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Use of patient group directions by health care professionals. Disadvantages of systemic corticosteroids are widely recognized and perhaps the most serious is suppression of the pituitary-adrenal axis. The addition of exogenous corticosteroids to the systemic circulation is detected by the pituitary gland.
The first of the following case studies is a patient who might be seen in the podiatry clinic, although other health care professionals might see similar patients for other reasons. The second case study is a patient who could be seen by any health care professional. The use of drugs to eradicate micro-organisms and parasitic worms in the body is called chemotherapy. Viagra online uk quick delivery that are used to treat infections with micro-organisms are known as antimicrobial drugs or antibiotics. The first antibiotics were naturally produced by micro-organisms; nowadays many are produced synthetically.
Inhalation anaesthetics currently in use are the volatile liquids halothane and more recently isoflurane, desflurane and sevoflurane and nitrous oxide gas. Halothane is a potent general anaesthetic, which is non-explosive and non-irritant and it provides a pleasant smooth induction. Side effects of halothane include hypotension, cardiac arrhythmias and hangover. The high incidence of severe liver damage on repeated exposure to halothane has limited its use. The Committee on the Safety of Medicines (now the Commission on Human Medicines) recommends that repeated use of halothane should be avoided.
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The alveoli present an enormous surface area for gas exchange. Surrounding the alveoli are many blood capillaries.
- People with myasthenia gravis or systemic lupus erythematosus should not use tetracyclines because they can exacerbate these diseases.
- Careful control of glucose levels either with insulin replacement by injection or with oral hypoglycaemics together with lifestyle and dietary changes can help avoid long-term complications.
- The third case study is a diabetic patient who might be seen by podiatrist specializing in the care of diabetics, although other health care professionals might see him for other reasons.
- However, it seems that supplementary prescribing is appropriate for long-term management of disease in the community and for the management of chronic conditions and rehabilitation in community and hospital settings.
This makes drug treatment difficult because drugs effective against one stage in the life cycle are ineffective at other stages. Resistance to antimalarial drugs is now common.
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Osteoarthritis is primarily a degenerative joint disease, but as joint destruction occurs this creates local inflammation. Treatment of osteoarthritis is with NSAIDs.
Authored by Cynthia Topley, MS, RD, LDN
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Cortisol has many target tissues and has a variety of metabolic actions: increase in circulating blood glucose due to decrease in uptake by tissues other than the brain and increase in gluconeogenesis; increase protein breakdown, particularly in muscle, making amino acids available for repair and gluconeogenesis; lipolysis providing fatty acids for alternative energy supply.
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