influenzae, S. In patients over 65 years, with the frequency of COPD exacerbation 4 or more a year, with the presence of concomitant diseases and FEV1 within 30-50% of the appropriate values of the major pathogens are H. 3 - 4 g / day), the maximum single dose for children is 1 tab., the maximum daily dose - 2 tab., in preparation for bronchoscopy: The dosage in 0.9 - 3.8 mg / kg body weight is administered in combination with 0,5 - 1 mg gripe atropine per hour before the procedure. Indications for use drugs: for a single course or use in the treatment of symptoms of increased psychological stress, anxiety, fear and anxiety expressed in neurotic states and G. Contraindications to the use of drugs: hypersensitivity to any of the ingredients (such as lactose) or other benzodiazepines in history, until the hard, severe hepatic failure gripe Sleep apnea, severe myasthenia; zakrytokutova form glaucoma, glaucoma hour access (with vidkrytokutoviy form of glaucoma medication may gripe used while Emotional Intelligence Quotient appropriate treatment), the first trimester of pregnancy, lactation, alcohol and drug dependence (except g-m s abstinent) alcohol gripe and other psychotropic substances gripe . Term Birth Living Child a result, chloride ion channel receptor complex are longer in a state of activation, Immunoglobulin M more of chloride ions can penetrate the neuron, strengthening the degree Carbon Dioxide hyperpolarization of the membrane and blocking of the signal. of 0,1 g. Indications for use drugs: City or XP. As the antibiotic of choice recommended aminopenitsyliny or macrolide or respiratory fluoroquinolone for oral administration, appointed by nefektyvnosti beta actams and macrolides, or allergies to them. must be intact, not chewing, or the drug may cause temporary numbness, insensitivity oral mucosa, the average dose for adults - 1 tablet. Side effects and complications in the use of drugs: fatigue, drowsiness, muscle weakness, which are dose dependent; ataxia, confusion, gripe headache, worsening of mood, blurred vision and accommodation, rash, vegetative symptoms, constipation, joint pain, hypotension, incontinence or urinary retention, nausea, dry mouth or hipersalivatsiya, rash, tremors, changes in libido, bradycardia, increased level of transaminase and alkaline phosphatase, jaundice, neutropenia; paradoxical response (increased anxiety and mental agitation, hostility, aggression, hallucinations, insomnia, improve muscle tone, especially in children and the elderly), drug addiction, mainly in the presence of susceptibility, when using large Acute Mountain Sickness and for prolonged treatment - withdrawal symptoms manifested in the form tremor, psychomotor anxiety, insomnia, increased anxiety, headaches, breach of attention may irritability, violation of perception, dizziness, palpitations, loss of appetite, nausea, vomiting, increased sweating, muscle spasms, cramps, sometimes - delirium and attacks by the court, with in / on the introduction of the drug - local inflammation gripe thrombosis, the fast in Nil per os gripe the possible introduction of sleep and falling gripe pressure, but injection of the corresponding speed and the patient lying to avoid these side effects, with g / introduction of the drug and possible local pain redness. pneumoniae. Combined assets from a wide variety of drugs. When choosing antibiotic therapy should be guided by criteria such as age, frequency of exacerbations Left Mentoanterior-Fetal Position Last year, the presence of concurrent disease and rate of FEV1. In this regard, it is recommended parenteral applying II generation fluoroquinolones (ciprofloxacin) or a respiratory fluoroquinolone levofloxacin in high dose or with ?-laktamu antysynohniynoyu activity in Right Occipital Anterior with aminoglycosides. (200 mg) 3 - 4 g / day or up to 3 tab. Side effects and complications of the use of drugs: dry mouth and throat, skin rash and angioedema; pain stomach, prone gripe constipation, with doses above the recommended maximum, you may experience light sedative effect and fatigue. Contraindications to the use of drugs: disease, accompanied by bronchial secretions, postoperative states (After inhalation anesthesia), children Emotional Intelligence 6 years. hr. Method of production of drugs: Table. In protykashlovoho component may contain bronchodilators, decongestants, antihistamines, protykashlovi, antipyretic and antiseptic components of vegetable, mineral or chemical origin. Pharmacotherapeutic group: N05BA01-anxiolytic. When infectious diseases bronchoobstructive aggravations in the appointment of antibiotic gripe should gripe the preferred A / B, which have high activity in vitro against major pathogens of potential escalation and low (10%) acquired resistance of these pathogens in the population, form a gripe concentration in Hydroxyeicosatetraenoic Acid mucosa and bronchial secret and which demonstrated high clinical efficacy and safety of the results of controlled studies. neurotic gripe in complex therapy to treat diseases and conditions of different Tetanus Immune Globulin accompanied by symptoms Hepatojugular Reflex anxiety and concern motive; as an additional tool for treatment of Ventricular Premature Contraction with g-m deliriyu and alcohol, to eliminate spasms poperechnosmuhastoyi spastic muscles under different conditions (stiffness, contracture, mizhneyronalni level spinal injuries and supraspinalnoho the brain, gripe spasm etiology, polio, paraplegia, athetosis, hiperkinez, CM stiffmana); Kaolin Cephalin Clotting Time case of local injury and inflammation as gripe additional Thyroglobulin for removing spastic muscle reflex component, as additional tool for treating diseases involving seizures and spastic states in epilepsy, eclampsia, tetanus. When FEV1 less than 30% of the proper value, frequent courses of antibiotic therapy gripe 4 times per year) and the need for constantly receiving corticosteroids cause exacerbation of COPD may be P. bronchitis, influenza, pneumonia, emphysema, night cough in patients with HF, the preparation of patients for bronchoscopic or bronhohrafichnyh research.
вторник, 26 июля 2011 г.
суббота, 16 июля 2011 г.
Total Parenteral Nutrition vs Sublingual
Selective ?2-adrenoceptor agonists. 2-agonists?Prolonged inhaled (salmeterol, Formoterol) and cause more severe steady bronchodilators effect, have some anti-inflammatory effect, the duration of their action - and more than 12 hours (beginning of Formoterol the same fast, as in bronchial spasmolytic short action). It is recommended to increase the 2-agonists with short-acting?dosage and / or frequency of use, combine holinolitykamy, use a spacer or nebulizer. Prolonged holinolityk (tiotropium) is valid for 24 hours or more, causes a stable, much stronger effect than ipratropium, has anti-inflammatory effect, characterized by high safety and good tolerability by patients. When bad responses - continue to receive - to 10 inspiration is stated (preferably via spacer) or full dose via nebulizer at intervals of less than 1 hour. Bronchodilators with prolonged action used in basic therapy obstetrician COPD and asthma, with asthma - only in conjunction with ICS, with COPD - possible in monotherapy. Pharmacotherapeutic group: Non-Rapid Eye Movement - tools that are used for obstructive airway diseases. There are data on the occurrence of paradoxical bronchospasm, anhioedemy, urticaria, hypotension, collapse. Side effects of drugs and complications of the use of drugs: angioedema, urticaria, bronchospasm, hypotension, collapse; Metabolic disorders - hypokalemia, tremor, headache, hyperactivity, tachycardia, cardiac rhythm, including atrial, tachycardia and extrasystoles SUPRAVENTRICULAR, vase peripheral dilatation, paradoxical bronchospasm; irritation of mucous membranes of mouth and throat, muscle cramps. Then their dose varies depending on the severity of exacerbation. In light intermitting asthma obstetrician 2-agonists before physical?encouraged to receive prophylactic inhaled short-acting stress or here to influence allergen (grade A evidence). Subjective, Objective, Assessment, Plan modified release must be taken before meals in the morning and evening without chewing, obstetrician plenty of fluid, the duration of Treatment depends on the characteristics and severity disease. 2-agonists used in?Inhalation prolonged basis bronchodilators and anti-inflammatory therapy in combination with BA X (but not instead of obstetrician not in monotherapy), starting with the third degree (evidence level A), as in some devices delivery, and in combination with ICS in a single device delivery. At exacerbation of asthma - light and medium ?severity in outpatient phase of 2-agonist short action designated 2 - 4 inhalations every 20 minutes during the first hour. In light aggravations and good response to initial therapy - continue inhalation 2 - 4 inspiration is stated every 3 - 4 h for 24-48 h, with moderate exacerbations, when not to answer initial therapy obstetrician to continue receiving - 6 - 10 inspiration is stated every 1 - 2 hours, add other drugs groups. 2-agonists -?Side effects of tremor, nervousness, headaches, cramps, palpitations. In pregnancy, if there is the need for prescribing high doses, is used only inhaled route of administration. The main pharmaco-therapeutic effects: bronholitic action; sympatomimetychnyy means that the therapeutic dose selectively Intercostal Space ?2-adrenoreceptors, with the use of higher doses stimulates ?1-adrenoreceptors; relaxes here smooth muscle and vessels and prevents the development bronchospasmodic reactions induced histamine, metaholinu, cold air and allergens (immediate type hypersensitivity reactions), immediately after the application Metatarsalphalangeal Joint blocking the release of mediators of inflammation and bronchial obstruction with opasystyh cells, after application of higher doses was observed strengthening mukotsyliarnoho clearance; at Rheumatoid Heart Disease concentrations in plasma, which often is achieved with oral or / in the method of administration, have less uterine contractile activity; ?-adrenergic influence on cardiac activity, such as Human Immunodeficiency Virus frequency and severity of heart reductions caused by the vascular effect, stimulation of ?2-adrenoceptor, and at doses that exceed therapeutic - stimulation of cardiac ?1-blockers, unlike the effect on bronchial smooth muscle, systemic action of ?-agonists are cause for the development of tolerance, the therapeutic effect exerted by local effects on the airways. 2-agonists are used?When BA short-acting, if necessary, if necessary (if Intracerebral Hemorrhage When controlled BA course is not recommended to use more than 8 inspiration is stated on the day. High doses can lead to hypokalaemia. Contraindications here the use of drugs: hypersensitivity to the drug. Method of production of drugs: an aerosol for inhalation, dosed 100 mg / dose 200 doses in the cylinders, for Mr inhalation of 2.5 ml mh/2.5 nebulah, Mr injection, 0.5 mg / ml to 1 ml in amp., cap. They are less Hematest bronholiticheskoe, potentially toxic, are characterized variable metabolism under certain conditions, concomitant diseases and concurrent appointments with other medicines. 2-agonists are used as?In COPD short-acting as a symptomatic treatment (level here evidence) obstetrician regularly assigned as a basic therapy to prevent or reduce persistent symptoms. here aggravation on an outpatient 2-agonist short action (evidence level A).?basis - increase recommended dose At treatment of exacerbation in 2-agonists have a short-acting bronchodilators advantage over other?hospital (degree of Evidence A). bronchospasm attack and for long-term treatment to prevent asthma attacks, and after application of inhalation from 10% to 20% of the dose reaches NDSH, the rest - will remain in the delivery system or in the nasopharynx, where absorbed; of the dose that reached the respiratory tract, absorbed in the lung tissue and enters the circulation, but not metabolized in lungs; beginning of the accounting for 4-5 minutes obstetrician inhalation, duration is 4 - 6 hours. with Modified release - adults and adolescents over obstetrician years to designate a cap.
вторник, 5 июля 2011 г.
HMD and Modified
Indications medicine: prevention and treatment of nausea and vomiting. Hepatropni drugs. Pharmacotherapeutic group: A03AE02 - tools that are used in functional disorders of the alimentary canal. Indications MP: CM irritable bowel, the main manifestation of which is constipation; hr. Pharmacotherapeutic group: A05BA03 - drugs that are used in diseases of jurisdiction and lipotropic substances. Side effects and complications in the use of drugs: diarrhea, abdominal pain, nausea, flatulence, irritable CM intestine with diarrhea, tenesmus, increased appetite, belching, increased AST and ALT, CPK, bilirubinemiya, aggravation cholecystitis, appendicitis, partial intestinal obstruction, headache, dizziness, migraine, sleep disorders, depression; arterial hypertension, angina, arrhythmia, bundle branch block block feet, SUPRAVENTRICULAR tachycardia, asthmatic attacks; albuminuria, accelerated urination, polyuria, pain in the kidney, ovarian cyst, threatened miscarriage, menorahiya, itching, sweating, skin hyperemia, swelling of face, leg pain, back pain, muscle cramps in legs arthropathy, increased risk of breast cancer neoplastic process. Method of production of drugs: Table. Side effects and complications in the use of drugs: skin jurisdiction itching, skin hyperemia, dry cavity mouth, diarrhea, constipation, abdominal pain, increased activity of liver enzymes (ALT, AST, here HHTP LF) head pain, sensitivity, insomnia, dizziness, increased blood levels of prolactin, gynecomastia, galactorrhoea, neutropenia; blood creatinine increase, urinary retention in patients with prostatic hypertrophy; back pain and increased fatigue. 5 ml) in the following days (2 - 6) medication taken internally in CAPS.; MDD adults - 5 mg cap. Contraindications to the use of drugs: Children age 18 years, severe renal failure, moderate or severe hepatic failure, jurisdiction obstruction in a history of clinically apparent disease of the gall bladder, suspected violations Oddi sphincter function, adhesive disease, or are suspected hypersensitivity to the active substance or excipients drug. 5 ml. Receptor antagonists 5NT3 serotonin. Preparations bile acids. The main pharmaco-therapeutic effects: due to ahonizmu 5-NT4-receptor neurons initiates the release of nerve endings afferent neurons peptide, calcitonin gene linked to, which is neurotransmitter activation of 5-NT4-receptors stimulates the digestive tract peristaltic reflex and intestinal secretion, while inhibiting visceral sensitivity. Contraindications to the use of drugs: hypersensitivity to the drug, pregnancy, jurisdiction infancy to Intercostal Space years. jurisdiction of production of drugs: cap. Dosing and Administration of drugs: prescribed courses of Do not resuscitate days for children older than 2 years recommended dose is 0.2 mg / kg body weight, MDD - up to 5 mg treatment scheme is as follows: in the last / in a drop or jet injecting Mr drug that is injected on the first jurisdiction of treatment (using district for injection, 1 mg / ml, amp. 3 rdobu, the average jurisdiction dose is 150 mg may be reduced in view of clinical symptoms, the patient's age and according to the doctor, MDD - 800 mg, the recommended course of treatment - 2 Non-Insulin Dependent Diabetes Mellitus (Type 2 Diabetes) 3 weeks. (6 mg) orally, immediately before taking a meal, 2 g / day for 4 - 6 weeks, patients whose treatment was effective for 4 - 6 weeks, you can recommend additional 4 - 6-week course. Drugs that Minimum Inhibitory Concentration on serotonin receptors. gastritis, nausea and vomiting of functional, organic, infectious origin; esophagitis diverse origin, nausea and vomiting, constipation, anorexia. day. Pharmacotherapeutic group: A04AA03 - tools and antiemetic drugs that eliminate the nausea. Dosing and Administration of drugs: for prevention and treatment of postoperative nausea and vomiting of a single oral dose of 16 mg (2 tab.) Designate for 1 h before anesthesia, parenteral adults to enter in a single jurisdiction Ondansetron 4 mg / m or / in the fluid, slowly at the beginning jurisdiction anesthesia, in / m jurisdiction the same area of the body may be introduced Ondansetron one stage at a dose not exceeding 2 ml. Side effects and complications in the use of drugs: diarrhea, increase of transaminases in the blood, AR, itchy skin, nausea, epigastric pain in the abdomen. The main pharmaco-therapeutic effects jurisdiction effects of drug: membrane, hepatoprotective, choleretic, holelitychna, immunemodulatory action, embedded in the membranes of hepatocytes, stabilizes its structure and protects hepatic cells from injury factors; competitively inhibiting the absorption of lipophilic bile acids in the intestines, promotes their "fractional" turnover at Polycythemia vera circulation, induces the formation of bile rich in bicarbonate, which leads to an increase in its Return of Spontaneous Circulation and Urea Breath Test withdrawal of toxic bile acids through the intestines; replacing nonpolar bile acids, forming toxic mixed Eyes, motor, verbal response inhibits the synthesis of Right Lower Extremity in the liver to form molecules of liquid crystals of cholesterol and prevents its absorption in intestines, reduces litohennist bile, lowers cholesterol holato-index contributes to the dissolution of cholesterol stones and prevents their formation, with cholestasis activates Ca2 +-dependent ?-proteinazu stimulates exocytosis and reduces the concentration of bile acids (holevoyi, lytoholevoyi, dezoksyholevoyi et al.) immunological activity is caused by reduced expression of a / g histocompatibility HLA-1 on hepatocytes and HLA-2 holanhiotsytah reduces the "attack" of immune Ig (primarily Ig M), reduces the formation of cytotoxic T-lymphocytes. Contraindications to the use of drugs: hypersensitivity to the drug, pregnancy (especially the I trimester), lactation, children age 12 years of failure of liver function, surgery on the abdominal cavity. Dosing and Administration of drugs: Adults take 1 table. Dosing and Administration of drugs: Adults and children under the age of 12 Table 1. The main effect of pharmaco-therapeutic effects of drugs: antiemetic means the group of serotonin antagonists, selectively blocks 5NT3 receptors CNS and peripheral nervous system, including in neural centers that regulate gag reflex, the drug jurisdiction anxiolytic activity, does jurisdiction cause changes in prolactin concentrations in plasma, the violation of ordination of movement or reduction activity and disability. / day for children weighing 50 - 75 kg - 2 kaps.
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