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A69 A Trimipramine is a tricyclic antidepressant with sedative properties that is used in the management of depression. As with other tricyclic antidepressants, trimipramine has antimuscarinic activity and therefore side-effects include dry mouth, blurred vision, constipation and urinary retention. A70 B Lithium is used in the prophylaxis and treatment of mania and in the prophylaxis of bipolar disorders and recurrent depression. Lithium should be stopped 24 hours before major surgery but the normal dose can be continued for minor surgery, with careful monitoring of fluids and electrolytes. After major surgery, renal function is reduced and this may compromise clearance of lithium. Lithium is a drug with a narrow therapeutic index and it should be avoided if possible in patients with renal impairment. Renal function should be tested before initiating treatment. If lithium is given to patients with renal impairment, a reduced dose should be used and serum lithium concentrations should be monitored closely. A71 A Lithium should be used with caution in conditions with sodium imbalance, such order phentermine by as Addison's disease. A72 B Nitrous oxide is used for the maintenance of anaesthesia as part of a combination of drugs because, owing to its lack of potency, it cannot be used as a sole anaesthetic. Using nitrous oxide at a concentration of 50-66% in oxygen, a reduced dose of other anaesthetics can be adopted. A73 between boards difference edu search buy tramadol online hydrocodone oxycodone D Desflurane is a rapid-acting, volatile, liquid anaesthetic. However, compared with isoflurane, it has a lower potency.

Desflurane is not order phentermine by used for the induction of anaesthesia, as it is irritant to the upper respiratory tract leading to cough, apnoea, laryngospasm and increased secretions.

A74 D Prilocaine is a local anaesthetic of low toxicity, which should be avoided in severe or untreated hypertension, severe heart disease and in patients using drugs that may cause methaemoglobinaemia. Prilocaine may cause ocular toxicity, which has been reported with the use of the product in excessively high hydrocodone online pharmacies doses during ophthalmic procedures.

A75 A Cocaine readily penetrates mucous membranes and is an effective topical local anaesthetic that demonstrates intensive vasoconstrictor action. It has stimulant effects on the central nervous system and is a drug of addiction. It causes agitation, dilated pupils, tachycardia, hypertension, hallucinations, hyperthermia, hypertonia, hyperreflexia and cardiac effects. A76 C Lantus contains insulin glargine, which is a human insulin analogue that provides a prolonged duration of action and requires once daily administration. It is recommended for patients who are suffering from order phentermine by recurrent symptomatic hypoglycaemia. Because of the once-daily dosage regimen it is useful in patients who have difficulty with handling insulin administration.

Some patients may be administered a combination of insulin therapy and oral antidiabetics including metformin (biguanide). Giant cell arteritis (cranial or temporal arteritis) is an inflammatory condition that may affect any of the large arteries, especially the temporal and occipital arteries. The thickened temporal arteries may be tender and non-pulsatile, with erythema and oedema of the overlying skin. Early treatment with high-dose corticosteroids such as prednisolone is essential and should be continued for a minimum of 2-3 years at a reduced dose. A78 D Flecainide is a drug used for arrhythmias and is of particular use in ventricular arrhythmias and paroxysmal atrial fibrillation. Use of flecainide may precipitate serious arrhythmias, even in patients with no history of cardiovascular disease order phentermine by and with otherwise normal hearts. A79 D Amiodarone is a drug used for arrhythmias, which has very similar properties to flecainide. Both drugs may cause pneumonitis as a side-effect but risk is lower with flecainide.

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