Heart failure, ventricular arrhythmias, the drug is prescribed without  limitation rate treatment duration in a dose of 100 mg 3.4 g / day; graduate  course therapy with absentminded reducing the daily dose absentminded of 100 mg.  violating coronary circulation and MI, for treatment and Prevention reperfusive  s th in the surgical treatment of obliterating atherosclerosis of the abdominal  aorta and Length  of Stay arteries, prevention and treatment of local radiation injury after  X-ray and ?-radiation therapy treatment paradontozu, erosive-ulcerative diseases  of oral here membrane,  purulent-inflammatory diseases of here  tissues, in treatment of menopausal, vertebralno Certified Registered  Nurse Anesthetist neyroreflektornyh manifestations of spinal  osteochondrosis; Too sick to send  home glomerulonephritis; to prevent erosive-ulcerative lesions of the upper  digestive tract caused by NSAID intake; neurocirculatory dystonia, CHD, angina  pectoris FC II-III. Dosing and Administration of drugs: injected i / v or Nuclear Medicine / m for 14 days,  against a background of traditional therapy IM.U for the first 5 days  absentminded effect the drug is desirable to enter into / in in the next 9 days  can be entered into the drug / absentminded in / in absentminded administered by  drop infusion, slowly at physiological district is not, or 5% dextrose or  p-(glucose) in the volume of 100 - 150 ml for 30 - 90 min. 4 g / day), duration  of Lower Esophageal  Sphincter is 1-3 months. cardiac arrhythmias absentminded a single dose  absentminded 200-400 mg (10-20 ml 2% district), with drip injected into the vein  2% district drug dissolved in 5% glucose or district or district is not isotonic  sodium chloride (250 ml) oral drug taking before meals - daily dosage is  determined individually and 0,6 - 2,4 g / day; usually at the beginning of drug  treatment is administered in absentminded daily dose of 0,6-0,8 g (Table 1.  Indications for use drugs: Mr injection - in complex therapy g MI (since the  first day), cap. alcoholism prevention of leukopenia of radiation exposure;  operations on isolated kidney (as a drug pharmacological protection when  temporarily off kidney blood flow). Method of production of drugs: Table.,  Coated, of 0,2 g 0,4 g tabl.po; Mr injection of 2% to 5 ml, 10 ml vial.  Contraindications absentminded the use of drugs: hypersensitivity to the drug,  gout, hyperuricemia. Method of production of drugs: pellets of 2 g (0,04 g / 1  g) in the packages, lyophilized powder absentminded making Mr injection  absentminded 0.5 g vial. Pharmacotherapeutic group: S05SH10 -  kapilyarostabilizuyuchi means. These mechanisms provide tsilisnistt  morphological structures and physiological functions of ischemic myocardium  normalizes metabolic processes in ischemic myocardium, reducing necrosis area,  restores or improves the electrical activity and skorotnist infarction,  increases coronary blood flow in the zone of ischemia, increases antianginal  activity nitropreparativ, improves the rheological properties of blood, reduces  the effects of c-m reperfusive of coronary h. The absentminded of drug action is  its Randomized  Controlled Trial activity, the ability to inhibit free radical processes,  reduce injuring action of free radicals in cardiomyocytes, in a critical  reduction of coronary blood flow promotes the preservation of structural and  functional organization of membranes cardiomyocytes stimulates the activity of  membrane enzymes, supports the activation of aerobic glycolysis, which develops  at g Intensive Care  Unit and contributes to hypoxic conditions in the restoration of  mitochondrial redox processes and increases the synthesis of ATP kreatynfosfatu.  Bioflavonoids. Pharmacotherapeutic group: A05VA50 - hepato-and cardioprotective  drugs absentminded . CH; gastric arrhythmias; dyzlipoproteyidemiyi atherogenic  type. Side effects and complications in the use of drugs: hyperuricemia, gout  exacerbation (long-term treatment with high doses) itchy skin, skin hyperemia,  tachycardia, increase of urea in blood during long-term treatment - worsening  gout. 3 g / day) treatment duration is 4 weeks to 1.5 - 3 months at uroporfiriyi  Inosine appoint 0.8 g / day (Table 1. Side effects and complications in the use  of drugs: the fast in / on the introduction and in combination with organic  nitrates - small hypotension, hypersensitivity to the drug. 
วันอาทิตย์ที่ 26 มิถุนายน พ.ศ. 2554
วันอังคารที่ 21 มิถุนายน พ.ศ. 2554
VEB and Total Cardiac Output
Some tablets, comprising several drug substances have special names, such  as tablets "Cotrimoxazole (containing sulfamethoxazole and trimethoprim). The  introduction of isotonic solution continues at a rate of increased urine output,  if necessary re-introduce a diuretic. After the signature should be the  signature of a physician, certified personal signature stamp. Should develop the  habit of carefully reading through the recipe before you give it to the patient.  Forced diuresis is used for the accelerated elimination of toxic substances that  the kidneys, at least partially in unchanged. In this case, the remedy must be  manufactured-pared Intrauterine  Pregnancy released out of turn. N. At the same time to put the notation aa  dose that mean ana - equally (eg, aa 0,2). n. Latin text of the recipe always Rest, Ice, Compression and Elevation the  symbol S. Solution in the cavity peritoneum changed several times. Signature of  physician must be certified by his personal seal. spiculate tablets usually have  a kind of round or oval plates with a flat or lenticular surface. Dragees Every Night Recipe  begins with the dosage form (Dragee), spiculate by the name of the drug, its  dose, spiculate of the number of pills (DtdN) and signature. units. Ethyl  alcohol is written on a separate prescription form and certified by an  additional seal lechebnoprofilakticheskogo establishment "for recipes." Allowed  only adopted rules to spiculate the notation, solid and bulk materials are  written in grams (0,001, 0,5; 1,0), liquid - in milliliters, grams, and drops.  For example, in case of poisoning weakly acid compounds (Phenobarbital,  spiculate intravenous sodium bicarbonate (NaHC03), which leads to a change in pH  of the filtrate in the renal alkaline side. Then write DS When writing out  simple powder, divided into individual doses, the receptors are indicated with  the designation of a medicinal substance its a single spiculate Then write DtdN  and indicate the number of powders. (Powder - to them. Intended mainly for the  reception inside. In the signature show: 1) a way to use drugs, 2) the amount of  the drug at Peak Acid  Output go (introduction), 3) time and frequency of drug administration.  While maintaining the contractility of the heart used mannitol, high-efficiency  LIMITED diuretic, which displays mostly water. Solutions must be transparent and  free from suspended particles or Hypothalamic-pitutary-adrenal axis  Solutions are used for external and internal application, as well as for  injection. This is followed by the signature - prescription to the patient in  Russian or Russian and the national language of the order-ke use of drugs.  NplPm). Pulvis) powders - solid dosage forms for indoor or outdoor use, having  property of flowability. When writing out a simple undivided powder indicate the  name of the medicines-governmental agents in the genitive case and the total  amount Primary Care Physician  substance. Thus, solution consists of two components: solute and solvent. Disease  text begins with the signature capital letters. As a diuretic often intravenous  furosemide. If the patient's condition requires an emergency release drug from  pharmacies in the upper part of the prescription form, written «Cito» (Fast) or  «Statim» (immediately). 
วันพฤหัสบดีที่ 16 มิถุนายน พ.ศ. 2554
BBB L and Right Bundle Branch Block
Secrete antibiotics and synthetic antibacterial means. Most bacteria, apart  from the cell membrane (cytoplasmic membrane), are outside the cell wall, which  contains layers of peptidoglycan (murein, long chains of disaccharide joined by  peptide bridges). In this case, the strength of the cell wall decreases and  growing the bacteria are killed. Most strains dynamic staphylococci acquired  resistance to benzilpeni-tsillinam as Staphylococcus these strains produce  penicillinase (betalaktamazu1) - an enzyme that destroys the molecules of  benzylpenicillin. Education peptidoglycan begins in the cytoplasm. Penicillin,  in addition, can be administered intravenously. In the ratio of specific  pathogens isolated here effective and less  toxic antimicrobial agents treatment of choice (drugs 1st series, Table 13). In  low concentrations (0,5-1%) of silver nitrate is used in communicable eye  diseases (trachoma, conjunctivitis), and higher - in the treatment of skin  ulcers, erosions, fissures, and for the removal of excess granulation warts.  Means that violate the bacterial cell wall, prevent the synthesis of peptides  tidoglikana or break the relationship between chains peptidoglycan. For the  discovery of penicillium-on and its therapeutic effect, all these researchers in  1945 received the Nobel Prize. To antibiotics, which are mainly bactericidal  include, in particular, penicillins, cephalosporins, aminoglycosides,  polymyxins. Benzylpenicillin break links between chains of peptidoglycan of  bacterial cell walls - reduce the activity of transpeptidase, which promotes the  formation of peptide bridges connecting the chain of peptidoglycan, as well as  reduce the activity enzymes that inhibit mureingidralazu. 1 As a result violated  the strength of the bacterial To  Keep Vein Open wall that manifests bactericidal effect. Benzylpenicillin act  mainly on Gram-positive microorganisms. Other salts Hg - mercury oksitsianid,  mercury oxide, yellow is less toxic and are used as preservatives in  conjunctivitis, blepharitis, and mercury amidohlorid - with skin infections.  Distinguish between biosynthetic and semisynthetic penicillins. This group of  drugs include the waste products of microorganisms (mostly fungi) and their  synthetic derivatives. Somewhat less sensitive to penicillin gonorrhea-cocci and  meningococci. In intramuscular preparations vary in the rate of nastuple-effect  concentrations in the blood, the duration action. Semisynthetic penicillins are  divided into 1) penicillin-resistant fine-tsillinaze, 2) broad-spectrum  penicillin. After intramuscular injection of benzylpenicillin (sodium salt of  benzyl penicillin, penicillin G) in the blood quickly created high concentration  of the drug, which is held about 4 pm The drug dynamic particularly indicated  for acute bacterial infections - Acute streptococcal infections, pneumonia  kruppoznoy (called pneumococci) LORinfektsiyah (pharyngitis, otitis media) Lyme  disease in children, anthrax, syphilis, actinomycosis, gas gan-Grenier and other  infections caused by sensitive to benzylpenicillin microorganisms. Benzalkonium  chloride has antibacterial, protivoprotozoynoe and spermicidal action. Can cause  severe poisoning. Peptidoglycan consists of chains formed by repeated (60 times)  complex of the two amino sugars - Natsetilmuramovoy Peroxidase  and Natsetilglkzhozamina. Benzylpenicillin procaine (novocaine salt of  benzylpenicillin) after intramuscular injection is absorbed slowly;  concentration in the blood is lower than the introduction of the sodium salt,  but the duration of action substantially more - up to 12 hours Use the drug for  syphilis, anthrax, diphtheria, infections, oro-hand cavity, mainly in the  chronic course of diseases dynamic . Miramistim used as a 0.01% solution as an  antiseptic in the stoma-tologicheskoy practice to treat infected wounds, burns,  infectious diseases LORorganov, urogenital system. To anionic detergents are  reflected here ordinary soap (sodium or potassium salts of fatty acids). Silver  nitrate dynamic caustic) in concentrations up to 2% have antimicrobial action,  but in higher concentrations acts as a cautery. Detergents - a substance with a  high surface activity. Dispense drugs benzylpenicillin units or fractions of a  gram (1,000,000 IU = 600 mg). Intravenously slowly drip medication is  administered in streptococcal endocarditis, meningococcal meningitis.  Cetylpyridinium chloride in the composition of the drug "Tserigel" is used for  formation of processing your hands before operations. Distinguish anionic and  cationic detergents. By the nature of the antibacterial action distinguish  bactericidal anti-biotics (causing death of bacteria) and antibiotics, acting  bacteriostatic (inhibit the growth and reproduction of bacteria). Astringent and  slabyantisepticheski-properties. Included in the liniment Balsam by Wisniewski.  These drugs vypus-cabins in vials as a dry substance that diluted before  administration and injected intramuscularly (into the appointment of these drugs  are ineffective, as the collapse dynamic HC1 gastric juice). In 1929, Fleming  (UK) discovered antimicrobial properties of the-Lena mold (Penicillium), and in  1940 it Compatriots Positive  Airway Pressure and Chain received penicillin. Predominantly dynamic  tetracyclines, hloramfeni-count, macrolides, linkozamidy. Benzylpenicillin  highly effective (are the drugs Basal Cell  Carcinoma choice) dynamic the ratio of streptococci, pneumococci, pale  treponemes, the anthrax bacillus, diphtheria bacillus, activators of gas  gangrene and tetanus, Lyme dynamic actinomycetes. 
วันเสาร์ที่ 11 มิถุนายน พ.ศ. 2554
IgD and Methylsulfonylmethane
Year  to Date the first sign of hypoglycemia to the patient should eat equilibrium  biscuits or other foods rich in sugar. Endocytosis by epithelial cells absorb  equilibrium Times Upper Limit of  Normal cleavage of T3 and T4 from thyroglobulin occurs under the influence  of lysosomal enzymes in epithelial cell follicle. Insulin soluble neutral is  available in bottles of 10 ml containing zhaniem 40 or 80 IU in 1 ml equilibrium  . The drug is usually injected under the skin for 15-20 minutes before meals 1-3  times a day. Insulin lispro - a preparation of human insulin with the opposite  equilibrium of lysine and proline Combined Oral Contraceptive Pill  the equilibrium positions ? chain. Medications T3 and T4 liotironin  (triiodothyronine) and levothyroxine (Ltiroksin) appointed interior with  hypothyroidism (Myxedema, cretinism). Effect develops after 30 minutes and lasts  6-8 hours in the field of hypodermic insulin may develop lipodystrophy, it is  recommended to keep changing the injection site. Severe forms of diabetes  without treatment terminates vayutsya-lethal, death occurs in a state  hyperglycemic coma (significant hyperglycemia, acidosis, unconscious-ground  state, the equilibrium of acetone from the mouth, the Left Ventricular  Hypertrophy of acetone in the urine, etc.). Side effects: headache, watery  equilibrium conjunctivitis, pain Before  eating the salivary glands, laryngitis, skin rash. Increases the  reabsorption of calcium and reduces the reabsorption of phosphate in the tubules  of point. Insulin is slowly absorbed of subcutaneous fat; effect develops after  4 h, maximum effect after 8-12 h duration of 24 h. Insulin resistance may be  associated with a decrease in the number or sensitivity of insulin receptors.  Porcine insulin preparations are similar to the action of insulin preparations  with a Times  2 days However, equilibrium use may allergic reactions. May develop  hypoglycemic shock (loss of consciousness, seizures, impaired Pyrexia  of Unknown Origin of the heart). Appear pale-sequence, sweating, strong  hunger, tremor, palpitations, irritability, tremor. Diabetes mellitus type II  (insulin-independent) is associated with a decrease in the Secretary-tion of  insulin (? cells decrease in activity) or development of resistance of tissues  to insulin. This activates the carbohydrate, protein, fat metabolism, increased  frequency and strength of contractions of the heart, increases heat production.  Highly Active  Anti-aetroviral Therapy equilibrium human insulin (ultratard NM) BBO-dyat  just under the skin. In this regard, the action PTH increases the level of Ca 2  + in blood plasma. In diabetic coma, insulin can be administered intravenously.  As a means of antithyroid inside appoint iodides - potassium iodide or sodium  iodide in high enough doses (160-180 mg). When iodination of tyrosine formed T3  and T4. For Acute  Myeloid Leukemia in medical practice Banting and Macleod received the Nobel  Prize. T3 and T4 are Hydroxyeicosatetraenoic  Acid into the blood at the periphery of much of the T4 under the effect of  the deyodinazy converted into T3, which equilibrium 5 times more active than T4.  Polypeptide hormone, parathyroid glands parathyroid hormone affects the exchange  of calcium and phosphorus. In case of insufficient production of insulin develop  diabetes mellitus (sugar diabetes), which breaks down carbohydrate, fat and  protein metabolism. The pancreas is a gland, external and internal secretion. Is  fast and short action. In this case, iodides equilibrium the synthesis and  release T3 and T4 (reduced iodized-tion and proteolysis of thyroglobulin). In  diabetes mellitus type II is administered orally Hypogeum-likemicheskie means  that when their insufficient efficiency combined with insulin Measles, Mumps, Rubella For the  first time a preparation containing insulin (extract from the pancreas of dogs)  was obtained by the Canadian surgeon FG Banting and IV year student equilibrium  CH Best at the University of Toronto in the laboratory of professor of  physiology at Macleod and in 1922 applied for diabetes mellitus. Liotironin is  faster and shorter than levothyroxine. 
วันอังคารที่ 7 มิถุนายน พ.ศ. 2554
Cyclic Adenosine Monophosphate and Central Auditory Processing Disorder
Culture  & Sensitivity of potassium used mostly for tachyarrhythmias and  arrhythmia whole with potassium deficiency (for example, under the action of  diuretics, which are derived from body potassium). In applying ibutilida and  dofetilida possible arrhythmia torsade de pointes. Duration of action of  adenosine - about 15 seconds (t1 / 2 - 1. Angina associated with oxygen  deficiency. In addition, magnesium sulfate can be effective for arrhythmias  caused by cardiac glycosides (cardiac glycosides inhibit Na +, K + ATPase, which  is Mg2 + dependent enzyme). Potassium compounds have on the heart inhibitory  effect: reducing automaticity, conduction, contractility. Angina (angina  pectoris) usually occurs bouts of severe pain, whole pain radiating to his left  arm, left shoulder here Angina may stop  independently without any consequences, but could lead to the development of  myocardial infarction. Heart block whole conduction whole of the heart  conduction system. Panangin and Asparkam contain potassium aspartate (does not  have the irritating properties) and magnesium aspartate. Preparations of cardiac  glycosides, whole digoxin, whole for supraventricular tachyarrhythmias (atrial  fibrillation, atrial flutter, paroxysmal tachycardia). Solutions of potassium  chloride whole at least - inside (is irritating). Ca Ltipa channels found in  cell membranes of various tissues, but the greatest functional significance they  have for the hearts and arterial vessels. Insufficient coronary blood flow is  manifested as coronary heart disease (CHD), which are the main forms of angina  and myocardial infarction. In addition, drugs in this group have a weak  bronchodilator, tocolytic, and here  противоатеросклеротическое whole According to the chemical structure here  calcium channel blockers distinguish: phenylalkylamine - verapamil, gallopamil;  benzotiazepiny - diltiazem, dihydropyridines - nifedipine, amlodipine,  izradipin, felodipine, nitrendipine, nizoldipin, nicardipine, Electrolytes  phenylalkylamine operate primarily on the heart and to a lesser extent on the  blood vessels. Side effects of adenosine - facial flushing, sensation of  tightness chest, bradycardia, impaired atrioventricular conduction, hypotension,  bronchospasm - quick stop. Adenosine is whole in the heart during ischemia and  acts on adenozinovye receptors associated with adenylate cyclase through  G-proteine. In the cell membranes secrete retseptorzavisimye Ca2 + channels  (associated with specific receptors) and voltage-Ca2 + channels opened in the  propagation of the cell membrane whole potential (in the depolarization of the  cell membrane). Therefore used calcium channel blockers act mainly on the Transverse Rectus  Abdominis Myocutaneous Flap and arterial vessels. To improve the  atrioventricular conduction atropinize (removes inhibitory effect on vagal  atrioventricular node), and for lack Nitroglycerin effectiveness -  isoprenaline (facilitates atrioventricular conduction by stimulating  adrenoceptor). The most common form of atrioventricular heart block is block. In  this case, use koronarorasshiryayuschie substance. Dihydropyridines as  antiarrhythmic funds do not use / in whole and atrioventricular nodes (but not  in Purkinje fibers), the processes of depolarization (phase Purified  Protein Derivative or Mantoux Test and 4 of the action potential) are  determined by the entrance of Ca2 +. Verapamil reduces automaticity sinoatrial  node (slow phase and, therefore, slowed heart beat 4. Preparations appointed  interior and intravenously. When excited A1retseptorov adenylate cyclase is  inhibited, and when excited retseptorov - is activated. In high doses, digoxin  can cause nausea, vomiting, abdominal pain, partial or complete atrioventricular  block, visual disturbances, drowsiness, disorientation, hallucinations and  depression. Left  Ventricular Outflow Track drug is an adenosine tool of choice for  supraventricular paroxysmal tachycardia. Cardiac glycosides difficult  atrioventricular conduction and thus hinder whole flow of excessive number of  pulses from the atria to the ventricles of the heart. Significantly more  frequent angina (stable angina, a classic angina pectoris), usually in older  people with severe coronary atherosclerosis. Considered the drugs of choice  calcium («channels. More appropriate to prevent attacks angina.  
วันพฤหัสบดีที่ 2 มิถุนายน พ.ศ. 2554
Full Nursing Care and Focal Nodular Hyperplasia
When Workup by  opioid receptors through Gjbelki inhibited adenylate cyclase in connection with  this decreased activity of Ca2 + channels. To sell readily the pain is also used  local anesthetics. Apply with epilepsy in children in adults more frequently  with partial seizures. Morphine - a highly analgesic. Injected subcutaneously,  intramuscularly, in severe cases - intravenously. From holinoblokatorov in  Parkinson's disease and parkinsonism used trihexyphenidyl (tsiklodol),  biperiden, which block Mholinoretseptor neostriatum and inhibit the stimulating  effects of cholinergic neurons. To reduce these side effects levodopa used  together with inhibitors DOFAdekarboksilazy that do not penetrate into the CNS -  carbidopa or benserazide. Appointment of levodopa in higher doses eliminates  bradykinesia and rigidity, but causes dyskinesia (Involuntary movement of face,  extremities), reminiscent of dyskinesia in Huntington's chorea. Stimulates the  release of GABA. Lamotrigine blocks Na + channels in the presynaptic membrane of  glutamatergic synapses and reduces the release of glutamic acid. The structure  includes more than 20 opium alkaloids. Stimulating postsynaptic opioid  receptors, morphine activates K + channels, causing hyperpolarization of the  postsynaptic membrane and thus preventing the action of neurotransmitters sell  readily . Recommend that patients with predominance of tremor. Increase in  activity cholinergic neurons leads to the development of these manifestations of  Parkinson's disease. Pain - basic indication for the use of analgesics. Morphine  is a little lipo and poorly crosses the blood-brain barrier. To mitigate the  syndrome «onoff» try to use long-acting preparations of levodopa, or levodopa  combined with other drugs that improve dopaminergic transmission. Thus, for the  treatment of disease Parkinson's and Parkinson's disease need to either increase  dopaminergic influence, or reduce the effects of cholinergic neurons. Also  characterized by postural instability, festination, patients with difficulty  changing direction. Amantadine (midantan) promotes the release of dopamine from  the dopaminergic fiber endings and inhibits the stimulating effect glutamic acid  on cholinergic neurons of the neostriatum (blocks NMDAretseptor).  Opium-air-dried milky juice of the cuts on immature boxes soporific poppy  (Papaver somniferum). Selegiline increases the efficiency and duration of  levodopa. However, in contrast to analgesics, local anesthetics and eliminate  other types of sensitivity by blocking the taste, thermal, tactile, and other  receptors. Inactivation levodopa in the periphery reduces the entacapone, which  inhibits the COMT and thereby prevents Ometilirovaniyu levodopa. Axons of  dopaminergic neurons in the substantia nigra terminate in the neostriatum and  isolated as inhibitory neurotransmitter dopamine, which, acting on D2-retseptor,  exerts inhibitory effects on cholinergic neurons neostriatum 2. However, means  for turning off the anesthesia and consciousness and other kinds of sensitivity.  Levodopa (levogyrate isomer of DOPA) - one of the most effective  antiparkinsonian drugs. Used for the prevention of partial seizures and  tonikoklonicheskih. Nalbuphine butorphanol Pentazocine include full agonists’  opioid receptors and produce: phenanthrene derivatives - morphine, codeine,  phenylpiperidine derivatives - trimeperidin, fentanyl, derivative  fenilgeptilamina - methadone.   
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