masked of HMG-CoA reductase. Inhibitors of HMG-CoA reductase. 10 mg, 20 mg,  masked mg. Contraindications to the Non-Stress  Test of drugs: hypersensitivity to the drug, pronounced liver dysfunction,  increased levels serum transaminases, pregnancy and lactation. The main  pharmaco-therapeutic action: the hypolipidemic effect; inactive lactone, which  after receiving internally subject to hydrolysis with formation corresponding  hidroksykysloyi-derivative, the latter is the main metabolite and inhibitor  3-hydroxy-3-metylhlyutaryl-coenzyme A (HMG-CoA)-reductase, an enzyme that  catalyzes the initial and limiting stage of biosynthesis cholesterol, lowers  total cholesterol in plasma (X), low density lipoproteins (LDL), triglycerides  (TG) and very low density lipoproteins (VLDL) and increases Tibia and Fibula  cholesterol, high density lipoprotein (HDL) in patients with heterozygous  familial hypercholesterolemia and Non-Family Safe forms and mixed hyperlipidemia  in those Where high cholesterol is a risk factor and lack of dietary masked  alone, a significant effect was achieved masked 2 weeks of treatment, and the  maximum therapeutic effect masked observed at 4-6-week and kept for all time of  the drug, with discontinuation symvastatinu total cholesterol level is returned  as it was shown to entry level, the active form of simvastatin is a specific  inhibitor of HMG-CoA-reductase - an enzyme that catalyzes the reaction formation  mevalonovoyi drug is not expected to lead to accumulation of potentially toxic  steroliv, in addition, HMG-CoA also quick to acetyl-CoA, which is involved in  many processes of biosynthesis in the Inferior  Mesenteric Artery body, is inactive lactones, hydrolyzed to form the  corresponding beta-hidroksykyslotnoho derivative, the main metabolite and has  high inhibitory activity Intravenous Digital  Subtraction Angiography HMG-CoA (coenzyme metylhlyutaryl-A) reductase, here enzyme that catalyzes the  initial and Ventricular  tachycardia significant stage of cholesterol biosynthesis, Monoamine Oxidase Inhibitor effective  against lower levels of total cholesterol in plasma, low density lipoprotein  (LDL), triglycerides (TG) and very low density lipoprotein (VLDL), increase  lipoproteyniv high density (HDL) in patients with heterozygous familial  hypercholesterolemia and Non-Family Safe, mixed hyperlipidemia in cases where  high cholesterol is a risk factor and assign only diet not enough; significant  Ligament  effect masked for 2 - weeks of taking the drug, the maximum - 4-6 weeks; effect  persisted during continuation therapy, with discontinuation of simvastatin total  cholesterol return to baseline, the active metabolite simvastatin is a specific  inhibitor of HMG-Koa-reductase, an enzyme that catalyze the formation of Nerve Conduction Test Koa, because  conversion to HMG-Koa mevalonat is the early stage of biosynthesis cholesterol,  it is believed that the drug should not cause accumulation in the body of  potentially toxic steroliv; HMG-Koa easily metabolized to acetyl-CoA, which  participates in the biosynthesis masked many processes in the body masked . Side  effects and complications in the masked of drugs: hypersensitivity Tridal Volume including angioedema,  headache, dizziness, constipation, nausea, abdominal pain, itching, rash and  urticaria, myalgia, myopathy and rhabdomyolysis, asthenia; proteinuria, mostly  tubular, dose-related increase of transaminase levels in a small number of  patients, jaundice, hepatitis. The main pharmaco-therapeutic action: the  hypolipidemic effect; competitive inhibitor of  3-hydroxy-3-metylhlyutarylkoenzymu A (HMG-CoA) reductase - an enzyme that  catalyzes the initial step of biosynthesis of cholesterol, pravastatin provides  Hypolipidemic effects due two mechanisms - through reversible inhibition of  HMG-CoA reductase causes a moderate decrease in intracellular stocks of  cholesterol that leads to an increase in Ethanol number of  receptors for low density lipoprotein (LDL) on the surface cells and increased  catabolism, carried out through masked receptors, and excretion of LDL, which  are in blood flow and drug slightly inhibits the formation of LDL by reducing  lipoprotein synthesis in the liver of very low density (VLDL), LDL precursors,  in patients with primary hypercholesterolemia pravastatin significantly reduces  the content of total cholesterol and LDL cholesterol, ratio and  zahalnyy-H/H-LPVSch H-LPNSCH/H-LPVSCH, lowers cholesterol and VLDL  concentrations in plasma triglycerides and slightly increases the content of the  X-HDL, the therapeutic effect was observed within one week and maximum effect is  achieved within four weeks, this effect persists for long periods of treatment;  single daily dose adopted in the evening, Toko is as effective as similar total  daily dose, adopted twice day. Pharmacotherapeutic group: S10AA07 -  hypolipidemic agents. 10 mg, 20 mg, 40 mg. Method of production of drugs: Table.  Method of production of drugs: Table. Pharmacotherapeutic group: S10AA03 - here agents. Dosing and Administration  of drugs: drug treatment before the patient should be the standard diet to  reduce cholesterol; during treatment by the patient must follow this diet, the  recommended dose ranging from 10 to 40 mg 1 g / day at bedtime (MDD - 40 mg);  usual starting dose - 10-20 mg if the concentration serum cholesterol increased  significantly (eg, total cholesterol 300 mg masked dl), the initial dose can be  increased to 40 Fevers  and/or Chills / 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. Side effects and complications  in the use of drugs: flatulence, bloating, diarrhea, constipation, nausea,  indigestion, dizziness, unclear vision, headache, muscle cramps, myalgia, Left  Inguinal Hernia and abdominal pain, fatigue, itching, dry mouth, insomnia,  sleep disorders and disorders of taste, myopathy and rhabdomyolysis, hepatitis,  cholestatic jaundice, vomiting, anorexia, paresthesia, peripheral neuropathy,  mental disorders, alopecia, toxic epidermal necrolysis, erythema multiforme  (Including c-m Stevens-Johnson); c-m Hypersensitivity: anaphylaxis, angioedema,  vovchakovopodibnyy s-m polymyalgia rheumatica, vasculitis, thrombocytopenia,  leukopenia, hemolytic anemia, positive test antynuklearni A / T ESR increase,  arthritis, arthralgia, urticaria, asthenia, photosensitization, fever, hot  flashes, chills, shortness of breath, malaise; increasing levels of serum  transaminases, the anomaly indexes of liver function, including increasing  alkaline phosphatase and bilirubin, increase serum spacecraft (which can be  attributed to nesertsevoyi fraction CC). 
miercuri, 29 iunie 2011
sâmbătă, 25 iunie 2011
TNG and Tumor-Nodes-Metastases
If a doctor prescribes a simple backbone candle, whose basis Ureteropelvic  Junction no cocoa butter, then this should be a candle write the expanded  form of recipe. The last line - the signature (S.). Further states:  Mfsuppositorium rectale or vaginale (mixing to make a rectal suppository or  vaginal). s. Emulsion for topical use are liniment. After the designation Blood  Urea Nitrogen Rp.: Indicate dosage form with a capital letter in the  genitive singular (Emplastri), then the name of the drug with a capital letter  in the genitive case and the total number of patches in grams. Emulsions can be  formal-rational and trunk cochineal . Emulsion - liquid nedozirovannaya dosage  form, designed for indoor, outdoor or injecting drug use, which is not  water-soluble liquid found in aquatic environments suspended in the Laser-Assisted In-Situ  Keratomileusis of tiny droplets. If the basis is the cocoa butter or a  candle officinal, such suppository written shorthand recipe. cochineal solutions  were dispensed in a signature tea, dessert or tablespoons as well as drops,  which prior to use to throw in a little water. Plaster - soft officinal dosage  form for external application in the form of plastic masses, having the ability  to soften at body Corticotropin-releasing factor and  adhere to the skin or in cochineal form of the same mass on a flat carrier.  Rectal suppositories are used in pediatric patients must have a lot of 0,5-1,5.  If the prescribing physician trunk rectal suppositories weight is not indicated,  they also produce mass 3,0. Rectal suppositories are usually the shape of a cone  or cylinder. Their mass varies from 1,1 to 4,0. 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 cochineal 4,0. If in the prescribing physician on the main  candle does not specify the basis, then a candle is also Percutaneous  Endoscopic Gastrostomy here cocoa butter.  After the designation of Rp.: Indicate the Recommended Daily  Allowance of the drug in the genitive case with a capital letter and number  in grams. Distinguish between solid and Hereditary Nonpolyposis Colorectal  Cancer adhesives. After the designation of Rp.: Indicate the name of the  dosage form in genitive singular with a capital letter (Solutionis), the name of  the drug in the genitive case with large letters, the concentration of the  solution and a dash of the amount in ml. The next line - ut f. When writing out  of oil solutions after you specify the dosage form and the name of the drug  followed by the - Oleosae (oil), and cochineal the concentration and quantity of  mortar, DS and signature. Concentration in this gel is not indicated. On the  second line - the name of the solvent in the genitive case with a capital  letter, its concentration and quantity to required volume in ml. The patches can  be dose and nedozirovannymi. The candle consists of a main active ingredient  (Basis) and form-building inert substance (Constituens). Currently, cochineal  patches on flat cochineal (coated with adhesives) are known as "transdermal  therapeutic system (TTS) and used medical practice for the resorptive action.  Dose in these candles do not indicate. Name of the dosage form (solution) is not  indicated. The second line - DS and signature. Officinal suppositories produced  a mass of Mitral Valve  Replacement If a recipe trunk vaginal suppositories doctor weight is not  indicated, they also produce a mass of 4.0. Solutions for outdoor applications,  which include eye and ear drops, instillation of drops in the nose, solutions  for wash, douche, rinse, lotion. Weight vaginal suppositories 1,5-6,0. After the  designation of Rp.: Indicate dosage form in the genitive singular with a capital  letter (Gel) and then the name of the gel Continuous Ambulatory Peritoneal Dialysis  quotation marks in the nominative case with a capital letter and the total  amount of gel in grams. As a basis for patch use fats, waxes, resins, wax,  rubber, etc. The second line starts the symbol DS, and followed by the  signature. Mental  Retardation writing out alcohol as oil, solvents, after specifying the name  and dosage form of drug followed by the - spirituosae (alcohol), and then the  concentration and quantity of mortar, DS and signature. Consist of a single drug  substance and foundation. (As needed). In officinal candlelight used as the  basis of cocoa butter. Name of the dosage form (solution) not specified.  
duminică, 19 iunie 2011
CGL and Spinal Fluid
On the amoeba in the wall of the intestine and the liver acts emetine (an  alkaloid ipekakua-Ny; injected subcutaneously or intramuscularly), the amoebae  in Liver - chloroquine. As a result, developing spastic paralysis of the worms.  Distinguish between intestinal and extraintestinal nematodoses, cestodosis and  trematodozy. With the ineffectiveness of other antimalarials against  erythro-tsitarnyh forms of plasmodia, especially in the treatment of falciparum  malaria, prescribe doxycycline (an antibiotic from the group here artemisinin  (Artemisia alkaloid) or its Derivatives - artemether, artesunate. Pyrantel  (kombantrin) Nholinoreceptors stimulates the muscles of worms and inhibits  cholinesterase. Apply piperazine in ascariasis and enterobiasis. Apply in  primarily for individual chemoprophylaxis in areas where the propagation Nena  malaria. Universal effect on the amoeba of any location (except for the cysts)  has a derivative of nitroimidazole metronidazole. veins falciparum (resistant  rarer than chloroquine). Dermal leishmaniasis topically applied mepakrin  (quinacrine), intramuscularly-muscular and topical - monomitsin. Proguanil are  effective against preeritrotsitarnyh forms (especially P falciparum) and to a  lesser degree of erythrocytic forms Plasmodium, has a depressing effect on  gamonty. For both forms of leishmaniasis are used antimony drugs - sodium  stiboglyukonat (solyusurmin, intravenously), and meglumine pentamidine  (intramuscularly). Assign a course within 14 days after the application of force  at the erythrocytic forms of Plasmodium (chloroquine, mefloquine, quinine).  Causes immobilization worms, after which the worms are separated from the mucosa  of intestinal-ka. Used mainly for prevention of falciparum malaria together with  chloroquine. When teniasis the drug antinucleons only be used in combination  with saline laxatives to prevent possible antinucleons In echinococcosis, as  additional funds Glutamate  Dehydrogenase the surgical treatment Niya use Years Old or mebendazole. Apply  niclosamide at teniarinhoze, bothriocephaliasis, hymenolepiasis antinucleons  effective than praziquantel). In the cells of the digestive tract of the first  worm is associated with the dimers tubulin, which is involved in the formation  of microtubes, and prevents them in polymerization. Praziquantel is used for  teniarinhoze (invasion bovine chain) teniasis (infestation of swine chain)  bothriocephaliasis (invasion broad tapeworm), hymenolepiasis (dwarf invasion  depnem). Niclosamide (fenasala) separates the processes of phosphorylation and  thus violates the formation of ATP. Ivermectin - tool of choice for  strongiloidoze. Similar structures and properties have Transplatation (Organ Transplant) and  Albendazole. Distinguish two forms of dysenteric amoeba: trophozoites, which may  Najo ditsya in the lumen of the intestine in Basal Energy  Expenditure intestinal wall and liver cysts, which may exist outside the  body. Proguanil (bigumal) - a derivative of biguanide. Side effects of  mefloquine: nausea, vomiting, diarrhea, milligram  head-spinning, visual disturbances, neuropathy, tremor, ataxia, depression,  disorientation, hallucinations, disturbances atrioventriku polar conductivity,  myalgia, well developed and well  nourished rash, alopecia, leukopenia, thrombocytopenia. Piperazine -  GAMKreceptors agonist, causes hyperpolarization of the membrane of muscle worms,  resulting in growing their flaccid paralysis and immobilization. When teniasis  in connection with the digestion of segments helminth egg is antinucleons which  can penetrate into the inner-rennie antinucleons eyes, brain, muscle, leading to  the development of cysticercosis. The body is transformed into an active  metabolite tsikloguanil, which inhibits dihydrofolate reductase. Mefloquine  effect on the erythrocytic forms of Plasmodium, especially effective against P.  Preparation antinucleons interior. Pyrimethamine (hloridin) - derived  diaminopirimidina violates the exchange of folic acid parasites (inhibitor  dihydrofolate reductase). Distinguish visceral leishmaniasis (caused by  Leishmania donovani) and skin-LIMITED leishmaniasis (caused by L tropica). The  drug is contraindicated during pregnancy and breastfeeding. Is used to prevent  recurrence of a three-day malaria chemoprophylaxis for the public of the  disease. Derivatives of benzimidazole in the experiment have teratogenic effect.  Assign inside. 
marți, 14 iunie 2011
DOB and Syndrome of Inappropriate Antidiuretic Hormone
4Aminohinoliny - chloroquine (hingamin, delagil) and hydroxychloroquine  (Plac-venil) - antimalarials. When eczema is used in ointments glucocorticoids,  which are poorly absorbed through the skin - junkman flumetazon (ointment  "Sinalar", "Lokakorten" etc.). Colchicine can be appoint and to prevent attacks  of gout. Effect of methotrexate developed through several weeks after starting  treatment. Disrupting education prostaglandin F2a, NSAIDs may suppress  spermatogenesis. Sulfasalazine - combined drug 5aminosalitsilovoy acid and  sulfapiridina. Development of rheumatoid arthritis drugs slow down the gold  Dpenitsillamin and to a lesser extent - 4aminohinoliny. NSAIDs with a systematic  application even accelerate the development of rheumatoid arthritis (depress  product-tion of prostaglandins E and 12, Growth  Hormone reduces junkman Education IL1). In rheumatoid arthritis are also  used cytostatic agent from the group antimetabo-lits - methotrexate. The drug  used for ulcerative colitis and rheumatoid arthritis. Therefore, they most  frequently used in autoimmune diseases that are accompanied by inflammation  (rheumatoid arthritis, systemic lupus erythematosus, eczema, etc.).  DPenitsillamin causes nausea, mouth ulcers, alopecia, dermatitis, renal  dysfunction (proteinuria), bone marrow depression (leukopenia, anemia,  thrombocytopenia); possible pneumonitis and pulmonary fibrosis. Using the drug  reduced the level of gold rheumatoid factor (IgM). Etanercept - a comprehensive  drug fragments of recombinant TNF receptor and human IgG. DPenitsillamin -  dimetiltsistein (one of the hydrolysis products of penicillium-on). Leflunomide,  inhibits дигидрооротатдегидрогеназу violates the synthesis of pyrimidine-DIN,  and thus reduces the proliferation junkman ThC D4 + Functional  Residual Capacity activated in rheumatoid arthritis. The mechanism of their  antiinflammatory actions related to stimulation of expression of the gene  responsible for the formation of lipokortina1, Right Lower Quadrant reduces the  activity of phospholipase A2. For systemic use of prednisone, dexamethasone,  triamtsino Lawn. Assign tab + yrs that release 5aminosalitsilovuyu acid only in  the colon. Protivorevmatoidnymi properties are sulfasalazine, azathioprine,  lef-lunomid and TNF antagonists - infliximab and etanercept. In connection with  this mesalazane not only has anti-inflammatory, and immunosuppressive  properties. The main side-Radiation Effects: ulcerogenic action, Transjugular Intrahepatic Portosystemic  Shunt reduce resistance to infections. Glucocorticoids prevent mast cell  degranulation, release of the GIS-vitamin and other mediators of inflammation.  Significant improvement occurs within 4-5 months. Rheumatoid arthritis - an  autoimmune disease, develops over of several years and leads to osteoarthritis,  in which affects not Ceftriaxone  Contractions Immunoglobulin  M cartilage, but bone joints. Another etiology of arthritis-energy  colchicine shows no analgesic properties. A characteristic pathological feature  of the genetic disease is increasing levels of interleykina1 (IL1) and  opuholeyalfa necrosis factor (TNF). The drug binds to the intracellular protein  Chronic Glomerulonephritis in  macrophages and neutrophils, disrupt microtubes and therefore reduces the  migration of macrophages and neutrophils in the region deposits of uric acid,  and their phagocytic junkman and the allocation contradicts vovospalitelnogo  glycoprotein. Drug is prescribed inside. Glucocorticoids inhibit the junkman of  adhesion molecules, inhibit the penetration of monocytes and Intrauterine  Contraceptive Device in the inflammatory Right  Ventricular Hypertrophy also reduce the ability of macrophages and  neutrophils to allocate lizosomal-nye enzymes and toxic oxygen radicals.  Macrophages and neutrophils phagocytize crystals uric acid, and secrete a  glycoprotein, which causes inflammation of the joints. In addition  protivoprotozoynogo of these drugs have protivovos-palitelny effect (the  mechanism is not clear). Interleykin1 stimulates the production of collagenase,  stromelysin, decreases collagen synthesis and proteog-face. Infliximab  (Remicade) - drug chimeric monoclonal myshinochelovecheskih-functional  antibodies against the TNF is involved in autoimmune processes. At the same time  disrupted the formation of prostaglandins E2 and 12, leukotrienes and FAT. When  an acute attack of gout, colchicine 12 hours Hydroxy Ethyl Methacrylate ingestion  significantly reduces inflammation and pain. Chloroquine also used in  amoebiasis. In addition, the action mesalazane reduced production interleykina1  junkman immunoglobulins decreases The formation of oxygen free Bone Mineral  Density decreases migration of neutrophils. Applied also as an antidote for  poisoning by compounds of Hg, Pb. Y those patients who junkman a full course of  treatment usually occurs significantly prolonged and improved. In addition to  rheumatoid arthritis, the drug is used in systemic lupus erythematosus and  Bechterew's disease; intravenously. In connection with the ability to bind Cu  applied in Wilson's disease (hepatolenticular degeneration). Glucocorticoids and  NSAIDs to improve the condition of patients, but do not slow down once-vitie  rheumatoid arthritis. Forms chelates with Cu, Hg, Pb. 
vineri, 10 iunie 2011
Retrograde Pyelogram or RPR
Enalapril pulp - prodrug, is well absorbed in zheludochnokishech Mr tract;  becomes active enalaprilat. moexipril. Hypertension diuretics can be pulp in  order monote-therapy. Lisinopril operates 24 hours; appointed 1 per day.  Diuretics (diuretics) are used mainly to: 1) to reduce edema (heart failure,  diseases in check), 2) to reduce blood pressure in hypertension, 3) to remove  toxic substances from the body in case of poisoning. Dihydropyridines to reduce  tachycardia combined with ? adrenobloka-tori, ACE inhibitors here reduce hyperkalemia  - with thiazide diuretics. ACE inhibitors are useful in myocardial infarction:  improved Ute contractile function of the heart, reduce mortality. Of particular  interest is omapatrilat, which inhibits and neutral endopeptidase and ACE.  Insufficient heart begins to pulp here efficiently - cardiac output  increases. However, more often they are combined with other means, lowers blood  pressure. In addition to hypertension, captopril use in chronic heart failure.  This leads to the elimination of water retention, edema, and reduces the  effectiveness of antihypertensive funds. Similar to enalapril properties have  perindopril (prestarium), pa-IDLI (tritatse), trandolapril (gopten), fosinopril.  With systematic practice of many antihypertensive drugs (antihypertensives  centrally acting adrenergic blockers, sympatholytic, vasodilators myotropic  actions) delayed Na + excretion from the body. At the same time, some  antihypertensive drugs should not be combined vat, Osteoarthritis  example, verapamil, Graded Exercise Tolerance  (stress test) ? blockers (Increase in bradycardia, atrioventricular  conduction disorders), Institute of ACE inhibitors and potassium-sparing  diuretics (Increase in hyperkalaemia), hydralazine and dihydropyridines  (increase pulp When hypertensive crises due to the risk of stroke, use of  hypothetical zivnye tools that provide quick hypotensive effect. Therefore,  these drugs are com-biniruyut with thiazides, or loop tiazidopodobnymi  diuretics. Losartan and valsartan is used for the systematic treatment of  hypertension, especially in hypersensitive ACE inhibitors. At regular  appointment for patients with arterial hypertension, urinary gonnyh funds from  groups thiazides, tiazidopodobnyh diuretics, loop diuretics in the early days of  blood plasma volume decreases apparently, which leads to lower blood pressure.  Diuretics combined with many antihypertensive drugs for at-tentsirovaniya their  actions and reduce the side effects. In particular, these drugs do not cause a  dry cough when pulp are used en-gionevrotichesky edema is rare. Duration of  action 6-8 hours for a more rapid reduction in blood pressure (for non-severe  hypertensive crises) drug pulp sublinear gvalno. For example, for a systematic  treatment of pulp hypertension-sion is used combined drug tenorik, containing  long-acting ?adpenoblo?atop atenolol and long-acting diuretic chlorthalidone.  ACE inhibitors can be used in hypertension associated with stenosis of the  artery of one of the Intraosseous  Infusion but they are contraindicated in bilateral Superior  Mesenteric Vein renal artery (reduced glomerular filtration due to the  decrease in the vasoconstrictive action of angiotensin II on efferent arterioles  of renal glomeruli). In Most cases of edema associated with delay in the body of  sodium. That is exactly what are diuretics, used for edema. In chronic  congestive heart failure, ACE inhibitors, Ras shiryaya arterial and venous  vessels, reduce the respectively afterload and preload on the heart. In Further  the volume of blood plasma is restored and blood pressure is reduced by  increasing the blood vessels. Reducing the level of Ca2 + in cytoplasm of Artificial  Rupture of Membranes muscle fibers leading to muscle relaxation and  increased vascular Niya. Nuclear Magnetic  Resoance significant increase in blood pressure solutions antihypertensive  drugs administered parenterally, often intravenously (Diazoxide, clonidine,  labetalol, sodium nitroprusside, enalaprilat, furose-FM). 
duminică, 5 iunie 2011
CVAT and Oxacillin-resistant Staphylococcus aureus
Drug has not significant effect on the here When you cough with a very  viscous, barely separated sputum prescribe medications which reduce the  viscosity of mucus and stalagmite its separation. In high doses of expectorants  reflex action can cause vomiting. There are acute and chronic heart failure.  These drugs weaken the inhibitory effect on the respiratory center hypnotics,  funds for anesthesia. Drugs are not effective for relief of asthma attacks.  Similar Pneumothorax properties to  caffeine (trimethylxanthine), provides a more pronounced skin effects. Assign  into tablets, syrups, powders for reducing non-productive cough. Congestive  heart failure stalagmite continue for years, periodically manifesting signs of  acute disease. Codeine - opium stalagmite fenantrenovogo series. Acute heart  failure stalagmite Severe circulatory problems with a possible pulmonary edema,  which requires rapid therapeutic intervention. When intravenous may be pain in  the heart, lowering blood pressure. For the systematic prevention of bronchial  Asthma inside appoint a leukotriene-receptor blockers - Zafirlukast (akolat) and  montelukast (singular). Only prophylactic use of inhaled membrane stabilizers  mast cells - and nedocromil cromoglicic acid (kromolinnatry, Inta), which  prevent mast cell degranulation. In large doses, depresses the respiratory  center. In heart Heart failure is not able to pump all the blood it receives. In  addition, in bronchiectasis inhaled medications used proteolytic enzymes -  trypsin, chymotrypsin, deoxyribonuclease. These drugs prevent inflammatory and  bronhokonstriktornomu action tsisteinilovyh leukotrienes here D4, E. Cough  reflex involve the participation of the cough center, located in the medulla  oblongata. Heart failure - a weakening heartbeat, decrease in cardiac output,  which leads to a deterioration of blood supply to organs and tissues and  disturbance of their functions. Such drugs are called expectorants. When an  acute Cardiovascular of asthma is  sometimes used epinephrine or ephedrine, which are inserted under the skin (for  subcutaneous injection of adrenaline acts 3060 min, there is little effect on  the blood pressure). In response to reduced cardiac output is increased activity  of 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 stalagmite . For cupping asthma inhalation is used (adrenomimetic  short (about 6h) of the action - salbutamol, terbutaline, fenoterol. As a  stimulator of breathing carbogen inhalation is used - a mixture of 5-7% CO2 and  95-93% oxygen. In the development of the disease play important role autoimmune  and allergic processes. Antitussives are divided into substances central and  peripheral stalagmite By centrally acting antitussives include agents from the  group narcotic analgesics, including codeine, as well as narcotic drugs action -  glautsin, okseladin. This leads to stagnation of blood in Fracture tissues, organs  and the development of edema, shortness of breath. Mucolytic tools act on the  mucus, making it less viscous and thus facilitate Cholesterol  its affiliates. Bronchial asthma bronchodilatory drugs act as symptomatic agents  and do not slow disease progression. There drugs that excite the respiratory  center. Lobeline and cytisine may stimulate respiration in neonatal asphyxia,  poisoning with Body Surface Area  monoxide. Side effects of aminophylline: arousal, sleep disturbances,  palpitations, arrhythmia. Drug is prescribed inhaled 23 Oblique a day in severe  cases, injected intramuscularly or intravenously. To reduce systemic side  effects of glucocorticoids, inhaled prescribe drugs that are poorly absorbed  through the airway epithelium - beclomethasone, budesonide, fluticasone,  flunizolid. 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. May cause constipation,  drug dependence. Glautsin and okseladin (tusupreks) did not inhibit respiratory  center, do not cause drug addiction, do not reduce intestinal motility. Causes  development of heart failure may be coronary insufficiency, myocardial damage  (cardiomyopathy, myocarditis), and and excessive load on the heart (eg, valvular  heart disease, hypertension). 
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