By Ross, David John Athole
Alexander Historiatus is not just what its subtitle indicates, i.e. a consultant to illustrated manuscripts and early revealed versions of the Alexander literature of Antiquity and the center a while. it's also a survey of all of the Alexander literature produced in the course of those as such, because it systematically offers each vital model of the Alexander tale even if it really is present in illustrated shape. additionally, it presents a easy bibliography for every textual content, together with the textual content variations.
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Oxygen delivery is therefore variable.
However, they can have unpleasant side effects, which should be explained to anyone taking them ½ Inhalers containing steroids are sometimes used to help prevent severe attacks. Inhalers deliver the drug directly to the lungs where it is needed and do not cause serious side effects HOW TO MANAGE COPD – DRUG THERAPY | 51 ½ Steroid inhalers need to be taken regularly, as prescribed, if they are to be effective ½ Steroid inhalers sometimes cause minor, local problems in the mouth and throat. They can make you more prone to fungal infections and they may make your voice hoarse.
Too high a flow rate of oxygen will depress their respiratory drive, but too low a flow will fail to correct their hypoxia. The optimum flow rate of oxygen, therefore, needs to be determined by a specialist Patients and carers of patients on LTOT need clear advice on when to call a doctor in the event of worsening respiratory failure. 3 kPa and the patient does not experience drops in oxygen saturation with exercise OX YGEN THERAPY | 61 Short-burst home oxygen therapy ½ Short-burst oxygen is widely prescribed and is one of the most expensive therapies for COPD ½ It is generally given to relieve distressing breathlessness and improve ½ ½ exercise capacity Despite its cost and widespread prescription, research to support the use of oxygen in this way is lacking NICE recommends that short-burst oxygen therapy should: Only be considered for patients who experience distressing breathlessness not relieved by other therapies Only be continued if there is a documented improvement in breathlessness with its use Be provided from cylinders The new oxygen prescribing arrangements mean that this will be the only form of oxygen therapy GPs are able to prescribe v v v ½ VITAL POINT ✽ Before short-burst oxygen is prescribed, it is worth considering whether the patient may fit the criteria for long-term oxygen therapy.