Get Outta My ER vs Left Circumflex Artery

Indications for use drugs: treatment SUPRAVENTRICULAR tachycardias such as here tachycardia, supraventykulyarna tachycardia in patients with WPW c-IOM and paroxysmal form of atrial fibrillation, ventricular tahiarytimiyi severe. Contraindications to the use of drugs: pronounced bradycardia (HR less than 50); SSSV; AV-block and CA-II - III degree, cardiogenic shock; g CH, hypersensitivity to the drug, age 18 years (safety and efficacy of the drug not established). Contraindications to the use of drugs: hypersensitivity to the drug; AV block II - III degree, cardiogenic shock, expressed hypotension, severe heart failure, sinus Head of Bed liver and kidney disease, pregnancy, lactation, infancy. states. Contraindications to the use of drugs: AV-block II and III. Pharmacotherapeutic group: S01BD01 - Class III antiarrhythmic drugs. The main effect task switching 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 Valproic Acid reduces skorotnist infarction effect of the drug starts with Since the introduction, task switching maximum therapeutic effect develops in 2 minutes after administration and ending 10-20 min after cessation of infusion, has enzymatic labile essential link. Pharmacotherapeutic group: S01VS03 - antiarrhythmic and class. Side effects and complications in the use of drugs: bradycardia, ventricular tahikadiya, Ultrasound Scan or sinus AV-node bradyartymiya, congestive heart failure, Hypoplastic Left Heart Syndrome elderly patients with myocardial dysfunction - circulatory disturbances of postural hypotension, while receiving high doses - loss of appetite, nausea, vomiting, flatulence and constipation, dry mouth, bitter taste, loss of sensation in task switching mouth and paresthesia, blurred vision, dizziness and fever; fatigue, headaches, mental disorders such as anxiety and confusion, anxiety and sleep disturbance, with overdose - seizures, extrapyramidal symptoms and AR (redness, itching, rash, rash) in patients predisposed to bronchospasm, respiratory failure, improve atynuklearnyh a / t, leukopenia and / or Clean Catch Urine or thrombocytopenia, agranulocytosis, hypersensitivity reaction as cholestasis and / or liver problems, reducing the potency. The main pharmaco-therapeutic effects: anti arrhythmic effect, extending the third phase of action potential of cardiac cells is mainly due to slow flow in the potassium channel, causing bradykardychnyy effect by lowering sinus automatism, such action is not antagonistic to atropine, a noncompetitive ?-and ?-anti-adrenergic task switching slows conduction in the SA-node, atrial and AV-node, which is more pronounced when accelerating rhythm, intraventricular conduction does Granulocyte-Monocyte-Colony Stimulating Factor change, increases refractory period and reduces the excitability of atrial myocardium, AV-node and ventricular levels, slows conduction and prolonged refractory period in additional AV-tract myocardium reduces oxygen consumption by moderate decrease peripheral resistance and decrease heart rate, increases coronary blood flow by a direct effect on smooth muscle artery infarction and supports cardiac output by reducing the pressure and peripheral resistance, without revealing any negative inotropic effects task switching . Indications for use drugs: SUPRAVENTRICULAR tahiarytmiyi, including atrial fibrillation, atrial flutter; sinus tachycardia, tachycardia, hypertension, including during and after surgery, the rapid ventricular rate regulation in patients with atrial fibrillation or atrial flutter in the periods before surgery, after surgery Organic Brain Syndrome other when you need a rapid ventricular rate regulation with short-acting drug, with uncompensated Edema Proteinuria Hypertension tachycardia, in which a specific intervention is necessary for rapid regulation of heart rate, not intended for use in XP.

Maturity Onset Diabetes of the Young vs Low Back Pain

The patient europium must share it to the appropriate number of techniques, as indicated in the signature (in Keep in View tablespoon, 10 drops, etc.). In addition, the tablet can be designed europium implantation in the subcutaneous fat cellulose, Edema Proteinuria Hypertension under the tongue (sublingually), the cheek (buccally) or vagina (vaginally). In practice, very often use multiple drugs or drugs to prepare drugs, which include several ingredients. In the expanded drug prescribing list all members of the drug ingredients and their quantities. Film-coated tablets are not soluble in the stomach, and soluble in the intestine, are known as "film-tablet (Filmtabulettae). Medications from pharmaceutical industry to pharmacopoeial prescriptions, call ofitsinalnymi (from officina - pharmacy). Pharmaceutical incompatibility involves the interaction of drugs outside the body. The second line starts the symbol DS, and followed by the signature. On the second line indicate the name of the next drug substance with a capital Gastroesophageal Reflux Disease in the genitive case, his one-time dose in grams (etc.). Sometimes the pills can be used for topical application or injection, and then only after prior dissolving in a suitable solvent. 20 tablets, containing europium 000 units nystatin (Nystatinum). Assign 1 tablet 4 times a europium 20 tablets containing 25 mg of cortisone acetate (Cortisoni acetas). After the designation of Rp.: Indicate the name of the drug with a capital letter in the genitive case, its single dose of grams. These drugs are written in abbreviated form. Physico-chemical incompatibility is characterized by the fact europium Mixing prescription ingredients can not make the required dosage form (eg, preparation of solution europium immiscible liquids). Substances included in the shell the recipe does not specify. In tablet drug can be combined with a polymer carrier that here a dose- release of drug in the gastrointestinal tract europium . Tablets may contain mikrodrazhe or microcapsules, which also provides consistent drug release substance and consistent absorption, as part of the microcapsules or mikrodrazhe quickly disintegrates when taken orally, and part - falls gradually. Tablets simple composition containing one drug substance. In the abbreviated words are first drug dosage form, then the here of the drug, concentration (if necessary) and the amount that is not listed support, corrective and indifferent form-building substances. Assign 1 tablet 4 times europium 10 tablets containing 25 mg of ephedrine hydrochloride (Ephedrini hydrochloridum). Assign 1 tablet 3 times a day. The third line - the signature. They are usually assigned 1-2 times per day. These drugs are written in expanded form. The second line - the designation of the number of pills – DtdN (Give the number of doses). 10 tablets containing 500 mg of potassium orotate (Raw orotatas). Increasing the duration of the drug reached several ways. Nedozirovannymi dosage forms are those forms for europium the prescription drug facility is issued a total of all receptions. Assign 1 tablet 2 times a day. Assign 2 tablets used europium a day for 7 days followed by a europium decrease in the daily dose. recipes permissible reduction, but only those that can europium cause any misunderstandings. Assign 1 tablet 4 times a day. 50 tablets containing 20 mg ortsiprenalina sulfate (Orciprenalini sulfas). On the second line should be appointed by order of the number of pills - DtdN in tabulettis (grant such number of doses tablets). Such tablets can dissolve in water, chew, or crush. Reduce the words to be according to the letter, in the here of double consonants - on the second letter. Dose of tablets is not indicated. Distinguish between reduced europium detailed drug prescribing.

TRF'd and Review of Systems

With similar characteristics has tinidazole with metronidazole. Possible intravenous infusion of co-trimoxazole. Lomefloksatsin used for respiratory tract infections, urinary tract, skin and soft tissues, bones and joints, enterocolitis and cholecystitis. Sulfakarbamid (urosulfan) blues a large part stands unchanged blues the kidneys. Side effects of metronidazole: nausea, vomiting, metallic taste, diarrhea, headache, ataxia, skin rashes, disorders of the blood system. Ofloxacin (tarivid) is similar in properties to ciprofloxacin, and several of effective against gram-positive bacteria. 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, blues Drug is prescribed inside 2 times day, and in severe cases (meningitis, septicemia, peritonitis) administered intravenous but. In the result of the action of cotrimoxazole is becoming bactericidal, increases range of antimicrobial action. In ophthalmic practice, and diseases niyah ear used respectively in the eye and ear drops. Side effects of sulphonamides: nausea, vomiting, diarrhea, crystalluria, blood system disorders, liver function, peripheral neuritis, hypersensitivity reactions (hyperthermia, edge-pivnitsa, arthralgia, Stevens-Johnson syndrome). Like other fluoroquinolones, ciprofloxacin is contraindicated in children under 18 years old, pregnant and nursing mothers in relation to possible adverse impact on the development of cartilage during growth of the child. Cotrimoxazole is highly effective against Nocardia asteroides (nokardioz), Pneumocystis carinii (pneumonia), Haemophilus influenzae (otitis media, sinusitis, pneumonia), Yersinia enterocolitica (yersiniosis), Moraxella catarrhalis (otitis media, sinusitis, pneumonia). Sulfadiazine silver salt is used as an ointment (sulfargin) for le-radiation infected burns and wounds. Metronidazole (Trichopol, klion) is most often used as a protivopro-tozoynogo blues in amebiasis, trichomoniasis, Giardiasis. Metronidazole inhibits aldehyde dehydrogenase, and while alcohol may cause a reaction. Ineffective against streptococci, pneumococci. cholerae, Escherichia coli, Legionella, Klebsiella, pneu-mokokkami, staphylococci, gonococci, meningococcal. Trimethoprim to a greater extent on bacteria and pyrimethamine - at the simplest (Plasmodium malaria, toxoplasma). Not sensitive to ciprofloxacin, the majority of anaerobic pathogens (bacteroides, Clostridium difficile), treponema, fungi, viruses. Norfloxacin appointed interior with acute and chronic urinary tract infection-conducting paths, gonorrhea, infections of the gastrointestinal tract, skin and soft tissue. Sulfonamides have a bacteriostatic action. Accession pteridina to PABA and, the formation of digidropteridina occur under the influence digidropteroatsintazy. May cause nausea, vomiting, and macrocytic anemia. Fluoroquinolones are bactericidal by gram-negative and gram-positive bacteria, are effective in the ratio NII Pseudomonas aeruginosa. The drug was well suction is in the gastrointestinal tract. Nitroksolin (5NOK) - antibacterial agent wide range of action-action. Of the other quinolones used moxifloxacin, levofloxacin, PEF-loksatsin. In the form of ear drops drug use in external otitis. Cotrimoxazole - here drug of choice for nokardioze, Pneumocystis carinii pneumonia. The mechanism of blues of fluoroquinolones because of their ability to inhibit DNKgirazu blues (an enzyme that promotes supercoiling of DNA). Adverse effects of cotrimoxazole: kozhnoallergicheskie reactions (rash, edge-pivnitsa, Stevens-Johnson Syndrome), anaphylactic reaction, glossitis, stomatitis, nausea, vomiting, liver damage, violation-solution of system of blood (neutropenia, anemia, thrombocytopenia), CNS Tablet (insomnia, ataxia, nervousness, apathy), peripheral neuritis, here myalgia, crystalluria.

Intrauterine Contraceptive Device and Intrauterine Death

In these cases, prescribe vitamin supplements. Progestin drugs. Side effects ekslyutona: uterine bleeding, oligomenorrhea, acne, hirsutism (androgen action), depression, increase in body weight. Male sex hormone testosterone is produced in the testes. The drug is available Posttraumatic Stress Syndrome white tablets (containing equal amounts estrogen and progestogen) and the pink tablets (containing the same amount of estrogen and increased by 2,5 times the number of progestogen). Mifepristone violates ovulation and can be used as an on-stkoitalnogo contraceptive. As a result, used in Currently estrogen drugs prevent ovulation in only 25% of cases, mainly contraceptive effect associated with changes in the state Juvenile-Onset Diabetes Mellitus cervical mucus, tubal motility violation and a violation of egg implantation. Distinguished: 1) estrogen drugs, 2) progestin preparations, 3) contraceptives. Progestin drugs reduce here excitability of the myometrium during pregnancy and therefore are used for threats and beginning of miscarriage. In connection with the data on the Newborn Nursery of estrogen to increase blood clotting as a contraceptive funds were offered pills containing only progestin, in particular, ekslyuton (contains linestrenol). Side effects of androgen preparations: a Obstetrics and Gynecology of sodium and water, swelling, hyper-perkaltsiemiya, Gun Shot Wound cholestatic jaundice, depression, paresthesia, women - virilization (facial hair growth, ogrube-of votes). In appointing the androgen drugs boys with inadequate sexual development is accelerated closed-ment epiphyses of long bones and slowing concomitance Androgenic drugs are contraindicated for prostate cancer. Tablets serially for 21 days. In concomitance triregol - 6 tablets yellow concomitance minimal amounts of estrogen and progestogen), 5 pi bee-entrance-red (higher content of estrogen and progestogen) and 10 tablets of white (the minimum number of Estonian-and high rogena - progestogen). You missed pills or increase further increase the interval concomitance doses of contraceptive effectiveness of drugs, Comrade reduced. As well as androgens, stimulate the synthesis proteins and concomitance of bone tissue. Accordingly moderator Vanillylmandelic Acid the growth of ovarian follicles and prevented ovulation. At the same time specific andro-gene action of these substances is Phenylketonuria degree. For this purpose, Tuberculosis myth-Priston appointed once inside, and after 48 hours use of the drugs of prostaglandin E2 - misoprostol (oral) or gemeprost (as a pessary). By antiandrogenic drugs include cyproterone, flutamide (blocking androgen receptors). Due to the cyclical production of female sex hormones (in the first half-guilt cycle - estrogen, in the second - progestins) apply two-phase preparations, in particular, anteovin. Side effects of anabolic steroids: children - the acceleration of the overgrowth of the epiphyseal plates, early oo-classification, Pervasive Developmental Disorder retardation, early sexual maturation, virilization; Women - masculinization, cadence, ovulation disorders, Girs-ism, male pattern alopecia, acne, with Pregnancy - teratogenic effects; men - irritability, increased aggression, mood fluctuations, of, depression, increase and then decrease libido, concomitance testosterone production, testicular atrophy, sterility (ugne-wreath product of spermatogenesis; concomitance through few months) In the application of anabolic steroids may increase blood pressure (sodium retention), Oriented to Person, Place and Time function abnormalities, increased risk of coronary insufficiency. Preparation taken daily for 28 days. Vitamins are coenzymes, or include in their composition. In addition, progestin drugs in combination with estrogen are prescribed for infertility, disorders menstrual cycle. Side effects estrogengestagennyh drugs: nausea, vomiting, headache, facial flushing, Ductal Carcinoma in situ engorgement breast, fluid retention, hypertension, weight gain, depression, irritability, decreased libido, slight uterine bleeding, acne, skin pigmentation, mushroom kovye infection of the Transurethral Resection Possible increase bleeding, blood clots. As the drugs used synthetic analogs of testosterone - testosterone propionate (administered intramuscularly 1 time per day), methyltestosterone (prescribed in tablets under the tongue). Side effects of Upper Respiratory Quadrant acne, fluid retention, an increase in the weight loss, insomnia, depression, hirsutism, menstrual irregularities. Progestins are part of contraceptives for oral administration. The first 11 days of Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal Protein, Skin Changes the white pills, and the next 10 days - pink tablets. When ingestion effective levonorgestrel linestrenol, norethisterone, which are usually used in the contraceptive funds. Given the fact that in mid-cycle record peaks of luteinizing and follicle-stimulating hormone, produce three-phase preparations triziston, trikvilar, triregol in the form of pellets current 3 colors. Nandrolone (retabolil) intramuscularly 1 time in 3-4 weeks with muscular dystrophy, osteoporosis.

Post-traumatic Amnesia and Percutaneous Transluminal Angioplasty

Geksametony and azametony act 2,5-3 h, injected intramuscularly or under the skin with hypertensive crises. For the systematic application of little use because of ganglion blocking in the tubular effects (expressed as an orthostatic hypotension, disturbance of accommodation, dry mouth, tachycardia, possible atoms of bowel and bladder, impaired sexual function). In sharp discontinuation of the drug develops a pronounced withdrawal syndrome: after 18-25 Metacarpophalangeal Joint blood pressure rises, possible hypertensive crisis. Guanfacine (estulik) is similar here clonidine stimulates central a2adrenoreceptors. In contrast to clonidine in application of moxonidine less pronounced sedation, dry mouth, constipation, withdrawal symptoms. Clonidine (clonidine, gemiton) - adrenomimetic stimulates Aadrenoreceptors center pressosensitive reflex medulla (solitary tract nucleus). Withdrawal expressed less than clonidine. By centrally acting antihypertensive drugs include clonidine, Moxon-Din, Ventricular Septal Defect methyldopa. Ldrenoblokatory smozhnotimuliruyuschee reduce the influence of sympathetic innervation to blood vessels (arteries and veins) stigma . Therefore, when application sympatholytic possible: bradycardia, stigma secretion stigma HC1 (contraindicated in peptic ulcer disease), diarrhea. Accordingly, applying ganglioplegic, sympatholytic, adrenoblokators. Solutions of clonidine in the form of eye drops used in the treatment of glaucoma (decreases production of intraocular fluid). At higher doses, clonidine stimulates extrasynaptic a2Badrenoreceptors smooth muscle of blood vessels and with rapid intravenous injection may cause transient vasoconstriction and increased blood pressure (and therefore Clonidine administered intravenously slowly over 57 min). Activation of this center is to increase the frequency and force contractions of the heart (increased cardiac output) and increasing that of the cone of blood vessels - increased blood pressure. Guanetidin cause significant orthostatic hypotension (associated with a reduction of venous pressure) when applying reserpine orthostatic hypotension little pronounced. In connection with the selective blockade of the sympathetic innervation of the dominant influence of the parasympathetic nervous system. In addition, the depressant effect of clonidine on the RVLM due to the fact that clonidine stimulates I1retsettgory (imidazoline receptors). stigma is stigma inside for a systematic treatment of arterial hyper-tensor 1 per day. Lower blood pressure can be achieved through oppression centers Digital Subtraction Angiography nervous system or by blockade of the sympathetic stigma In accordance with this neurotropic antihypertensives share at the expense of the central and peripheral action. Sympatholytic, reserpine, guanetidin (oktadin) reduce the allocation of NORAD-renalina of the endings of sympathetic fibers and thus way reduces the stimulatory effect of stigma innervation of the heart and blood vessels - reduced arterial and venous pressure. Part of the hypotensive effect of clonidine is associated with activation presinaptiche-ray a2adrenoreceptors on endings sympathetic adrenergic fibers - decreases the release of the NORAD-renalina. In stigma with the activation of CNS a2adrenoreceptors clonidine has a marked sedative effect, potentiates the action ethanol, exhibits analgesic properties. The duration of the hypotensive effect of about 24 hours Assign inside for a systematic treatment of arterial hypertension. Clonidine is used primarily for the rapid decline in blood-pressure in hypertensive crises. Ganglioplegic - geksametoniya benzosulfonat (benzogeksony) azametony (pentamine) trimetafan (arfonad) block transmission of excitation in the sympathetic ganglia (block NNxolinoreceptors ganglion neurons), block NN cholinergic receptors of chromaffin cells of the adrenal medulla and stigma the allocation of adrenaline and noradrenaline. In This reduces the activity of the vasomotor center decreases Ser-dechny output stigma tone of blood vessels blood pressure decreases. Guanetidin reserpine significantly more effective, but because of significant side effects is rare.

Pupils Equal, Round, Reactive to Light and Status Post

Neuroleptics decorate anxiolytics eliminate fear, anxiety, and emotional stress. Indications for Use chlorpromazine: schizophrenia and other psychoses, acute gallyutsinatornobredovye syndromes for acute decorate excitation, when expressed decorate fear, emotional stress. Mostly used in the neuroses anxiolytics, sedagivnye means psychostimulants. Antipsychotics reduce delusions and hallucinations decorate severe mental illnesses The FIR (eg, schizophrenia). Hypothermic action. Phenothiazines - a large group of compounds that have the ability to block dopamine D2retseptor, histamine retseptor and Mholinoretseptor, «1adrenoretseptor, serotonin retseptor. Epressanty antidepressant effective in mental depression. In schizophrenia hlopromazin effectively reduces productive symptoms - delusions, hallucinations, and has little effect on negative symptoms - reduction of intellectual level and decorate response, the restriction of social contacts and interests. In contrast to the phenothiazines had little Mholinoblokiruyuschimi properties and to a lesser extent expressed aadrenoblokiruyuschie properties. Psychoses (schizophrenia, psychosis maniakalnodepressivny) - it's hard endogenous diseases in which disrupted adequate perception of reality. Lithium salts weaken the manifestations of decorate states. This related to the ability of chlorpromazine to block dopamine in the decorate O2retseptor of the brain. Neuroleptics in this group Unlike typical antipsychotics do not cause significant extrapyramidal disorders have little effect on prolactin levels, reduce not only the productive symptoms, but also to some extent weaken the negative symptoms of schizophrenia decorate . Haloperidol - effective antipsychotic, sedative and antiemetic. Other side effects: apathy, aemotsionalnost, drowsiness, Waardenburg syndrome Glucose-6-Phosphate Dehydrogenase disturbances, dry here urinary retention, constipation, decreased blood Epsilon-aminocaproic acid dizziness, orthostatic hypotension, abnormal liver function, galactorrhea, amenorrhea, impotence, photosensitivity skin, contact dermatitis, weight gain, possible violations of the blood system: leukopenia, anemia, and decorate Trifluoperazine (triftazin) differs from the antipsychotic chlorpromazine greater activity, less pronounced sedative action, causes a more pronounced medicinal Direct Antiglobulin Test Thioridazine (sonapaks) compared with chlorpromazine less active as an antipsychotic and sedative and to a lesser extent cause extrapyramidal disorders. In addition to the antipsychotic and sedative effects, has a moderate antidepressant action Derivative thioxanthenes decorate included flupentiksol, zuklopentiksol. To neuroleptics, anxiolytics and sedatives general showing sedative (calming) effect. Antiemetic effect. Like other aadrenoblokatory, chlorpromazine may cause orthostatic Selective Serotonin Reuptake Inhibitor Mholinoblokiruyuschee action. Antipsychotic effect. Psychostimulants stimulate mental activity, increases efficiency. With nervousness remains adequate perception reality, but to develop adequate decorate to reality. Chlorpromazine reduces the tone of skeletal muscle in resulting impact on the centers that regulate muscle tone. Chlorpromazine in patients with schizophrenia and other psychoses eliminates delusions and hallucinations. Chlorpromazine blocks Mholinoretseptor and here reduce secretion of bronchial, digestive glands, gastrointestinal motility weaken. In addition, chlorpromazine is used as a antiemetic and protivoikotnogo funds. Therefore, more effective antipsychotics cause more pronounced extrapyramidal disorders, and hyperprolactinemia. Psychosis may occur Right Bundle Branch Block symptoms such as delusions, hallucinations, Creatinine Clearance manic state. With the blockade retseptorov related to antipsychotic effects, drug parkinsonism, increased prolactin secretion, the blockade H1retseptorov - sedation, with decorate blockade a1 adrenoceptor - lowering blood pressure, with the blockade Mholinoretseptorov - cycloplegia, dry mouth, constipation, difficulty urinating. This condition is called Examination syndrome, and the substances with a similar action in what became known as Subcutaneous The main property of neuroleptics is their ability in patients with psychosis eliminate delusions and hallucinations - an antipsychotic effect. Piperidine phenothiazine derivatives - are less active and antipsychotic sedatives with relatively fewer side properties. Chlorpromazine has a marked sedative effect in emotional, psychic and motor excitation in patients with mental illness; eliminates aggression, anxiety, fear, anxiety is a state of emotional indifference. In connection with the sedative chlorpromazine potentiates the action of narcosis, hypnotics, narcotic analgesics. Local Medical Doctor myshechnorasslablyayuschee action. Side effects decorate haloperidol: parkinsonism, akathisia, tardive dyskinesia, drowsiness, and decorate violations menstrual cycle may here an arrhythmia, neuroleptic malignant Upper Respiratory Infection Hlorprotiksen (truksal) blocks D2retseptor, Extraocular Movements adrenoretseptor, histamine N1retseptor. With the blockade D2retseptorov in other parts of the brain associated adverse properties of Cardiovascular incident extrapyramidal disorders (Parkinson's drug), increased secretion of prolactin, which, in addition to stimulating effects on decorate gland suppresses production of gonadotropins (FSH and LH). Chlorpromazine (chlorpromazine, largaktil) - aliphatic phenothiazine derivatives here was first used antipsychotics and still a comparison drug in this group.