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Prescribing fluid
Prescribing fluid

... Calculating drug doses: example one: prescribing by weight • Romeo, a 2 year old child weighs 12kg. • He has a temperature of 38.5oc • How much paracetamol would you give them? Use the BNFC: Click Here • In this example, we will use 15mg/Kg, every 6 hours • Workings: – 12kg x 15mg/kg = 180mg four ti ...
PEP Quick Guide for Occupational Exposures
PEP Quick Guide for Occupational Exposures

... Side effects can be a limiting factor in PEP adherence. Side effects are generally self-limited but sometimes can last the duration of the 28-day PEP course. Gastrointestinal side effects (nausea, vomiting, diarrhea) are most common. Headache, fatigue, insomnia and gastrointestinal upset are other s ...
Drug and Therapeutics Committee
Drug and Therapeutics Committee

...  Problems include underreporting, inaccurate reporting that may not show causality, and high false positive rates ...
Drug_Calc_Study_Guide_Part_II_rev0403adobe
Drug_Calc_Study_Guide_Part_II_rev0403adobe

... * I chose 9ml so that when added to the 1 ml of famotidine the total is 10ml which is an easy number to work with. I could have used any amount of dilution between 5-10 ml. ...
Federal Statutes on Safety and Risk
Federal Statutes on Safety and Risk

... health and safety standard in disability rights law which attempts to strike a balance between these two legitimate concerns . Persons with disabilities who would pose a “direct threat to others” may be excluded from many public and private entities without violating the law. As will be described mo ...
New drugs uptake in WHO EURO
New drugs uptake in WHO EURO

... ─ Planning and executing the supply for multiple concurrent new and Am Imp AmCl PAS Cfz Km Mfx Lnz old regimens of different duration and at various implementation Lfx Z start dates ─ Mixed supply medicines in countries graduating from the GF support:  Forecasting and quantification for multiple re ...
National Institutes of Health Pathways to Prevention Workshop: The
National Institutes of Health Pathways to Prevention Workshop: The

... unrealistic and that long-term opioid prescribing can complicate and impair their therapeutic alliance with the patient. Although some patients gain substantial pain relief from opioids and do not have adverse effects, these benefits must be weighed against the problems caused by the vast number of o ...
Tuberculosis Surveillance and Screening in Selected High-Risk
Tuberculosis Surveillance and Screening in Selected High-Risk

... rate, the total number of international migrants estimated to be 200 million people.3 Canada is a leading destination for migrants and receives on average ~250,000 immigrants and refugees annually, who account for almost 20% of the population (2006 Census5,6). Over the past 40 years, there has been ...
Alcohol Abuse and Addiction Management Protocol
Alcohol Abuse and Addiction Management Protocol

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The ACT Opioid Maintenance Treatment Guidelines
The ACT Opioid Maintenance Treatment Guidelines

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Addicted to Courts - Justice Policy Institute
Addicted to Courts - Justice Policy Institute

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Ampio Pharmaceuticals, Inc. Rating: Buy
Ampio Pharmaceuticals, Inc. Rating: Buy

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Addiction in Pregnancy
Addiction in Pregnancy

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Throwing Dirt on Doctor Frankenstein`s Grave: Access to
Throwing Dirt on Doctor Frankenstein`s Grave: Access to

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BIOADHESIVE SYSTEM & IN SITU GEL
BIOADHESIVE SYSTEM & IN SITU GEL

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Text - University of Glasgow

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제일 앞장 A  B O U T C E L L T R I O N: All that you`ll ever
제일 앞장 A B O U T C E L L T R I O N: All that you`ll ever

... generic drug is bioequivalent to the original drug, but has a substantially lower cost. However, when compared to new drugs, generic drugs have relatively higher toxicity and lower efficacy. -- Biologics : Any pharmaceutical product that is derived from a biological source. Biologics include human b ...
World Antimalarial Resistance Network (WARN) IV: Clinical
World Antimalarial Resistance Network (WARN) IV: Clinical

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Chronic Pain Management in Individuals with Substance Use Issues
Chronic Pain Management in Individuals with Substance Use Issues

... motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.  Addiction is charact ...
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... Medications for risk reduction of breast cancer in women who are at increased risk for X breast cancer and at low risk for adverse medication effects: Tamoxifen or Raloxifene Women found to be at increased risk using a screening tool designed to identify a family history that may be associated with ...
Development of an Innovative Service and Supply
Development of an Innovative Service and Supply

... received by MSD cannot be refunded, whether payment has been made for goods, which are out of stock, or for goods received which were returned for various reasons, e.g. expiry of drugs. Although this money is held on an account for the hospital, this poses a major problem for hospitals with limited ...
Potential Herb -Drug Interactions for Commonly Used
Potential Herb -Drug Interactions for Commonly Used

... Rare case reports of bleeding.86-88 Meta-analysis of randomised, placebo-controlled trials (healthy volunteers and patients): results indicate standardised Ginkgo extract does not increase the risk of bleeding.89 Randomised, 5-year trial (elderly participants; Ginkgo 50:1 extract, 240 mg/day, equiva ...
Compounding C-Suite Discussion Guide
Compounding C-Suite Discussion Guide

... Compounded medications must be prepared for a specific patient or in reasonable quantities in anticipation of a prescription, based on historical need. Ingredients for compounded medications must meet specifications established by the FDA, but in general are made from FDA-approved ingredients that c ...
Clinical Guidelines for Withdrawal Management and Treatment of
Clinical Guidelines for Withdrawal Management and Treatment of

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Presentation transcript - Safe and Effective Opioid Prescribing for
Presentation transcript - Safe and Effective Opioid Prescribing for

... The drive to breathe stops, because of reduced sensitivity to changes in oxygen, and carbon dioxide levels. There is decreased tidal volume, and respiratory rate. Respirations decrease, leading to a decrease in oxygenation, and then loss of consciousness. When breathing stops, the blood is no longer ...
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Harm reduction



Harm reduction (or harm minimization) is a range of public health policies designed to reduce the harmful consequences associated with various human behaviors, both legal and illegal. Harm reduction policies are used to manage behaviors such as recreational drug use and sexual activity in numerous settings that range from services through to geographical regions. Critics of harm reduction typically believe that tolerating risky or illegal behaviour sends a message to the community that such behaviours are acceptable and that some of the actions proposed by proponents of harm reduction do not reduce harm over the long term.Needle-exchange programmes reduce the likelihood of users of heroin and other drugs sharing the syringes and using them more than once. Syringe-sharing can lead to infections such as HIV or hepatitis C can spread from user to users through the reuse of syringes contaminated with infected blood. Needle and syringe programme (NSP) and Opioid Substitution Therapy (OST) outlets in some settings offer basic primary health care. Safe injection site are legally sanctioned, medically supervised facilities designed to address public nuisance associated with drug use and provide a hygienic and stress-free environment for drug consumers. The facilities provide sterile injection equipment, information about drugs and basic health care, treatment referrals, and access to medical staff.Opioid replacement therapy (ORT), or opioid substitution therapy (OST), is the medical procedure of replacing an illegal opioid, such as heroin, with a longer acting but less euphoric opioid; methadone or buprenorphine are typically used and the drug is taken under medical supervision. Another approach is Heroin assisted treatment, in which medical prescriptions for pharmaceutical heroin (diacetylmorphine) are provided to heroin-dependent people. Toronto's Seaton House became the first homeless shelter in Canada to operate a ""wet shelter"" on a ""managed alcohol"" principle in which clients are served a glass of wine once an hour unless staff determine that they are too inebriated to continue. Previously, homeless alcoholics opted to stay on the streets often seeking alcohol from unsafe sources such as mouthwash, rubbing alcohol or industrial products which, in turn, resulted in frequent use of emergency medical facilities.A high amount of media coverage exists informing users of the dangers of driving drunk. Most alcohol users are now aware of these dangers and safe ride techniques like 'designated drivers' and free taxicab programmes are reducing the number of drunk-driving accidents. Many schools now provide safer sex education to teen and pre-teen students, who may engage in sexual activity. Since some adolescents are going to have sex, a harm-reductionist approach supports a sexual education which emphasizes the use of protective devices like condoms and dental dams to protect against unwanted pregnancy and the transmission of STIs. Since 1999 some countries have legalized prostitution, such as Germany (2002) and New Zealand (2003).Many street-level harm-reduction strategies have succeeded in reducing HIV transmission in injecting drug users and sex-workers. HIV education, HIV testing, condom use, and safer-sex negotiation greatly decreases the risk to the disease.
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