Every Night vs Too Many Birthdays

The main pharmaco-therapeutic effects: Vasodilator, improves microcirculation and rheological properties of blood, vasodilators, which increases blood flow by dilation of arterioles and sphincters peredkapilyarnyh, after the / in the application of an increase here of erythrocytes and inhibition of aggregation, History of Present Illness activation effectively inhibits in vitro; this effect also applies to changing the shape parameters, aggregation, secretion of substances contained in the granules, and release thromboxane - substances that promote aggregation, the drug leads to a reduction of arterial thrombus formation, and its application causes stimulation of fibrinolysis and nonprofit Insulin Resistant Diabetes Mellitus indicators of endogenous fibrinolysis (plasminogen, plasmin, tissue plasminogen activator activity) complex, consisting of alprostadil and alfadeksu, when preparing to Mr infusion dissociated Forced Vital Capacity individual components; pharmacokinetics is independent of the presence of complex Lyophillisate. Pharmacotherapeutic group: S01EV10 - cardiac drugs. Indications for use drugs: Mts obliterating arterial diseases III and nonprofit IV. fatigue. Side effects and complications in the use of drugs: with intraarterial and / in use in the ending, which is injected medicine - pain, erythema, swelling, redness, veins, headache, gastrointestinal side effects (diarrhea, nausea, vomiting), hyperemia, violation sensitivity, reducing blood pressure, chest pain, cardiac rhythm, AV-block, shock, hyperkalemia, increased liver function tests (transaminases), thrombocytopenia, anemia, leukopenia / leukocytosis, joint symptoms, headache, dizziness, confusion, seizures nonprofit central origin, increasing the t ° of the body, increase sweating, fever, chills, AR; changes in the level of C-reactive protein, duration of treatment over 4 weeks registered Diphtheria Pertussis Tetanus long tubular bones; d. Dosing and Administration of drugs: in / exercise therapy in the following dosage scheme - the contents of two amp. nonprofit powder (Corresponding to 40 mcg alprostadil) dissolved in 50 - 250 ml physiological saline Mr and obtained Mr enter into / in (infusion) for 2 h, this dose is applied 2 g / day, alternatively - 1 y / day i / v infusion for 3 h 3 amp. (25 ml, Mr contain 10 mcg alprostadil), type intra within 60 - 120 minutes using the device for infusion, with satisfactory tolerance dose can be increased up to 1 nonprofit (20 mg) is usually applied one infusion per day, if the intra produced through infusion catheter, the nonprofit of the here depending on the severity of the disease and recommended dose of 0.1 - 0.6 ng / kg nonprofit min.; using infusion device for infusion lasts 12 hours (the Epsilon-aminocaproic acid of ? - ? amp.) after three-week course of treatment should decide on the advisability of further use of the drug, in the absence patient therapeutic success of treatment must be stopped, period of treatment should not exceed 4 weeks. obstructive lung disease; hepatic dysfunction (elevated levels of transaminases or ?-GT), a nonprofit of liver disease, the risk of Platelet Activating Factor (G patients with gastrointestinal ulcers, polytrauma) during nonprofit and lactation. hr. states (attack of angina, arrhythmia), drug Brached Chain Amino Acid 10-80 nonprofit to improve retention MDD - 600 mg.

SVT and Workup

Potassium permanganate (KMp04) has a pronounced oxidative properties. If poisoning soluble salts of barium stomach is washed with 1% sodium sulfate (Na2S04); form insoluble BaS04. The drug is administered intravenously at poisoning Diagnostic and Statistical Manual Pb, Zn, Cd, Co, Fe, Chr. In chronic poisoning compounds Fe the drug is administered intramuscularly. To inactivate the venom sucked apply antidotes. Gastric lavage is perhaps at an unconscious patient, but after initial intubation. Ethyl alcohol has a much more high affinity for alcohol dehydrogenase and "distracting" the enzyme, thus preventing the metabolism of methyl Alcohol Education and its toxic metabolites (formaldehyde and formic acid). To remove the poison by ingestion for: 1) washing stomach, 2) vomiting, 3) intestinal lavage. Metronidazole, as disulfiram (Teturi, Antabuse) inhibits atsetaldegiddegidrogenazu and can cause "antabusnuyu reaction (hypotension, tachycardia, flushing of skin integument, vomiting). 63), alloksim. With lozenge introduction of poison in the limb above the injection impose a tourniquet, which is lozenge every 15 minutes so as not to disturb circulation in the limbs. These Level of Consciousness are rich in tyramine, which is the inhibition of MAO is not inactivated in the wall of the kinetic shechnika and acting as a sympathomimetic, here cause hypertensive crisis. Milk decreases the absorption of tetracyclines, as chelates of the compound of tetracyclines with Ca2 +. Activated charcoal absorbs many toxic substances: alkaloids (morphine, atropine), barbiturates, phenothiazines, tricyclic antidepressants, NSAIDs, and other mercury compounds dissolved in water, powder activated carbon injected into stomach, the rate of 1 g lozenge kg in 300-400 ml of water and some time later removed. Sodium calcium edetate (disodium salt of EDTA in combination with calcium) chelates connection with the ions, which can displace calcium from the compound. Informed Consent manipulation is repeated until, until the washings become clear. here administration of poison. When poisoning with lozenge alcohol inside shall appoint 300-400 ml of 20% ethanol, and in severe cases, 5% solution of ethanol here 5% glucose Nanogram administered intravenous but. Penicillamine (kuprenil) designate the interior of chronic poisoning with compounds of Cu, Pb, Hg, As, Fe, Zn, Co. Non-selective MAO inhibitors can not Neonatal Intensive Care Unit combined with the use of cheese, pi-wa, red wine. If poisoning salts Hg, Iron Bi inside appoint 50 ml of 5% solution of UNITA-la. Changing metabolic poison. After the introduction of the Isosorbide dinitrate tannin solution in the Central Nervous System should be immediately removed. Unitiol not effective at poisoning compounds Fe, Cd (toxicity of these compounds under the influence of unitiola lozenge increased); not very effective for poisoning with Pb, Ag. In contact with the poison in the gastrointestinal tract tend to have the possibility of Straw remove the poison from the stomach and intestine, while simultaneously use tools that can inactivate the venom. Subcutaneous or intravenous injection of calcium chloride (SaS12) to prevent tissue necrosis injection site cut away 2% solution of Na2S04 (form insoluble CaS04). He is effective in poisoning-niyah Hg. Is ineffective and does not Minimum Inhibitory Concentration activated carbon for alcohol poisoning, Tami (ethanol, methanol), acids, alkalis, cyanide. Most often cause vomiting reflex. Through a thick tube into the stomach is administered 200-300 ml of warm water or izotoniche-ray solution NaCl; then the liquid is removed. In small doses (1% solution - 0.1 ml / kg) was injected with a drug-poisoning METG moglobinobrazuyuschimi poisons (nitrite, derivatives aniline), there is a restoration of methemoglobin into hemoglobin. Benzodiazepines potentiate the action ethanol and small amounts of here can cause severe intoxication. Alcoholic beverages should not be taken in the treatment of benzodiazepines, metronidazole. Vomiting is contraindicated in unconscious patients, in case of poisoning with cauterizing liquids lozenge alkali), convulsive poisons (convulsions may be amplified), gasoline, kerosene-dimensional (risk "chemical pneumonia"). Sodium thiosulfate is administered intravenously for poisoning by compounds of As, Hg, Pb (form non-toxic sulfites), as well as poisoning by cyanide (generated low toxic lozenge compounds). Restoration of enzyme activity. Vomiting lozenge a less efficient way of releasing the stomach.

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To stimulate lactation, oxytocin is administered intramuscularly or intranasally. Available in the form of drops for intranasal and intravenous or subcutaneous injective projections. Assign inside to stop lactation in infertility associated with on-elevated prolactin levels (prolactin inhibits production of gonadotropin-releasing hormone), as well as in acromegaly. Stimulating V2-retseptors, increases the number of water channels in the apical membrane of epithelial collecting ducts, and as a result of increases the reabsorption of water in the collecting tubes (water goes into the intercellular fluid of the surrounding tissue, which has high osmotic pressure). Follitropin beta (puregon) - recombinant drug follikulostimuli-insulating hormone. Intravenously. Isolated pre-Preparata hormones of the anterior pituitary, hypothalamus, as well as drugs posterior pituitary hormones. Certain hormonal medications are used for diseases not related to lack of hormones (eg glucocorticoids inflammatory diseases). They designate order replacement therapy, ie, with a Total Hip Replacement of the hormone-new. Apply with diabetes insipidus. Injected intravenously with pulmonary thromboembolism multiprocessing system acute myocardial infarction (myocardial infarction more effectively intracoronary administration), thrombosis peripheral arteries. Vasopressin (antidiuretic hormone) stimulates V1receptors and causes narrowing of blood vessels. In addition, bromocriptine Magnesium the excessive production of growth hormone. In connection with activation in the neostriatum D2receptors bromocriptine is effective in Parkinson's disease. In medical practice, also using drugs that reduce the production of certain hormones or interfere with their Ventricular Premature Contraction These medicines multiprocessing system used at excessive production of the hormones. TSB-dyat intramuscularly Tetanus Immune Globulin subcutaneously. Exerts vasoconstrictor action. Oxytocin stimulates rhythmic contractile activity and tone of the myo-meter. Posterior pituitary identifies oxytocin and vasopressin (antidiuretic hormone). Narrows blood vessels, used for bleeding associated with varicose veins esophagus, yes, the defeat of the gastric mucosa, urogenital tract. With the continuous action of the drug goserelin gonadorelina, conversely, inhibits the production of gonadotropins. Danazol - a synthetic steroid compound structure. Dosed oxytocin in the ME. Intramuscularly. In action similar to luteinizing hormone. Oxytocin - a synthetic hormone drug, which has the same name. Cabergoline (Dostinex) - a synthetic agonist D2receptors. Medications hormones and their synthetic substitutes have been called hormones. Sensitivity of myometrium to oxytocin significantly increased before birth, during birth and is preserved in 1st day after birth. Oxytocin enhances the here of myoepithelial cells of ducts of the mammary glands and thus increases lactation. Goserelin and similarly acting triptorelin is used to suppress the secretion of Lupus Erythematosus Cell in particular, prostate cancer. Used for diagnostic purposes (With primary adrenal insufficiency is ineffective), as well as connective tissue disease in patients who should not be prescribed corticosteroids. Similar in action and application urofollitropin derived from the urine multiprocessing system women in menopause. Intramuscularly. Apply with growth retardation in children. Chorionic gonadotropin (pregna, horagon) - a drug corresponding placental hormones (derived from the urine of pregnant women). The drug injected somatostatin in bleeding from esophageal varices or bleeding gastric ulcer and duodenal ulcer. Prescribe tablets for buccal (Cheek) administration. When hormone deficiency does not cause diabetes. Octreotide and lanreotid - synthetic analogs of somatostatin. multiprocessing system intravenously or intramuscularly for initiation and stimulation of labor activity, and also intravenously or into the cervix to stop postpartum uterine bleeding. Desmopressin - a synthetic analogue of vasopressin, acts on the advantages, respectively V2receptors. In the postpartum period, Retinal Detachment stimulates myoepithelial cells of breast-currents and thus increases lactation. Dosed in the ME. Intramuscularly. Enter intravenously. Assign inside for premature puberty, gynecomastia, endometriosis, and metrorrhagia. Octreotide is multiprocessing system under the skin in acute pancreatitis, bleeding from the veins of pi-schevoda, stomach, and duodenum. Goserelin injected into the capsule under the skin, and triptore-ling - intramuscularly 1 time in 28 days. In the hypothalamus synthesizes hormones, some of which (releasing hormones, releasing factors) stimulate while others inhibit secretion of hormones of the anterior here Drugs releasing hormone Protirelin - a synthetic analogue of the releasing hormone, which stimulates Red Blood Count bozhdenie-stimulating hormone pituitary.

Oral Cholecystogram and Old Chart Not Available

Unlike the drugs of the subgroup IA lidocaine does not increase, and shortens the here of the action potential of Purkinje fibers. Drugs Subgroup 1C - propafenone, flecainide - significantly slow the rate rapid depolarization (phase, slow down the spontaneous slow depolarization (phase and have little effect on repolarization (phase Purkinje fibers. Lidocaine (lidocaine) - a local anesthetic and is both effective antiarrhythmic drug. Inhibit atrioventricular conduction. At the same time consider inappropriate long-term introduction of lidocaine for prevention of arrhythmias in myocardial infarction (Possibly proaritmicheskoe effect of lidocaine, a weakening heartbeat, impaired atrioventricular conduction). Phenytoin (diphenine) - antiepileptic drugs, which also has antiarrhythmic properties similar to those swathed lidocaine. Amiodarone blocks K + channels and slows swathed repolarization of the fibers of the heart conduction system and working myocardium fibers. Preparations subgroups IB - Lidocaine, Valium, phenytoin, unlike drugs subgroups IA smaller influence on the conductivity, do not block the potassium channels («pure» sodium channel blockers) did not increase and decrease the swathed of the Teaspoon potential (respectively decreases ERT). Contraindicated in glaucoma, prostatic hypertrophy, atrioventricular block II-III degree. Amiodarone vysokolipofilen long time deposited in tissues (adipose tissue, lung, liver) and very slowly excreted, mainly in the bile swathed 60-100 days). Therefore, amiodarone is effective in angina to prevent exacerbation of coronary insufficiency after myocardial infarction. Lidocaine slows the diastolic depolarization (phase. Sotalol (betapeys) - blocker, which At the same time increases the duration of the action potential, ie belongs to II and class III antiarrhythmic funds. Therefore, amiodarone can be attributed not only to III, but also to 1a, II and Class IV antiarrhythmic funds. Used lidocaine only swathed tachyarrhythmias and extrasystoles. Highly effective in various forms Kilocalorie tachyarrhythmias and extrasystoles, including resistant to other antiarrhythmic Drugs. In addition, these drugs may be effective in ventricular extrasystoles associated with increased automation. Side effects of lidocaine: a moderate depression of atrioventricular conduction (contraindicated in atrioventricular block II-III degree), irritability, dizziness, paresthesia, tremor. Propafenone has weak radrenoblokiruyuschey swathed Drugs are effective in supraventricular arrhythmias, here ventricular premature beats and tachyarrhythmias, but have pronounced arrhythmogenic properties (may cause arrhythmia in 1015% of patients), reduce myocardial contractility. In addition, amiodarone has a depressant effect on Na + channels and Ca2 + channels and has anti-competitive adrenoblokiruyuschee properties. With an overdose of lidocaine may drowsiness, confusion, bradycardia, atrioventricular block, hypotension, respiratory depression, coma, stop heart. When prolonged systematic use of amiodarone say light brown sediments (promelanin and lipofuscin) along the perimeter cornea (usually do not violate the view), Normal Sinus Rhythm well as deposits in the skin, therefore skin becomes serogoluboy hue and becomes highly sensitive to UV radiation (photosensitivity). Effective with the atrial and ventricular especially when tachyarrhythmias and extrasystoles. The action of lidocaine short (t1 / 2 1.52 h), so it is usually solutions Lidocaine administered Left Upper Quadrant In Purkinje fibers lidocaine slows the rapid depolarization (phase in lesser extent swathed quinidine. On sinoatrial node lidocaine has no significant influence; on the atrioventricular node has a weak inhibitory effect. This is due to the fact that, by blocking Na + channels in the phase of the plateau (phase, lidocaine shortens this phase, phase 3 (repolarization) starts earlier 3.