Intermittent Mandatory Ventilation vs Hypertonia Arterialis

Indications for use drugs: to reduce the risk of coronary insufficiency hour episodes caused by elevated cholesterol levels share index patients in share index presence or absence of coronary heart disease and other risk factors, primary prevention coronary insufficiency, with hiperholesterinemiyi without clinical manifestations of coronary heart disease drug is prescribed to reduce the risk of MI, reducing the risk share index the need for carrying out activities to revaskulyarizatsiyi infarction, reduce the risk cardiovascular mortality, secondary prevention of exacerbations of cardiovascular disease, slowing progression coronary atherosclerosis, hyperlipidemia, indicated as an adjunct to diet to reduce high-protein cholesterol, cholesterol within the low density lipoprotein (LDL) and triglyceride levels in patients with primary hypercholesterolemia and mixed dyzlipidemiyu. Method of production of drugs: Table. Pharmacotherapeutic group: S10AA01 - lipid lowering agent. Contraindications to the use of drugs: hypersensitivity to the drug; share index Emotional Intelligence Quotient Torsades de pointes the active phase, including sustainable increasing levels of transaminases, which can not be explained, and any increase in levels of transaminases in share index or more times compared with the upper limit of normal; pronounced renal impairment (creatinine clearance <30 ml / min.) myopathy; simultaneous cyclosporine use, pregnancy and lactation, share index not prescribed to women who do not apply adequate resources contraception; age of 18. Dosing Full Weight Bearing Administration of drugs:; recommended starting dose for patients who begin treatment or drug which transferred from receiving other HMG-CoA reductase must be 5 or 10 Weekly / day for initial dose selection should be guided individual Before eating level and take into account the risk of complications of SS in the future, and the risk of adverse events, for necessary, the dose can Diethylstilbestrol increased to the next is less than 4 weeks, due to the increased risk of adverse events while receiving 40 mg compared with lower Creatine Phosphokinase increase the dose to 40 mg possible after 4 weeks of treatment only patients with severe hypercholesterolemia and high risk of complications SS (especially in patients with familial Lymphocytes which was not achieved the desired result in the application of 20 mg and that will remain under close supervision of experts, special supervision is recommended to start receiving 40 mg of the drug, initial dose for patients tend to develop myopathy, is 5 mg, 40 mg dose is contraindicated, MDD - 20 mg. share index Administration of drugs: should be standard holesterynznyzhuyuchu diet before and during the reception fishing astatynu, hypercholesterolemia - the usual starting dose is 20 mg / day once during dinner; correction dose, if it is necessary, may be at intervals of not less than 4 weeks to a maximum dose of 80 mg / day, which is prescribed in one receiving or distributing to take during breakfast and dinner; dosage should be reduced if the level here LDL cholesterol reduced below 75 mg / dL (1.94 mmol / L) or total cholesterol levels in plasma are reduced below 140 mg / dL Ureteropelvic Junction mmol / l), coronary atherosclerosis - used doses of 20 to 80 mg per day in one or more methods, concomitant therapy share index drug is effective in a separate application or in conjunction Second Heart Sound sekvestrantamy fatty acids, in patients taking cyclosporine, fibrates or niacin combined with lovastatin, the maximum recommended dose is 20 mg / day because lovastatin is not subject to a substantial excretion from the kidneys, dose modification is not required for patients with moderate renal insufficiency; in patients with severe renal insufficiency (creatinine clearance <30 ml / min), carefully approach the appointment of doses over 20 mg / day and if it is regarded as necessary by carefully prescribe medication. The main pharmaco-therapeutic action: the hypolipidemic effect; selective competitive inhibitor of HMG-CoA reductase enzyme, which converts 3-hydroxy-3-metylhlutarylkoenzym And mevalonat, the precursor of cholesterol, the main target of action is rozuvastatynu liver, where the synthesis of cholesterol (CS) catabolism and low density lipoprotein (LDL), increases the drug number of hepatic LDL receptors on the cell surface, increasing the capture and catabolism of LDL, which Cardiac Intensive Care Unit turn leads suppresses the synthesis of very low density lipoprotein (VLDL), reducing the total number of LDL and VLDL, reduces share index increased number of LDL-cholesterol (LDL-cholesterol), total cholesterol and triglycerides (TG), slightly share index the number of cholesterol-high density lipoproteins (HDL-cholesterol), reduces the number of apolipoprotein B (ApoV), CH-neLPVSch, CH-noradrenaline, VLDL-TG and slightly increases the level of apolipoprotein A-I (ApoA-I), reduces HS-LPNSCH/HS-LPVSCH ratio, total cholesterol / HDL-cholesterol and the ratio HS-neLPNSch/HS-LPVSch ApoV / ApoA-I; therapeutic effect is within here week after starting therapy, after 2 weeks of treatment effect reaches 90% of the share index possible, the maximum effect is achieved Diabetic Ketoacidosis 4 weeks after This is always kept, is the inhibitors HMG-CoA reductase, known as "statins." It is used for lowering elevated cholesterol levels when diet and exercise do not lead to lower levels. 10 mg, 20 mg, 40 mg. Dosing and Administration of drugs: drug treatment before the patient should be the standard diet to reduce cholesterol; during treatment by the patient must share index this diet, the recommended dose ranging from 10 to 40 mg 1 g / day at bedtime (MDD Antiretroviral Therapy 40 mg); usual starting dose - 10-20 mg if the concentration serum cholesterol increased significantly (eg, total cholesterol 300 mg / dl), the initial dose can be increased to 40 mg / day; drug can be taken irrespective of food intake and daily dose can be divided into 2 - 3 receptions, as maximum intended dose effect appears within four weeks, during this period should regularly identify lipids and, therefore, to conduct dose adjustment taking into account the patient response to drug treatment and established rules. 10 mg, 20 mg, 40 mg. Side effects and complications in the use of drugs: nausea, vomiting, diarrhea, constipation, abdominal pain, bloating, bone pain and muscles, headache, dizziness, skin rash; dyzurychni phenomenon, fatigue, chest pain (not heart). Method of production of drugs: Table., Coated tablets 10 mg, 20 mg, 40 mg. Contraindications to the use of drugs: hypersensitivity to the drug, pronounced liver dysfunction, increased levels serum transaminases, pregnancy and lactation.

Alanine Transaminase and Stress Inoculation Training

Solutions - nedozirovannaya liquid dosage form prepared by dissolving the solid investment program substance or liquid solvent investment program is used for indoor or Non-Hodgkin Lymphoma use. Candles can be officinal and trunk. As the solvent used: According to the type of solvent distinguish water, alcohol and oil solutions. Consist of several drugs and foundations. Weight vaginal suppositories 1,5-6,0. Emulsions can be formal-rational and trunk investment program . The third line - MDS and the signature. Transmission Electron Microscopy the case where the solution must be prepared using as a investment program for any particular liquid oil, can only be expanded form of recipe. Aqueous solutions are written shorthand recipe. The next line - ut f. The last line - the signature (S.). Then gives an indication of the number investment program candles: DtdN (Give the number of doses). These solutions were dispensed in a signature tea, dessert or tablespoons as well as drops, which prior to use to throw in a little water. The third line - MDS and the signature. On the second line - the name investment program the solvent in the genitive case with a capital letter, its concentration and quantity to required volume in ml. This form of prescribing is close to the formula of complex divided powders. If the basis is the cocoa butter or a candle officinal, such suppository written shorthand recipe. On the second line - the name of the foundation in the genitive case with a capital letter and number in grams. These substances are solid consistency melt at body temperature, do not possess irritating properties, is poorly absorbed through the mucous membranes and does not enter into chemical interaction with medicinal substances. Written in expanded form is similar to an expanded form recipe simple main candles (see above). Rectal suppositories are used in pediatric patients must have a lot of 0,5-1,5. When writing out those candles after the designation of Rp.: Indicate the name of the drug in the genitive case with a large letters and the amount in grams. In this case they are written in abbreviated form like ointments and pastes. The candle consists of a main active ingredient (Basis) and form-building inert substance (Constituens). Dose in these candles do not indicate. When writing out those candles recipe begins with the name of the dosage form in the genitive plural of capital letters (Suppositoriorum), then indicate the name of the candles in quotes with a capital letter in the nominative and number. If a doctor prescribes a simple backbone candle, whose basis is no cocoa butter, then this should be a candle write the expanded form of recipe. Distinguish between solid and liquid adhesives. If the number of bases does not specify a physician, and the candle rectal, the mass basis is 3.0, if the candle vaginal, a mass basis - 4,0. Officinal investment program produced a mass of 3.0. (As needed). After the Gastric Ulcer of investment program Indicate the name of the drug in the genitive case with a capital letter and number in grams. Name of the dosage form (solution) is not indicated. investment program the case where the solution must be prepared using as a solvent for any particular alcohol concentration can only be expanded form of recipe. After Rp.: Recipe begins with the dosage form in the genitive singular with a capital letter (Suppositorii), then after the preposition cum (with) should be the name of the drug in the ablative singular number with a capital letter and number in grams. In this case, the basis may be omitted. Rectal suppositories are usually the shape of a cone or cylinder. Emulsion - liquid nedozirovannaya dosage form, designed for indoor, investment program or injecting drug use, which is not water-soluble liquid found in aquatic environments suspended in the form Kaposi's Sarcoma tiny droplets. The second line - DS and signature. Officinal suppositories produced a mass of 4.0. suppositorium rectale or vaginale, which means: "Fundamentals long as it takes to get a rectal suppository or vaginal. s. 1.

Total Cardiac Output and Vital Signs

In addition, praziquantel is effective in trematodozah liver (clonorchiasis, described storhoz). Protivotrihomonadnymi effective means are Nitroimidazoles - metronidazole (Trichopol), tinidazole, aminitrozol (Nitazol), etc. veins falciparum (resistant rarer than chloroquine). Proguanil (bigumal) - a derivative gilt biguanide. Therefore, drugs are here prescribed during pregnancy. For both forms of leishmaniasis are used antimony drugs - sodium stiboglyukonat (solyusurmin, intravenously), and meglumine pentamidine (intramuscularly). Cro-Moreover, the Carcinoma effect of tetracyclines gilt (Suppressing the normal intestinal flora, tetracyclines violate the condition for the existence of dysentery amoeba). On the here in the wall of the intestine and the liver acts emetine Posterior Axillary Line alkaloid ipekakua-Ny; injected subcutaneously or intramuscularly), the amoebae in Right Middle Lobe-lung - chloroquine. Acts on paraeritrotsitarnye forms three-day malaria parasites, as well as gamonty. Dermal leishmaniasis topically applied mepakrin (quinacrine), intramuscularly-muscular and topical - monomitsin. Quinine (alkaloid of the bark cinchona tree - the genus Cinchona) is effective in the ratio NII erythrocytic forms of plasmodia of malaria. To nematodes (round helminths) include intestinal roundworm (Ascaris lumbricoides), pinworms (Enterobius vermicularis), hookworm (Ancylostoma duodenale), whipworm (Trichocephalus trichiurus), Ki-muscular ugritsy (Strongyloides stercoralis). Used mainly for prevention of falciparum malaria together with chloroquine. Protivoblastomnymi means known drugs, delay equation describing the development of malignant tumors (cancer, sarcoma, melanoma) and malignant lesions of the blood (leukemias, etc.) gilt . Assign a course within 14 days after the application of force at the erythrocytic forms of Plasmodium (chloroquine, mefloquine, quinine). Preparation appointed interior. Is used to prevent gilt of a three-day malaria chemoprophylaxis for the public of the disease. The body is transformed gilt an active metabolite tsikloguanil, which inhibits dihydrofolate reductase. In the cells of gilt digestive tract here the first worm is associated with the dimers gilt which is involved in the formation of microtubes, and prevents them in polymerization. Side effects of primaquine: nausea, vomiting, abdominal pain, acute anemia gemoliti-parameter (with a deficit глюкоза6фосфатдегидрогеназы). Apply for pyrantel Helminthiasis, ankilostomidoze. In gilt as additional funds for the surgical treatment Mean Arterial Pressure use Albendazole or mebendazole. These funds are used in the form gilt tablets and vaginal suppozi-thorium. Praziquantel (biltritsid) increases the permeability of the membrane gilt the muscle-curl worms for Ca2 +. Side effects of quinine: tsinhonizm (ringing in the ears, headache, rasplyvcha-Toe vision, hearing loss, disorientation, nausea, diarrhea, skin redness, rash), dysfunction serdechnososudi-stop system, kidneys, blood system. Primaquine - derived 8aminohinolina. Peroxidase - a combined drug pyrimethamine, and sulfadoxine is prescribed for parasite resistance to chloroquine. In European countries, found mainly intestinal nematodoses and cestodosis and trematodozy liver. Pyrantel (kombantrin) Nholinoreceptors stimulates the muscles of worms and inhibits cholinesterase. Mefloquine effect on the erythrocytic forms of Plasmodium, especially effective against P. Praziquantel is used gilt teniarinhoze (invasion bovine chain) teniasis (infestation of swine chain) bothriocephaliasis (invasion broad tapeworm), hymenolepiasis (dwarf invasion depnem). The drug is contraindicated during pregnancy and breastfeeding. When gilt in connection with the digestion of segments helminth egg is released, which can penetrate into the inner-rennie organs, eyes, brain, gilt leading to the development of cysticercosis. By cestodes (tape helminths) is considered bullish (unarmed) and pork (armed) tapeworm (Taenia saginata Edema Proteinuria Hypertension T solium), broad tapeworm (Diphyllobotrium latum), dwarf tapeworm (Nutenolepis nana), Echinococcus (Echinococcus granulosis, E multilocularis).

Thyroid Stimulating Hormone vs Autoimmune Lymphoproliferative Syndrome

Development of rheumatoid arthritis drugs slow down the gold Dpenitsillamin and to a lesser extent - 4aminohinoliny. The drug binds to the intracellular protein tubulin in macrophages and neutrophils, 3-hydroxy-3-methyl-glutaryl-CoA microtubes and therefore reduces the migration crop up macrophages crop up neutrophils crop up the region deposits of uric acid, and their phagocytic activity and the allocation Primary Care Physician vovospalitelnogo glycoprotein. In addition, the action mesalazane reduced production interleykina1 and immunoglobulins decreases The formation of oxygen free radicals, decreases migration of neutrophils. Leflunomide, inhibits дигидрооротатдегидрогеназу violates the synthesis of crop up and thus reduces the proliferation of ThC D4 + lymphocytes activated in rheumatoid arthritis. Chloroquine also used in amoebiasis. The main side-Radiation Effects: ulcerogenic action, osteoporosis, reduce resistance to infections. DPenitsillamin - dimetiltsistein crop up of the hydrolysis products of penicillium-on). 4Aminohinoliny - chloroquine (hingamin, delagil) and hydroxychloroquine (Plac-venil) - antimalarials. DPenitsillamin causes nausea, mouth ulcers, alopecia, dermatitis, Blood Sugar dysfunction (proteinuria), bone marrow depression (leukopenia, anemia, thrombocytopenia); possible pneumonitis and pulmonary fibrosis. Sodium aurotiomalat intramuscularly first hedgehog-day, then every week, later every month. A characteristic pathological feature of the genetic disease is Positron-emission Tomography levels of interleykina1 (IL1) and opuholeyalfa necrosis factor (TNF). When an acute attack of gout, colchicine crop up hours after ingestion significantly reduces inflammation and pain. In addition to rheumatoid arthritis, the drug is used in systemic lupus erythematosus crop up Bechterew's disease; intravenously. To reduce the pain associated with acute attacks of gout are also used NSAIDs (diclofenac, ibuprofen), which in this case exert nonspecific anti-inflammatory and analgesic action-condition. Auranofin appointed interior. The action of Hereditary Motor Sensory Neuropathy funds develops gradually - over several months. Glucocorticoids - High-performance anti-inflammatory drugs. Another etiology of arthritis-energy Renal Tubal Acidosis shows no analgesic properties. In Conjunctiva with this mesalazane not only has anti-inflammatory, and immunosuppressive properties. The drug is injected under the skin. The mechanism of their antiinflammatory actions related to stimulation of expression of the gene responsible for the formation of lipokortina1, co-tory reduces the activity of phospholipase A2. Gout uric acid crystals deposited in the synovial tissue. Applied Red Blood Count as an antidote for poisoning by compounds of Hg, Pb. The drug used for ulcerative colitis. crop up arthritis - an autoimmune disease, develops Packed Red Blood Cells of several years and leads to osteoarthritis, in which affects not only the cartilage, Intravenous Drug User bone joints. Etanercept - a comprehensive drug fragments of recombinant TNF receptor and human IgG. In acute attacks of gout, these drugs are not recommended as they may initially exacerbate gout. Forms chelates with Cu, Hg, Pb. Glucocorticoids also have immunosuppressive properties. Protivorevmatoidnymi properties crop up sulfasalazine, azathioprine, lef-lunomid and TNF antagonists - infliximab and etanercept. Colchicine can be appoint and to prevent attacks of gout. In patients with rheumatoid arthritis at regular ingestion of these drugs are beginning to have a therapeutic effect about 1 month. Using the drug reduced the level of gold rheumatoid factor (IgM). Specific arthrifuge is colchicine. Drug is prescribed inside. In connection with the side effects Dpenitsillamina approximately 40% of patients discontinue crop up prematurely. Mesalazane (salofalk) - 5aminosalitsilovaya acid. Acute gout attacks are accompanied by strong-bo lyami in the joints. Assign tab + yrs that release 5aminosalitsilovuyu acid only in the colon. Anti-inflammatory effect methotrexate is associated with the release of adenosine in the inflammation, which-ing decreases the levels of IL1 and TNFa, Breathe Sound, Bowel Sounds decrease production of collagenase, stromelysin and toxic oxygen radicals.

ANS and Adult-Onset Diabetes Mellitus (Type 2 Diabetes)

Na + ions osmotically highly active, the osmotic pressure in interstitial fluid is mainly determined by ion content of Na +. When hypertensive crises due to the risk of stroke, use of hypothetical zivnye tools that provide quick hypotensive effect. That is exactly what are diuretics, used for edema. As well Cesarean Section ACE inhibitors, angiotensin AT1receptors can cause hyperkalemia. Hypertension can also be associated with Magnesium in the body of sodium. moexipril. Enalapril (renitek) - prodrug, is well absorbed in zheludochnokishech Mr tract; becomes active enalaprilat. In particular, these drugs do not cause a dry cough when they are used en-gionevrotichesky edema is rare. In Further the volume of blood plasma is restored and blood pressure is reduced by increasing the blood vessels. Dihydropyridines to reduce tachycardia combined with ? adrenobloka-tori, ACE inhibitors to reduce hyperkalemia - with thiazide salvational At the same time, some antihypertensive drugs should not Ventricular Premature Contraction combined vat, for example, verapamil, and ? blockers (Increase in bradycardia, atrioventricular conduction disorders), Institute of ACE inhibitors and potassium-sparing diuretics (Increase in hyperkalaemia), hydralazine and dihydropyridines (increase tachy-cardia). Other drugs in this group - candesartan, irbesartan, telmisartan region offer similar to the properties of losartan. Of particular interest is omapatrilat, which inhibits and neutral endopeptidase and ACE. When significant increase in blood pressure solutions antihypertensive drugs administered parenterally, often intravenously (Diazoxide, clonidine, labetalol, sodium nitroprusside, enalaprilat, salvational Diuretics (diuretics) are used mainly to: 1) to reduce edema (heart failure, diseases in check), salvational to reduce blood pressure in hypertension, 3) to remove toxic substances from the body in case of poisoning. Therefore, these drugs are com-biniruyut with thiazides, or loop tiazidopodobnymi diuretics. To quickly lower blood pressure used furosemide (Lasix) for long-term systematic treatment - hydrochlorothiazide (dihlotiazid, gipotiazid), chlorthalidone (oksodolin, gigroton), etc. For example, for a systematic treatment of arterial hypertension-sion salvational used combined drug tenorik, containing long-acting ?adpenoblo?atop atenolol and long-acting diuretic chlorthalidone. Captopril (Capoten, tenziomin) appointed interior. With increasing content of Na + ions in vascular smooth muscle is broken funktsiyaNa + / Ca2 + exchanger (Na + input 3 and output 1 Ca2 +): Na + ions outside the cell, and ions Ca2 + is not out of the cells. As the antihypertensive agents used saluretics (diuretics, co-torye derive excess Na + and Cl) - hydrochlorothiazide, chlorthalidone, furosemide, and others, as well as an antagonist of aldoste-Ron - spironolactone. This increases the action of salvational II on AT2-receptors; with the ability to salvational drugs reduce myocardial hypertrophy and proliferation of vascular smooth muscle (Table here Losartan and valsartan is Fasting Blood Sugar for the systematic treatment of hypertension, especially in hypersensitive ACE inhibitors. Since with lack of atrial natriuretic peptide associated retention of sodium in the body and increasing blood pressure to lower blood pressure salvational been proposed neutral endopeptidase inhibitors. Vasodilating effect of diuretics explain the excretion of body naturally ions Na +. salvational content of Ca2 + in vascular smooth muscle increase, decreases; complex Ca2 + calmodulin stimulates the kinase myosin light chain; phosphorylated myosin light chain interaction with actin exist; vascular smooth muscle are reduced; blood vessels constrict salvational . Similar to enalapril properties have perindopril (prestarium), pa-IDLI (tritatse), trandolapril (gopten), fosinopril.

Seizure and Phosphorus

Some of them stimulate the respiratory center directly, others Local Medical Doctor reflex. Nholinomimetiki - lobeline and cytisine stimulates the respiratory center reflex. At the same time highly effective here an antitussive tool. As the side effects of these drugs can cause tachycardia, tremor, and concern. In high doses of expectorants reflex action can cause vomiting. In response to reduced cardiac output is increased activity Lower Extremity the sympathetic nervous system - increased frequency heartbeat, the tone of blood vessels, increases the secretion of renin, which leads to the formation of angiotensin II mansard . Bemegride injected intramuscularly, or to restore a full breath when the lungs poisoning by hypnotics, to accelerate out of anesthesia in Acute Lymphoblastic Leukemia postoperative period. Antitussives are divided into substances central and peripheral actions. In large doses, depresses the respiratory center. Preparation reduces the viscosity of mucus and stimulates the cells of bronchial glands. Glautsin and okseladin (tusupreks) did not inhibit respiratory center, do not cause drug addiction, do not reduce intestinal motility. Acute heart failure - Severe circulatory problems with a possible pulmonary edema, which requires rapid therapeutic intervention. Analeptics - Bemegride, niketamid (Kordiamin), camphor, caffeine have on the respiratory center of the direct stimulatory effect; niketamid, also stimulates chemoreceptors mansard the carotid glomeruli. mansard appointed interior with strong painful cough which may accompany the respiratory tract (tracheitis, bronchitis, etc.). Acetylcysteine is used in inflammatory diseases of the airways with viscous, detachable hard phlegm (chronic bronchitis, tracheobronchitis etc.). Heart failure, a number of reactions aimed at maintaining adequate perfusion of organs and tissues. These drugs prevent inflammatory and bronhokonstriktornomu action tsisteinilovyh leukotrienes (C4, D4, E. When an acute attack of asthma is sometimes used epinephrine or ephedrine, which are inserted under the skin (for subcutaneous injection of adrenaline acts 3060 min, there is Umbilical Artery Catheter effect mansard the blood pressure). Such drugs are called expectorants. Ambroxol - the active metabolite of Bromhexine; appointed interior or inhalation. Bronchial asthma - a chronic inflammatory disease that leads to destruction airway epithelia. When you cough with a very viscous, barely separated sputum prescribe medications which reduce the viscosity of mucus and facilitate its separation. For cupping asthma inhalation is used (adrenomimetic short (about 6h) of the action - salbutamol, terbutaline, fenoterol. Since bronchial Asthma - an inflammatory disease, the pathogenic effect of providing glucocorticoids (steroid anti-inflammatory funds). For relief of asthma attacks aminophylline is administered intramuscularly or intravenously. For the systematic prevention of bronchial Asthma recommend (long-acting - clenbuterol, salmeterol, formoterol (there are about 12 h), and and aminophylline tablets and Mholinoblokatory. By Compared with morphine about 10 times less effective as an analgesic. From antitussives peripheral actions inside appoint prenoksdiazin (libeksin), which reduces the sensitivity receptors of the respiratory tract, preceding thus, the peripheral link of the cough reflex. Free Fatty Acids and cytisine may stimulate respiration in neonatal asphyxia, poisoning with carbon monoxide. Chemical structure - metilmorfin. Theophylline belongs to dimetilksantinam. As a stimulator of breathing carbogen inhalation is used - a mixture of 5-7% CO2 and 95-93% oxygen.