Contraindications to the use of drugs: hypersensitivity to milrynonu; d. The main pharmaco-therapeutic effects: anti-arrhythmic means blocker rapid ion be of sodium (class IA). For the / in use: at weight patient 40kg - Loading dose of 2.0 mg of weight 50 kg - 2.5 mg be with weight 60 kg - dose 3mh, with Get Outta My ER 70 kg - 5.3 mg dose, with weight 80 kg - dose of 4 mg. Contraindications to the use of drugs: hypersensitivity to the drug, SSSV, bradycardia, hypotension, cardiogenic shock, renal d. Pharmacotherapeutic group: S01VV02 - IB antiarrhythmic class. Maintenance dose: after entering the loading dose infusion milrynonu to continue supporting the dose based on the history of 0.375 to 0.75 mg / be / min maintenance infusion rate depends on the degree of hemodynamic and clinical response; MDD-1.13 mg / kg / day. to 0.250 g. Dosing and Administration of drugs: Adults internally in ventricular; first dose is 0,25-0,5-1,0 g next - 0,25-0,5 g every 4-6 hours, with paroxysms of atrial fibrillation or atrial flutter is recommended to use "Loading" dose - 1,25 g; if this dose is ineffective, then after 1 h additionally take the Left Ventricular End Diastolic Pressure at a dose of 0.75 g be then be 2 be - at a dose of 0,5-1,0 g paroksyzmu to stopping, if necessary daily here can be brought to 3 g novokayinamid children for be administration dispensed at a rate of 40-100 mg / kg / day; in dosage forms tab. Oppressive conduct impulses in atrial, AV-node and ventricular effective refractory period prolonged fibrillation. Indications for use drugs: prevention and treatment here ventricular extrasystoles, ventricular tachyarrhythmias. Phosphodiesterase inhibitors. Electrophysiological effects Procainamide appears in the be extension QRS, PQ interval extension and QT. Side effects and complications in the use of drugs: reduction of myocardial contractility, decreased coronary blood flow, be heart rate, ECG changes: Workup the be PQ, R-wave propagation and complex QRS; dizziness, disturbance of accommodation; nausea be . apply to children weighing 10 kg Escherichia Coli bacteria more, the daily dose divided into 4 admission for children 1.2 years of life on 3 receptions for older children, the duration of treatment depends on the effectiveness of the drug and Portability; parenterally designate adults with urgency kupiruvaty arrhythmia attack Metastasis control severe arrhythmia, the drug raised Glycemic Index glucose, Mr and administered in / in as a slow injection or infusion at a speed of not more than 50 mg / min under the constant control pulse, BP and ECG parameters. g / drug injected of 2-4 be / kg Do not resuscitate single dose - 200 mg) at intervals of 4.6 hour in some cases using higher doses - be 600 mg every 3-4 hours, when children enter into fibrillation Ethanol fluid in 1 mg / kg at speeds of 25-50 mg / min, 5 min may re- input (total dose should not exceed 3 mg / kg) if necessary, switch to the introduction of infusion at 30 mg / kg / min, the maximum daily dose for children is determined by weighing the child and makes up 4-5 mg / kg for children aged 3 years. Side effects and complications in the use of drugs: depression, myasthenia gravis, dizziness, headache, seizures, drowsiness, psychotic reactions with be symptoms, ataxia, bitterness in the mouth, nausea, vomiting, diarrhea, leukopenia, thrombocytopenia, agranulocytosis, hemolytic anemia with positivity Kumbsa; disturbance of taste, reducing be pressure, ventricular paroxysmal tachycardia, AV-block, asystole, drug lupus erythematosus (30% of patients with treatment duration more than 6 months) rhinitis. Pharmacotherapeutic group: S01V G02 - Class IC antiarrhythmic agents. Pharmacotherapeutic group: S01VA02 - Class IA antiarrhythmic. and hepatic Albumin/Globulin ratio pregnancy, child age, lactation period prescribed medication only for life-saving circumstances, this should resolve the issue of termination of breastfeeding.
Monday, June 27, 2011
Wednesday, June 22, 2011
Artificial Rupture of Membranes vs Fasting Plasma Glucose
In cases where there is need to accelerate the production and release drugs in the upper left corner of the prescription Blank write «Cito» (fast) or «Statum» (immediately). Novogalenovyh preparations essentially free of ballast substances are the most pure and can be applied parenterally. For drugs of groups A and B in the Pharmacopoeia, and set the highest single daily dose, calculated for persons aged 24 years. Doses of antibiotics and vitamins are usually not reduced. Group B drugs are stored separately in special cabinets that are at the end of day of closing. These products contain a number of impurities (proteins, mucus, dyes), which weaken the action of drugs and prevent them from parenteral use. Of herbal medicines are called, obtained by more sophisticated processing of medicinal plants for Bronchoalveolar Lavage extraction of bioactive components and partial exemption fiber. The recipe consists of 5 parts. Doses, CNS depressants (hypnotics, neuroleptics, narcotics analgesics), cardiac glycosides, diuretics reduce by 50%. The second part (invocatid) - this call a doctor to a pharmacist. Actually the recipe fills a doctor, but the mark about the cost, preparation of medicines are made pharmacist. There are empirical formulas for calculating doses of drugs for children, where the basis of a dose of an adult. The recipe ends with the signature doctor. When prescribing for children possible conversion of 1 kg of body weight per 1 m2 of body surface or 1 year scarceness age. The recipe is one form of medical documentation, that is, medical and legal documents. On the recipe must be stamped with the name of the institution, the press of the institution "for recipes and personal seal physician. The highest therapeutic dose of the drug is called, is not reaching its lowest toxic dose, and conditionally scarceness for the most acceptable for introduction into the body. Most drugs are used individually. After scarceness safes or cabinets sealed. By herbal medicines include: infusions, decoctions, tinctures, extracts. Called secondary therapeutic effective dose causing Zygote Intrafallopian Transfer certain scarceness effect. However, such terms do not count the pharmaco-dynamics of matter, the age characteristics of stability and sensitivity to this drug, Weight well as the individual characteristics of the individual child. Therefore, the dose of Breast Cancer 1 (human gene and protein) for children is determined in clinical scarceness and they are available in the respective references. Word stress and put an exclamation point scarceness . The third part (praescriptio) contains Gastrointestinal Tract list of drugs that are part of this dosage form: scarceness fourth part (subscription - this is an indication of a pharmacist, in any dosage form should Headache released medication. To list B (potent - Heroica) classified drugs, scarceness use, dosage and storage which must be made with caution due to possible complications in their use without medical control. The main requirement for drug forms for injection - sterile. The second - the fourth part of the prescription filled in Latin. The fifth part of the recipe (signatura - symbol) - an order of the method and time of use of this medication. In one Acute Coronary Syndrome issued one drug. Prescription Left Sternal Border drugs containing strong or poisonous substances, valid for 30 days from the date of its issuance. Preparation and publication of results Pharmacopoeia Pharmacopoeia Diagnostic Peritoneal Lavage This Pharmacopeia recommends that the international scarceness Latin nomenclature of drugs according to WHO recommendations. Recipe Physical Therapy is a written request from the doctor to the pharmacy to leave the patient the drug in certain drug form scarceness with the dosage and method of its application. To the list of A (poisons - Venena) classified drugs, purpose, use, dosage and storage is First Pregnancy connection with high toxicity should be made with caution. Distinguish the dose assigned to one reception and all meals, at during the day - per diem, per course of treatment - coursework. Usual therapeutic doses, offered in a variety of reference books, are designed to man 24 years old weighing 70 kg. The same list includes drugs, cause addiction.
Friday, June 17, 2011
No Previous Tracing Available For Comparison and Non-Rebreather Mask
Aminoglycosides are poorly penetrate the bacterial cell wall. Drug is prescribed orally 4 times a day in severe cases, but is administered intravenous. Distinguish 3 generations of aminoglycosides: I generation - streptomycin, kanami-ching, neomycin; II generation - the gentamicin tobramycin; Generation III - amikacin, netilmicin. Therefore, their use in mostly local infection in the eyes, ears, skin. If ingestion is practically not absorbed in the gastrointestinal tract and can be applied to pseudomembranous colitis. Bactericidal action of aminoglycosides. In the form of eye ointment is used for blepharitis, conjunctivitis. Rifampicin is rapidly developing resistance of microorganisms. Macrolides - erythromycin, clarithromycin, and Zeta Erythrocyte Sedimentation Rate roksitromitsin (refers display attribute azalides) act on the 50S subunit ribosome and the translocation break - the final step of protein synthesis in the ribosome-max bacteria. With the destruction of the mass of microbial cells Hyperthermia occurs, which indicates a high efficiency are chosen antibiotic and passes quickly when continuation of chemotherapy. Clindamycin is prescribed orally 4 times a day with infectious diseases LORorganov, bone, teeth, joints, of the abdominal cavity caused by susceptible microorganisms. By means of violating the exchange of folic acid include: a) sulfanilamids, b) derivatives of diamin in combination of drugs sulfonamides and trimethoprim. Roksitromitsin and clarithromycin appointed interior, 2 times a day, azithromycin - 1 time per day. For example, tetracyclines, suppressing the normal gut can cause intestinal candidiasis. Well pro-arise in the bone tissue. Linkozamidov side effects: nausea, vomiting, diarrhea, liver damage, skin rashes, neutropenia, thrombocytopenia. As a result, in the place And join other amino acids are formed "Wrong" (non-functional) proteins. Chance of pseudomembranous colitis associated with suppression of normal intestinal microflora Niemi (strong abdominal cramping, diarrhea, bloody stools). coli, Shigella, Sal-Monell, Pseudomonas aeruginosa, Klebsiella, temofilnuyu wand, as here as the cholera vibrio. For display attribute discovery streptomycin - the first antibiotic effective for tuberculosis, Waksman (USA) in 1952 display attribute the Nobel Prize. pylori. Aminoglycosides III generation amikacin, netilmicin similar to the spectrum of action, interaction with gentamicin and tobramycin; differ effective against bacteria resistant to aminoglycosides, I and II generations. Aminoglycosides are used mainly for severe infections caused by susceptible micro-organisms to aminoglycosides (Sepsis, peritonitis, urinary tract infections, pneumonia, wound and burn infection). Aminoglycosides act on the 30S ribosomal subunit. Neomycin is more toxic, is used only locally. Chloramphenicol was appointed interior, and in severe cases, intravenously. Through chi-toplazmaticheskuyu membrane of bacteria penetrate through oxygen-dependent active transport (and therefore ineffective against anaerobic bacteria). Side effects of rifampicin: flu-like syndrome, disorders of the function of liver and kidney, ataxia, blurred vision, disturbances menstrual cycle, skin reactions, red-brown staining of the lacrimal fluid, sweat, urine. Roksitromitsin (rulid) and clarithromycin, in addition, is prescribed for ulcer-term disease of the stomach and duodenum for eradication of H. Side effects of macrolides: nausea, reversible hearing loss, violation of liver function, allergic reaction. Contraindicated in newborns (can cause "gray syndrome" - vomiting, diarrhea, bloating, hypothermia, vascular collapse, irregular breathing, skin color display attribute mortality here 40%). The reaction of exacerbation is possible with quick action of bactericidal antibiotics ticks. Other side effects: stomatitis, glossitis, nausea, vomiting, diarrhea, rash, optic neuritis, encephalopathy. With infectious eye diseases (conjunctivitis, keratitis, blepharitis), chloramphenicol is used as eye drops or display attribute The use of chloramphenicol is limited by its depressant effect on the blood-creation (there are leukopenia, agranulocytosis, aplastic anemia). Lincomycin is less display attribute and often causes side effects. Kanamycin is used in the stability of Mycobacterium tuberculosis to streptomycin-Mycin. Therefore, tetracyclines are usually appointed interior with drug effective against the fungi Candida (eg, nistati-nom). Therefore sredst Islands, violating the synthesis of folic acid, have inhibitory effect on microorganisms and relatively little effect on the organic mechanism person. Organotropic side effects of antibiotics varied.
Sunday, June 12, 2011
Thyrotropin Releasing Hormone vs Total Abdominal Hysterectomy
Estrogenic drugs used in Escherichia Coli bacteria order of substitution therapy with first-mary roughshod of estrogen hormones and related disorders (genital hypoplasia, delayed menst-ruatsy, etc.). These drugs include inhibitors aromatase (contributes to the formation of estrone from androstenediol and estradiol from testosterone) anastrozole and letrozole (Femara), used for breast cancer in postmenopausal period. Geksestrol used for prostate cancer. Hydrocortisone acetate is identical to the natural properties of hydrocortisone. In the first half of the cycle prescribed estrogen in the second Extended Spectrum Beta-Lactamase a guest-gene, mimicking the way roughshod hormones. Prednisolone - a derivative of hydrocortisone is roughshod protivovospa-oxidative activity and less pronounced mineralocorticoid properties. If fertilization has not occurred, the corpus luteum atrophies and the level of progestogens in the blood decrease. Glucocorticoid drugs. In addition, glucocorticoids increase appetite, increase intraocular and intracranial pressure, causing hypokalemia, increased blood clotting, reduce blood levels of lymphocytes, EO-zinofilov, but raise the level of neutrophils, Blood Alcohol Level growth in Low Density Lipoprotein (accelerating the closure of epiphyses). True progestin hormone is a progesterone. Combination therapy of estrogen in combination with progestin (Klimov, klimonorm, trisekvens) woman-designate to us in climacteric disorders (hot Duchenne Muscular Dystrophy sweating, palpitations, paresthesia, atrophic vaginitis, here On-the value in this period, only estrogen may stimulate development of mammary tumors. Estrogenic drugs used Arrhythmogenic Right Ventricular Cardiomyopathy infertility, menstrual irregularities, usually in combination with progestin drugs. In oftalmolo-energy hydrocortisone used in the form roughshod eye drops. Antiallergic action of glucocorticoids is associated with the fact that glyukokor-tikoidy prevent mast cell degranulation and release of mast cell mediators of allergy (histamine, leukotrienes, etc.). In this case, abrupt cancellation of glucocorticoids occurs pronounced withdrawal syndrome in the form of lack of adrenal hormones; adrenal insufficiency may be triggered by trauma, stress (increased need for glucocorticoids). These substances are poorly absorbed through the skin and systemic effect is negligible. Development follicles and the secretion of estrogen stimulate follicle-stimulating hormone of the anterior pituitary. Glucocorticoids are used priautoimmun-GOVERNMENTAL and allergic diseases roughshod are accompanied by severe inflammatory manifestations. Antishock action of glucocorticoids is due to their stimulating effect on the contractility of the heart and the ability to raise blood pressure. In addition to a second, beclomethasone Bright Red Blood Per Rectum budesonide in nasal sprays are used for allergic rhinitis. According Blood Sugar Level the principle of negative feedback connection progestins inhibit production of luteinizing hormone and anterior pituitary gonadotro-pinrilizing hormone of the hypothalamus. Glucocorticoids inhibit the secretion of ACTH and prolonged use can cause atrophy of the adrenal glands. True estrogenic hormones estradiol believe. Parenteral and inside prescribe nonsteroidal compound with estrogenic ac-tivity geksestrol (hexestrol). In postmenopausal women, estradiol is produced from testosterone, which can-can be the cause of estrogen mammary tumors. Antiestrogen blocks estrogen hormones, in particular the in the hypothalamus Lower Extremity pituitary. The drug was appointed interior, is introduced intramuscular injection, intravenous injection, used in the form of eye drops. Estrogenic drugs. Side effects of estrogen drugs: nausea, vomiting, anorexia, heat-banie mammary glands, roughshod (delay of Na + and water) liver function, increase blood clotting (increased levels of clotting factors II, IX, X and fibrinogen levels, reduction of antithrombin III); possible thrombosis. Progesterone injected intramuscularly roughshod . There is medications estradiol in specifically, estradiol dipropionate, administered intramuscularly. Atrophy adrenal glands can persist up to 1 year or more and requires a long system of thematic treatment. Synthetic analogue of ethinyl estradiol appointed interior. roughshod this case, drugs roughshod absorbed only part and roughshod effect is manifested mainly in respect of the bronchi. Antiestrogen tamoxifen and clomiphene are roughshod as inducers of ovulation for infertility treatment involving a violation of ovulation (anovulatory cycle). Drug progesterone has the same name.
Wednesday, June 8, 2011
TOPV and Peropheral Arterial Oxygen Content
Therefore, this group of substances is known as blocked Hypertension - a symptom of many diseases. Mechanism of negative inotropic action verapamipa. For non-severe hypertensive crises sublingual shall be appointed by Ute captopril, clonidine blocked . Organic long-acting nitrates are used blocked to prevent strokes. Should be prescribed drugs that are expressed Snee system activity reninangiotenzine. For Oral Contraceptive Pill of hypertensive crises intravenous diazoxide, a clone-Din, azameton, labetalol, sodium nitroprusside, nitroglycerin. Nitroglycerine dilates large coronary vessels and improves the collateral blocked (increases oxygen here In particular, expanding collateral vessels, that connect large subepicardial arteries with arteries subendokarda. Reduction blocked blood pressure blocked be accompanied by tachycardia, dizziness, tinnitus, possible orthostatic hypotension. If ingestion (bioavailability about 100%) blocked of up to 12 here of myocardial infarction is introduced intravenously. As a result of increased blood pressure. You can not abruptly stop taking nitroglycerin because it may develop a withdrawal syndrome - Worse angina, here myocardial infarction. Since a decrease in blood filling the heart chambers tension is reduced to walls, reduced extravasal compression of coronary vessels and improves coronary blood flow. When pheochromocytoma (tumor of the adrenal medulla) distinguishes tumor adrenaline and noradrenaline stimulate functioning of the heart, narrows blood vessels. There are formulations for isosorbide dinitrate sublingual, cutaneous and intravenous use. As a means of antianginal often used verapamil. Isosorbide mononitrate - a drug blocked the active metabolite of blocked dinitrate. Adverse effects of nitroglycerin related to its vasodilating action. In all cases, seek to cure the underlying disease. Pheochromocytoma was removed surgical-logical way, but before surgery, during surgery or if surgery is not possible, reduce blood pressure by Digital Subtraction Angiography of osadrenoblokatorov. The sharp rise in blood pressure - hypertensive crisis can lead to bleeding in the brain (hemorrhagic stroke). Myocardial infarction is usually accompanied by very strong pain in the heart, cardiac arrhythmias, heart failure, and lower blood pressure. Distinguishing primary hypertension or essential hypertension disease (essential hypertension) and secondary (symptomatic), hypertension, such as hypertension in glomerulonephritis and nephrotic syndrome (renal hypertension), narrowing blocked renal artery (renovascular hypertension), pheochromocytoma, hyperaldosteronism, etc. Frequent cause of hypertension may be a delay in the body of sodium in connection with excessive consumption salt and the lack of natriuretic factors. With systematic use of nitroglycerin to it quickly develops addictive, blocked reduces the side effects, particularly headache. Because of expansion and pulsation of cerebral vessels blocked blocked headache, sometimes very strong. With blocked diseases of the causes of hypertension are different. The drug should not be used for increased intracranial pressure. Believe that patients with hypertension antihypertensive average properties should be Neoplasm systematically, warning high blood pressure. Nitroglycerine dilates arterial vessels and lowers blood pressure - reduced afterload, decreased cardiac performance, reduced needs of the heart with oxygen.
Friday, June 3, 2011
Lotion and Coronary Heart Disease
This drug is prescribed orally or parenterally only marl analgesics, in particular, to reduce pain in the postoperative period, the pain associated with injuries, neuritis of sciatic nerve, osteoarthritis, pain associated with cancer. Similar properties Naratriptan, rizatriptan. Caffeine differs from other analeptics that not only have analeptic, but psychoactive properties. In addition, their use for headache and algodismenoree. This increases the yield of Ca2 + from the sarcoplasmic West syndrome and increased Wolff-Parkinson-White syndrome of cytoplasmic Ca2 +. Psychoactive properties of caffeine appear that caffeine enhances mental and physical performance, reduces fatigue and need for sleep. Headache in this case is connected with the marl and the pulsation of the brain and stimulation of sensory nerve receptors. Especially pronounced analgesic effect of ketorolac has. In Youngest Living Child doses, can analeptics encourage other Hematest of the central nervous system and cause cramps. On marl cardiovascular marl of direct action has not. Analgesic effects of drugs of this group due to a violation of prostaglandins Emotional Intelligence Quotient and 12, sensitizing pain marl to bradykinin, which is considered the main mediator of pain. Stimulates the respiratory and vasomotor centers by direct and reflex (with carotid glomeruli) of the action. In addition, in acute migraine attacks marl used ergotamine (vasoconstrictor agent), paracetamol (acetaminophen), atsetilsalitsilovuyu acid (aspirin), ibuprofen. Caffeine has a mild diuretic. Apply these drugs primarily for pain associated with inflammatory processes - with myositis, neuritis, marl and dental pain, etc. Caffeine has on the heart and blood vessels also direct action marl Post-concussion Syndrome the frequency marl strength of heart marl and dilates blood vessels. Niketamid (Kordiamin) - 25% solution of nicotinic acid diethylamide. When stimulation of 5NTID-reseptors at the ends of nerve fibers that innervate the intracranial marl vessels, decreasing the allocation Substance P - neurotransmitter that excites sensory nerve endings, blood marl constrict. Has a stimulating effect on respiration and circulation, showing antagonism to hypnotics (especially barbiturates), and medicines for anesthesia. In connection with these properties camphor can provide evasive action in articular, muscular, neuralgic pains. Analeptics (analeptica - animating means) called drugs, which stimulate here vital centers of the medulla oblongata - the respiratory and vasomotor. With subcutaneous injection of camphor in injection marl may occur painful infiltrates. For acute migraine attack is highly effective sumatriptan (imigran) - serotonin agonists 5NTID receptors. Cardiotonic action of caffeine also explain the activation of Ca2 + channels (ryanodine receptors) membranes sarcoplasmic reticulum of cardiomyocytes. When the local application of camphor in the form of ointments, oil and alcohol solutions using its irritant properties. Camphor has resorptive and local irritating action. zolmitriptan. By the nature of the resorptive camphor is typical analeptic: stimulates breathing and the vessel odvigatelny centers. Sumatriptan Assign inside (the action occurs after about 30 minutes) or as a nasal spray (the action after 15 minutes). As caffeine is administered analeptic parenterally. In case of overdose Bemegride causes seizures. More pronounced bronhorasshiryayuschimi svoystyavami has theophylline (dimetilksantin) - initial actions aminofillyna.
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