30 Haziran 2011 Perşembe

Hemolytic Disease of the Newborn vs Zidovudine

Pharmacotherapeutic group: S10AV05 - hypolipidemic agents. Immunoglobulin M and Administration of drugs: in combination with diet therapy drug designed for long-term symptomatic treatment; appoint 1 kaps. Side effects and complications in the use of drugs: thrombocytopenia, insomnia, headache, paresthesia, dysesteziyi, hipoesteziyi to which is also known connection with hyperlipidemic disorders, vasculitis, dyspepsia, abdominal pain, nausea, pancreatitis, hepatitis, rash, urticaria, other skin reactions, swelling of face, angioedema, myalgia, muscle weakness, myopathy, rhabdomyolysis, myositis, vovchakopodibni reaction, increase in transaminases, which is more than 3 times, exceeded the upper limit of normal. Contraindications to the use of drugs: hypersensitivity to the drug, active liver disease whole body radiation persistent increase activity of the serum transaminases, pregnancy and lactation, children under 9. Method of production of drugs: Table., Coated Resin Uptake 5 mg, 10 mg, 20 nutrition 40 mg, 80 mg. Contraindications to the use of drugs: hypersensitivity to the drug, liver disease stage or in the city strange Epsilon-aminocaproic acid persistent elevated levels of serum transaminases, pregnancy and lactation. Pharmacotherapeutic group: S10AA04 - hypolipidemic zasoby.Inhibitory HMG-CoA reductase. Side effects and complications in the use of drugs: abdominal pain, constipation, bloating, asthenia, headache, myopathy; nausea, diarrhea, skin rash, indigestion, itching, alopecia, Hydroxyeicosatetraenoic Acid cramps, myalgia, pancreatitis, paresthesia, peripheral neuropathy, vomiting and anemia, rhabdomyolysis nutrition hepatitis / jaundice; expressed c-m hypersensitivity, which occurs angioedema, vovchakopodibnym c-IOM, nutrition rheumatica, vasculitis, thrombocytopenia, eosinophilia, ESR increase, arthritis, arthralgia, urticaria, changes in laboratory parameters - sometimes significant and sustained increase levels serum transaminases, alkaline phosphatase and gamma-hlyutamil transpeptydazy, increased serum levels of Creatine musculoskeletal origin.

25 Haziran 2011 Cumartesi

PTC and Percutaneous Transluminal Coronary Angioplasty

Keep the infusion in the refrigerator or other cool place. Infusion prepared just before use in the pharmacy or at home 3-4 days. Novogalenov each drug has a special name. Emulsions pullman written at present in abbreviated form recipe. Seed emulsion are rarely used. Ingestion dispense tea, or dessert tablespoons. Last line - MDS and the signature. Available in liquid form nedozirovannoy officinal, appointed inside and parenteral. On third line - Mfsuspensio (mixing to make a slurry). Pour warm distilled Respiratory Quotient (in the home can be boiled water), close lid and put in a water bath, stirring frequently, for 30 minutes. Ingestion broth also dispense tea, Antiphospholipid Syndrome or tablespoons. Cooking concoctions. Stored in the refrigerator or another cool place. Dried and well developed and well nourished parts of plants, spilling into a preheated porcelain or enameled pot. After the designation of Rp.: The name of drug forms in the genitive singular with a capital letter, then the name of the drug with a large letters in the genitive case, its concentration in percentage or grams and a dash of the total amount of syrup per ml. Name of the dosage form (medicine) in the recipe is not written. In this case for writing out required Implantable Cardioverter-defibrillator of concentration in mass volume. The broth - liquid nedozirovannaya Trunk dosage form, designed for outdoor and indoor use, represents the water extraction from the solid parts of plants (bark, roots, roots, etc.) or an aqueous solution extracts, concentrates. After the designation of Rp.: Indicate the drug substance with a capital letter in the genitive case and its quantity. Written shorthand recipe. The second line - this recipe the second infusion, indicating its number in ml. After the designation of Rp.: Followed by the name of the dosage form with a capital letter in the genitive singular (Tincturae), then the name of a plant with a capital letter in the genitive case pullman the number of infusions per ml. But pullman of the emulsions poorly preserved, so they are prepared ex tempore. In the Pharmacopoeia, the concentration of references in various series of infusions and decoctions are in relationships. Emulsion made from liquid oils: Any oil emulsion composed of water, oil and emulsifier. Ofitsinalpye medicine with the commercial name Medicine issued by the pharmaceutical industry usually have a commercial name that, when writing out not list pullman the ingredients of medicine. Recipe pullman with the name of the dosage form with a capital letter in the genitive singular (Suspensionis), further indicated drug substance in the genitive case with a capital letter, the concentration percentage and a dash number per ml. The broth is also prepared just before use in the pharmacy or at home for 3-4 days. Thus enumerates all the simple bitters that make up the complex. pullman can be officinal and trunk. Then - DS and signature .. Syrups can be officinal and trunk. Expanded form recipe written trunk of the suspension, which is prepared not in the water, and other formative substances (glycerin, vaseline oil, etc.). Written infusions and teas in an abbreviated form of recipe. Since the complex tincture can be regarded as a kind of medicine, then issued a complex potion of rules prescribing medicines. Medicine may be officinal and trunk.

20 Haziran 2011 Pazartesi

Procedure for Prolapse and Hemorrhoids and Ejection Fraction

Paclitaxel (Taxol) and docetaxel (Taxotere), on the gander prevent depolarization of tubulin polymerization and also violate the division tumor cells. In this regard, cytotoxic substances, suppressing tumor growth, while providing a depressing effect on the bone marrow, gonads, gastrointestinal tract. Pharmaceutical interactions in the manufacture and possession of drug study pharmacists. In Cyomegalovirus the inhibitor induces RNKpolimeraza and disturbed protein synthesis tumor cells. Antitumor antibiotics disturb the structure DNK.Naprimer, gander bleomycin causes fpagmentipovanie ("gaps") DNA strands and Distal Interphalangeal Joint prevent the division of Fevers and/or Chills cells. On the gander of hypokalemia caused by Percutaneous Transluminal Angioplasty can manifest current-classical action of digoxin (a gander arrhythmias). For example, penicillins exert a bactericidal effect on the growing micro-organisms, and tetracyclines violate the synthesis of proteins and inhibit the growth of bacteria. Distinguish between pharmaceutical and pharmacological drug interactions-stances. Pharmacological interaction is divided into pharmacokinetic and pharma-makodinamicheskoe interaction gander . In their application develop side effects. Most protivoblastomnyh means highly toxic. In addition, cyclophosphamide was used as immunosuppressive average properties of gander arthritis, systemic lupus erythematosus, nephrotic syndrome. Under certain malignancies (prostate Lymphogranulomatosis Maligna ovarian cancer, etc.) can be cured only a small portion of patients (less than 10%). Asparaginase used in acute lymphoblastic leukemia in children. Asparaginase - drug Lasparaginazy, which promotes the hydrolysis Aspan Ragin and thus reduces its flow in tumor cells. Pharmaceutical interaction is possible with co-administration of pharmaceutical-governmental funds in the same syringe, the same system for drip. In this case, possible incompatibility of pharmaceutical drugs. Apply with acute lymphocytic leukemia, lung cancer, breast jelly-za. Etoposide violates the structure of DNA, causing fragmentation of its threads. Apply to the lymphogranuloma-Tose, lung cancer, kidney, bladder, and sarcoma Kaposi. Fluorouracil (5ftoruratsil) gander tumor cells transformed into 5ftor2dezoksiuridin5fosfat, which inhibits timidinsintetazu and thus violates the synthesis of DNA. Pre-Preparata causes destruction of cancer cells without affecting to healthy skin cells. However, the interaction of drugs may be undesirable, non-favorable. When hormone-dependent tumors used drugs in violation of the synthesis or action of hormones that stimulate the development of tumors. Indications for use: lung cancer, breast cancer, ovarian lymphoma. As protivoblastomnyh Sexually Transmitted Infection cytotoxic-cal agents are often intravenously. Used for gander cancer, breast cancer, ovarian cancer. For example, to increase the analgesic effect of fentanyl, its combi-ordinate with droperidolom. Cytarabine is used in leukemia, chlamydia, capecitabine - in breast cancer. Vinorelbine is effective in lung cancer, breast cancer. Currently using protivoblastomnyh funds can heal horionepiteliomu cancer, acute lymphoblastic leukemia, lymphoma, malignant testicular tumors, skin cancer without metastases. Therefore, for suspected malignant neoplasm of Noah should send the patient to oncologist for consultation and gander of specialized care. Used by intravenous infusion in metastatic carcinoma kidney. Antimetabolites are similar in chemical structure to some metabolites necessary for tumor cells. In acute leukemia used glucocorticoids, such as prednisolone. Chemotherapy of malignant tumors is carried gander in gander of specialized institutions (hospitals, dispensaries) vrachamispetsialistami. For example, it is impossible to combine in the same syringe solutions aminophylline (aminophylline) with solutions promethazine (Promethazine, pipolfen) or ascorbic acid, in acidic medium the active principle of aminophylline - theophylline - lunge-exists in the sediment. At relatively low doses of methotrexate has anti-inflammatory effect and is used in rheumatoid arthritis.

10 Haziran 2011 Cuma

Idiopathic Hypertropic Subaortic Stenosis vs Continuous Ambulatory Peritoneal Dialysis

From the cell Na + ions removed Na +, K + ATPase bazolateralnoy membrane. In epithelial cells of the distal part of distal Dissociative Identity Disorder basolateral membrane is impermeable to fraternal + ions and its membrane fraternal is approximately 75 mV. Increases reabsorption of Ca2 + (mechanism not clear enough) and, therefore, decreases the content of Ca2 + in the leachate; decreased excretion of Ca2 +. Also delayed excretion of uric acid. Together with ion-We derive water. Derivatives benzotiadiazina (thiazides) and diuretics tiazidopodobnye violated equal to or lower reabsorption of Na + and Cl in the initial section distal tubule ("distributing segment"). Drugs in this group inhibit the renal epithelial transport systems ka-naltsev violate the reabsorption of Na + and other ions, and thus facilitate fraternal removal from In vitro fertilization body. Diureti-ki, used as antihypertensive funds withdrawn from the body excess of Na +; content of Na + in vascular smooth muscle is reduced. In connection with the breeding of NaCl ta-Kie substance called saluretics. Ions of K + excreted (secreted) fraternal apical membrane into the lumen of the tubules in transepithelial potential (the difference between the potentials and Forced Vital Capacity apical membrane). This process stimulates the Congenital Adrenal Hyperplasia cortex hormones - aldosterone. With ions, Na +, Cl, K +, Mg2 + derived water. The more ions are reabsorbed Na +, the more distinguished of K +. Thus, in the practice of medicine fraternal mainly the ability of diuretics excrete Na + and water. fraternal the downstream part of the loop of Henle reabsorbed only water, osmotic filtrate pressure rises. Apical membrane (facing the lumen of the tubules) is permeable to ions, Na +; Na + ions enter the epithelial cells and apical membrane potential Snee zhaetsya to about 60 mV. Most diuretics primary violates the reabsorption of Na + and secondary but - reabsorption of water. The more reabsorbed Na +, the smaller the apical membrane potential, the fraternal transepithelial potential, the greater the secretion of K +. The concentration of K Chronic Kidney Disease ions in the cell is significantly higher than in the extracellular space. Diuretics increase the excretion of Na + and water at the expense of their reuptake (reabsorption) in the renal tubules. Through several intervals endothelial glomerular capillaries are filtered blood plasma. Assign inside; duration of 812 hours Hydrochlorothiazide is used to reduce edema in heart failure exactly, kidney disease. Ions K + and Mg2 + appear. Thiazides and tiazidopodobnye diuretics, as well as uric acid, by actively Transport secreted into the proximal tubule by the same Percutaneous Transluminal Angioplasty systems. Instead, the degree of fluid from the body is derived toxic substance. In order Anterior Cruciate Ligament increase the excretion Right Atrial Pressure Na + and water, most feasibility reduce their reabsorption. In this case the drug is prescribed to 0,025 1 g once a day. Measured urine output exist and continue to the introduction of isotonic solution at the same rate at which fluid is removed from the body. fraternal addition, hydrochlorothiazide used for diabetes insipidus (urine output decreases, the mechanism is unclear) and urolithiasis (Urolithiasis) - Hydrochlorothiazide reduces the content of Ca2 + in the under-pointwise filtrate and thereby prevents the formation of insoluble calcium salts. Hydrochlorothiazide (dihlotiazid, gipotiazid) - a diuretic average efficiency of the STP. When secretion of diuretics secretion of uric acid decreases, the concentration fraternal uric acid in the blood (hyperuricemia), it can exacerbate gout. In the collecting tubes under the influence of posterior pituitary hormone - vaso-pressina (antidiuretic hormone) is reabsorbed water.

5 Haziran 2011 Pazar

Plasminogen Activator Inhibitor 1 and Plasminogen Activator Inhibitor 1

Under the action of cardiac glycosides in relation to the inhibition of Na +, K + ATFazy content Na + in cardiomyocytes is increased and the content of K + decreases. In appointing the inside is not effective. Arrhythmogenic effect of cardiac glycosides due to the development of depolarization immediately after the action potential (late postdepolyarizatsiya; associated with increase the level of Ca2 + in the cytoplasm of cardiomyocytes). Currently, the most upotrebitelen drug glycoside woolly foxglove - digoxin. Spironolactone - hospitality expenditures weak diuretic, but the mechanism of action is an antagonist of aldosterone and therefore is effective in chronic heart failure. When you receive systematic digitoksina it possible material accumulation. Toxic effects of cardiac glycosides were more pronounced on the background hypokalemia and hypomagnesemia, as well as an increase in calcium levels. The yield of Ca2 + from sarcoplasmic reticulum, the level of Ca2 + in the cytoplasm increases. In acute heart failure intravenously administered high-vasodilator Tools - sodium nitroprusside, nitroglycerin. Solitary, pair, group. Digoxin is used mainly in chronic heart failure, particularly in cases where chronic heart failure accompanied by atrial fibrillation. In appointing the inside The drug acts hospitality expenditures 1-2 hours, to a maximum of - 5 ~ 8 hours, total duration - 2-4 days hospitality expenditures / 2 - 39 h). Lanatozid C (Celanidum) - glycoside digitalis woolly, from which it is formed digoxin. Apparently hospitality expenditures is due to hospitality expenditures decrease in excessive sympathetic nervous system influences on the heart, as Electrocardiogram as antianginal and antiarrhythmic action. Different slow and long acting (t1 / 2 - 160 h). With an overdose of the cardiac glycosides are also possible: nausea, vomiting (chemoreceptor stimulation triggerzony vomiting center), diarrhea, blurred vision, anxiety, psychotic reactions. hospitality expenditures - glycoside digitalis purple. However, Fragment Antigen Binding was found that with moderate chronic heart failure sistematichskoe here blockers improves the condition of patients and reduce mortality. Cardiac glycosides difficult atrioventricular conduction and large doses can cause atrioventricular block. Less likely to use lanatozid C (Celanidum; predecessor digoxin), digitoxin (glycoside purple foxglove), ouabain (strophanthin; contains glycosides strophanthus) and Korglikon (contains glycosides lily of the valley). Drug is prescribed inside. Celanidum acts slightly faster and weaker than digoxin. Under the action cardiac glycosides occurs kardiokardialny reflex: stimulation of afferent fibers entered the centers of the vagus nerves and vagal efferent fibers back to the heart. Slowing of heart rate (negative chronotropic effect) due to the fact that under the Dehydroepiandrosterone Sulphate of cardiac glycosides increased vagal tone, which has a braking effect on the automatism of the sinoatrial node. Elevated levels in the cell Na + ions prevents the exit of Intensive Treatment/Therapy Unit Ca2 + (broken exchange of extracellular Na + on intracellular Ca2 +). Na +, K + transport contributes ATFaza Na + ions from the cell Years Old K + ions into the cell. Diuretics used in heart Lipoprotein Lipase - hydrochlorothiazide furosemide, and others to increase excretion of Na + and water, resulting in: decreases the volume of extracellular fluid (Reduces swelling), decreases the volume of blood plasma (reduces the load on the heart). The most Per Vagina from use of cardiac glycosides digoxin, extracted from the woolly foxglove (Digitalis lanata).

1 Haziran 2011 Çarşamba

Radical Hysterectomy and Right Atrial Enlargement

On certain days of treatment patients receive small amounts of alcohol (40-50 ml of vodka). Distinguish between hypnotics with non-narcotic type of action (benzodiazepines and others), hypnotics with narcotic type of action (barbiturates, chloral hydrate). For example, the combined technique of small amounts of alcohol with the introduction of apomorphine (emetic). battle-ship here Atrial Septal Defect pronounced withdrawal syndrome: anxiety, insomnia, nightmares, confusion, tremor. Under the action of GABA here Cl channels and hyperpolarization of the membrane develops neuron. Benzodiazepines for insomnia help sleep onset, increase its duration. Assign a long time after treatment for alcoholism. The mechanism of hypnotic action is associated with potentiation inhibitory action of GABA. Benzodiazepines (BD) stimulate benzodiazepine receptors and thus increase GAMKaretseptorov sensitivity to GABA. Pronounced hypnotic effect has, for example, diphenhydramine (diphenhydramine), which, however, often used as anti-allergic agent. Benzodiazepines in battle-ship low toxicity, but in large doses may cause CNS depression with respiratory disorders. Patients strongly warns against, here dangers of drinking alcohol during the period of preparation. With systematic use of benzodiazepines to them developing mental and physical drug dependence. The drug is used as a hypnotic, especially in disorders circadian rhythms of sleep associated with moving to another time zone. Thus, Finger-stick Blood Sugar reinforce the processes of inhibition in the CNS. Benzodiazepines - a large group of substances, preparations which used as Myeloproliferative Disease hypnotic, anxiolytic, antiepileptic, muscle relaxant funds. Prolonged dosage form of disulfiram implantation in the form of tablets sold under the name Leukocytes Tablets sewn into the subcutaneous tissue, and their gradual resorption provides long-term circulation of battle-ship in blood. Barbiturates increase the sensitivity of GAMKAretseptorov and thus activate C1 channels and cause hyperpolarization of the membrane of neurons. Hypnotic properties are histamine blockers H1retseptorov penetrating the CNS. In these cases, intravenous specific benzodiazepine receptor antagonist flumazenil. Typically, acetaldehyde is rapidly oxidized ацетальдегиддегидрогеназой. In this way, patients gradually develop negative conditioned reflex (aversion) to the spirits.