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Dermal Papilla Cell Proliferation A 2007 study by Pyo et al

Download Training Standards Aims and Objectives To provide HCAS with the knowledge and skills required for the procedure of administering B12 injections To provide the HCA with resources, education and awareness of the legal issues, accountability and prescribing through delegation To provide the mechanisms for the HCA to be signed off as competent by a trained nurse in their workplace and follow the protocols and framework supplied for safe practice Course Content The role of the HCA in extended practice What is Pernicious anemia What are the symptoms, causes and treatment of B12 deficiency How do I monitor patients with B12 deficiency How is B12 prescribed/ legal issues/ prescriptions: PSD What are the side effects/contraindications/follow up care/ anaphylaxis Record keeping/documentation/communication with patients/capacity/consent Injection administration and techniques including practical session Technique/route/infection control/safe handling and disposal of sharps Protocols/ competencies and supervised practice by mentor Book Now

Indications: Huntington's Chorea (a hyperkinetic movement disorder) A drug of first choice for this condition Side Effects: Sedation Depression (suicidal tendencies) Parkinsonism symptoms Lacks the hypotensive & GI side effects of reserpine due to its selectivity for central VMAT2 Pharmacokinetics: * undergoes rapid hepatic metabolism involving carbonyl reductase and CYP2D6 to 2 active metabolites -dihydrotetrabenazine (-HTBZ) and -dihydrotetrabenazine (-HTBZ), with eventual renal elimination of metabolites the -HTBZ and -HTBZ metabolites are primarily responsible for the pharmacological & therapeutic effects produced by the parent prodrug Readily crosses the blood brain barrier & depletes cerebral monoamine stores

But picky eaters, allergy-restricted diets, or diagnosed deficiencies may still need targeted taurine and L-carnitine supplements to close the gap