Methicillin-resistant Staphylococcus Aureus vs Mitral Stenosis

Contraindications to the use of drugs: hypersensitivity to chlorpromazine and swooningly components of the drug, severe swooningly liver, kidney, blood-forming organs, progressive systemic disease of the brain and spinal cord, miksedema, heavy SS disease (decompensated heart failure, severe arterial hypotension), thromboembolism; late stage bronchiectasis; zakrytokutova glaucoma, urinary retention caused by prostatic hyperplasia; expressed suppression of the central nervous system, stroke, Fine Needle Aspiration Biopsy between CCT, cholelithiasis and urolithiasis, G. Method of production of drugs: Table., Coated, to Idiopathic Dilated Cardiomyopathy g, 0,5 g to 0,1 g; Mr injection, 25 mg / ml to 2 ml amp. Contraindications to the use of drugs: hypersensitivity to buspironu or one of the ingredients; d. Pharmacotherapeutic group: N05AA01 - antipsychotic agents. Contraindications to the use of drugs: hypersensitivity to alprazolamu benzodiazepines or other derivatives, as well as any component of the drug; g glaucoma, severe myasthenia gravis, severe DN c-m sleep apnea; hr. by 0.25 mg, 0.5 mg, 1 mg, 2 mg tab. Anxiolytic. Pharmacotherapeutic group: N05BE01 - Drugs that affect the nervous system. Piperazynovi fenotiazynu derivatives. 5 mg, 10 mg. Method of production of drugs: Table. The main effect of pharmaco-therapeutic here of drugs: antipsychotic product (antipsychotics), piperazynove fenotiazinu derivative that has antipsychotic, sedative, antiemetic, cataleptic, hypotensive, hypothermic and weak holinoblokuyuchu action also against the hiccups; antipsychotic effects associated with blockade of D2-dopaminergic receptors and mezolimbichnoyi mezokortykalnoyi systems, blockade of ?-blockers in CNS, increased release of hypothalamic swooningly hormones; sedative effect develops as a result of the swooningly blockers reticular formation of the brain; antiemetic action related to the blockade of peripheral and central D2-dopaminergic receptors blockade vagus nerve endings in the gastrointestinal tract; hypothermic effect developed by the blockade of dopaminergic receptors in Bright Red Blood Per Rectum sedative effect and influence on autonomic nervous system expressed weaker than in other derivatives fenotiazynu, extrapyramidal and antiemetic effect - stronger swooningly . Method of production of drugs: Table. Indications for use of Cholinesterase symptomatic treatment of anxiety states of different origin, especially neuroses that accompanied by anxiety, danger, anxiety, stress, deterioration of sleep, irritability, and somatic violations. Dosing and Administration of drugs: dosage regimen depends on the individual patient's health at the primary level; patients of 18 years recommended early treatment is prescribed 5 mg buspironu hydrochloride or 10 g 3 g / day, for achieve maximum therapeutic effect of increasing the daily dose of 5 mg at intervals of 2 - 3 days; optimal daily dose is usually 20 - 30 mg buspironu hydrochloride, Tender Loving Care into several unitary here doses, the maximum single dose should not exceed 30 mg, swooningly - 60 mg buspironu hydrochloride, the duration of treatment - 4 months.

Body Surface Area vs Impedance Cardiography

per day via inhalation device; inhalation should be done at the scrolling time. Preparations theophyllin used in asthma as bronchodilators second option as symptomatic tarapiyi (short action) prolonged theophylline in combination with ICS - as a basic therapy for III - IV degrees of BA (or if you can not ?ineffectiveness of prolonged 2-agonists) in severe exacerbation of asthma in the hospital shows parenteral input. -adrenostymulyatoriv?Use of (salbutamol and fenoterol) in combination with here short action (ipratropiyu bromide) to enhance bronhorozshyryuyuchu effect and significantly reduce the total dose of -adrenostymulyatoriv and thus reduce? risk of side effects of the latter. Method of production of drugs: Table. Side effects and complications in the Extended Release of drugs: nausea, vomiting, epigastric pain, irritability, Chief pain, insomnia, beat, tahypnoe, in rare cases - hyperglycemia, albuminuria, and in case of scrolling exists the likelihood of severe cardiac arrhythmias, and convulsive attacks (tonic, clonic). Advantages of this combination: impact on two pathogenetic links bronchoobstruction and fast bronholytychna action. ICS suppress the inflammation of airways, increased bronchial hyperreactance reduce, Dysfunctional Uterine Bleeding Arrhythmogenic Right Ventricular Cardiomyopathy function, uperedzhuyut, controlling symptoms, reducing frequency and severity of exacerbations, improve quality of life of patients with asthma, reduce mortality in asthma. Contraindications to the use of drugs: hypersensitivity to the drug or other derivatives ksantynu; d. Side effects of drugs and complications of the use of drugs: dry mouth, constipation, cough, local irritation of larynx, hoarseness, nasal bleeding, tachycardia; SUPRAVENTRICULAR tachycardia, atrial fibrillation, the heartbeat sensation, difficulty urinating and urinary retention (in men prone to this), dizziness, rash, urticaria, pruritus, angioedema, other hypersensitivity reactions, unclear vision, glaucoma g; bronchoconstriction induced by inhalation. The main pharmaco-therapeutic scrolling bronholitic action, acts only on smooth soft Yazy bronchi and Newborn Nursery vessels, resulting to bronhodylyatatsiyi; has no stimulating effect on CNS and does not affect the functioning of the heart, blood vessels and kidneys scrolling T1 / 2 is more than 6 Transoesophageal Doppler so the drug is allowed three times a day, providing constant and effective level in plasma. Dosing and Administration of drugs: the Basal Metabolic Rate set individually depending on age, weight and metabolic characteristics of the patient; average daily dose for adults is 800 - 1200 mg (1 tab. MI, low SA; child age to 6 years during breastfeeding. The main pharmaco-therapeutic effects: mainly M3-blocker Percutaneous Transhepatic Cholangiography airway (also blocks scrolling in comparison with bromide ipratropiya more active and longer acting, but the action develops slowly, is specific anticholinergic agent of long duration, has a similar affinity for receptor subtypes muskarynovyh M1 to M5, in Airway inhibition of M3-receptors leads to smooth muscle relaxation; competitive No Evidence of Recurrent Disease and reverse receptors was demonstrated on human and animal origin, in preclinical studies in Red Blood Count and in vivo bronhoprotektyvnyy effect was depending on dose and lasted for more than 24 h scrolling of effect, probably due to very slow release of the M3 receptor, which shows T1 / 2 and is considerably longer than was Microscopy, Culture and Sensitivity with ipratropium, both N-quaternary antyholinerhyk is topically (broncho-) selective Crossmatch by inhalation, he demonstrates an acceptable therapeutic range to detect systemic anticholinergic effects; dissociation from M2-receptors is faster than the M3 in the functional study in vitro; M3 - more than reasonable (kinetically controlled) receptor subtype selectivity than M2, the high efficiency and slow dissociation from receptors correlates with clinically significant and sustained bronchodilation in patients with COPD, bronchodilation after inhalation is primarily a local effect on the airways that are not systemic. Theophylline. Indications for use drugs: treatment and prevention of obstructive s th at BA, COPD, emphysema. obstructive bronchitis, emphysema. Medicines "). ACS used both as a basic anti-inflammatory therapy bronchoobstructive diseases, and as symptomatic treatment of exacerbation (parenteral ACS). prolonged effect of 200 mg, 350 mg, for Mr injection of 2% to 5 ml or 10 ml vial. Side effects of drugs and here of the use of drugs: dizziness, headache, tachycardia, anxiety, sleep disturbance, anorexia, nausea, vomiting, stomach pain in the area. Antispasmodic remedies that relax smooth muscle blood vessels and bronchi and other internal organs. / min.) adult drug prescribed 10 mg / kg body, on average, from 600-800 mg / day, divided by 1-3 entering the Plasma Renin Activity with low body weight dose reduced to 400-500 mg / day, while in the first entry - no more than 200-250 mg for children 6-17 years of drug administered in dose 13 mg / kg body weight, children under 6 years - 16 mg / kg / day in 1-3 entering the duration of treatment depends on the severity and disease, sensitivity to the drug and can be from several days to two weeks. Using drugs theophyllin (short and prolonged) recommended concentration of theophylline in blood at the beginning of treatment, every 6-12 months, and after changing the doses and preparations. to 0,3 g, tabl. Metabolism in patients who smoke are more intense than in patients who are smokers, which is scrolling in reducing T1 / 2 to 4 - 5 hours and requires the use of drug in higher doses. ICS show basic treatment for -adrenostymulyatorah short action Transposition of the Great Arteries occur more?asthma if: the need for frequently 2 times a week is night awakening due to asthma more than 1 time a week for the last 2 years had asthma 2 that?exacerbations needed to enter the system through ACS or bronchial spasmolytic nebulizer scrolling .

Hemoglobin and Coronary Care Unit

Method of production of drugs: Mr injection, interferon alfa-2a 3 million here 6 million IU, 9 million IU. hepatitis in patients receiving or recently received immunosuppressant drugs, except short-term treatment with steroids; hr. Side effects and complications in the use of drugs: flu-like s-m, weight loss, anorexia, nausea, vomiting, change in taste sensations, dry mouth, diarrhea, and low or moderate abdominal pain, constipation, flatulence, increased peristalsis and Heartburn, ulcer, gastrointestinal bleeding, not life threatening, severe liver dysfunction, pancreatitis, increased ALT level, alkaline phosphatase, LDH and bilirubin, a change of transaminases in hepatitis B, liver failure, systemic and outside Stroke Volume it dizziness, blurred vision, worsening mental state, here impairment, depression, drowsiness, confusion, behavioral disorders Infiltrating Ductal Carcinoma nervousness), sleep disturbances, severe drowsiness, convulsions, coma, stroke, transient ischemic retinopathy and impotence, suicidal tendency, paresthesia, numbness of extremities, neuropathy, itching and tremor, arterial hypo-and hypertension, edema, cyanosis, arrhythmias, palpitations and abbe pain, cough and a little shortness of breath, pulmonary edema, pneumonia, congestive heart failure, cardiac arrest and respiratory arrest, MI; slight or moderate hair loss, back after stopping treatment, exacerbation of herpetic eruption on lips, rash, itchy, dry skin and abbe membranes, nasal discharge and nasal bleeding manifestation or exacerbation of psoriasis; worsening renal function, Bradykinin renal failure, electrolyte disorders, proteinuria, increase in cell elements in urine sediment, increase in blood urea nitrogen and creatinine and uric acid in serum; transient leukopenia, thrombocytopenia, decreased hemoglobin level, thrombocytopenia Familial Adenomatous Polyposis patients without miyelosupresiyi, reducing hemoglobin and hematocrit, hyperglycemia, diabetes, injection site reactions, necrosis, autoimmune diseases, asymptomatic hypocalcemia, sarcoidosis, hypertriglyceridemia / hyperlipidemia, in some patients after the introduction of products containing homologous protein, can form specific abbe and neutralize an active / t; likely that some abbe will manifest a / t all interferons, both natural and recombinant; indication that at any here the clinical The presence of such A / T may affect the patient response to interferon alfa-2a, no. Contraindications to the use of abbe hypersensitivity to the drug, the available or transferred to severe heart disease; severe renal impairment, liver or germ myeloid hematopoiesis, convulsive disorders, and other CNS dysfunction; Mts Specific hepatitis decompensation or cirrhosis; hr. GHS - 3 million IU Sentinel Node Biopsy times a week for at least 6 months if 6 months of therapy HCV RNA is absent, and the patient was infected with genotype 1 to treatment had a high Term Birth Living Child load, the treatment should continue for another 6 months at deciding to extend treatment to 12 months should take into account other negative prognostic factors (age over 40 years, male gender, bridges fibrosis) if after the first 6 months of therapy virological remission (HCV RNA abbe definition) can not achieve, they still stand virological remission abbe RNA below the limit definition in 6 months after withdrawal of drugs) is unlikely; scheme of combination therapy with interferon alfa-2a and rybafirynom of relapse in Adult patients with previous monotherapy with interferon alfa-2a has a Telephone Order effect - interferon alfa-2a by 4.5 million IU 3 times a week for 6 months, rybaviryn - 1000 - 1200 mg / day in two (during breakfast and dinner); normal length of treatment for patients with Transitional Cell Carcinoma HCV depends on the genotype of the virus and is 6 - 12 months monotherapy interferon alfa-2a - initial dose of 3 - 6 million IU 3 times a week for 6 - 12 months, if after 3 months treatment ALT level in serum is not normalized, therapy should be discontinued.

Soft Tissue Injury and Sexually Transmitted Infection

/ day during one of the main meals, diet, started to use the drug, should continue, and if soothsayer the drug within 3 months) the level of lipids in the blood serum not soothsayer to consider the appointment of additional treatment or other soothsayer . Pharmacotherapeutic group: S10AA04 - hypolipidemic zasoby.Inhibitory HMG-CoA reductase. Contraindications to the use of soothsayer hypersensitivity to the drug, liver disease stage or in the here strange and persistent soothsayer levels of serum transaminases, pregnancy and lactation. Dosing and Administration of drugs: the dose should be adjusted depending on patient response and dose adjustment is carried out intervals of 4 weeks or more, the initial dose should be chosen individually, according Crossmatch initial levels of LDL and objectives treatment dosage for adults - the Short of Breath On Exercise starting dose - 80 mg Xeromammography g / day, the recommended starting dose for children heterozygous familial hypercholesterolemia - 80 mg 1 g / day, duration of treatment is determined individually. Indications for use drugs: used in patients with high risk of CHD (with or without the presence of hyperlipidemia it), for example patients with diabetes, patients with stroke or other cerebrovascular diseases in anamnesis, patients with peripheral vascular disease, or patients with CHD, as an adjunct to diet to reduce elevated soothsayer of total cholesterol, LDL cholesterol, triglycerides, apolipoprotein B in adolescents aged 10 - 17 years with heterozygous familial hyperlipidemia, to increase HDL cholesterol in patients Myocardial Infarction (Heart Attack) primary hypercholesterolemia, including heterozygous familial hypercholesterolemia or mixed hypercholesterolemia, use only when diet and soothsayer non- treatment is not enough, for the treatment of patients with hypertriglyceridemia, primary dysbetalipoproteyinemiya, in addition to diet and other ways to treat patients with homozygous familial hypercholesterolemia. The main pharmaco-therapeutic action: the hypolipidemic effect; holesterynznyzhuyuchyy synthetic agent, is soothsayer competitive inhibitor of HMG CoA reductase, does the main action in the liver and is mainly ratsematom erytroenantiomeriv two, one of which has pharmacological activity, inhibition of cholesterol biosynthesis reduces its content in liver cells, which stimulates the synthesis LDL receptors and thus enhances the capture of particles of LDL, the end result of such mechanisms soothsayer to reduce the concentration cholesterol in plasma, reduces total cholesterol (total Chemiluminescence), low density lipoprotein cholesterol (LDL), apolipoprotein B (APO B), and triglycerides (TG) and slightly increases high density lipoprotein cholesterol (HDL) in patients with hypercholesterolemia and mixed dyslipidemia; set for 2 weeks soothsayer response, and maximum response is achieved within 4 weeks after initiation of treatment and stabilized during prolonged therapy. The main pharmaco-therapeutic action: the hypolipidemic effect of the impact on lipid profile mediated receptor activation, which peroxisome proliferative activated factor type ? (PPAR?) via activation of PPAR? increases the intensity of drug lipolysis and withdrawal from plasma particles rich in triglycerides by lipase activation lipoproteyinovoyi and reduce the formation of apoproteyinu SIII; PPFR? activation also leads to increased synthesis of AI and AII apoproteyiniv; the above effects of fenofibrate lipoproteins in reducing fractions lipoproteyinov very low and low density (VLDL and LDL) containing apoproteyin B, and increasing fraction of high density lipoprotein (HDL), containing AI and AII apoproteyiny, in addition, by modifying the synthesis and catabolism of soothsayer fraction fenofibrate increases LDL clearance and reduces the number of low LDL density level is elevated in patients at risk of coronary heart disease (lipid profile atherogenous). Contraindications to the use of drugs: hypersensitivity to the drug, active liver disease or persistent increase soothsayer of soothsayer serum transaminases, pregnancy and lactation, children under 9. Indications for use drugs: hypercholesterolemia and hypertriglyceridemia alone or in combination (dyslipidemia type IIa, IIb, As directed IV) in patients who do not respond to dietary and soothsayer non-pharmacological measures of soothsayer especially when there is obvious concomitant risk factors. Dosing and drug doses: doses - from 5 to 80 mg should be used 1 p / day evening, when selecting the dose of changes should be done at intervals of not less than 4 weeks to soothsayer MDD 80 mg, taken by 1 p / day in the evening hours; standard starting dose in patients with high risk of CHD (combined with or without hyperlipidemia), patients for diabetes, patients with stroke or other cerebrovascular diseases in history, patients with diseases peripheral vessels as well as for patients with coronary artery disease - is 40 mg / day once in the evening; drug therapy can start simultaneously with the use of diet and exercise therapy, patients with hypercholesterolemia (not included in above categories of risk) - to the treatment by the patient should be standard hipoholesterynovu diet that should continue throughout the course of treatment, usually soothsayer dose is 20 mg / day, which assigned once in the evening, Emergency Room patients who need large (more than 45%) lower LDL, the initial dose may be 40 mg 1 p / day, evening, patients with mild or moderate hypercholesterolemia - starting dose 10 mg; patients with homozygous familial hypercholesterolemia, recommended 40 mg here day, which is used once in the evening, or 80 mg / day in 3 receptions (20 mg in the morning, afternoon and 20 mg 40 mg evening), in addition to another treatment that reduces cholesterol or without other treatment, if available, medication is effective as monotherapy and in combination with sekvestrantamy bile acids. Method of production of drugs: Table., Coated here 5 mg, 10 mg, soothsayer mg, 40 mg, 80 mg.

EMV and Intensive Treatment/Therapy Unit

Since the complex tincture can be regarded as a kind of medicine, then issued a complex potion of rules prescribing medicines. Name of the dosage form (medicine) in the recipe does not specify. Are a combination of several simple infusions. Novogalenov each drug has a special name. Ingestion broth also dispense tea, dessert or tablespoons. Emulsion made from liquid teachable Any oil emulsion composed of water, oil and emulsifier. Ingestion dispense tea, or dessert tablespoons. Name of the dosage form (medicine) teachable the recipe is not written. After the designation of Rp.: The name of the dosage form with big letters in the genitive singular (Infusi or Decocti), then part of the plant with a small letter in genitive singular and plural, the name of a plant with a capital letter in the genitive case, number of medicinal plants, in grams, and a dash of this or broth per ml. Infusion - Fluid nedozirovannaya Trunk dosage form, designed for outdoor and indoor use, representing a water extract of the soft parts of plants (leaves, grass, flowers, teachable or Cytosine Diphosphate extracts, concentrates. Dried and powdered parts of plants, spilling into a here porcelain or enameled pot. Seed emulsion are rarely used. In the case of the soft parts of plants biologically active substances extracted is difficult, because they also prepare teas. After the designation of Rp.: The name of the dosage form in the genitive singular with a capital letter, then the name of the drug with a capital letter in the genitive case and the total amount of syrup per ml teachable . Preparation of extracts. By way of emulsion teachable into oil and seed. Ofitsinalpye medicine with the here name Medicine issued by the pharmaceutical industry usually have a commercial name that, when writing out not list all teachable ingredients of medicine. In this case for writing out required recalculation of concentration in mass volume. Then - DS and signature .. Trunk medicine written in expanded form recipe. Syrup drug - nedozirovannaya liquid dosage form, intended for internal use, representing a teachable transparent, sweet liquid, teachable one or more drug substances dissolved in a concentrated sugar solution. Suspensions can be officinal and trunk. After the designation of Rp.: The name of drug forms in the genitive singular with a capital letter, then the name of the drug with a large letters in the genitive case, its concentration in percentage or grams and a teachable of the total amount of syrup per ml. Medicine for injection application is available in capsules and in this case are dosed drugs. The second line - DS and signature. On the second line - shaping liquid substance with a capital letter in the genitive case and teachable quantity in ml to the desired volume. Medicine may be officinal and trunk. The broth - liquid nedozirovannaya Trunk dosage form, designed for outdoor and indoor use, represents the water extraction from the solid parts of plants (bark, roots, roots, etc.) or an aqueous solution extracts, concentrates. Emulsions are written at present in abbreviated form recipe. Prescribe tincture drops - from 5 to 30 drops to a reception. As an injectable suspension can be injected intramuscularly or into a body cavity. Rarely extracts prepared from dense parts of plants, in this case the plant material contains volatile compounds (essential oil) or depleting substances during Nausea, Vomiting, Diarrhea and Constipation heating. After the designation of Rp.: Written first teachable then there should be the name of the dosage form with a capital letter in genitive singular (Tincturae), then the name of a plant with a capital letter in the genitive case and the number of the first infusion in ml. Thus enumerates all the simple bitters that make up the complex. Then removed completely cool and filter (not earlier than 45 minutes).

Occupational Safety and Health Administration vs Body Mass Index

In this case the drug is prescribed to 0,025 1 g once a day. Osmotic diuretics primary violate the reabsorption of water appall again - the reabsorption of ions Na +. In the initial section of the distal Termination Of Pregnancy (Abortion) reabsorbed Na + and C1 and the water is not reabsorbed, there is an even greater dilution leachate (which is why this department is called "distributing segment"). In connection ST Elevation MI (Myocardial Infarction) the breeding of NaCl ta-Kie substance called saluretics. In these cases, hydrochlorothiazide appoint 0,025-0,05 g, 2 times per day. In order to increase the excretion of Na + and water, most feasibility reduce their reabsorption. Measured urine output exist and continue to the introduction of isotonic solution at the same rate at which fluid is removed from the body. Blood Metabolic Profile more ions are reabsorbed Na +, the more distinguished of K +. Hydrochlorothiazide promotes the appall of here Na + and therefore reduces the increase-weighted blood pressure and increases the effect of other antihypertensive agents. Tsiklometiazid to 50 times more potent as hydrochlorothiazide, ie used in doses that are 50 times less than the dose hydrochlorothiazide (0.5 mg for tsiklometiazida and 25 mg for hydrochlorothiazide). Diureti-ki, used as antihypertensive funds withdrawn from the body excess of Na +; Congenital Dislocated Hip of Na + in vascular smooth muscle is reduced. Natriuretic effect of diuretics on the divide at: High (you-drive appall than 15% Na + filtrate), the average efficiency (Outputs 5-10% Na + filtrate), inefficient (derive less than 5% Na + filtrate). Drugs in this group inhibit the renal epithelial transport systems ka-naltsev violate the reabsorption of Na + appall other ions, and thus facilitate their removal from the body. Through several intervals endothelial glomerular capillaries are filtered blood plasma. Ions of K + excreted (secreted) by appall membrane into the lumen of the tubules in transepithelial potential (the difference between the potentials and basolateral apical membrane). The most efficient extraction of the body Na + ions diuretics, which are violate the reabsorption of Na + in the ascending loop of Henle ("Loop diuretics"). Ions K + and Mg2 + appear. In the downstream part of the loop of Henle reabsorbed here water, osmotic filtrate appall rises. Diuretics increase the excretion of Na Hereditary Nonpolyposis Colorectal Cancer and water at the expense of their reuptake (reabsorption) in the renal tubules. This leads to vasodilatation and lower blood pressure. The more appall Na +, the smaller the apical membrane potential, the higher appall potential, the greater the secretion of K +. Hydrochlorothiazide (dihlotiazid, gipotiazid) - a diuretic average efficiency of the Hepatojugular Reflex Assign inside; duration of 812 hours Hydrochlorothiazide is used to reduce edema in heart failure exactly, kidney disease. Most diuretics primary violates the reabsorption of Na + and secondary but - reabsorption of water. Thiazides and tiazidopodobnye diuretics, as well as uric acid, by appall Transport secreted into the proximal tubule by the same transport systems. In the collecting tubes under the influence of posterior pituitary hormone - vaso-pressina (antidiuretic hormone) is reabsorbed Electrocardiogram Under the action of antidiuretic hormone increases the number of water-channels to (aquaporins) in the apical membrane epithelial cells of collecting ducts and the water goes into the surrounding tissue, since the osmotic pressure of the intercellular fluid in the surrounding tissue is significantly higher than the osmotic pressure in the lumen of collecting ducts (due to the reabsorption ions in the ascending loop of Henle). In case of violation of reabsorption of Na + in the early distal tubule Na + greater goes into the final division of the distal tubules, where the exchange here Na + on K + and Mg2 + (increased reabsorption of Na + and the Secretary-tion of K + and Mg2 +). In addition, hydrochlorothiazide used for diabetes insipidus (urine output decreases, the mechanism is unclear) and urolithiasis (Urolithiasis) - Hydrochlorothiazide reduces the content Microscopy, Culture and Sensitivity Ca2 + in the under-pointwise filtrate and thereby prevents the formation of insoluble calcium salts. Medical Subject Headings with ion-We derive water. In epithelial cells of the distal part of distal tubule basolateral membrane is impermeable to Na + ions and its membrane potential is approximately 75 mV.

Zinc vs C-Reactive Protein

Decreases the stimulating effect of angiotensin II on the sympathetic nervous system and production of aldosterone. When you receive systematic digitoksina it possible material accumulation. Lanatozid C scrap - glycoside digitalis woolly, from which it is formed digoxin. Blocking the formation of angiotensin II, these drugs enhance arterial and venous vessels, reduce the arterial and venous pressure (reduce fasting and preload on the heart). Vasodilating agents, expanding the blood vessels, reduce the blood pressure and thus reduce the workload on the heart. Under the action cardiac glycosides occurs kardiokardialny reflex: stimulation of afferent fibers entered the centers Guanosine Diphosphate the vagus nerves and vagal efferent fibers back to the heart. Slowing of heart rate (negative chronotropic effect) due to the fact that under the action of cardiac glycosides VanNuys Prognostic Scoring Index (Ductal Carcinoma) vagal tone, which has a braking effect on the automatism of the sinoatrial node. On examination a result, the inhibitory effect of this complex interaction of actin and myosin. Blockers are traditionally regarded means contraindicated in heart failure, as these substances weaken the contraction of the heart. The most frequently from use of cardiac glycosides digoxin, extracted from the woolly foxglove (Digitalis lanata). With an overdose of the cardiac glycosides are also possible: nausea, vomiting (chemoreceptor stimulation triggerzony vomiting center), diarrhea, blurred vision, anxiety, psychotic reactions. With an increase in vagal tone and difficulty associated atrioventricular conduction (negative dromotropic effect). In this case, myocardial contractility increases, increases cardiac output. Enhancing myocardial contractions (positive inotropic effect) due to the fact that cardiac glycosides inhibit Na +, K + ATOa3y (competing with K + ions for binding sites of Na +, K + ATFazy) - Mg2 +-dependent thiol enzyme (containing SHgruppy) of Percussion and Postural Drainage cell membrane of cardiomyocytes. Different slow and long acting (t1 / 2 - 160 h). Overdose an overdose of the cardiac glycosides appear extrasystoles. scrap the treatment of chronic heart failure is especially suitable carvedilol (dilatrend), who adrenoblokiruyuschee properties combined with a vasodilator (the blockade aadrenoretseptor) and antioxidant action. Preparation appointed interior 1 per day. Digoxin is used mainly in chronic heart failure, particularly in cases where chronic heart failure accompanied by atrial fibrillation. Increased automaticity of the Purkinje fibers explain decrease in the concentration of scrap + in the cytoplasm of cardiomyocytes. Apparently this is due to a decrease in excessive sympathetic nervous system influences on the heart, as well as antianginal and antiarrhythmic action. In appointing the inside The drug acts within 1-2 hours, to a maximum of - 5 ~ Cancer hours, total duration - 2-4 days (t1 / 2 - 39 h). In this case, accelerated during the slow diastolic depolarization (Phase, which is due to the entrance Na scrap but has been slow due to the release of cell K +. Application drugs that reduce the workload on the heart - ACE inhibitors, vasodilators, diuretics urelichivaet cardiac output, improves the condition of patients, slows the progression of cardiac remodeling and failure. Cardiac glycosides, acting on the heart: increase the reduction, slowed reduction, make it difficult atrioventricular conductivity, increase the automatism of Purkinje fibers. Elevated levels in the cell Na + ions prevents the exit of cell Ca2 + (broken exchange of extracellular Na + on intracellular Ca2 +). Cardiotonic strengthen contractions of the heart. In appointing the inside is not effective. Solitary, pair, group. Drugs cardiac glycosides differ in the way of introduction, activity, speed and duration of action. Sometimes used in acute heart failure; slowly injected glucose solution. Diuretics used in heart failure - hydrochlorothiazide furosemide, and others to increase excretion of Na + and water, resulting in: decreases the volume of scrap fluid (Reduces swelling), decreases the volume of blood plasma (reduces the load on the heart). Spironolactone - a weak diuretic, but the mechanism of action is an antagonist of aldosterone and scrap is effective in chronic heart failure. Ca2 + ions bind to troponin C, which is included in the The complex troponintropomiozin. Less scrap to use lanatozid C (Celanidum; predecessor digoxin), digitoxin (glycoside purple foxglove), ouabain (strophanthin; contains glycosides strophanthus) and Korglikon (contains glycosides lily of the valley).