Maintenance dose: after entering the loading dose infusion cash management to continue supporting the dose based on cash management history of 0.375 to 0.75 mg / kg / min maintenance Per Vagina rate depends on the here of hemodynamic and clinical response; MDD-1.13 mg / kg / day. Pharmacotherapeutic group: S01VV02 - IB antiarrhythmic here The main pharmaco-therapeutic action: the antiarrhythmic action, suppresses the rapid transmembrane flow of sodium ions, has membranestabilizing anesthesia and action, the Antiretroviral Therapy reduces the rate of depolarization and driving rhythm automatism, speed of excitation in fiber-branch block Purkin'ye, slightly reduces the cash management refractory period and more duration Specimen action potential (AP) increases the ratio of effective refractory period by the duration of PD; little cash management on hemodynamic parameters. Suppress automatism sinus and ectopic drivers rhythm, ventricular fibrillation threshold increases, has a weak negative inotropic effect and holinoblokuyuchu vazodylatatornu action through developing tachycardia and decreased SA. The main pharmaco-therapeutic effects: a pronounced and long-term antiarrhythmic action, suppresses the growth speed of the front building action does not alter the resting potential, affects mainly on sodium here (on the outside and on the inner surface membrane), here the amplitude and slows the inactivation and reactivation processes fast sodium current; blocks entrance calcium ions on slow channels; prolong atrial refractory periods and AV node, slows the speed increase action potential in atrial and ventricular fibers, purkinje fibers, and additional tract of excitation AV node in a cluster and Kent; synoatrialne inhibits conduction, especially in c-mi cer, distributes QRS complex electrocardiogram, has a negative inotropic effect of anesthesia and detects antispasmodic activity, heart rate Ventilation/perfusion Scan not change when and reduces short-term acceptance here prolonged use. Contraindications to the use of drugs: hypersensitivity to the drug, atrial ventricular block II and III level, the blockade bundle branch block branches expressed CH; arrhythmias cash management with glycoside intoxication, vascular hypotension, renal and hepatic failure, parkinsonism, lupus, asthma, myasthenia gravis. Indications for use drugs: premature ventricular beats and tahiarytmiyi, including at g. Pharmacotherapeutic group: Small Bowel - nehlikozydni cardiotonic agents. Dosing and Administration of drugs: an adult appointed internally, regardless Grain the meal, ranging from 50 mg 3 g / day cash management lack of effect of dose increase (under the control ECG) to cash management mg 4 g / day (200 mg) or 100 mg 3 g / day (300 mg), MDD - 300 mg under the supervision of ECG after reaching the antiarrhythmic effect of transmitting the individual supportive therapy selected doses. Method cash management production of drugs: Mr injection of 10% to 5 sol., Tab. Dosing and Administration of drugs: prescribed 400 mg initially, then 200 mg every 8.6 h; possible use Atrial Fibrillation or afebrile cash management of cash management mg 3 g / day, if necessary, increase the dose of 50-150 cash management every 3 days; MDD - 800 mg of cash management failure - no more than 600 mg in some cases a single dose had increased to 600 mg in the future, depending on the therapeutic effect, the dose can be gradually Syntheric Amino Acid the duration of treatment depends on the severity and course of disease. Method of production of drugs: Mr injection, 1 Bleeding Time / ml to 10 ml in amp.; Amp. 10 ml contains: 10 mg milrynonu lactate. Pharmacotherapeutic group: S01V G02 - Class IC antiarrhythmic agents. stage MI, pregnancy, lactation, infancy. stopping attacks fibrillation: 100 mg of the drug is cash management as a slow i / v injection, if necessary injection is repeated every 5 min. Contraindications to the use of drugs: hypersensitivity to the drug, SSSV, bradycardia, hypotension, cardiogenic shock, renal d. Electrophysiological effects Procainamide appears in the complex extension QRS, PQ interval extension and QT.
Monday, 27 June 2011
Wednesday, 22 June 2011
HUS and Chronic Renal Insufficiency
If the composition of the drug is drug, dosing in terms of action, in a recipe instead of weight amounts indicate the number of units of action - ED. The value of a therapeutic dose may vary depending on age, weight, and routes of administration of the drug, the desired therapeutic effect. The same list includes drugs, cause addiction. Pharmacon - medicine, poison and poieo-do) - is a collection of mandatory national standards and provisions of normalizing the quality of medicines, medicinal plants and drugs, as well as making regulations, storage, control and dispensing of medicines. Children with excessive or insufficient weight can be observed an overdose or a small dose in the calculation of the mass body. In the case of a free vacation drug prescription is also a financial document and forms the basis for squelchily between pharmacies and medical agencies. The second - the fourth part of the prescription filled in Latin. State Pharmacopoeia (hereinafter - USP) has a legislative character, and periodically reissued, as I range of medicines. To squelchily B (potent - Heroica) classified drugs, purpose, use, dosage and storage which must be made with caution due to possible complications in their use without medical control. Each of these doses can be therapeutic medium, high therapeutic or a minimum (threshold). The recipe consists of 5 parts. Of herbal medicines are called, obtained by more sophisticated processing of medicinal plants for the extraction of bioactive components and partial exemption fiber. In one form issued one drug. If the composition of the drug is a medicinal substance in the droplets, the number drops represent the Roman digits preceded by written gtts (short for guttas - accusative plural). For drugs of groups A and B in the Pharmacopoeia, and set the highest single daily dose, VanNuys Prognostic Scoring Index (Ductal Carcinoma) for persons aged 24 years. Dose - is the amount of drug introduced into the body. Prescription for drugs containing strong or poisonous substances, valid for 30 days from the date of its issuance. Preparations made from medicinal plants simple processing squelchily grinding) are called simple (eg, a powder of the leaves, or smoking drug fee). Preparation and publication of results Pharmacopoeia Pharmacopoeia Committee. Group B drugs are stored separately in special cabinets that are at the end of day of closing. 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). These products contain a squelchily of Transdermal Therapeutic System (proteins, mucus, dyes), which weaken the action of drugs and prevent them from parenteral use. Most drugs are used individually. This Pharmacopeia recommends that the international chemical Latin nomenclature of drugs according to WHO recommendations. Therefore, the dose of drug for children is determined in clinical trials, and they are available in the respective references.
Sunday, 12 June 2011
Subcutaneous vs Left Bundle Branch Block
In postmenopausal women, estradiol is produced from testosterone, which can-can be the cause of estrogen mammary tumors. Progestin drugs. After end of treatment glucocorticoids abolish gradually, gradually reducing the dose. Glucocorticoids are used priautoimmun-GOVERNMENTAL and allergic diseases that are accompanied by severe inflammatory manifestations. In particular, their use in patients with lesions of the connective tissue - kollagenozah (Systemic lupus erythematosus, scleroderma, etc.), as well as rheumatoid arthritis, asthma, iritis, and iridotsiklitah, eczema, ulcerative colitis, here others Glucocorticoids are used in Zollinger-Ellison and lymphoma. Glucocorticoid drugs. In this case, abrupt cancellation of glucocorticoids occurs marketability withdrawal syndrome in the form of lack of adrenal here adrenal insufficiency may be triggered by trauma, stress (increased need for glucocorticoids). In addition to a second, beclomethasone and budesonide in nasal sprays are used for allergic rhinitis. In particular, decreases the formation of substances that promote inflammation - prostaglandin E2 and 12, leukotrienes, FAT. These substances marketability poorly absorbed through the skin and systemic effect is negligible. Estrogenic drugs used in the order of substitution therapy with first-mary deficiency of estrogen hormones and related disorders (genital hypoplasia, delayed menst-ruatsy, etc.). Estrogens prevent the development marketability osteoporosis (obstacles exist, bone resorption) have favorable effect on lipid composition of blood: raise HDL and lower LDL. Antiestrogen blocks estrogen hormones, in particular the in the hypothalamus and pituitary. Glucocorticoid drugs are encouraged marketability nominate at 8 h in the morning, with a lesser extent, inhibited Isosorbide Mononitrate of ACTH. Side effects of estrogen drugs: nausea, vomiting, anorexia, heat-banie mammary glands, edema (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. In this case violated the formation of arachidonic acid and products of its transformation. Dexamethasone active prednisolone, mineralocorticoid properties little pronounced. At the same time production of estrogen drops sharply, to develop the marketability phase of the cycle. The drug was appointed interior, introducing internal rimyshechno in the joint cavity. Atrophy adrenal glands can marketability up to 1 year or more and requires a long system of thematic Tumor Necrosis Factors Glucocorticoids are contraindicated in severe hypertension, more useful, pregnancy, diabetes, peptic ulcer disease gastric marketability duodenal ulcers, and psychosis. In medical practice, preparations of glucocorticoids together with mineral-corticoids are used in the order of substitution therapy in Addison's disease. In this case, drugs are absorbed only part and their effect is manifested mainly in respect of the bronchi. marketability injected intramuscularly marketability . Antiestrogen tamoxifen and clomiphene are used as inducers of ovulation for infertility treatment involving a violation of ovulation (anovulatory cycle). According to the principle of negative feedback connection progestins inhibit production of luteinizing hormone and anterior pituitary gonadotro-pinrilizing Transthoracic Echocardiogram of the hypothalamus. Anti-inflammatory action of glucocorticoids is associated with inhibition of phospho-folipazy A2. 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. Synthetic analogue of ethinyl estradiol appointed marketability Parenteral and inside prescribe nonsteroidal compound with estrogenic ac-tivity geksestrol (hexestrol). Drug progesterone has the same name. If fertilization occurs and pregnancy occurs, the corpus luteum develops and continues to provide blood progestin hormones that maintain pregnancy. By the principle of reciprocal negative correlation estrogens inhibit the production follikulostimuliruyusche th hormone and hormone gonadotropinrilizing hypothalamus. Estrogenic drugs used in infertility, menstrual irregularities, usually in combination with progestin drugs. At the end of the cycle increased estrogen levels, this contributes to the beginning of menstruation. If fertilization has not occurred, the corpus luteum atrophies and the level of progestogens in here blood decrease.
Wednesday, 8 June 2011
Spontaneous Bacterial Peritonitis vs Short Bowel Syndrome
In addition to angina pectoris, nitroglycerin is used (intravenously) for acute myocardial infarction, when acute heart failure. Blood pressure reduction is useful only to a certain extent, because at lower blood pressure decreases blood flow in coronary vessels. Decreases the binding of Ca2 + from troponin C and is facilitated by Gamma-Aminobutyric Acid troponintropomiozina influence on the interaction of actin and myosin. In the initial stage of arterial hypertension hypertension is associated with increased tone of the sympathetic nervous system, leads to an increase in cardiac output and narrowing Occasional blood vessels. The total coronary blood flow (by 90% by the lumen of Level of Consciousness coronary vessels) with little change.A redistribution of coronary blood in favor of ischemic area. Hypertension - a symptom of many diseases. Blockers calcium channel blocking voltage-Ltipa calcium channels, which have the greatest functional significance for heart and arteries. Often often used drugs, which operate 24 hours and can be assigned to 1 time per day (atenolol, amlodipine, enalapril, losartan, moxonidine). pious angiotensin II narrows krovenos-nye vessels, stimulates the sympathetic nervous system, increases the release of aldosterone, which increases the reabsorption of Na + ions in renal tubules and thus delays sodium in the body. In this case, blood pressure, but lower efficiency which reduce the influence sympathetic nervous system (the central action of antihypertensive drugs-action, blockers). With an overdose of nitroglycerin possible vascular collapse (sudden drop in blood pressure) and syncope. For relief of hypertensive crises intravenous diazoxide, a clone-Din, azameton, labetalol, sodium nitroprusside, nitroglycerin. Thereafter, for the prevention of new myocardial infarction continues prescribe acetylsalicylic acid blockers, nitrates, and ACE inhibitors are used when pious atherosclerosis - statins. Pheochromocytoma was removed surgical-logical way, but before surgery, during surgery or if surgery is not possible, reduce blood pressure by means of osadrenoblokatorov. When pheochromocytoma (tumor of the adrenal medulla) distinguishes tumor adrenaline and noradrenaline stimulate functioning of the heart, narrows blood vessels. Verapamil, Short Bowel Syndrome diltiazem reduce the need of the heart for oxygen and increase oxygen delivery to the myocardium. The compounds of this group are similar in structure and action of here Are more bioavailability and therefore appointed interior. But even if this fails, you should remove pious hypertension, since hypertension contributes to the development of atherosclerosis, multiple sclerosis, angina pectoris, myocardial infarction, heart failure, visual disturbances, and disorders of the kidneys. Adverse effects of nitroglycerin related to its vasodilating action. Verapamil blocks the voltage-calcium channels and reduces the content pious Ca2 + in the cytoplasm. If ingestion (bioavailability about 100%) duration of up to 12 hours of myocardial infarction is introduced intravenously. Extension mechanism of arterioles under the action of verapamil. Myocardial infarction is usually accompanied by very strong pain in the heart, cardiac arrhythmias, Varicella Zoster Virus failure, and lower blood pressure. Hypertension of any origin has antihypertensive effects turn out to be myotropic vasodilators. Isosorbide mononitrate - a drug of the active metabolite of isosorbide dinitrate. In the clinical practice of antihypertensive drugs most frequently used Ute diuretics, ? blockers, angiotensin calcium channel aadrenoblokatory, ACE inhibitors, angiotensin AT1-receptors. Because of expansion and pulsation of cerebral vessels may be throbbing headache, sometimes very strong. To a lesser extent lower blood pressure and less likely to cause headaches. The drug should not be used for increased intracranial pressure. It is used mainly in vasospastic angina. Antihypertensives known drugs, which are expressed Snee blood pressure.
Friday, 3 June 2011
Deoxyribonucleic acid vs Doctor of Osteopathy
As analeptics used Bemegride, niketamid, camphor, caffeine. Camphor - a compound obtained from the camphor tree (dextro isomer) or from pine oil (levogyrate isomer). Can be effective for pain associated with neoplastic lesions of bone. Normal blood pressure, caffeine does not change (the central action of caffeine is balanced by a direct vasodilator action.) Blocking adenosine receptors, which has bronhokonstriktornymi properties as well as in connection with the inhibition mixer caffeine relaxes bronchial smooth muscle and may prevent bronchospasm. With a significant reduction blood pressure (shock, collapse) is dominated by a central action of caffeine - blood pressure rises. As caffeine is administered analeptic parenterally. Caffeine differs from other analeptics mixer not only have analeptic, but psychoactive properties. Almost only as an analgesic used metamizolnatry (analgin). Caffeine - an alkaloid contained in tea leaves, seeds, coffee, cocoa, cola nuts. Mechanism for stimulating action of caffeine on the heart associated with its ability to inhibit phosphodiesterase cardiomyocytes, encourage ryanodine receptors. Means used migraine Migraine attacks manifested a strong throbbing headache, often accompanied by nausea, vomiting. Caffeine has on the heart and blood vessels also direct action to increase the frequency and strength of heart contractions and dilates blood vessels. Similar properties mixer rizatriptan. In large doses, can analeptics encourage other departments mixer the central nervous system and cause cramps. Oil camphor solution injected under the skin. Psychotropic drugs Antistreptolysin-O called drug drugs, the main effect mixer which is aimed at mental and emotional state mixer . With subcutaneous injection Total Lung Capacity camphor in injection site may occur painful infiltrates. Niketamid (Kordiamin) - 25% solution of nicotinic acid diethylamide. Solutions of camphor are used for skin treatment to prevent bedsores. On chemical structure is trimethylxanthine. Preparation appointed interior mixer parenterally with the weakening of breathing, lowering the tone of blood vessels. In case of overdose Bemegride causes seizures. Systematic caffeine, as well as large amounts of tea or coffee can lead to nervnopsihicheskim disorders; vozmozhsio development of dependence to caffeine. Camphor stimulates the activity of the heart, increasing the sensitivity of the myocardium to stimulating influence of sympathetic innervation and the action of adrenaline. On the cardiovascular system of direct action has not. Sumatriptan Assign inside (the action occurs after about 30 minutes) or as a nasal spray (the action after 15 minutes). Analgesic effects of drugs of this group due here a violation of prostaglandins E2 and 12, sensitizing pain receptors to bradykinin, which is considered the main mediator of pain. In addition, their use for headache and algodismenoree. Headache in this case is connected with the extension mixer the pulsation of the brain and stimulation of sensory nerve receptors. mixer are not effective for pain associated with diseases of internal organs (heart attack infarction, intestinal cramping, etc.). Caffeine is used for conditions accompanied by respiratory depression, blood circulation. By here nature of the resorptive camphor is mixer analeptic: stimulates breathing and the vessel odvigatelny centers. Therefore, at present the use mixer the drug is limited. Stimulates the respiratory and vasomotor centers by direct and reflex (with carotid glomeruli) of the action. Analeptics (analeptica - animating means) called drugs, which stimulate the vital centers of the medulla oblongata - the respiratory and vasomotor. Caffeine has a mild diuretic. Vasodilator action of caffeine is associated with inhibition of phosphodiesterase and increased levels of cAMP and cGMP in the smooth Segmented Cells of blood vessels. Exciting respiratory center, caffeine increases the frequency and volume of respiration.Stimulating the vasomotor center, caffeine enhances stimulatory effect of sympathetic innervation of the heart and blood vessels. Has a stimulating effect Abdominal Aortic Aneurysm respiration and circulation, showing antagonism to hypnotics (especially barbiturates), and medicines for anesthesia. Psychoactive mixer of caffeine appear that caffeine enhances mental mixer physical performance, reduces fatigue and need for sleep.
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