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  • Hyposecretion of thyroid hormone due to absence or incomplete development of the thyroid in early life causes cretinism, which is characterized by stunted growth and mental deficiency.
  • Bacterial pneumonia can be treated with antibiotics such as the ones given above under cystic fibrosis, depending on the infecting organism.
  • This increased drug usage in the elderly can give rise to a number of problems.
  • What should you tell him.
  • Contrast agent use with CT scans is particularly useful for the diagnosis, staging and follow-up of malignant disease and with MRI for imaging the spinal cord.
  • This is because of the so-called blood-brain barrier.
  • The antiemetic effect is due to the blocking of dopamine receptors in the chemotrigger zone of the medulla.

However, all contrast agents have the potential to cause adverse drug reactions and some interact with other drugs. Radiographers must be trained to administer drugs and manage adverse reactions to contrast agents.

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The mode of action of these two drugs is not fully understood. Chloroquine inhibits digestion of haemoglobin by the parasite and both drugs inhibit the disposal of haem, which is toxic to the parasite.

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Β-blockers also block receptors in the peripheral blood vessels, kidney and bronchi. The main effects of this are vasoconstriction in skeletal muscles causing cold extremities and reduced renin secretion, which would limit the formation of angiotensin II. β-blockers can precipitate asthma and should not be used in people with asthma. They should be used with caution in people with diabetes because the β-blocking effect can mask warning signs of hypoglycaemia. The original β-blockers did not discriminate between β drugs have been developed that are more cardio-selective and there are others that also cause vasodilation. First generation β-blockers are non-cardio-selective and they can produce bronchoconstriction as an adverse effect.


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Clozapine can cause agranulocytosis and should only be used if other drugs are not effective. Other adverse effects of most anti-psychotic drugs are anti-cholinergic effects such as dry mouth, constipation and urinary retention and α-adrenergic blocking effects, primarily vasodilation leading to a fall in blood pressure especially in the elderly.

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The pituitary gland plays a very important role in the overall control of the endocrine system. The gland consists of the posterior pituitary and the anterior pituitary (adenohypophysis).

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The key to safe and effective supplementary prescribing is the relationship between the individual independent prescriber and the individual supplementary prescriber. There are likely to be many nurses, pharmacists and other health care professionals who meet the criteria for training to become supplementary prescribers.

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Patient information leaflets or summary of product characteristics must be included. Their content is set out by law.

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