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The product labeling carries precautionary warning about three serious adverse reactions. Guidance on treatment for a specific chemical exposure is available at several websites of the Centers for Disease Control and Prevention (CDC) (;; Travelers also need to anticipate available medical resources while travelling. CAM practices generally are not considered standard medical approaches. Dlco is normal or only minimally reduced, and Dlco/VA (corrected for VA) is normal. There are both known and unknown risks associated with the therapeutic use of prescription and nonprescription drugs and drug administration devices. Intermittent hemodialysis or other extracorporeal dialytic therapies including continuous renal replacement therapies (eg, continuous veno-venous hemofiltration, CVVH) may be necessary for certain severe cases of poisoning. Throughout this chapter, abbreviations for various pharmacokinetic parameters are used frequently. Such is the case with Staphylococcus epidermidis when it is identified in the blood of a hospitalized patient. In most cases, medical therapy with dopamine agonists is considered the most effective treatment. Understanding how strongly a patient identifies with a particular social group will assist healthcare providers in identifying the influence of that social group's cultural norms and expectations on the patient's healthcare decision-making. Structural differences between the sulfonamides antibiotics and nonantibiotics may influence the metabolic conversion and resultant reactivity of these compounds. Estimation of an exact dose is impossible in most cases of acute poisoning; thus, tabulated "toxic" doses generally are not helpful in assessing risk of toxicity. These include drugs that are naturally found in opium (ie, opiates such as morphine and codeine), synthetic opiates (eg, fentanyl, methadone, and meperidine), and semisynthetic opiate derivatives (eg, hydromorphone, hydrocodone, and oxycodone). Almost all acromegalic patients will present with physical signs and symptoms of soft-tissue overgrowth. A list of drugs that have been suggested as causative factors in drug-induced megaloblastic anemia is found in Table e103-7. Before dispensing medications, it is important to think about general factors that may enhance adherence in older adults.