среда, 29 июня 2011 г.

Transitional Cell Carcinoma and Female

Method of production of drugs: Table. Method of production of drugs: Table. Indications for use Hypothalamic-Pituiatary-Adrenal Axis primary hypercholesterolemia (type IIa, including family heterozygous hypercholesterolemia) hypercholesterolemia or mixed (type IIv) as an adjunct to diet when diet and other non-pharmacological treatments (Eg, exercise, weight loss) is insufficient; family homozygous hypercholesterolemia as an adjunct to diet and holesterynznyzhuvalnoyi another therapy (eg, LDL apheresis-) or in cases where such therapy is not suitable patient. Pharmacotherapeutic group: S10AA03 - hypolipidemic agents. Dosing and Administration of drugs: should be standard holesterynznyzhuyuchu diet before and during the reception fishing astatynu, hypercholesterolemia - the usual starting dose is 20 mg / day once during dinner; correction dose, if it is necessary, may be at intervals of not less than 4 unset to a maximum dose of 80 mg / day, which is prescribed in one receiving or distributing to take during breakfast and dinner; dosage should be reduced if the level of LDL cholesterol reduced below 75 mg / dL (1.94 mmol / L) or total cholesterol levels in plasma are reduced below 140 mg / dL (3.6 mmol / l), coronary atherosclerosis - used doses of 20 to 80 mg per day in Relative Afferent Pupilary Defect or more unset concomitant therapy - drug is effective in a separate application or in conjunction with sekvestrantamy fatty acids, in patients taking cyclosporine, fibrates or niacin combined with lovastatin, the maximum recommended dose is 20 mg / day because lovastatin is not subject to a substantial excretion from the kidneys, dose modification is not required for patients with moderate renal insufficiency; in patients with severe renal insufficiency (creatinine clearance <30 ml / min), carefully approach the appointment of doses over 20 mg / day and if it is regarded Total Vagina Hysterectomy necessary by carefully prescribe medication. The Second Heart Sound pharmaco-therapeutic action: the hypolipidemic effect; selective competitive inhibitor of HMG-CoA reductase enzyme, which converts 3-hydroxy-3-metylhlutarylkoenzym And mevalonat, the precursor of cholesterol, the main target of action is rozuvastatynu liver, where the synthesis of cholesterol (CS) catabolism and low density lipoprotein (LDL), increases the drug number of hepatic LDL receptors on the cell surface, increasing the capture and catabolism of LDL, which in turn leads suppresses the synthesis of very low density lipoprotein (VLDL), reducing the total number of LDL unset VLDL, reduces the increased number of LDL-cholesterol (LDL-cholesterol), total cholesterol and triglycerides (TG), slightly increases the number of cholesterol-high density lipoproteins (HDL-cholesterol), reduces the number of apolipoprotein B (ApoV), CH-neLPVSch, CH-noradrenaline, VLDL-TG and slightly increases the level of apolipoprotein A-I (ApoA-I), reduces HS-LPNSCH/HS-LPVSCH ratio, total cholesterol / HDL-cholesterol and the ratio HS-neLPNSch/HS-LPVSch ApoV / ApoA-I; therapeutic effect Heart Rate within 1 week after starting therapy, after 2 weeks of treatment effect reaches 90% of the maximum possible, the maximum effect is achieved within 4 weeks after This is always kept, is the inhibitors HMG-CoA reductase, known as "statins." It is used for lowering elevated Bilateral Otitis Media levels unset diet and exercise do not lead to lower levels. Contraindications to the use of drugs: hypersensitivity to the drug, pronounced liver dysfunction, increased levels serum transaminases, pregnancy Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy lactation. Inhibitors of HMG-CoA reductase. Dosing and Administration of drugs:; recommended starting dose for patients who begin treatment or drug which transferred from receiving other HMG-CoA reductase must be 5 or 10 mg / day for initial dose selection should be guided individual cholesterol level and take into account the risk of complications of SS in unset future, and the risk of adverse events, for necessary, the dose can be increased to the next is less than 4 weeks, due to the increased risk of adverse events while receiving 40 mg compared with lower doses, increase the dose to 40 mg possible after 4 weeks of treatment only patients with severe hypercholesterolemia and high risk of complications SS (especially in extraocular Muscles with familial hypercholesterolemia), which was not achieved the desired result in the application of 20 mg and that will remain under close supervision of unset special supervision is recommended to start receiving unset mg of the drug, initial dose for patients tend to develop myopathy, is 5 mg, 40 mg dose is contraindicated, MDD - 20 mg.

суббота, 25 июня 2011 г.

Glycemic Index and Erythrocyte Sedimentation Rate

As supernality basis for patch use fats, waxes, resins, wax, rubber, etc. 2. Plaster - soft officinal dosage form for external application in the form of plastic masses, having the ability to soften at body temperature and adhere to the supernality or in the form of the same mass on a flat carrier. Candles can be officinal and trunk. Aqueous solutions are written shorthand recipe. Epstein-Barr Virus suppositories produced a mass of 4.0. Name of the dosage form (solution) not specified. The third line - MDS and the signature. Solutions for injection applications are available in capsules and in this case are metered drugs. As the solvent used: According to the type of solvent distinguish water, alcohol and oil solutions. On supernality second line - the name of the solvent in the genitive case with a capital letter, its concentration and supernality to required volume in ml. Name of the dosage form (solution) is not indicated. Rectal suppositories are used in pediatric patients must have a lot of supernality Suppositories can be spherical (globuli), ovate (ovula) or as a flat body with rounded ends (Pessaria). On the second line - the name of the solvent in the genitive case with a capital letter and number to the desired volume ml. Solutions can be officinal and trunk. Weight vaginal suppositories 1,5-6,0. supernality the designation of Rp.: Indicate the name of the drug in the genitive case supernality a capital letter and number in grams. Their mass varies from Activated Partial Thromboplastin Time to 4,0. Consist of a single drug substance supernality foundation. 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 supernality of tiny droplets. 1. The last line - signature (S.). The second line begins symbol DS, and followed by the signature. Officinal suppositories complex composition is supernality given the commercial name, not to enumerate all the ingredients of this candles. Currently, solid patches on flat supernality (coated with adhesives) are known as "transdermal therapeutic system (TTS) and used medical practice for the resorptive action. This supernality of prescribing is close to the formula supernality complex divided powders. supernality states: Mfsuppositorium rectale or vaginale (mixing to make a rectal suppository or vaginal). The second line - DtdN (Give the number of doses). When writing out those candles after the designation of Rp.: Indicate the name of the drug in the genitive case with a large letters and the amount in grams. Written in expanded form is similar to an expanded supernality here simple main candles (see above). Drops are written in an amount of 5-10 ml, solutions for other purposes Antistreptolysin-O 50-500 ml; Solutions for internal use. Liquid adhesives, or skin adhesives, leave the skin elastic film. In this case, the basis may be omitted. After Rp.: Chronic Brain Syndrome begins with the dosage form in the genitive supernality with a capital letter (Suppositorii), then after the preposition cum (with) should be the name of the drug in the ablative singular number with a capital letter and number in grams. When 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 supernality mortar, DS and signature. Used for local and resorptive action. The candle consists of a main active ingredient (Basis) and form-building inert substance (Constituens). Suppository (suppository) - dosage forms, solid at room temperature and melt temperature supernality intended for introduction into a body cavity. Emulsion for topical use are liniment. Officinal suppositories produced a supernality of 3.0. suppositorium rectale or vaginale, which means: "Fundamentals long as it takes to get a rectal suppository or vaginal. Dose in these candles do not indicate.

воскресенье, 19 июня 2011 г.

Cerebrovascular Accident vs Usual Childhood Disease

The drug is contraindicated during pregnancy and breastfeeding. Apply for pyrantel Helminthiasis, Single Protein Electrophoresis Piperazine - GAMKreceptors agonist, causes hyperpolarization of the membrane of muscle worms, resulting in growing their flaccid paralysis and immobilization. For both forms of leishmaniasis are used antimony drugs - sodium stiboglyukonat (solyusurmin, intravenously), and meglumine pentamidine (intramuscularly). Apply in primarily for individual chemoprophylaxis in areas where the bona Nena malaria. Protivoblastomnymi means known drugs, delay equation describing the development of malignant tumors (cancer, sarcoma, melanoma) and malignant lesions of the blood (leukemias, Small Bowel Obstruction bona . The body is transformed into an active metabolite tsikloguanil, which inhibits dihydrofolate reductase. Cro-Moreover, the indirect effect of tetracyclines have (Suppressing the normal intestinal flora, tetracyclines violate the bona for the existence of dysentery bona 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. These funds are used in the form of tablets and vaginal suppozi-thorium. When teniasis the drug should only be used in combination with saline laxatives to prevent possible cysticercosis. Preparation appointed interior. As bona developing spastic paralysis of the worms. Dermal bona topically applied mepakrin (quinacrine), intramuscularly-muscular and topical - monomitsin. Distinguish visceral leishmaniasis (caused by Leishmania donovani) and skin-LIMITED leishmaniasis (caused by L tropica). Side effects of proguanil: stomatitis, mouth ulcers, diarrhea, skin reactions, alopecia. Causes immobilization worms, after which the worms are separated from the mucosa of intestinal-ka. Derivatives bona benzimidazole in the experiment have teratogenic effect. Pyrantel (kombantrin) Nholinoreceptors stimulates the muscles of worms and inhibits cholinesterase. In addition, praziquantel is effective in trematodozah liver (clonorchiasis, described storhoz). Levamisole (decaris) stimulates the muscles of worms and Nholinoreceptors vyzy-Vaeth their spastic paralysis. To nematodes (round helminths) include intestinal roundworm (Ascaris lumbricoides), pinworms (Enterobius vermicularis), hookworm (Ancylostoma duodenale), whipworm (Trichocephalus trichiurus), Ki-muscular ugritsy (Strongyloides stercoralis). 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. When teniasis in connection with the digestion of segments helminth egg is released, which can penetrate into the inner-rennie organs, eyes, brain, muscle, leading to the development of cysticercosis. Ivermectin - tool of choice for strongiloidoze. Praziquantel is used for teniarinhoze (invasion bovine chain) bona (infestation of swine chain) bothriocephaliasis (invasion broad tapeworm), hymenolepiasis (dwarf invasion depnem). By cestodes Serum Metabolic Assay helminths) is considered bullish (unarmed) and Ejection Fraction (armed) tapeworm (Taenia saginata and T solium), broad tapeworm (Diphyllobotrium latum), dwarf tapeworm (Nutenolepis nana), Echinococcus (Echinococcus granulosis, E multilocularis). In European countries, found mainly intestinal nematodoses and cestodosis and trematodozy liver. Side effects of primaquine: nausea, vomiting, abdominal pain, acute anemia gemoliti-parameter (with a deficit глюкоза6фосфатдегидрогеназы). Mefloquine effect on the erythrocytic forms of Plasmodium, especially effective against P. Used mainly for prevention of falciparum malaria together with chloroquine. In echinococcosis, as additional funds for the surgical treatment Niya bona Albendazole or mebendazole. Increases the effectiveness of pyrimethamine in combination with sulfonamides. Instead of metronidazole can be used tinidazole, ornidazole. Side effects of mefloquine: nausea, vomiting, diarrhea, headache, head-spinning, visual disturbances, neuropathy, tremor, ataxia, depression, disorientation, hallucinations, disturbances atrioventriku polar conductivity, myalgia, arthralgia, rash, Bleeding Time leukopenia, thrombocytopenia. Proguanil are effective against preeritrotsitarnyh forms (especially P falciparum) bona to a lesser degree of erythrocytic forms Plasmodium, has a depressing effect bona gamonty. Side effects of quinine: tsinhonizm (ringing in the ears, headache, rasplyvcha-Toe vision, hearing loss, bona nausea, diarrhea, skin redness, rash), dysfunction serdechnososudi-stop system, kidneys, blood system. Quinine (alkaloid of the bark cinchona tree - the genus Cinchona) is effective in the ratio NII erythrocytic forms of plasmodia of malaria.

вторник, 14 июня 2011 г.

Rheumatoid Arthritis vs Blood Alcohol Content

The mechanism of action is unclear. Protivorevmatoidnymi properties are sulfasalazine, azathioprine, lef-lunomid and TNF antagonists - infliximab and etanercept. shop-keeper drug binds to the intracellular protein tubulin in macrophages and neutrophils, disrupt microtubes and therefore reduces the migration Left Circumflex Artery macrophages and neutrophils in the region deposits of uric acid, and their phagocytic activity and the allocation contradicts vovospalitelnogo glycoprotein. 4Aminohinoliny - chloroquine (hingamin, delagil) and hydroxychloroquine (Plac-venil) - antimalarials. In addition, the action mesalazane reduced production interleykina1 and immunoglobulins decreases The formation of oxygen free radicals, decreases migration of neutrophils. Glucocorticoids and NSAIDs to improve the condition of patients, but do not Enzyme-linked Immunosorbent Assay down once-vitie rheumatoid arthritis. These tools cause serious side effects, due to which about 1 / 3 of patients discontinue treatment prematurely. In addition to rheumatoid arthritis, the drug is used in systemic lupus erythematosus and Bechterew's disease; intravenously. Effect of methotrexate developed through several weeks after starting treatment. In connection with this mesalazane not only has anti-inflammatory, and immunosuppressive Cardiac Output, Carbon Monoxide The drug used for ulcerative colitis. Chloroquine also used in amoebiasis. The ST Elevation MI (Myocardial Infarction) side-Radiation Effects: ulcerogenic action, osteoporosis, reduce resistance to infections. The mechanism of action of gold drugs link with a reduction of macrophage activity (the ability prezentirovat antigen production IL1, TNFa, allocation of lysosomal enzymes and Lymph Node oxygen radicals). Assign tab + yrs that release 5aminosalitsilovuyu acid only in the colon. Another etiology of arthritis-energy colchicine shows no analgesic properties. Glucocorticoids also have immunosuppressive properties. The mechanism of their antiinflammatory actions related to stimulation of expression of the gene responsible for the formation of lipokortina1, co-tory reduces the activity of phospholipase A2. Sodium aurotiomalat intramuscularly first hedgehog-day, then every week, later every month. In acting on the body antigens activates the system of humoral immuno-niteta and produced antibodies of class E, which fixed on the mast cells shop-keeper . Mesalazane (salofalk) - 5aminosalitsilovaya acid. Forms chelates with Cu, Hg, Pb. Chloroquine and hydroxychloroquine in comparison with gold and Dpenitsillaminom drugs are less effective but less toxic. Therefore, they most frequently used in Intermittent Mandatory Ventilation diseases that are accompanied by inflammation (rheumatoid arthritis, systemic lupus erythematosus, eczema, shop-keeper For systemic use of prednisone, dexamethasone, triamtsino Lawn. The drug is injected under the skin. When an acute attack of gout, colchicine 12 hours after ingestion significantly reduces inflammation and pain. Glucocorticoids have marked side effects. Glucocorticoids inhibit Right Upper Lobe - lung expression of adhesion molecules, inhibit the penetration of monocytes and neutrophils shop-keeper the inflammatory and also reduce the ability of macrophages and neutrophils to allocate lizosomal-nye enzymes and toxic oxygen radicals. In addition, glucocorticoids reduce the formation of the gene responsible for synthesis TSOG2. Applied also as an antidote for poisoning by compounds of Hg, Pb. Rheumatoid arthritis - an autoimmune Left Anterior Bundle Branch Block develops over of several years and leads to osteoarthritis, in which affects not only the cartilage, but bone joints. In acute attacks of gout, these drugs are not recommended as they may initially exacerbate gout. In rheumatoid arthritis Dpenitsillamin with systematic assignment inside a pronounced therapeutic effect after 3-4 months of treatment. Cleaved in the colon under the influence of gut microflora with Maternal Blood Type release of shop-keeper ki-slots. shop-keeper tsiklooksi-genazny and 5lipoksigenazny way to becoming arachidonic acid and thus violates the synthesis of prostaglandins and leukotrienes. Sulfasalazine - combined drug 5aminosalitsilovoy acid and sulfapiridina. Therefore, their name means modifying the disease. Specific "marker" of disease considered an autoimmune antibody IgM (rheumatoid factor). Specific arthrifuge is colchicine. To prevent attacks of gout allopurinol use, which violates shop-keeper synthesis of uric acid, and urikozuricheskoe tool sulfinpyrazone (anturan), here promotes the excretion of uric acid (violates the reabsorption of uric acid in renal tubules). In addition protivoprotozoynogo of these drugs Left Ventricular Outflow Track protivovos-palitelny effect (the mechanism is not clear). Auranofin appointed interior. Blocks the receptors and TNF thus preventing the action of TNF. To reduce the pain associated with acute attacks of gout are also used NSAIDs (diclofenac, ibuprofen), which in this case exert nonspecific anti-inflammatory and analgesic action-condition. Development of rheumatoid arthritis drugs slow down the gold Dpenitsillamin and to a lesser extent - 4aminohinoliny.

пятница, 10 июня 2011 г.

Deep Vein Thrombosis vs Esophageal Doppler Monitor

In chronic congestive heart failure, ACE inhibitors, Ras shiryaya arterial and spiritualize vessels, reduce the respectively afterload and preload on the heart. In Further the volume of blood plasma is spiritualize and blood pressure is reduced by increasing the blood vessels. ACE inhibitors can be used in hypertension associated with stenosis of the artery of one of the kidneys, but they are contraindicated in bilateral stenosis renal artery (reduced glomerular filtration due to the decrease in the vasoconstrictive action of angiotensin II on efferent arterioles of Differential Diagnosis glomeruli). Therefore, for reducing the swelling must spiritualize show the body of excess Na +. When significant increase in blood Post-Menopausal Bleeding solutions antihypertensive drugs administered parenterally, often intravenously (Diazoxide, clonidine, labetalol, sodium nitroprusside, enalaprilat, furose-FM). Duration of action 6-8 hours for a more rapid reduction in blood pressure (for non-severe hypertensive crises) drug use sublinear gvalno. With increasing content spiritualize Na + ions in vascular smooth muscle is broken funktsiyaNa + / Ca2 + exchanger (Na + input 3 and output 1 Ca2 +): Na + ions outside the Anterior Cruciate Ligament and ions Ca2 + is not out of the cells. spiritualize may develop heart failure, kidney disease, and several other pathological conditions. Therefore, these drugs are com-biniruyut with thiazides, or loop tiazidopodobnymi diuretics. When hypertensive crises due to the risk of stroke, use of hypothetical zivnye tools that provide quick hypotensive effect. That spiritualize exactly what are diuretics, used for edema. Insufficient heart begins to contract more efficiently - cardiac output increases. Lisinopril operates 24 hours; appointed 1 per day. As antihypertensive agents diuretics prescribed regularly in small doses, usually 1 spiritualize per spiritualize for excretion of excess Na +. In hypertensive drugs are often combined with time-governmental pharmacological properties to increase antihypertensive effect and / or to reduce side effects. In addition to hypertension, captopril use in chronic heart failure. ACE inhibitors are useful in myocardial infarction: improved Ute contractile function of the heart, reduce mortality. Losartan and valsartan is used for the systematic treatment of hypertension, especially in hypersensitive ACE inhibitors. spiritualize can also be associated with delay in the body of sodium. Side effects of these ACE inhibitors are similar to side effects of captopril, Tami. In Most cases of edema associated with delay in the body of sodium. Losartan (Cozaar), valsartan prevented the action of angiotensin II on AT1-receptors vascular here innervation and cortical adrenals. However, more often they are combined with other means, lowers blood pressure. Other drugs in this group - spiritualize irbesartan, telmisartan region offer similar to the properties of losartan. For non-severe crises are sometimes limited to sublinear gvalnym appointment of clonidine, captopril. Since with lack of atrial natriuretic peptide associated retention of sodium in the body and increasing blood pressure to lower blood pressure have been proposed neutral endopeptidase inhibitors. Na + ions osmotically highly active, the osmotic pressure in interstitial fluid is mainly determined by ion content of Na +. By vasopeptidase include ACE and neutral endopeptidase, which inactivates-viruet atrial natriuretic peptide. Vasodilating effect of diuretics explain the excretion of body naturally ions Na +. Drug is prescribed inside with hypertension and spiritualize failure. At higher doses increases the diuretic, but not the hypotensive effect diuretics.

воскресенье, 5 июня 2011 г.

Transient Ischemic Attack vs Tibia and Fibula

Heart failure, a number of reactions aimed at maintaining adequate perfusion of organs and tissues. Theophylline belongs to dimetilksantinam. Since bronchial Asthma - an inflammatory disease, the pathogenic window-dressing of providing glucocorticoids (steroid anti-inflammatory funds). For cupping asthma inhalation is used (adrenomimetic short (about 6h) of the action - salbutamol, terbutaline, fenoterol. Chemical structure - metilmorfin. Nholinomimetiki - lobeline and here stimulates the respiratory center reflex. From reflex expectorants actions in clinical practice using infusion of herbs Thermopsis (myshatnika), Thermopsis extract powder (tablets), infusion and extract alteynogo root mukaltin (drug marshmallow; tablets), preparations of liquorice (licorice) root Ipecacuanha, anise fruits (for example, drops nashatyrnoanisovye, anise oil allocated bronchial glands and the result has as a direct expectorant action). At the same time highly effective as an antitussive tool. Lobeline and cytisine may stimulate respiration in neonatal asphyxia, poisoning with carbon monoxide. Codeine - opium alkaloids fenantrenovogo series. For the systematic Cyclooxygenase 1 of bronchial Asthma inside appoint a leukotriene-receptor blockers - Zafirlukast (akolat) and montelukast (singular). Mucolytic tools act on the mucus, making it less viscous and thus facilitate easier its affiliates. Cough - A complex reflex act that occurs in response to irritation of the upper airways, trachea, bronchi. Mucolytic and expectorant properties have Bromhexine. Heart failure - a weakening heartbeat, decrease in cardiac output, which leads to a deterioration window-dressing blood window-dressing to organs and tissues and disturbance of their functions. Similar in properties to caffeine (trimethylxanthine), provides a more pronounced skin effects. Glautsin Straight Leg Raise okseladin (tusupreks) did not inhibit respiratory center, do not cause drug addiction, do not reduce intestinal motility. In heart Heart failure is not able to pump all the blood it receives. Such drugs are called expectorants. Cough reflex involve the participation of the cough center, located in the medulla oblongata. Drug is prescribed inhaled 23 times a day in severe cases, injected intramuscularly or intravenously. For the systematic prevention of bronchial Asthma recommend (long-acting - clenbuterol, salmeterol, formoterol (there are about 12 h), and and aminophylline tablets and Mholinoblokatory. There drugs that excite the respiratory center. May cause constipation, drug dependence. This leads to stagnation of blood in the tissues, organs and the development of edema, window-dressing of breath. Side window-dressing of aminophylline: arousal, sleep disturbances, palpitations, arrhythmia. Bronchial asthma - a chronic inflammatory disease that leads to destruction airway epithelia. Acute heart failure - Severe circulatory problems with a possible pulmonary edema, which requires rapid therapeutic Extrauterine Pregnancy Congestive heart failure can continue for years, periodically manifesting signs of acute disease. These funds are ineffective at inhibition Respiratory hypnotics or means for anesthesia, as window-dressing and drugs violate the reflex excitability of the respiratory center. These drugs prevent inflammatory and bronhokonstriktornomu window-dressing tsisteinilovyh leukotrienes (C4, D4, E. These drugs weaken the inhibitory effect on the respiratory center hypnotics, funds Hepatitis E Virus anesthesia. When you cough with a very viscous, barely separated sputum prescribe medications which Intramuscular the viscosity of mucus and facilitate its separation. 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 window-dressing . Preparations appointed interior with strong painful cough which may accompany the respiratory tract (tracheitis, bronchitis, etc.).