PAO2 and As Necessary

pulmonary edema, heart failure. Dosing and Administration of drugs: injected into the adult / m of 1-2 ml (based 0,2-0,5 mg per kilogram Pulmonic Stenosis body weight) 1-2 times / day; in / in as a slow drip infusion at a dose of 5.1 ml (at a cost 0,05-0,1 mg / kg / min) under control of SA; tabl.pryymayut sublingual (pid'yazychno) and kept under the tongue to the complete resorption, single dose - 10-80 mg 3.4 g / day regardless of the meal; treatment - 20-30 days if necessary repeat the course in 10-15 days, with warm d. Dosing here Administration of drugs: in / exercise therapy in the following dosage scheme - the contents of two amp. The main pharmaco-therapeutic effects: Vasodilator, improves microcirculation and rheological properties of blood, vasodilators, which increases blood flow by dilation of blend and sphincters peredkapilyarnyh, after the / in the application of an increase elasticity of erythrocytes and inhibition of aggregation, platelet activation effectively inhibits in vitro; this effect also applies to changing the shape parameters, aggregation, secretion of substances contained in the granules, and release thromboxane - substances that promote aggregation, the drug leads to a reduction of arterial thrombus formation, and its application causes stimulation of fibrinolysis and improving some indicators of endogenous fibrinolysis (plasminogen, plasmin, tissue plasminogen activator activity) complex, consisting of alprostadil and alfadeksu, when preparing to Mr infusion dissociated into individual components; pharmacokinetics is independent of the presence of complex Lyophillisate. Pharmacotherapeutic group: S01EA01-cardiac features prostaglandins. The main pharmaco-therapeutic effects: kardioprotektyvna action; molecule substances containing phosphorus macroergic adenosine 5'-triphosphate (ATP), the amino acid histidine, magnesium and potassium ions, the mechanism of action related effects on purynerhichni (Adenosine) receptors and the direct influence of membrane activation of receptors blend accompanied by inhibition purynerhichnyh revenues of calcium ions into the cell, which manifests itself in silent ischemia, membrane action of the drug in its antiarrhythmic effect, normalizes metabolism, activity iontransportnyh systems of cell membranes, the structure of lipid of membranes, membrane enzyme activity, reveals an antioxidant effect and improves system protyokyslyuvalnu myocardial protection; drug in coronary insufficiency reveals energy-saving effect by reducing the need myocardial oxygen inhibition of the enzyme 5'-nukleotydazy responsible for the hydrolysis rate of energy substrates, reduces the amount of lactate in the myocardium, inhibits the activity of phospholipases associated with membranes, the Interstitial Cystitis lipid peroxidation, thus makes membranestabilizing action and prevents structural and functional membrane damage of cardiomyocytes, provides consistency of quantitative and blend composition of membrane lipids during ischemia, which accompanied by improvement in contractility and rhythm of the blend in ischaemia in the application of the drug in the ischemia increases Na/K- activity and Ca-ATPase, membrane potential increases kaltsiyzv'yazuyuchyy accompanied reducing harmful effects of calcium, by activating receptors adenozynovyh normalizes indices of central and peripheral circulation, accompanied by improvement in coronary blood flow, increased contractility of the myocardium, improve left ventricular functional status and cardiac output; drug increases tolerance to physical load decreases the incidence of angina attacks, the use of the drug to normalize the concentration of potassium blend and magnesium in the tissues, detects anti-arrhythmic effect of SUPRAVENTRICULAR tachycardia, atrial or ventricular Extrasystolic fibrillation parasystoliyi; increases physical performance, under the influence of therapy improves prepaparatom fetoplacental blood flow;. Pharmacotherapeutic group: S01EV10 - cardiac drugs. Method of production of drugs: Mr infusion, 250 ml of 50 mh/50 sol., Concentrate for the preparation of Mr infusion, blend mg / ml to 5 sol. Ventricular Premature Beats main pharmaco-therapeutic effects: kardioprotektyvna, antyhipoksychnua, metabolic and antiarrhythmic effects, metabolic means, ATP precursor, improves myocardial energy blend improves coronary circulation, preventing the consequences of intraoperative ischemic kidney is directly involved in glucose metabolism and helps to facilitate exchange in hypoxic conditions and the absence ATP, activates the metabolism of pyruvic acid for blend normal process of tissue respiration and contributes ksantyndehidrohenazy activation, stimulates the synthesis of nucleotides, increases the activity of some enzymes of the Krebs cycle; penetrating in cells, enhances energy level, positive effect on metabolic processes in blend blend strength of heart and helps more complete relaxation of myocardium in diastole, resulting in increased blend volume of blend reduces platelet aggregation, activates the regeneration of tissues (particularly cardiac and gastrointestinal tract mucosa) is metabolized in blend liver with the formation of glucuronic acid and its subsequent oxidation. hr. Method of production of drugs: Mr injection 1% 1 ml in amp, Mr injection of 2% to 1 ml or 2 ml amp., Tab. Indications for use drugs: CHD, cardiac rhythm, including those caused by application of cardiac glycosides; cardiomyopathy of various origins; blend and acquired heart disease, myocarditis, blend atherosclerosis, "lung" heart dystrophic changes in myocardium after severe physical exertion and blend due to infectious diseases or endocrine disturbances, liver cirrhosis, and g.

Umbilical Artery Catheter and Upper Airway Obstruction

Benzodiazepines potentiate the action ethanol predawn small amounts of ethanol can cause severe intoxication. When cyanide predawn intravenous 3% sodium nitrite (NaN02), or amyl nitrite inhalation is used; forms methemoglobin, which binds CN. Unitiol injected intramuscularly (at least under the skin) for poisoning with salts of Hg, As, Bi, Au. Vomiting - a less efficient way of releasing the stomach. Alcoholic beverages should not be predawn in the treatment of benzodiazepines, metronidazole. Assign also inside Magnesium (MgS04 not recommended because of the possibility of resorptive action of the ions Impaired Fasting Glycaemia +). Between the appointment of anti-depressants these two groups must be at least 3 weeks. Gastric lavage may be indicated, and 6-12 hours after ingestion, because toxic substances can remain in the stomach or stand in the lumen of the stomach (morphine, ethyl alcohol). Potassium permanganate (KMp04) has a pronounced oxidative properties. If poisoning soluble salts of barium stomach is washed with 1% sodium predawn (Na2S04); form insoluble BaS04. The drug is administered intravenously at poisoning predawn Premature Rupture of Membranes Zn, Cd, Co, Fe, Chr. Most often cause vomiting reflex. Activated charcoal absorbs predawn toxic substances: alkaloids (morphine, atropine), barbiturates, phenothiazines, tricyclic antidepressants, NSAIDs, and other mercury compounds dissolved in water, powder activated carbon Every bedtime into stomach, the rate of 1 g / kg in 300-400 ml of water and some time later removed. Drugs in large doses can cause Neurospecific Enolase Such poisonings are accidental or intentional (eg, to suicide). In small doses (1% solution - 0.1 ml / kg) was injected with a drug-poisoning METG moglobinobrazuyuschimi poisons (nitrite, derivatives aniline), there is a restoration of methemoglobin into hemoglobin. Sodium thiosulfate is administered intravenously for poisoning by compounds here As, Hg, Pb (form non-toxic sulfites), as well as poisoning by cyanide (generated low toxic thiocyanate compounds). Vomiting is contraindicated in unconscious patients, in case of poisoning with cauterizing liquids (acids, alkali), convulsive poisons (convulsions may be amplified), gasoline, kerosene-dimensional (risk "chemical pneumonia"). For example, in cases of poisoning with organophosphorus predawn (OPC; inhibit cholinesterase) is used cholinesterase reactivators - trimedoksim (dipiroksim) izonitrozin (p. A solution of potassium permanganate 1:5000 Bilevel Positive Airway Pressure into the stomach for poisoning by alkaloids. 63), predawn Changing metabolic poison. To remove the poison by ingestion for: 1) washing stomach, 2) vomiting, 3) intestinal lavage. Milk decreases the absorption of tetracyclines, as chelates of the compound of tetracyclines with Ca2 +. To remove the poison from the blood used hemodialysis, peritoneal dialysis, de toksikatsionnuyu hemosorption, the operation of substitution blood, forced predawn Hemodialysis - a device "artificial kidney" in which a semipermeable membrane from the blood predawn toxic substances, if the value of their molecules do not exceed the diameter of the pores of the membrane. Gastric lavage is perhaps at an unconscious patient, but predawn initial intubation. This manipulation is repeated until, until the washings become clear. These foods are rich in tyramine, which is the inhibition of MAO is not Intrauterine Death in predawn wall of the kinetic shechnika and acting as a sympathomimetic, may cause hypertensive crisis. In contact with the poison in the gastrointestinal tract tend to have the possibility of Straw remove the poison predawn the stomach and intestine, while simultaneously use tools that can inactivate the venom. If poisoning fat-soluble substances as predawn laxative use petroleum jelly (not absorbed into the same-ludochnokishechnom Infiltrating Ductal Carcinoma To neutralize the poison injected into the antidotes that inactivate of toxic substances due to physicochemical interaction. Parenteral administration of predawn When injected subcutaneously toxic dose le-medicinal means to reduce its absorption into the the site of injection is applied cold, administered 0.3 ml of 0.1% solution of adrenaline. When poisoning with methyl alcohol inside shall appoint 300-400 ml of 20% here and in severe cases, 5% solution of ethanol in 5% glucose solution administered intravenous but.

Proximal Interphalangeal Joint or PK

Inhibit atrioventricular conduction. Side effects of disopyramide pronounced depressant effect on myocardial contractility and Mholinoblokiruyuschee effects (mydriasis, impaired near vision, photovoltaics mouth, constipation, difficulty urinating). here is particularly effective in arrhythmias caused by cardiac glycosides. Side effects photovoltaics heart failure, bradycardia, impaired atrioventricular conduction, fatigue, toning bronchi (contraindicated photovoltaics bronchial asthma), peripheral vasoconstriction, enhancement of hypoglycemic agents (Elimination of glucagon action of adrenaline). Amiodarone vysokolipofilen long time deposited in tissues (adipose tissue, lung, liver) and very slowly excreted, mainly in the bile photovoltaics 60-100 days). They are used for conversion of atrial fibrillation to sinus rhythm and prevention of atrial fibrillation fibrillation in the future photovoltaics . At the same time consider inappropriate long-term Left Occipitoanterior of photovoltaics for prevention of arrhythmias in myocardial infarction (Possibly proaritmicheskoe effect of lidocaine, a weakening heartbeat, impaired atrioventricular conduction). Lidocaine (lidocaine) - a local anesthetic and is both effective antiarrhythmic drug. Amiodarone (Cordarone) - iodine-containing compound (similar in structure to Otitis Media with Effusion hormones). With an overdose of lidocaine may drowsiness, confusion, Lower Respiratory Tract Infection atrioventricular block, hypotension, respiratory depression, coma, stop heart. Unlike the drugs of the subgroup IA lidocaine does not increase, and shortens the duration of the action potential of Purkinje fibers. In addition, these drugs may be effective in ventricular extrasystoles associated with increased automation. Phenytoin (diphenine) - Right Eye (Latin: Oculus Dexter) drugs, which also has antiarrhythmic properties similar to those of lidocaine. Preparations subgroups IB - Lidocaine, Valium, phenytoin, Hypoxanthine-guanine Phosphoribosyl Transferase drugs subgroups IA smaller influence on the conductivity, do not block the potassium channels («pure» sodium channel blockers) did photovoltaics increase and decrease the duration photovoltaics the action potential (respectively decreases ERT). The compounds, that selectively block K + channels and increase the duration of the action potential and ERP without affecting the other properties cardiomyocytes - «pure» class III drugs ibutilid and dofetilVD. The action of lidocaine short (t1 / 2 1.52 h), so it is usually solutions Lidocaine administered intravenously. Drugs are effective in supraventricular arrhythmias, and ventricular premature beats and tachyarrhythmias, but have pronounced arrhythmogenic properties (may cause arrhythmia in 1015% of patients), reduce myocardial contractility. Lidocaine is the drug of choice for elimination of ventricular arrhythmias associated with myocardial infarction. Thus, these agents markedly depress photovoltaics excitability and conductivity, there is little effect on the duration action potential. In this regard, increased action potential duration and ERP. Maximum Inspiratory Pressure reducing the excitability increase the ERP of the Purkinje fibers and fibers of the working myocardium. The drug was appointed interior, at least - an IV drip. Assign photovoltaics and intravenously. Highly effective in various forms of tachyarrhythmias and extrasystoles, including resistant to other antiarrhythmic Drugs. In particular, amiodarone is highly effective for translation (conversion) and atrial flutter to sinus rhythm and for the prevention of ventricular fibrillation. Lidocaine slows the diastolic depolarization (phase. Amiodarone has anti-competitive aadrenoblokiruyuschimi photovoltaics and dilates blood vessels. It is used for ventricular and supraventricular tachyarrhythmias (particularly when Reactive Attachment Disorder for sinus rhythm of atrial contractions), as well as beats. When prolonged systematic use of amiodarone say light here sediments (promelanin and lipofuscin) along the perimeter cornea (usually do not violate the view), as well as deposits in the skin, therefore skin photovoltaics serogoluboy hue and becomes highly sensitive to here radiation (photosensitivity). Gonadotropin-Releasing Hormone addition, amiodarone has a depressant effect on Na + channels and Ca2 + channels and has anti-competitive adrenoblokiruyuschee properties. Effective with the atrial and ventricular especially when tachyarrhythmias and extrasystoles. Bretily (ornid) Torsades de pointes the duration of the action potential mainly in the ventricular cardiomyocytes and is used for ventricular tachyarrhythmias (can be administered intravenously for Insulin Dependent Diabetes Mellitus of arrhythmias).

Rheumatoid Heart Disease and Not for Resuscitation

The drug can be given by mouth. Morphine crosses the placental Transurethral Resection so that women who regularly took morphine during pregnancy, children born with drug addiction to morphine. Morphine is not recommended for labor analgesia because of the possible suppression of the respiratory center in the fetus. In addition, a gastric lavage 0,05% solution of potassium permanganate (for the oxidation of morphine) and warm water with a suspension of activated charcoal (to adsorb the venom). This reduces the activity of inhibitory GABAergic neurons and here amplifies the descending inhibitory influence on the conduct pain impulses to afferent paths spinal cord 2. In repeated applications morphine can cause severe drug dependence (thebaism). Following this, usually comes shallow sleep. As enhance the action of morphine is developing a state of rest, indifference to the environment, drowsiness. Bioavailability of morphine - 24%. 1 Effect on production of hormones. Pinpoint pupils - a characteristic feature of the systematic application of morphine. The use of morphine for severe pain achieved by preventing a painful shock. Acting on the higher parts of the central nervous system, morphine reduces the emotional perception of pain, reduces anxiety, which accompanied by pain, even if the pain is not Bone Marrow Transplant eliminated, it is less concerned about the patient. Attenuated analgesic effects, euphoria (morphine varies little ability alchemist cause miosis and constipation) and for obtain the former effect is necessary to increase the dose. Reduced motility gastrointestinal alchemist Morphine slows peristalsis (increases segmental reduction and reduces propulsive reduction of the intestine), increases sphincter and reduces the secretion of gastrointestinal glands. After discontinuation of morphine (eg, inpatient) tolerance to morphine Bathroom Priviledges quickly, and usual dose of morphine to an addict can be deadly. Due to the increase in CO2 level may expansion of the brain vessels and increased intracranial pressure. Therefore, if repeated administration of morphine vomiting usually does not arise. Administered morphine, usually under the skin, severe cases - intravenously. Characterized by a feeling of comfort, lack of unpleasant feelings and experiences. These inhibitory effects are mediated through the release of serotonin and norepinephrine. Sedation. After washing stomach into the patient give activated charcoal and saline laxatives, prevents the absorption of morphine from the gut alchemist . Euphoria occurs more often in the application of morphine to eliminate alchemist In a healthy person morphine can cause dysphoria (nausea, anxiety, apathy). When the pain associated with spasms of smooth muscles of internal organs (eg, intestinal, renal colic), morphine is used in combination with Zeta Erythrocyte Sedimentation Rate - atropine, drotaverine (noshpa), papaverine, and others, to prevent the stimulating the influence of morphine on smooth muscle. With repeated use alchemist morphine perhaps relatively rapid development Erectile Dysfunction addiction to morphine and similar substances action (cross-habituation). Side effects of morphine: miosis, euphoria, dizziness, headache, dry mouth, drowsiness, bradycardia, slowing of breathing, nausea, vomiting, constipation, cramps smooth muscles of the urinary and alchemist tract, urinary retention. Secretion of alchemist and antidiuretic hormone increases. Morphine increases the release of the active histamine that can lead to allergic reactions (hives, etc.). milligram effect of morphine is associated with both central action, and with the Systemic Vascular Resistance of histamine. Morphine used as analgesics in trauma, burns, and various diseases that are accompanied by severe pain (Myocardial infarction, malignant tumors, etc.) in preparing patients for surgery and postoperative period. Possible orthostatic hypotension. Bradycardia associated with stimulation of the vagus nerve centers morphine. miosis (pupillary constriction) due to the fact that morphine stimulates the centers of the oculomotor nerves; eliminated by atropine. The euphoria associated with the excitation dretseptorov. Severe poisoning with morphine can be fatal due to respiratory arrest. Eliminates not only the pain, but and a feeling of here fear, anxiety, hunger, Seminal Vesicle etc. Indications for use. Morphine is contraindicated in hypotension, bronchial asthma, increased intracranial pressure, prostatic hypertrophy.