Managing Rheumatoid Arthritis Question Answer Volume 6

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Managing Rheumatoid Arthritis - Question & Answer - Volume 6

Author : Dr. Chandrashekara. S
Publisher : ChanRe
ISBN 13 : 8192272478
Total Pages : 86 pages
Book Rating : 4.1/5 (922 download)

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Book Synopsis Managing Rheumatoid Arthritis - Question & Answer - Volume 6 by : Dr. Chandrashekara. S

Download or read book Managing Rheumatoid Arthritis - Question & Answer - Volume 6 written by Dr. Chandrashekara. S and published by ChanRe. This book was released on 2015-12-01 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: The DMARDs discussed in the present volume are second-line drugs used in the management of RA, though they had occupied the first position during the early years of DMARD development. Since the clinical experiences with the drugs like AZA, cyclophosphamide, gold salts, and cyclosporine were good; they were the first treatment of choice during the 70s to 90s. Experience with newer group of DMARDs especially MTX and biologics, have altered the treatment recommendations. However, the clinical experience and evidence regarding the use of these drugs are comparatively lesser. A clear consensus and further exploration of their clinical use may help in re-establishing and defining the role. However, The clinical data suggests that these drugs possess marginal toxicity/therapeutic ratio. the purpose of this book is to introduce these drugs to the readers and facilitate the experts to handle these drugs with extreme caution, since they are often used in RA patients who have extra-articular features or those who are refractory to regularly used DMARDs.

Managing Rheumatoid Arthritis - Question and Answer - Volume 5

Author : Dr. Chandrashekara. S
Publisher : ChanRe
ISBN 13 : 819227246X
Total Pages : 90 pages
Book Rating : 4.1/5 (922 download)

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Book Synopsis Managing Rheumatoid Arthritis - Question and Answer - Volume 5 by : Dr. Chandrashekara. S

Download or read book Managing Rheumatoid Arthritis - Question and Answer - Volume 5 written by Dr. Chandrashekara. S and published by ChanRe. This book was released on 2015-07-01 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: Volume -5 focuses on two drugs ‘Sulfasalazine’ and ‘Hydroxychloroquine’. They have been in clinical use for over 50 years and they were the recommended first choice for managing rheumatoid arthritis prior to the introduction of methotrexate aggressive therapy and pyramidal approach in DMARD prescription. The lack of further studies and probable bias in the clinical trials toward biologics have made these drugs less preferred in routine clinical practice. The present volume provides the most up-to-date information regarding the current status, safety and efficacy, adverse events, and the precautionary measures to be adopted while prescribing these drugs

Managing Rheumatoid Arthritis - Question and Answer - Diagnosis to DMARDs

Author : Dr. Chandrashekara. S
Publisher : ChanRe
ISBN 13 : 8192272494
Total Pages : 316 pages
Book Rating : 4.1/5 (922 download)

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Book Synopsis Managing Rheumatoid Arthritis - Question and Answer - Diagnosis to DMARDs by : Dr. Chandrashekara. S

Download or read book Managing Rheumatoid Arthritis - Question and Answer - Diagnosis to DMARDs written by Dr. Chandrashekara. S and published by ChanRe. This book was released on 2016-01-01 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rheumatoid arthritis is an inflammatory autoimmune disease, which may result in severe disabilities and deformities if not diagnosed early and managed with adequate dose of DMARDs. The early diagnosis is often impaired by initial atypical presentations and its close mimic to other autoimmune rheumatic diseases. From the point of diagnosis to treatment of the disease, the practicing rheumatologist confronts various challenges. With an intention to address such challenges and to develop a quick reference guide for all clinicians, author started publishing the question and answer series on rheumatoid arthritis since 2012. The answers provided are substantiated by well-accepted guidelines, literature evidence and clinical experience. These answers can assist decision making in diverse clinical circumstances. Author has made a sincere attempt to make the complied volume more scenario-oriented.

Managing Rheumatoid Arthritis - Question & Answer - Volume 3

Author : Dr. Chandrashekara. S
Publisher : ChanRe
ISBN 13 : 8192272427
Total Pages : 72 pages
Book Rating : 4.1/5 (922 download)

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Book Synopsis Managing Rheumatoid Arthritis - Question & Answer - Volume 3 by : Dr. Chandrashekara. S

Download or read book Managing Rheumatoid Arthritis - Question & Answer - Volume 3 written by Dr. Chandrashekara. S and published by ChanRe. This book was released on 2013-11-01 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third volume of the book series has focused on the use of methotrexate (MTX) for managing rheumatoid arthritis (RA). The book is written with an intention to develop a clinical guide to assist healthcare professionals for using the drug safely and effectively, thereby to improve the prescription practice. In the past two decades, MTX has emerged as the gold standard DAMRD treatment for managing RA. The prescription of MTX has also changed significantly based on the accumulated experience from clinical practice. However, the assessment of the prescription patterns indicates the lack of evidence-based guidelines for prescribing the drug. The guidelines and recommendations provided in this book may help to clarify the uncertainties related to MTX prescription. To improve the patients’ compliance, it is critical that the physician should provide necessary information about the drug to the patient. Additionally, the clinician should have thorough knowledge on managing special circumstances, including the development of drug-related complications. The content includes a brief introduction of the drug, followed by questions and answers explaining different clinical scenarios. The author has attempted to address almost all plausible clinical scenarios involved in the RA management using MTX.

Medical-Surgical Nursing - E-Book

Author : Sharon L. Lewis
Publisher : Elsevier Health Sciences
ISBN 13 : 0323290345
Total Pages : 1830 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Medical-Surgical Nursing - E-Book by : Sharon L. Lewis

Download or read book Medical-Surgical Nursing - E-Book written by Sharon L. Lewis and published by Elsevier Health Sciences. This book was released on 2014-03-14 with total page 1830 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past three decades, more and more nursing educators have turned to Lewis: Medical-Surgical Nursing for its accurate and up-to-date coverage of the latest trends, hot topics, and clinical developments in the field of medical-surgical nursing — and the new ninth edition is no exception! Written by a dedicated team of expert authors led by Sharon Lewis, Medical-Surgical Nursing, 9th Edition offers the same easy-to-read style that students have come to love, along with the timely and thoroughly accurate content that educators have come to trust. Completely revised and updated content explores patient care in various clinical settings and focuses on key topics such as prioritization, critical thinking, patient safety, and NCLEX® exam preparation. Best of all — a complete collection of interactive student resources creates a more engaging learning environment to prepare you for clinical practice. Highly readable format gives you a strong foundation in medical-surgical nursing. Content written and reviewed by leading experts in the field ensures that the information is comprehensive, current, and clinically accurate. Bridge to NCLEX Examination review questions at the end of each chapter reinforce key content while helping you prepare for the NCLEX examination with both standard and alternate item format questions. UNIQUE! "Levels of Care" approach explains how nursing care varies for different levels of health and illness. More than 50 comprehensive nursing care plans in the book and online incorporate NIC, NOC, and current NANDA diagnoses, defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria, and collaborative problems. Over 800 full-color illustrations and photographs clearly demonstrate disease processes and related anatomy and physiology. NEW! Unfolding case studies included throughout each assessment chapter help you apply important concepts and procedures to real-life patient care. NEW! Managing Multiple Patients case studies at the end of each section give you practice applying your knowledge of various disorders and help you prioritize and delegate patient care. NEW! Informatics boxes discuss how technology is used by nurses and patients in health care settings. NEW! Expanded coverage of evidence-based practice helps you understand how to apply the latest research to real-life patient care. NEW! Expanded Safety Alerts throughout the book cover surveillance for high-risk situations. NEW! Separate chapter on genetics expands on this key topic that impacts nearly every condition with a focus on the practical application to nursing care of patients. NEW! Expanded coverage of delegation includes additional Delegation Decisions boxes covering issues such as hypertension and postoperative patient care. NEW! Genetic Risk Alerts and Genetic Link headings highlight specific genetic issues related to body system assessments and disorders. NEW! Revised art program enhances the book’s visual appeal and lends a more contemporary look throughout.

Mayo Clinic Internal Medicine Board Review Questions and Answers

Author : Robert D. Ficalora
Publisher : Oxford University Press, USA
ISBN 13 : 0199985871
Total Pages : 164 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Mayo Clinic Internal Medicine Board Review Questions and Answers by : Robert D. Ficalora

Download or read book Mayo Clinic Internal Medicine Board Review Questions and Answers written by Robert D. Ficalora and published by Oxford University Press, USA. This book was released on 2013-08-15 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Companion volume to: Mayo Clinic internal medicine board review. 10th ed. c2013.

Rheumatology in Questions

Author : Haralampos M. Moutsopoulos
Publisher : Springer
ISBN 13 : 9783030100834
Total Pages : 0 pages
Book Rating : 4.1/5 (8 download)

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Book Synopsis Rheumatology in Questions by : Haralampos M. Moutsopoulos

Download or read book Rheumatology in Questions written by Haralampos M. Moutsopoulos and published by Springer. This book was released on 2018-12-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all fields in rheumatology and aims to help readers comprehend, familiarize and evaluate their knowledge of the subject area. It contains short questions and concise answers on definitions, pathogenetic aspects, clinical and laboratory manifestations, differential diagnosis and the management of all rheumatic diseases. The book also provides questions and answers on major aspects of basic immunology, valuable for understanding underlying immunological mechanisms of autoimmune rheumatic diseases. Illustrations and images help present information in a clear and schematic way.

Swanson's Family Medicine Review E-Book

Author : Alfred F. Tallia
Publisher : Elsevier Health Sciences
ISBN 13 : 0323444040
Total Pages : 879 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Swanson's Family Medicine Review E-Book by : Alfred F. Tallia

Download or read book Swanson's Family Medicine Review E-Book written by Alfred F. Tallia and published by Elsevier Health Sciences. This book was released on 2016-06-15 with total page 879 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes nearly 2,500 case-based questions and answer rationales, newly updated to reflect the most current developments in practice. Chapter Summaries offer a quick review of the concepts—great for last-minute exam preparation. Open-ended Clinical Case Management Problems in each chapter provide additional opportunities for articulating your understanding of key topics. Features the most current information on concussion management, palliative care, pain management, and more. Allows you to earn up to 75 CME Credits online through Rutgers Robert Wood Johnson Medical School.

Fundamental Orthopedic Management for the Physical Therapist Assistant - E-Book

Author : Gary A. Shankman
Publisher : Elsevier Health Sciences
ISBN 13 : 0323291597
Total Pages : 535 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Fundamental Orthopedic Management for the Physical Therapist Assistant - E-Book by : Gary A. Shankman

Download or read book Fundamental Orthopedic Management for the Physical Therapist Assistant - E-Book written by Gary A. Shankman and published by Elsevier Health Sciences. This book was released on 2010-10-01 with total page 535 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than 30 new contributors participated in this new edition, allowing you to learn from experts in each field. Unique! Rheumatic Disorders chapter covers disorders such as arthritis, gout, fibromyalgia, and systemic lupus erythematosus, including pathophysiology, a description of the inflammation, and pharmacological and non-pharmacological interventions. Unique! Pain and Pain Syndromes chapter covers types of pain, pain mechanisms, its measurement, and its management. Unique! Bracing, Orthotics, and Prosthetics chapter outlines the types of materials used to construct braces, orthotics, and prosthetics; the use of each unit by anatomic area; their biomechanics; the indications and contraindications for each; as well as an introduction to amputation.

Pain Medicine Board Review E-Book

Author : Anna Woodbury
Publisher : Elsevier Health Sciences
ISBN 13 : 032377587X
Total Pages : 227 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Pain Medicine Board Review E-Book by : Anna Woodbury

Download or read book Pain Medicine Board Review E-Book written by Anna Woodbury and published by Elsevier Health Sciences. This book was released on 2021-08-05 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering nearly 900 board-style questions, answers, and explanations written by Dr. Anna Woodbury and colleagues at Emory Medical School, Pain Medicine Board Review, 2nd Edition, fully prepares you for success on the American Board of Anesthesiology's Pain Medicine certification and recertification exam. This well-written and expertly reviewed resource covers all of the major topics on the exam, tests your current knowledge, and helps you identify areas requiring further study. - Contains approximately 900 board-style questions with answers and concise explanations, all thoroughly reviewed to ensure complete, accurate information throughout. - Directs you to the appropriate chapter in Honorio Benzon's highly regarded Practical Management of Pain, 5th Edition, for further reading and detailed explanations. - Includes new questions and answers in specific areas of recent growth: pharmacologic, psychological and physical medicine treatments, nerve block, and interventional techniques. - Ideal for any physician desiring Pain Medicine certification, including pain medicine specialists, anesthesiologists, physical medicine and rehabilitation physicians, neurologists, orthopaedists, and more.

Elsevier Comprehensive Guide to Combined Medical Services (UPSC) - E-Book

Author : Rajeev Kumar
Publisher : Elsevier Health Sciences
ISBN 13 : 813123892X
Total Pages : 973 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Elsevier Comprehensive Guide to Combined Medical Services (UPSC) - E-Book by : Rajeev Kumar

Download or read book Elsevier Comprehensive Guide to Combined Medical Services (UPSC) - E-Book written by Rajeev Kumar and published by Elsevier Health Sciences. This book was released on 2014-02-15 with total page 973 pages. Available in PDF, EPUB and Kindle. Book excerpt: Elsevier Comprehensive Guide to Combined Medical Services (UPSC) - E-Book

Firestein & Kelley's Textbook of Rheumatology - E-Book

Author : Gary S. Firestein
Publisher : Elsevier Health Sciences
ISBN 13 : 0323935907
Total Pages : 3010 pages
Book Rating : 4.3/5 (239 download)

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Book Synopsis Firestein & Kelley's Textbook of Rheumatology - E-Book by : Gary S. Firestein

Download or read book Firestein & Kelley's Textbook of Rheumatology - E-Book written by Gary S. Firestein and published by Elsevier Health Sciences. This book was released on 2024-07-24 with total page 3010 pages. Available in PDF, EPUB and Kindle. Book excerpt: With its comprehensive, global coverage of all aspects of diagnosis, screening, and treatment in both adults and children, Firestein & Kelley's Textbook of Rheumatology remains your reference of choice in this evolving field. The fully revised 12th Edition retains the user-friendly, full color format, providing in-depth guidance in rheumatology with an ideal balance of basic science and clinical application. New editors, new chapters, and new illustrations keep you fully up to date on recent advances in genetics and the microbiome, current therapies, and other rapid changes in the field. - Covers everything from basic science, immunology, anatomy, and physiology to diagnostic tests, procedures, physical examination, and disease pathogenesis, manifestations and treatment―including key data on outcomes to better inform clinical decision making. - Includes new or significantly revised chapters on Pre-Clinical Autoimmunity; The Microbiome in Health and Disease; Physical Therapy and Rehabilitation; Nutrition and Rheumatic Disease; Classification and Epidemiology of Spondyloarthritis; Etiology and Pathogenesis of Osteoarthritis; COVID and Rheumatic Disease; Vaccination in Rheumatic Disease; Autoimmune Complications of Immune Checkpoint Inhibitors for Cancer; and many more. - Features 1,200 high-quality illustrations, including superb line art, quick-reference tables, and full-color clinical photographs; many new illustrations highlight diseases among racially diverse patients. - Shares the knowledge and expertise of internationally renowned scientists and clinicians, including new editors Drs. Ted Mikuls and Tuhina Neogi. - Demonstrates the complete musculoskeletal exam in online videos, including abnormal findings and the arthroscopic presentation of diseased joints.

A TEXT BOOK OF PATHOPHYSIOLOGY

Author : MR. NIRMAL JOSHI
Publisher : JEC PUBLICATION
ISBN 13 : 9361751247
Total Pages : 316 pages
Book Rating : 4.3/5 (617 download)

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Book Synopsis A TEXT BOOK OF PATHOPHYSIOLOGY by : MR. NIRMAL JOSHI

Download or read book A TEXT BOOK OF PATHOPHYSIOLOGY written by MR. NIRMAL JOSHI and published by JEC PUBLICATION. This book was released on with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Welcome to the comprehensive textbook titled "Textbook of Pathophysiology for B.Pharm 2nd Semester," meticulously crafted to meet the academic standards set forth by the Pharmacy Council of India. This textbook is a collaborative effort of esteemed professionals in the field of pharmaceutical sciences, each contributing their expertise to deliver a thorough understanding of pathophysiology tailored specifically for B.Pharm students. Our aim in compiling this textbook is to provide students with a foundational knowledge of pathophysiology, essential for comprehending the underlying mechanisms of various diseases and conditions encountered in pharmaceutical practice. The content of this textbook is structured to facilitate a structured learning experience, covering essential concepts, mechanisms, and clinical correlations. The authors of this textbook bring a wealth of experience and expertise to its creation, ensuring its relevance and comprehensiveness. 1.Mr. Nirmal Joshi, M.Pharm (Pharmacology)/PhD (Pursuing): Mr. Joshi's academic journey and research accomplishments reflect his dedication to advancing pharmaceutical sciences. With a focus on pharmacology, his insights enrich the understanding of pathophysiological mechanisms. 2.Prof. (Dr.) Manoj Bisht, PhD: Dr. Bisht's extensive experience in academia and research, coupled with his innovative contributions to the field, adds significant depth to the content of this textbook. His expertise in pharmacology enhances the clarity and relevance of pathophysiological concepts. 3.Amit Singh, M.Pharm(Pharmacology)/PhD (Pursuing): Mr. Singh's multidimensional expertise spanning teaching, research, and pharmaceutical practice enriches the content of this textbook. His contributions ensure a comprehensive understanding of pathophysiological processes.

1000+ GK Questions for SSC Exams

Author : Oliveboard
Publisher : Oliveboard
ISBN 13 :
Total Pages : 81 pages
Book Rating : 4./5 ( download)

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Book Synopsis 1000+ GK Questions for SSC Exams by : Oliveboard

Download or read book 1000+ GK Questions for SSC Exams written by Oliveboard and published by Oliveboard . This book was released on with total page 81 pages. Available in PDF, EPUB and Kindle. Book excerpt: This E-Book consist of 1000+ GK Questions for SSC exams. You can practice GK Questions for your upcoming exams from this PDF.

Master Dentistry E-Book

Author : Paul Coulthard
Publisher : Elsevier Health Sciences
ISBN 13 : 0702055573
Total Pages : 381 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Master Dentistry E-Book by : Paul Coulthard

Download or read book Master Dentistry E-Book written by Paul Coulthard and published by Elsevier Health Sciences. This book was released on 2013-05-24 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master Dentistry is designed as a revision guide for dental students and presents the key elements of the curriculum in an easy-to-digest format. Based on sound educational principles, each volume in the series is fully illustrated throughout and is supported by extensive self-assessment questions which allow the reader to assess their own knowledge of the topic and perfect their exam techniques. This third edition has been fully updated throughout and addresses the oral and maxillofacial surgery, radiology, pathology and oral medicine aspects of dentistry. The Master Dentistry volumes are perfect for undergraduate students, vocational trainees and those preparing for post-graduate examinations such as the MJDF in the UK or international equivalent, and the ORE. - Information presented in a style which facilitates easy recall for examination purposes and a ready understanding of the subject - Key facts are highlighted and principles of diagnosis and management emphasised - Gives the reader an understanding of evidence-based practice in an international context - Offers practical guidance on how to prepare for exams and make best use of the time available - Perfect for BDS exam preparation and candidates taking the MJDF, ORE or other post-graduate exams - Each chapter has been fully revised and updated to reflect new research evidence and provide an international context including use of drug names - The Human Disease and Patient Care chapter includes a new approach to medical risk assessment and updated guidance on the management of common medical emergencies - Particularly significant changes in other chapters include surgical flap design, CBCT, radiotherapy, bisphosphonates, odontogenic keratocyst classification, zygoma implants, and contemporary specialist referral systems

Ebersole and Hess' Gerontological Nursing & Healthy Aging - E-Book

Author : Theris A. Touhy
Publisher : Elsevier Health Sciences
ISBN 13 : 0323266266
Total Pages : 451 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Ebersole and Hess' Gerontological Nursing & Healthy Aging - E-Book by : Theris A. Touhy

Download or read book Ebersole and Hess' Gerontological Nursing & Healthy Aging - E-Book written by Theris A. Touhy and published by Elsevier Health Sciences. This book was released on 2013-03-15 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ebersole & Hess’ Gerontological Nursing and Healthy Aging is the only gerontological nursing text that follows a wellness-based, holistic approach to older adult care. Designed to facilitate healthy aging regardless of the situation or disease process, this text goes beyond simply tracking recommended treatments to address complications, alleviate discomfort, and help older adults lead healthy lives. Featuring evidence-based practice boxes, safety alerts, expanded tables, and careful attention to age, gender, and cultural differences, Ebersole & Hess’ Gerontological Nursing and Healthy Aging is the most complete text on the market. Focus on health and wellness helps you gain an understanding of the patient’s experience. AACN and the Hartford Institute for Geriatric Nursing core competencies integrated throughout. Consistent chapter organization and pedagogy, including Learning Objectives, Glossary, and Research and Study Questions/Activities. Evidence-Based Practice boxes summarize research findings that confirm effective practices or identify practices with unknown, ineffective, or harmful effects. Careful attention to age, cultural, and gender differences helps you understand these important considerations in caring for older adults Expanded tables, boxes, and forms, including the latest scales and guidelines for proper health assessment make information easy to find and use. Activities and discussion questions at the end of every chapter equip you with the information you need to assess the patient. UPDATED! Healthy People 2020 boxes integrate information about healthy aging. NEW! Safety Alerts highlight safe practices and quality of care QSEN competencies. NEW! Chapter on Neurologic Compromise expands content on stroke and Parkinson’s disease.

Lilley's Pharmacology for Canadian Health Care Practice - E-Book

Author : Kara Sealock
Publisher : Elsevier Health Sciences
ISBN 13 : 0323694810
Total Pages : 1042 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Lilley's Pharmacology for Canadian Health Care Practice - E-Book by : Kara Sealock

Download or read book Lilley's Pharmacology for Canadian Health Care Practice - E-Book written by Kara Sealock and published by Elsevier Health Sciences. This book was released on 2020-10-18 with total page 1042 pages. Available in PDF, EPUB and Kindle. Book excerpt: - UPDATED! Thoroughly updated drug content reflects the very latest Health Canada drug approvals, withdrawals, and therapeutic uses, as well as corresponding updated nursing content. - NEW! Coverage of current top-of-mind topics includes pharmacology as it pertains to palliative care; the legalization of marihuana for both medical and recreational purposes; issues surrounding the use and misuse of fentanyl and the take-home distribution of naloxone kits used to tackle the growing fentanyl crises; and more. - NEW! The latest Canadian statistics, research, legislation, regulations, and clinical practice guidelines have been incorporated throughout the text as well as content reflecting the 2017 CNA Code of Ethics, updated references, and more. - NEW! Additional examination review questions help readers more thoroughly prepare for credentialing exams. - NEW! Updated case studies better reflect the diverse Canadian population. - NEW! Expanded visual program incorporates more diagrams, graphs, charts and photos throughout the text to accompany difficult concepts and theories and help facilitate learning. - NEW! Incorporation of the Truth and Reconciliation Commission of Canada's Calls to Action in chapters 4 and 7 now covers Indigenous health and healing practices, an explanation of the Indigenous medicine wheel, and alternative medicinal interventions.