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Case Notes Winter 2016 - Royal Brompton and Harefield Specialist
Case Notes Winter 2016 - Royal Brompton and Harefield Specialist

... leakage of blood backward through the mitral valve each time the left ventricle contracts. The leaking valve allows blood to flow the wrong way and back into the left atrium. This requires the heart to work harder to push blood around the body. Patients may experience fatigue, shortness of breath an ...
Article: "Preparing and Dispensing Oral Liquids"
Article: "Preparing and Dispensing Oral Liquids"

... conducted  studies  demonstrating  that  the  new  system  was  feasible  and  that  it  reduced  the  potential  for  error  compared  with the  traditional  systems.2 The American Society of Health‐System  Pharmacists (ASHP)3 defines unit dose dispensing  mainly by its characteristics:  “The  unit ...
Pharmacology for the Medical Office
Pharmacology for the Medical Office

... D1.1.1 Describe safety issues associated with pharmacology. D1.1.2 Explain the seven rights of administering medication. D1.1.3 Interpret information found on medication orders. D1.1.4 Interpret information found on labels. D1.1.5 Describe information necessary for medication administration. D1.1.6 ...
Can I have a comfortable last breath?
Can I have a comfortable last breath?

... Role of the treatments in improving symptoms, quality of life and duration of life Prognosis for survival and quality of life What dying might be like Advance care planning for future medical care and exacerbations ...
Medicines Management - Rosemont Pharmaceuticals
Medicines Management - Rosemont Pharmaceuticals

... increase of 1.7 million people. By 2035 it is projected that those aged 65 and over will account for 23 per cent of the total population.1 ...
Unable to Determine Triggering Agent (2012-7-11)
Unable to Determine Triggering Agent (2012-7-11)

... 3. Patient exhibited signs and symptoms of adverse reactions shortly after administration of the medication 4. Attending physician assessed patient’s full history of allergy/intolerance and physical examination; multi-ingredient medication was identified to be the trigger but the exact ingredient th ...
Bronchial Asthma: Use of Inhalant Glucocorticoids and
Bronchial Asthma: Use of Inhalant Glucocorticoids and

... disease must be eliminated from households. The same is necessary for moulds. Against house dust mites at least encasings should be used, possible in conjunction with other measures. In general, avoidance measures are the first step in asthma therapy, a step without any risk of side effects. For pha ...
Insulin-resistant diabetes service
Insulin-resistant diabetes service

... The aim of the service is to provide diagnostic, therapeutic and educational support for both patients and their local clinical carers, and to establish and disseminate evidence-based recommendations for the therapy of this severe group of conditions. The service is targeted at patients with lipodys ...
Canker sores are among the most common of oral conditions and
Canker sores are among the most common of oral conditions and

... metabolism that affects an estimated 20 million people in the United States, of whom about one third are undiagnosed. There are two major forms recognized, type-1 and type-2. Both are characterized by inappropriately high blood sugar levels (hyperglycemia). In type-1 diabetes the patient can not pro ...
The role of 5-ASA in Inflammatory Bowel Disease
The role of 5-ASA in Inflammatory Bowel Disease

... – Study showed 4.8g/day better than 2.4g/day ...
Invitation to Berlin 31st Congress of the Société Internationale d’Urologie Newsletter
Invitation to Berlin 31st Congress of the Société Internationale d’Urologie Newsletter

... treatment Pharmacological treatment is the mainstream treatment of this condition, and antimuscarinic (anticholinergic) drugs are by far the most prescribed products. The rationale for their use is to block muscarinic receptors at detrusor and non-detrusor sites to prevent OAB symptoms and bladder h ...
End of Life Care in Advanced Kidney Disease
End of Life Care in Advanced Kidney Disease

... Patients who choose to have haemodialysis usually begin by attending the Cotswold Dialysis Centre or Severn Dialysis Centre at Gloucestershire Royal Hospital for their dialysis treatment three times per week. Understandably, these changes and demands can prove a physical and psychological burden to ...
Guidelines for the Chronic Use of Opioid Analgesics
Guidelines for the Chronic Use of Opioid Analgesics

... many of the strategies mentioned here are also relevant to responsible prescribing and the mitigation of risks associated with other controlled substances in the treatment of pain. Section 3 – DEFINITIONS For the purposes of this Model Policy, the following terms are defined as shown. Aberrant Behav ...
NSW Heart Failure Snapshot - Medical Journal of Australia
NSW Heart Failure Snapshot - Medical Journal of Australia

UNIVERSITY OF MICHIGAN HEALTH SYSTEM
UNIVERSITY OF MICHIGAN HEALTH SYSTEM

... Seeks to learn about the diversity in openness to the and optimize the patient and families. uniqueness of others. unique contribution inherent in the diversity and culture of each individual. ...
Guidelines for Chronic Renal Dialysis : National Department of Health
Guidelines for Chronic Renal Dialysis : National Department of Health

... conditions may be considered for long-term renal dialysis although research shows that they do not respond well in the long term. Patients who satisfy the set criteria and are accepted onto a chronic dialysis programme in the private sector should remain the responsibility of the private sector prov ...
Aubagio Prescribing Information
Aubagio Prescribing Information

... clinical trials of AUBAGIO but rare cases of pancytopenia and agranulocytosis have been reported in the postmarketing setting with leflunomide. A similar risk would be expected for AUBAGIO [see Clinical Pharmacology (12.3)]. Cases of thrombocytopenia with AUBAGIO, including rare cases with platelet ...
Psychopharmacology of Depression
Psychopharmacology of Depression

... KEY EDUCATIONAL MESSAGES  Antidepressants only work if taken every day.  Antidepressants are not addictive.  Benefits from medication appear slowly.  Continue antidepressants even after you feel better.  Mild side effects are common, and usually improve with time.  If you‟re thinking about st ...
Slides
Slides

... B. Take a detailed psychosocial history C. Prescribe an SSRI antidepressant with a relatively long half-life D. Provide a patient-education handout about depression in either English or Spanish, depending on patient preference Answer: C ...
Management of Antidepressant
Management of Antidepressant

... When treating depressed patients with or without antidepressants, it is important to assess usual sexual functioning as well as any changes in sexual functioning associated with the onset of depression and/or the use of medications ...
Reducing Readmission Rates and empowering Heart Failure Patients
Reducing Readmission Rates and empowering Heart Failure Patients

...  L VEF ≥ 40 percent by echo within previous six months (if myocardial infarction (MI) within past six months, echo must be performed within the last 30 days and also must be at least 30 days after MI) ...
Inadvertent Administration of Oral Solutions by
Inadvertent Administration of Oral Solutions by

... Similar incidents have been reported in the United States and in England, including cases in which the patient died when an oral solution was administered intravenously. An analysis of medication error reports received by the FDA1 identified ‘incorrect route’ as the third most prevalent type of medi ...
Steroid Guidelines
Steroid Guidelines

... 4. Hardy J. Corticosteroids in palliative care. European Journal of Palliative medicine 1998 5 2 46-50 5. Vecht CJ et al. Dose effect relationship of dexamethasone on Karnofsky performance in metastatic brain tumours: a randomised study of doses of 4,8 and 16mg a day. Neurology 1994; 44: 675-680 6. ...
RESPIRATORY MEDICATIONS
RESPIRATORY MEDICATIONS

... rescue therapy. Precautions: may potentially worsen symptoms and signs associated with narrow-angle glaucoma, prostatic hyperplasia or bladder-neck obstruction and should be used with caution in patients with any of these conditions. Information for Patients: Do not remove capsules from blister pack ...
Symptom Relief
Symptom Relief

... Heartburn, N & V, diarrhea @ high doses, hemorrhage Renal: Necrosis of renal papillary with long term use Reye’s syndrome (a CNS infection relative to viral infection in children such as chicken pox or influenza) ...
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Adherence (medicine)

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