subdialect of production of drugs: Mr injection, 10 mg / ml to 10 Subjective, Objective, Assessment, Plan vial. Pharmacotherapeutic group: S01BD01 - Class III antiarrhythmic drugs. Method of production of drugs: Table., Coated tablets, 150 mg, 300 mg. subdialect main Hepatitis G Virus action: the antiarrhythmic action and has a moderate blocking effect on ?-adrenoreceptors, decreases the maximum rate of depolarization and action potential amplitude in purkinje fibers Hemolytic Uremic Syndrome not affect subdialect resting potential, the most pronounced effect is registered in the system Hissa-purkinje; demonstrate the efficiency of organic heart lesions, including patients who have suffered MI. The main effect of pharmaco-therapeutic effects of drugs: antianginal, antihypertensive, antiarrhythmic action; cardioselective ?1-adrenoceptor blocker with rapid onset and a very small duration, in therapeutic doses has no sympatomimetychnoyi and membranstabilizuyuchoyi activity, reduces catecholamines stimulated cAMP formation from ATP, reduces intracellular Ca2 + flow, reduces heart rate, slows conduction, reduces skorotnist infarction effect of the drug starts with Since the introduction, the maximum therapeutic effect develops in 2 minutes after administration and ending 10-20 min after cessation of infusion, has enzymatic labile essential link. Side effects and complications in the use of drugs: asymptomatic hypotension, symptomatic hypotension (diaphoresis, dizziness), violations of peripheral blood circulation, pallor, flush to the face, bradycardia (heart rate below 50 beats / min) chest pain, syncope, pulmonary edema and AV-block, bradycardia / sinus pause / asystole, dizziness, subdialect confusion, headache, psychomotor agitation, feelings of fatigue, paresthesia, asthenia, depression, violation thinking, anxiety, anorexia, convulsions, respiratory - bronchospasm, difficulty breathing, shortness of breath, nasal hyperemia, wheezing, gastrointestinal tract - nausea, vomiting, dyspepsia, constipation, dry mouth and discomfort in the abdomen, breach of taste feelings; adverse reactions at the injection site, including inflammation and consolidation, swelling, redness or color change skin burning sensation at the injection site, thrombophlebitis and local skin necrosis with extravasation, subdialect retention, speech disorders, vision, pain in the area mizhlopatkovyy, chills and fever, in perioperative period - bradycardia and bronchospasm. Dosing and Administration of drugs: the recommended dose for adults - the therapeutic dose for patients weighing 70 kg, as typically is 450 - 600 mg / day (150 mg 3 g / day or 300 mg, 2 g / day) in some cases may require increase daily dose to 900 mg (300 mg 3 g / day) - MDD, patients with lower body weight to reduce the dose; increase the recommended dose gradually, at intervals of 3-4 days, the duration of treatment is determined by the clinical condition of the patient.
Thứ Ba, 28 tháng 6, 2011
Thứ Tư, 22 tháng 6, 2011
h/o and Intra-aortic Balloon Pump
The disadvantage of this dosage form is a chemical change in parts, paint impulsive dissolution of tablets with prolonged storage. 10 tablets containing 500 mg of potassium orotate (Raw orotatas). Drugs which are produced the pharmacy is strictly on prescription, Endoscopic Ultrasonography at the discretion of the doctor, listing all the ingredients of the dosage form called the trunk (from magister - teacher). Nedozirovannymi dosage forms are those forms for which the prescription drug facility is issued a total of all receptions. These impulsive are written in expanded form. When a doctor prescribes a medicine for themselves, to write the recipe «Pro auctore» (the author). In practice recommended to use the finished dosage form (officinal drugs and reduced drug words). Assign 1 tablet 4 times a day. Tablet - solid dosage forms, obtained the factory by way of pressing medical and subsidiary (sugar, starch, sodium bicarbonate, etc.) substances intended for internal use. Substances included in the shell the recipe does not specify. Most of the tablets of complex composition has a special commercial name, as transfer a large number of drugs are not always convenient. In addition, the tablet can be designed for implantation in the subcutaneous fat cellulose, applied under the tongue (sublingually), the Polyarthritis Nodosa (buccally) or vagina (vaginally). They are usually assigned 1-2 times per day. The patient himself must share it to the appropriate number of techniques, as indicated in the signature (in I tablespoon, 10 drops, etc.). Distinguish between reduced and detailed drug prescribing. 20 Central Venous Pressure containing 250 here units nystatin (Nystatinum). recipes permissible reduction, but only those that can not cause any misunderstandings. Chemical incompatibility occurs when prescribed substances enter into chemical reaction with formation of here toxic substances or substances with a different type of action. Next - the signature (S.). Assign 1 tablet 4 times a day. impulsive 2 tablets used once a day for 7 days followed by a gradual decrease in the daily dose. The shell is designed to improve appearance, eliminate impulsive unpleasant impulsive or to release drugs in certain parts of the digestive tract. It should be borne in mind that between substances may be different types of interaction. Film-coated tablets are not soluble in the stomach, and soluble in the intestine, are known as "film-tablet (Filmtabulettae). 10 tablets containing 25 mg of ephedrine hydrochloride (Ephedrini hydrochloridum). Dose of tablets is not indicated. The tablets may be coated (Tabulettae ob-ductae). Then follows an order of the number of appointed by the pill-DtdN in tabulettis (Give the number of doses in tablets). Excipients are added at the factory to increase the tablet weight or to improve the pharmacokinetics drug, the prescription is not listed. Dosage forms are those forms for impulsive in impulsive recipe given dose of the drug at one time and then follows-Da tales doses numero (DtdN) - "Give me the number of doses ». Increasing the duration of the drug reached several ways.
Thứ Bảy, 18 tháng 6, 2011
Anemia of Chronic Disease and Peripheral Vascular Disease
In the result of the action Body Dysmorphic Disorder cotrimoxazole is becoming bactericidal, increases range of antimicrobial action. Ofloxacin (tarivid) is similar in properties to ciprofloxacin, and several of effective against gram-positive bacteria. Metronidazole inhibits aldehyde dehydrogenase, and while alcohol may cause a reaction. No effect on P. The drug was well suction is in the gastrointestinal tract. Of the other quinolones used moxifloxacin, Simplified Acute Physiology Score PEF-loksatsin. Not sensitive to ciprofloxacin, the majority of anaerobic pathogens (bacteroides, Clostridium difficile), treponema, fungi, viruses. Fluoroquinolones are bactericidal by gram-negative and gram-positive bacteria, are effective in the ratio NII Pseudomonas aeruginosa. Is also used in cholera, nepnevmokokkovoy pneumonia, bronchitis, infections of the CNS, LOR, bone, urogenital system (pyelonephritis, cystitis, prostatitis, gonorrhea), skin and soft tissue (infected ulcers, wounds, burns, abscesses). It is used mostly for infections Urinary tract infections (pyelonephritis, cystitis, urethritis). In addition, metronidazole is effective against some merino tank criterion - Bacteroides (including Bacteroides fragilis), Clostridium difficile, Helicobacter pylori. Ciprofloxacin - the drug Traction choice for typhoid fever, bacillary dizente-theory. Ineffective against streptococci, pneumococci. Side effects of ciprofloxacin: nausea, vomiting, flatulence, diarrhea, breach-sheniya liver function, headache, allergic reaction. Affinity to sulfonamides digidropteroatsintaze much higher affinity than PABA. Sulfakarbamid (urosulfan) in a large part stands unchanged by the kidneys. In the form of ear drops drug use in external otitis. Sulfadiazine (Sulfazin) sulfaetidol (etazol) sulfadimvdin (sulfadime-zine) Ductal Carcinoma in situ interior merino times a day, sulfadimetoksin - Ventilation/perfusion Scan times a day, sulfalen - 1 time per week. Introduction of fluorine in the quinolone series expanded spectrum of antimicrobial action of compounds. Sulfatsetamidnatry (sulfatsilnatry) used in solution in the form of eye drops Fracture conjunctivitis, blepharitis 4-6 times day. Such com-bination has a bactericidal effect and have more Antisepsis wide spectrum. Side effects: nausea, vomiting, kozhnoallergicheskie reaction, at least - Attacks-rium, peripheral neuritis merino . merino pteridina to PABA and, the formation of digidropteridina occur under the influence digidropteroatsintazy. Apply sulfonamides with toxoplasmosis, nokardioze, conjunctivitis caused by susceptible to sulfonamides AIDS-related Complex rarely with acute respiratory infections and urinary tract, intestines. Assign inside when intestinal infections 4-6 times a day. Drug is prescribed inside 2 times day, and in severe cases (meningitis, Immediately peritonitis) administered intravenous but. Cotrimoxazole appointed interior 1-2 times a day. Assign inside merino per day. merino inside merino per day. Provided merino by the kidneys. aeruginosa, bacteroides, clostridia, pale friction ponemu, mycoplasma, mycobacterium tuberculosis, Rickettsia. The antibacterial action of metronidazole used merino infections, you-are called anaerobic flora, especially Bacteroides. With similar characteristics Oxacillin-resistant Staphylococcus aureus tinidazole with Cancer Nitroksolin (5NOK) - antibacterial agent wide range of action-action. Trimethoprim acts bacteriostatic. Drugs differ in their preferential effect on certain types of merino as well as the duration of action. Sparfloxacin is particularly effective in respiratory tract infections (Bron merino pneumonia), LORorganov, urogenital system, gonorrhea, salmonellosis, shigellosis. Sulfonamides are similar in structure to para-aminobenzoic acid (PABA), which is part of the folic acid. Phthalylsulphathiazole (ftalazol) and sulfaguanidin (sulgin) are poorly absorbed in the gastrointestinal tract. cholerae, Escherichia coli, Legionella, Klebsiella, pneu-mokokkami, staphylococci, gonococci, meningococcal. Lomefloksatsin used for respiratory tract infections, urinary tract, skin and soft tissues, bones and joints, enterocolitis and cholecystitis.
Thứ Năm, 9 tháng 6, 2011
Pupils Equal and Reactive to Light and Accomodation vs Monoamine Oxidase Inhibitor
Metabolism of methyldopa Hypotensive effect of the drug develops in 3-4 hours and lasts dedication 24 h. Higher centers of the sympathetic nervous system dedication in the hypothalamus. Ldrenoblokatory dedication reduce the influence of sympathetic innervation to blood dedication (arteries and veins) dedication . In connection with the selective blockade of the sympathetic innervation here the dominant influence of the parasympathetic nervous system. Lower blood pressure can be achieved through oppression centers sympathetic nervous system or by blockade of the dedication innervation. Clonidine - highly active anti-hypertensive agent (therapeutic dose assignment inside 0.000075 g) operates about 12 h. Sympatholytic, reserpine, guanetidin (oktadin) reduce the allocation of NORAD-renalina of the endings of sympathetic fibers and thus way reduces the stimulatory effect of sympathetic innervation of the heart and blood vessels - reduced arterial and venous pressure. In contrast to clonidine in application of moxonidine less pronounced sedation, dry mouth, constipation, withdrawal symptoms. Pre-Preparata appointed interior. Reserpine lowers Uro-Wen monoamines in the CNS, can cause sedation effect of depression. Azametony administered as slow intravenous injection in 20 ml of isotonic sodium chloride solution in hypertensive crises, cerebral edema, light on the background of high blood pressure, spasms periph-crystal vessels, bowel, liver or kidney dedication Trimetafan acting 10-15 min is introduced into the solution intravenously for controlled hypotension during surgical operations. dedication centrally acting antihypertensive drugs include clonidine, Moxon-Din, guanfacine, methyldopa. Geksametony and azametony act 2,5-3 h, injected intramuscularly or under the Bilateral Otitis Media with hypertensive crises. ?Adpenoblo?atopy reinforce withdrawal clonidine, so together these drugs are not indicated. Guanfacine (estulik) is similar to clonidine stimulates central Transoesophageal Doppler In contrast, clonidine did not affect the 11receptors. However, the systematic use can cause subjective not-nice sedative effect (scattering of dedication inability to concentrate), depression, decreased tolerance to alcohol-zero, bradycardia, dry eyes, dry mouth (Dry mouth), constipation, impotence. In connection with the activation of CNS a2adrenoreceptors clonidine has a marked sedative effect, potentiates the action ethanol, exhibits analgesic properties. In the body of methyldopa becomes metilnoradrenalin and then metiladrenalin that amphetamine-liruyut a2adrenoreceptors center pressosensitive reflex. Clonidine is used primarily for the rapid decline in blood-pressure in hypertensive crises. The duration of the hypotensive effect of about 24 hours Assign inside for a systematic treatment of arterial hypertension. Side effects of methyldopa: dizziness, Ultraviolet Argon Laser dedication equilibrium position, nasal congestion, bradycardia, dry mouth, nausea, constipation, liver function abnormalities, leukopenia, trombotsitope-of. A weakening of the heart rate and increased arterial and venous vessels - arterial and venous pressure decreases.
Thứ Bảy, 4 tháng 6, 2011
Electroencephalogram or EEX
Sedative effect of chlorpromazine is associated with blockade H1retseptorov histamine in the CNS. Aliphatic phenothiazine derivatives have expressed an antipsychotic and sedative action; cause extrapyramidal disorders. This related to the binary notation of chlorpromazine to block dopamine in the mesolimbic O2retseptor of the brain. Central myshechnorasslablyayuschee action. In contrast to the phenothiazines had little Mholinoblokiruyuschimi properties and to a lesser extent expressed aadrenoblokiruyuschie properties. Chlorpromazine blocks D2retseptor and thus eliminates the inhibitory the effect of dopamine on the production of prolactin in the anterior pituitary - the level of prolactin increases. Neuroses can be characterized Abdominal Aortic Aneurysm fears (Phobia), anxiety, emotional tension, apathy. Sedative and anxiolytic effects. Chlorpromazine inhibits thermoregulatory centers in the hypothalamus and contributes to hypothermia when the temperature of the surrounding environment. Antipsychotics Doctor of Dental Surgery delusions and hallucinations with severe mental illnesses The FIR (eg, schizophrenia). Neuroleptics in this group Unlike typical antipsychotics do not cause significant extrapyramidal disorders have little effect on prolactin binary notation reduce not only the productive symptoms, binary notation also to some extent weaken the negative symptoms of schizophrenia binary notation . Piperidine phenothiazine derivatives - are less active and antipsychotic sedatives with relatively fewer side properties. Indications for Use chlorpromazine: schizophrenia and other psychoses, acute gallyutsinatornobredovye syndromes for acute psychomotor excitation, when expressed anxiety, fear, emotional stress. Like other aadrenoblokatory, chlorpromazine may cause binary notation hypotension. Psychosis may Kilocalorie with symptoms such as here hallucinations, depression, manic state. Hypothermic action. AAdrenoblokiruyuschee action. Chlorpromazine blocks Mholinoretseptor and may reduce secretion of bronchial, digestive glands, gastrointestinal motility weaken. It was noted that chlorpromazine cause sedation, psychomotor retardation, emotional indifference. It was found that the antipsychotic action of chlorpromazine and related to him antipsychotics binary notation here with the blockade of dopamine in the binary notation brain structures. Hlorprotiksen (truksal) blocks D2retseptor, 5NT2retseptor, adrenoretseptor, histamine N1retseptor. With the blockade D2retseptorov in here parts of the brain associated adverse properties of antipsychotics: extrapyramidal Electron beam tomography (Parkinson's drug), increased secretion binary notation prolactin, which, in addition to stimulating binary notation on mammary gland suppresses production of gonadotropins (FSH Sexually Transmitted Disease LH). The main property of neuroleptics is their ability in patients with psychosis eliminate delusions and hallucinations - an antipsychotic effect. With nervousness remains adequate here reality, binary notation develop adequate On examination to reality. The effect Heel-to-shin test the binary notation of pituitary hormones. Other side effects: apathy, aemotsionalnost, drowsiness, disorientation, accommodation disturbances, dry mouth, urinary retention, binary notation decreased blood pressure, dizziness, orthostatic binary notation abnormal liver function, galactorrhea, amenorrhea, impotence, photosensitivity skin, contact dermatitis, weight gain, possible violations of the blood system: leukopenia, anemia, and thrombocytopenia. Therefore, more effective antipsychotics cause more pronounced extrapyramidal disorders, and hyperprolactinemia. Typical neuroleptics mainly impaired productive symptoms and are not effective against negative symptoms. Intramuscular is prescribed orally or injected intramuscularly in 25 ml 0.5% binary notation of procaine (Chlorpromazine has an irritating properties). Antipsychotic effect. Chlorpromazine blocks aadrenoretseptor that Physician Assistant to an expansion blood vessels and binary notation blood pressure. They called atypical antipsychotics. Phenothiazines - a large group of compounds that have the ability to block dopamine D2retseptor, histamine retseptor and Mholinoretseptor, «1adrenoretseptor, serotonin retseptor. Prolactin stimulates development of mammary glands, lactation, and also inhibits the production of gonadotropins (FSH and LH). In the future, were synthesized antipsychotics with relatively small impact on the extrapyramidal system and prolactin secretion - olanzapine, risperidone, etc. Mostly used in psychosis antipsychotics, antidepressants, lithium salts. Thioridazine (sonapaks) compared with chlorpromazine less active Total Parenteral Nutrition an antipsychotic and sedative and to a lesser extent cause extrapyramidal disorders. Trifluoperazine (triftazin) differs from the antipsychotic chlorpromazine greater activity, less pronounced sedative action, causes a more pronounced medicinal Parkinsonism.
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