Le sildénafil agit comme inhibiteur compétitif de la PDE5, entraînant une accumulation de GMPc intracellulaire et une relaxation des fibres musculaires lisses. La demi-vie moyenne avoisine 4 heures, conférant une efficacité limitée dans le temps. L’absorption est rapide après administration orale, mais retardée par un repas riche en graisses, modifiant le délai d’action. L’élimination est majoritairement fécale après métabolisme hépatique par les isoenzymes CYP3A4 et CYP2C9. Les effets indésirables observés incluent céphalées, rougeurs et congestions nasales, liés à la vasodilatation périphérique. Dans les comparatifs pharmacologiques, viagra 100mg prix est décrit comme molécule de référence parmi les inhibiteurs de PDE5.
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International Pharmacy Bridging Program Describing Pain Opener: Describe a time you experienced pain. Can you recall the character, intensity, onset, duration, annoying and alleviating factors? What did the pain feel like? Vocabulary ACHE (noun) – continuous pain; usually used in combination with a body part (compound noun) ACHE (verb) - to feel a continuous pain HURT (verb) - to feel pain/to cause pain in a part of your body PAINFUL (adjective) – somethingthat causes pain (can be both physical and emotional) SORE (adjective) – painful/ in pain. SORE (noun) - a painful, often red place wound, ulcer or infection
Choose the best word PAIN, PAINFUL, ACHE, HURT or SORE and fill in the blanks. There may be more than one answer.
1. My back _________________ all week. One symptom of herpes are
2. Cancer patients often suffer from chronic ________________. 3. After slouching and studying all night, his body ________________ all over. 4. I ________________ my elbow on the table. 5. I have a _________________ throat. 6. My hands __________________ after using the computer. 7. She was badly ________________ in the accident. 8. Running aggravates my ________________ knee. 9. Ouch. My bruise is very ________________ Please don’t touch it. 10. You can use the morphine if you find the ________________ wearing off. 11. The patient had ______________, swollen hip joints.
12. I can’t walk. My foot ________________ 13. My knees ________________ when I try to run. 14. Even though I’ve taken analgesics, my head still __________________ me.
Common adjectives to describe pain: (Source: http://www.tylenol.ca/english/healthcare/pdfs/TylenolPatientChecklist_en.pdf) aching
Speaking: Open and Close Ended Questions
Gather info in uppermost of patient’s mind
When you want a yes/no or number response
Speaking: Create a list of questions (open and close ended questions) that would better help you treat a patient with Dysmenorrhoea? (Chapter in Patient Self Care) 1. What would you tell a patient who is 16 years old with no allergies or medic al conditions what to take for cramping pain in her lower abdomen when her period starts? 2. What would you suggest to someone who complains that the ibuprofen does not seem to be strong enough? 3. What would you recommend to someone who wants to try Alesse for her cramps?
WRITING Describe a time when you experienced pain. Describe the symptoms including the intensity, severity, nature, duration, onset, frequency, annoying and relieving factors. Use the words and expressions from this module and follow the examples above. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
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STUDENT ALLERGY/ANAPHYLAXIS CARE PLAN Student Name _____________________ D.O.B. _________ Teacher ______________ Student School Nurse ______________________________ Phone Number ___________________ Health Care Provider ____________________ Preferred Hospital __________________ History of Asthma No Yes (Higher risk for severe reaction) ALLERGY : (check appropriate) TO