These individuals are insensitive or unresponsive to the drug. An equally small percentage responds in an exaggerated manner.
You are seeing a patient, Mr Frobisher, who has been taking digoxin for four weeks because he has been diagnosed with heart failure. What sort of questions could you ask him to ascertain if he is experiencing any side effects of digoxin. Mr Frobisher volunteers the information that he thinks the digoxin is giving him heartburn. When questioned further he admits he has been taking antacids on a regular basis. Should this be a cause for concern.