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Radiographers, and other staff, should be adequately trained and educated in support of reducing risk to patients and also improving care and management (Society and College of Radiographers, to offer in-house training for those who wish to use PGDs and such courses are likely to include: stated outcomes; assessment that verifies the outcomes have been attained; remedial procedures for those who do not pass. The stated outcomes of PGDs are: Understand the concept of patient group directions Understand the historical and legal background to patient group directions Understand the meanings of pharmacodynamics and pharmacokinetics in relation to the drugs that the radiographer is able to supply and administer Understand the pathophysiological processes in the conditions under which the patient group directions can be used Understand the protocols and guidelines that exist to support the use of patient group directions.
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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.
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Deficiency may also occur because of malabsorption secondary to other conditions such as coeliac disease, or due to lack of bile secretion as in obstructive jaundice.
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Antimetabolites are analogues or antagonists of normal cell constituents, which block or otherwise alter metabolic pathways in the synthesis of DNA.
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Bisphosphonates and calcitonin can be used in osteoporosis, when they have an action similar to that described under Pagets disease.
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The Medicines Act Drugs can be naturally occurring substances, for example hormones; everyday substances, for example caffeine and alcohol; synthetic chemicals marketed for therapeutic activity, for example aspirin; or substances used for recreation.
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MAO-B is more specific for dopamine, than for noradrenaline or serotonin.
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This method of working minimizes the need to train large groups of staff to a high level while still maintaining sensitivity to individual patient needs. The majority of radiographer administrations will employ this route, with practitioners, advanced practitioners and consultant practitioners all using this form of administration.
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Org Health Professions Council Standards of Proficiency www. medicines. org. uk Summary of Product Characteristics www. portal.