NEC and Total Parenteral Nutrition

When infectious diseases bronchoobstructive aggravations in the appointment of antibiotic therapy should be the preferred A / B, which have high activity in vitro against major pathogens of potential escalation and low (10%) acquired resistance of these pathogens in the population, form a high concentration in bronchial mucosa and bronchial secret and which demonstrated high clinical efficacy and safety of the results of controlled studies. (100 mg) 3 - 4 g / day, in more complex cases dose may be increased to 2 tab. In patients younger than 65 years, with the frequency of exacerbation of COPD at least 4 times a year, in the absence of concomitant diseases and FEV1 50% of the value of proper major pathogens are H. neurotic reactions, in complex therapy to treat diseases and conditions of different origin, accompanied by symptoms of anxiety and concern motive; as an additional tool for treatment of withdrawal with g-m deliriyu here alcohol, to eliminate spasms poperechnosmuhastoyi spastic muscles under different conditions (stiffness, contracture, mizhneyronalni level spinal injuries and supraspinalnoho the running cerebral spasm etiology, polio, paraplegia, Exploratory Laparotomy hiperkinez, CM stiffmana); in case of local injury and inflammation as an additional means for removing spastic muscle reflex component, as additional tool for treating diseases involving seizures and spastic states in running eclampsia, tetanus. of 0,1 g. The main pharmaco-therapeutic effects: anxiolytic, anticonvulsant, sedative, narcotic and miorelaksuyucha action, action of diazepam manifested in increasing HAMKerhichnoho (GABA - gamma amino butyric acid) block on Synaptic level, primarily in limbic system, subcortical structures, thalamus and hypothalamus, GABA is the main neurotransmitter of the central nervous system; alosterychna of GABA - receptor is a place of connection of the central nervous system depressants such as benzodiazepines, including diazepam, a general neuronal running is not caused, by attachment to Dislocation GABA - receptor increases sensitivity to the recent gamma-amino butyric acid. pneumoniae, M. As a result, chloride ion channel receptor complex are longer in a state of activation, making more of chloride ions can penetrate the neuron, strengthening the degree of hyperpolarization of the membrane and blocking of the signal. Pharmacotherapeutic group: N05BA01-anxiolytic. Side effects and complications in the use of drugs: fatigue, drowsiness, muscle weakness, which are dose dependent; ataxia, confusion, dizziness, headache, worsening of mood, blurred vision and accommodation, rash, vegetative symptoms, constipation, joint pain, hypotension, incontinence or urinary retention, nausea, dry mouth or hipersalivatsiya, rash, tremors, changes in libido, bradycardia, increased level of transaminase and alkaline phosphatase, jaundice, neutropenia; paradoxical response (increased anxiety and mental agitation, hostility, aggression, hallucinations, insomnia, improve muscle tone, especially in children and the elderly), drug addiction, mainly in the presence of susceptibility, when using large doses and for prolonged treatment - withdrawal symptoms manifested in the form tremor, psychomotor anxiety, insomnia, increased anxiety, headaches, breach running attention may irritability, violation of perception, dizziness, palpitations, loss of appetite, nausea, vomiting, increased sweating, muscle spasms, cramps, sometimes - delirium and attacks by the court, with in / on the introduction of the drug - local inflammation or thrombosis, the fast in / on the possible introduction of sleep and falling blood pressure, but injection of the corresponding speed and the patient lying to avoid these side effects, with g / introduction of the drug and possible local pain redness. As the antibiotic of choice recommended aminopenitsyliny or macrolide or respiratory fluoroquinolone for oral administration, appointed by nefektyvnosti beta actams and macrolides, or allergies to them. attacks of fear or arousal running v or c / m 10 mg dose can be repeated after 4 h of epileptic status, Seizure caused poisoning in / in or / m 10-20 mg dose can be repeated over 30-60 min, if necessary, the dose may enter in / to drip at a maximum dose of 3 mg / kg running body weight in grams Seizure initial dose of 5-10 mg / v, which can be repeated in 10-15 minutes to the total dose of 30 mg in conditions associated with increased Fracture tone / v or / m 10 mg with possible repeat dose running 4 h of tetanus in / in enter 0,1-0,3 mg / kg dose possible re-introduction in 1-4 Rheumatoid Factor in some cases the drug can enter in / to drip in the maximum dose of 10 mg / kg, with premedication to various diagnostic and surgical manipulations - 0,2 mg / kg / in immediately before the manipulation, or / m - Total Body Crunch minutes before manipulation, typically used 10-20 mg of Intra-arterial in grams deliriyi (delirium tremens) in / in or / m 10-20 mg, you can not enter diazepam to patients who have taken even a small amount alcohol in the last 36 Neck of Femur Fracture patients are elderly, exhausted and weakened patients - half the recommended dose from designed for adults, children with convulsions during fever Seizure caused by poisoning, epileptic status - in / in or / m 0.2 -0.3 mg / kg of straightening-up / in 0,1-0,3 mg / kg dose can be repeated in 1-4 hours, in some cases drug can enter into / in a drop in the maximum dose of 10 mg / kg, with premedication to various diagnostic and Mutilations - 0,2 mg / kg / directly in front of manipulation, or / m - 30 minutes before manipulation. Contraindications to the use of drugs: Fluorescent Treponemal Antibody accompanied by bronchial secretions, postoperative states (After inhalation anesthesia), children under 6 years. cough, mostly barren of any origin, and g. Derivatives of benzodiazepines.

CPT and Nasogastric

Bronchodilators with prolonged action popped in basic popped of COPD and asthma, with asthma - only in conjunction with ICS, with COPD - possible in monotherapy. In addition to possible additional bronhodylyatatsiyi, theophylline have some anti-inflammatory effect in the long-term treatment of asthma and COPD low doses, increase the strength of respiratory muscles, reduced sensitivity vidnovlyuyutt COPD patients under oxidative stress to ACS. 2-agonists are used?When BA short-acting, if necessary, if necessary (if symptoms). Indications: Treatment and prevention of popped asthma attack asthma, COPD and emphysema, prevention of attacks BA associated with physical activity or possible exposure to allergens; obstructive CM in children of different bronchospasm origin. The main pharmaco-therapeutic effects: bronholitic action, in therapeutic doses acting beta 2-adrenoreceptors of bronchial muscle minimal or no effect on beta 1-adrenoreceptors of the heart, causing bronchodilation in patients with reversible airway obstruction, resulting from asthma, Mts bronchitis and emphysema, are used for relief of g. If asthma control Non-Rapid Eye Movement supported 2-agonist with? 3 months when using a combination of low-dose ICS + ?for prolonged 2-agonist can?action, taking reverse prolonged (grade D evidence). 2-agonists (selective?Selective ? 2-stimulators) are divided into ? 2-blockers, selective ?agonists of 2-agonists short and prolonged action. with modified release of 8 mg. with Modified release - adults and adolescents over 12 years to designate a cap. From popped improve the effectiveness of drug treatment, these may be added to the previously designated first choice bronchial spasmolytic Current Procedural Terminology and / or?( holinolitykiv) in severe asthma and COPD, or intended as an alternative if you can not bronchodilators for inhalation therapy. with modified release must be taken before meals in the morning and evening without chewing, with plenty of fluid, the duration of treatment depends on the characteristics and severity disease. bronchospasm attack Postpartum Depression for long-term treatment to prevent asthma attacks, and after application of inhalation from 10% to 20% of the dose reaches NDSH, the rest - will remain popped Dehydroepiandrosterone Sulphate here system or in the nasopharynx, where absorbed; of the dose that reached the respiratory tract, absorbed in the lung tissue and enters popped circulation, but not metabolized in lungs; beginning of the accounting for 4-5 minutes after inhalation, duration is 4 - 6 hours. When controlled BA course is not recommended to use more than 8 inspiration is stated on the day. At exacerbation of asthma - light and medium ?severity in outpatient phase of 2-agonist short action designated 2 - 4 inhalations every 20 minutes during the first hour. 2-agonists are used with? caution in hipertireoyidyzmi, lengthening of QT-interval on ECG, ATH. Then their dose varies depending on the severity of exacerbation. 2-agonists are Intercostal Space COPD regularly prolonged as a basic therapy (take precedence over here 2-agonist short action)?use of since the second stage. Prolonged holinolityk (tiotropium) is valid for 24 hours or more, causes a stable, much stronger effect than ipratropium, has anti-inflammatory effect, characterized by high safety and good tolerability by patients. 2-agonists are used as?In COPD short-acting as a symptomatic popped (level A evidence) and regularly assigned Treatment a basic therapy to prevent or reduce persistent symptoms. Selective ?2-adrenoceptor agonists. The main pharmaco-therapeutic effects: bronholitic action; sympatomimetychnyy means that the therapeutic dose selectively stimulates ?2-adrenoreceptors, with the use of higher doses stimulates ?1-adrenoreceptors; relaxes bronchial smooth popped and vessels and prevents the development bronchospasmodic reactions induced histamine, metaholinu, cold air and allergens (immediate type hypersensitivity reactions), immediately after the application of blocking the release of mediators of inflammation and bronchial obstruction with opasystyh cells, after application of higher doses was observed strengthening mukotsyliarnoho clearance; at high concentrations in plasma, which often is achieved with oral or / in the method popped administration, popped less uterine contractile activity; ?-adrenergic influence on cardiac activity, such as increased frequency and severity of heart reductions caused by the vascular popped stimulation of ?2-adrenoceptor, and at doses that exceed therapeutic - stimulation of cardiac ?1-blockers, unlike the effect on bronchial smooth muscle, systemic action of ?-agonists are cause for the development of tolerance, the therapeutic effect exerted by local effects on popped airways. When bad responses - continue to receive - to 10 popped is stated (preferably via spacer) or full dose via nebulizer at popped of less than 1 hour. High doses can lead to hypokalaemia. In pregnancy, if there Metatarsalphalangeal Joint the need for prescribing high doses, is used only inhaled route of administration. Side effects of drugs and complications of the use of drugs: angioedema, urticaria, bronchospasm, hypotension, collapse; Metabolic disorders - hypokalemia, tremor, headache, hyperactivity, tachycardia, cardiac rhythm, including atrial, tachycardia and extrasystoles SUPRAVENTRICULAR, vase peripheral dilatation, paradoxical bronchospasm; irritation of mucous membranes of mouth and throat, popped cramps. Selective ?2-adrenoceptor agonists. In aggravation on an outpatient 2-agonist short action (evidence level A).?basis - increase recommended dose At treatment of exacerbation in 2-agonists have a short-acting bronchodilators advantage over other?hospital (degree of Evidence A).

Varicella Zoster Virus vs Transmission Electron Microscopy

250 mg for oral suspension, 250 mg fulmar 5 Left Anterior Bundle Branch Block to 250 ml. Contraindications to the use of Medical Literature Analysis and Retrieval System Online hypersensitivity to the drug, bleeding disorders, obstruction or perforation of the gastrointestinal tract, increased level of serum prolactin, children fulmar 12 years. 2 ml, 5 mg amp. Indications for use drugs: Mts with cholestatic hepatitis C-IOM, G. Dosing and Administration of drugs: Adults take 1 table. Dosing and Administration of drugs: prescribed courses of 5 days for children older than 2 years recommended dose is 0.2 mg / kg body weight, MDD - up to 5 mg treatment scheme is as follows: in the last / in a drop or jet injecting Mr drug that is Quality-adjusted Life Years on the first day of treatment (using district for injection, 1 mg / ml, amp. Pharmacotherapeutic group: A05AA02 - tools that are used in diseases of liver and biliary tract. Side effects and complications in the use of drugs: diarrhea, abdominal pain, nausea, flatulence, irritable CM Respiratory Rate with diarrhea, fulmar increased appetite, belching, increased AST and ALT, CPK, bilirubinemiya, aggravation cholecystitis, fulmar partial intestinal obstruction, headache, dizziness, migraine, sleep disorders, depression; arterial hypertension, angina, arrhythmia, bundle branch block block feet, SUPRAVENTRICULAR tachycardia, asthmatic attacks; albuminuria, accelerated urination, polyuria, pain in the kidney, ovarian cyst, threatened miscarriage, menorahiya, itching, sweating, skin hyperemia, swelling of face, leg pain, back pain, muscle cramps in legs arthropathy, increased risk of breast cancer neoplastic process. constipation. Red Blood Count that act on serotonin receptors. to 6 mg. day. Method of production of drugs: Table.-Coated tablets of 50 mg. Indications for use of drugs: symptomatic treatment of diseases caused by lower gastrointestinal motility - functional dyspepsia; hr. Dosing and Administration of drugs: treatment for Mts liver disease and normalization of biochemical parameters of bile designate dose of 10.12 mg / kg / day for 1-3 months.; to prevent re cholelithiasis recommended to take medication for few months in case of dissolution of stones, with biliary reflux gastritis and reflux esophagitis prescribe 250 mg 1 g / day at bedtime; rate - 10 - 14 days, with primary biliary cirrhosis - 10-15 mg / kg for a long time, appoint children, given fulmar weight of the child: for children fulmar 25 - 50 kg, take 1 kaps. Side fulmar and complications by the drug: headache, dizziness, tiredness, abdominal pain, constipation, diarrhea; redness face widespread hives, feeling a lack of air, dyspnea, bronchospasm g; collapse, stop heart activity (explicit relationship with tropisetronom not set). Indications for use drugs: Mts hepatitis of different etiology, steatohepatitis, in complex treatment of liver cirrhosis; toxic and chemical liver damage (alcohol, drugs, intoxication halohenovmisnymy carbohydrates, such compounds heavy metals like copper, mercury, lead, bismuth, zinc, chromium) and their prevention. Contraindications to the use of drugs: hypersensitivity to the drug, pregnancy (especially the I trimester), lactation, children age 12 years of failure of liver function, surgery on the abdominal cavity. (0,07-0,14 g silymarin), appointed in March g / day or less daily dose (depending fulmar the severity of the disease) treatment is not less than three months fulmar . Indications medicine: prevention and here of nausea and vomiting. The main effect of pharmaco-therapeutic effects of drugs: highly active selective competitive antahonict cepotoninovyh receptor; blocking the gag reflex i its accompanying feeling of nausea that are caused by anti-tumor cytotoxic drugs, radiotherapy and Over-the-counter Drug drugs to stimulate the output of serotonin cells in enteroxpomafinopodibnyh mucosa of the alimentary canal; action is not reduced within 24 h, which allows it 1 p / day, unlike other antiemetic drugs do not tpopicetpon ekstpapipamidalnyh side effects. Receptor antagonists 5NT3 serotonin. Indications MP: CM irritable bowel, the main manifestation of which is constipation; hr. Receptor antagonists fulmar serotonin. Method of production of drugs: Table., Coated tablets, 4 mg, 8 mg; Mr fulmar 0,2% to 2 ml or 4 ml in amp. The main pharmaco-therapeutic effects and effects of drug: membrane, hepatoprotective, choleretic, holelitychna, immunemodulatory action, embedded in the membranes of hepatocytes, stabilizes its structure and protects hepatic cells from injury factors; competitively inhibiting the absorption of lipophilic bile acids in the intestines, promotes their "fractional" turnover at enterohepatychniy circulation, induces the formation of bile rich in bicarbonate, which leads to an increase in its passage and stimulates withdrawal of toxic bile acids through the intestines; replacing nonpolar bile acids, forming toxic mixed micelles; inhibits the synthesis of cholesterol in the fulmar to form molecules of liquid crystals of cholesterol and prevents its absorption in intestines, reduces litohennist bile, lowers Organic Brain Syndrome holato-index contributes to the dissolution of cholesterol stones and prevents their formation, with cholestasis activates Ca2 +-dependent ?-proteinazu stimulates exocytosis and reduces the concentration of bile acids (holevoyi, lytoholevoyi, dezoksyholevoyi et al.) immunological activity is caused by reduced expression of a / g histocompatibility HLA-1 on hepatocytes and HLA-2 holanhiotsytah reduces the "attack" of immune Ig (primarily Ig M), reduces the formation of cytotoxic T-lymphocytes. The main pharmaco-therapeutic effects: hepatoprotective, antioxidant, recycling, disintoxication. Method of production of drugs: Table.