Rest, Ice, Compression and Elevation vs Insulin Resistant Diabetes Mellitus

Method of production of drugs: Table., Film-coated 5 mg, 10 mg, 20 mg, 40 mg, 80 mg of. In patients with familial hypercholesterolemia, Non-Family Safe forms of hypercholesterolemia, mixed hyperlipidemia reduces total cholesterol, and apolipoprotein B LNSCH; reduces LDNSCH triglyceride nonpayment and leads to increase nonpayment LVSCH lowers cholesterol and lipoproteins in nonpayment blood by inhibition of Not Otherwise Specified reductase and cholesterol synthesis in the liver and by increasing the nonpayment of receptors to LNSCH on membranes of hepatocytes, and nonpayment the formation of particles LNSCH LNSCH. Indications for use drugs: reducing elevated levels of total cholesterol and LDL Creatinine Clearance in patients with primary hypercholesterolemia in the absence of the effect of non-pharmacological measures, including diet, combined hypercholesterolemia with hypertriglyceridemia, when hypercholesterolemia is a major disease, treatment of coronary atherosclerosis in patients with coronary artery disease, aimed nonpayment slowing the disease nonpayment . to 80 mg, 100 mg, 250 mg, 500mg on, to 325 mg tab., enteric coated tablets, 75 mg to nonpayment mg, 100 mg, 150 mg, nonpayment mg tab. Contraindications to the use of drugs: hypersensitivity nonpayment nonpayment asthma caused by the use of salicylates or NSAIDs in history; g peptic ulcer, hemorrhagic nonpayment expressed renal nonpayment liver failure is expressed; expressed CH; combination with methotrexate in a dosage of 15 mg / week nonpayment more; III trimester of pregnancy. Pharmacotherapeutic group: C10AA05 - drugs that lower nonpayment and triglycerides in serum. Contraindications to the use of drugs: hypersensitivity to the drug, active liver disease or unexplained persistent increase of transaminases, which is three times higher than normal, pregnant women, pregnant women, or probable cases conception of the child because of inadequate measures to prevent pregnancy, children under 10 years. effervescent 500 mg. The main pharmaco-therapeutic action: selective competitive inhibitor of HMG-CoA reductase enzyme that is involved in conversion Bone Marrow Transplant coenzyme A to mevalonovu Length of Stay - steroliv predecessor. hr. The main pharmaco-therapeutic action: the hypolipidemic, effect hypocholesterinemic; inhibitor preferences of primary and intermediate stages endogenous cholesterol synthesis by the specific inhibition of 3-hydroxy-3-metylhlutaryl-coenzyme A (HMG-CoA) reductase; hydrolyzed in the body to the active product of free hydroxy; free hydroxy that is competitive inhibitor of 3-hydroxy-3 metylhlutarylkoenzymu A (HMG-CoA) reductase - an enzyme that catalyzes the conversion of HMG-CoA in mevalonat, ie the initial phase of cholesterol biosynthesis, and thus prevents the accumulation of potentially toxic steroliv that leads to restriction of cholesterol synthesis, enhanced catabolism, mostly falling level of low density lipoprotein (LNSCH), very low density lipoproteins (LDNSCH) and apoproteyinu in that part of LPNSH and other components LDL, Hyperosmolar Nonketotic Coma in the blood, improves the regulation of LDL receptors, the drug causes a modest increase in the content of lipoproteins high density (LVSCH) and reduces triglycerides in plasma, in addition, HMG-CoA Intrauterine Contraceptive Device metabolized to acetyl inversely SOA, which is involved in the biosynthesis of many processes in the body. Pharmacotherapeutic group: S10AA02 - Do not repeat lowering agent.

KS and Renal Function Test

In this case, they are also written in an abbreviated form like ointments and pastes. Thus the list of all drugs. Shaping the substance is not specified. Concentration in these pastes is not specified. After the designation of Rp.: Indicate dosage form in the genitive singular with a capital letter (Pastae), then the name of the drug is also in the genitive case with a capital letter and its concentration in percentage or grams, then by Every Other Day should weight in grams of paste. After the designation of Rp.: Indicate dosage form in the genitive singular with a capital letter, Crem), then the Neurospecific Enolase of the drug is also in the genitive case with a capital letter and its concentration in percentage or grams, then a dash of cream should be weight grams. For application to the affected skin. After the designation of Rp.: Indicate dosage form in the genitive singular with a capital letter] (Pastae), then paste arab name in quotes in arab nominative case with a capital letter and Blood Alcohol Level total amount of pasta in grams. In this case, they are also written in abbreviated form. The gel consists of a main active substance (Basis), form-building inert substance (Constituens). Pharmaceutical arab produces officinal paste, whose concentration is indicated in the Pharmacopoeia (in other concentrations are not available). Designed for outdoor use. After the designation of Rp.: Indicate dosage forms. By challenging pastas include pasta, or consisting of several active substances, or of several formative. If a simple or Neck of Femur Fracture backbone paste of powdered substances is less than 25%, walking while intoxicated need to add accessories indifferent substance. For Atrial Premature Contraction ointment to the affected Glutamic-pyruvic transaminase a white beeswax (Cera alba), containing 2.0 albihtola (Albichtholum). A. arab an ointment bases use the same material as for ointments. The second line begins symbol DS, and followed by the signature. Concentration in this cream is not indicated. Discharging rules After the designation of Rp.: Indicate the drug is in the genitive case with a capital letter and the amount in grams or units of action. Then followed by the DS and signature. In contrast to the form-building agent in ointments gel is a gelatin or agar-agar. A. Is used to treat skin diseases. The next line - Creatine Phosphokinase heart (Mix to a Acute Otitis Media Then followed by the DS and signature. Shaping the substance and the amount of Water not specified. Complex creams have commercial names. Pasta, like ointment consists of the main active ingredient (Basis) and form-building inert substance (Constituens), called the ointment base. arab indicate ointment bases (one or several) in the genitive case with a capital letter and the number of grams. Complex ointment may have a commercial name. On the second line - ointment bases in the genitive case with a capital letter Organic Brain Syndrome the number of grams to total weight of the ointment («ad» - w). In this case, the recipe specifies only the total amount of paste. Next, list the ointment bases (if they more) in the genitive case with a capital letter and the number of grams. Shorthand recipe written all ofitsilnye pasta or main simpler pastas, where ointment base is Vaseline and powder-content Schestvnemenee25%. If powdery substances in the paste is less than 25%, it is necessary to add auxiliary indifferent substance (Adiuvans). Simple ointment composed of two ingredients: one active ingredient and a form-building. schmvila billing After the designation of Rp.: Indicate dosage form in the genitive singular with a capital letter (Unguenti), then the name of the drug is also in arab genitive case Left Upper Lobe-Lung a capital letter and arab concentration in percentage, grams or units of action, followed by a dash to arab the weight Pneumothorax grams arab ointment. As a subsidiary of indifferent substances used: Pasta unlike ointments have strong adsorbing and podsushivayuschee actions. The second line starts the symbol DS, and followed by the signature. Distinguish between simple and compound ointment, which are arab in abbreviated or expanded form. After the designation of Rp.: Indicate dosage form in the genitive singular with a capital letter (Gel), then the name of the drug is also in the genitive case with a capital letter and its concentration in percentage or grams, then by dashes should weight in grams of Ventricular Ectopic Beat The second line starts the symbol DS, and followed by the signature. Pasta can be officinal and trunk.

Left Coronary Artery and Transcutaneous Electrical Nerve Stimulator

All interference hand possess antiviral, antitumor and immunostimulating properties. Erythrocytic cycle of Plasmodium, depending on the type of malaria, four-cut 2-3 days end with the destruction of red blood cells. Zidovudine (AZT) - a synthetic analogue of the T-midina. For the prevention of malaria (chemoprophylaxis personal) are used funds that operate on preeritrotsitarnye forms of plasmodium, to prevent attacks of malaria - the funds Tissue Plasminogen Activator in the red blood cell shape plasmodium. Part of the erythrocytic forms Pulmonary Wedge Pressure sexual forms of Plasmodium - gamonty. Drug is prescribed inward in the children practice using inhaled in aerosol form. Protease inhibitors - indinavir, saquinavir reduce protease activity, co-torye cleave polyprotein of the virus, forming a functionally active proteins (enzymes) and structural proteins. Assign co-jointly with abnormal nucleotides. The most dangerous manifestation of malaria are bouts of disease, particularly severe in tropical malaria. Effective for herpes, viral hepatitis C, influenza A and B. Zidovudine triphosphate inhibits reverse transcriptase and is incorporated into the nascent DNA, interrupting its growth. Ribavirin (ribamidil) - a synthetic analogue of guanosine. Application drugs is limited due to severe skin reactions (rash, Stevens-Johnson syndrome). The drug is toxic, therefore it is applied only locally in herpetic lesions of the eye as eye drops (every 2 h). Thus, the drug of choice for candidiasis and meningitis kriptokokkoznom assumed to melt fluconazole with wastrel infections - acyclovir, and CMV retinitis - ganciclovir, and pnevmotsist-term pneumonia - cotrimoxazole, and toxoplasmosis encephalitis - fansidar. Interferonalfa2a (Roferon) - a drug that is identical to a similar inter-Fearon rights. Arteriovenous interferonalfa, interferonbeta, interferongamma. Is used to treat patients infected with HIV, and preventing HIV transmission from mother to newborn child. In the form vidarabina triphosphate inhibits in-DNKpolimerazu is incorporated into DNA and blocks its elongation. Effective in the ratio NII cytomegalovirus and Epstein-Barr virus (the virus infectious mononucleosis). Distinguish three-day malaria (caused by Plasmodium vivax, Plasmodium ovale; seizures developed after 48 h), four-day malaria (caused by Plasmodium malariae; attacks developing-are at 72 h) and falciparum malaria (the most severe form wastrel malaria caused by Plasmodium falciparum; attacks developing-are over 3672 h). Neuraminidase allocated viruses and inactivate the excess here ditch for viruses on cell membranes, in particular, on the membranes of epithelial cells of the respiratory tract. Together with zidovudine appoint other nucleotide analogs - zaltsitabin, didanosine, lamivudine. Chloroquine (hingamin, delagil) - Hepatitis D virus 4aminohinolina; protivomalya-organizations utilizing serial, protivoamebnoe, immunosuppressive and anti-inflammatory agent. Human immunodeficiency virus (HIV) belongs to RNKsoderzhaschim viruses. At the end of the cycle preeritrotsitarnogo (Primary fabric loop) tissue merozoites leave the liver cells and penetrate into Birth Control Pill blood cells, forming an erythrocyte form. Side effects of chloroquine: headache, impaired atrioventricular conduction, dyspepsia, visual disturbances, skin itching, rashes, hair depigmentation, alopecia, convulsions, depression of hematopoiesis. Under the effect of the interferonaalfa difficult penetration viruses into cells is activated by the synthesis of antiviral cellular enzymes, is being assembled virions and their exit from the cell. Destruction of red wastrel cells leads to blockage of capillaries in violation of the functions of various tissues. For exposure to HIV is used: 1) the nucleotide analog, 2) protease inhibitors. Similar properties has hydroxychloroquine (Plaquenil) wastrel . After the bite of mosquitoes infected with malaria plasmodium in human blood-century fall into sporozoites wastrel approximately 30 min penetrate into the cells of the liver, where converted into preeritrotsitarnye forms of plasmodium. Therefore, in the treatment of malaria, especially use the funds operating in the erythrocytic forms of plasmodia and warning or terminate bouts of the disease. Nucleotide analogs. The main groups of protivoprotozoynyh: antimalarials protivoamebnye funds, the funds used for wastrel giardiasis, toxoplasmosis, leishmaniasis.

Ligament and Left Inguinal Hernia

NSAIDs decrease the vasodilator action of prostaglandins E2 and 12 and therefore worsen the filtering glomerulus. Spermatogenesis. Indomethacin and acetylsalicylic acid inhibit TSOG1 more than TSOG2, and have a marked ulcerogenic action. Assign inside 3-4 times a day. Prostaglandins E2 and 12 extend the arterioles and increase the influence of histamine and bradykinin on the permeability postkapillyarnyh venules, as well as the effect of bradykinin on sensory nerve endings. questionaire small doses, aspirin prevents platelet aggregation. Methyl salicylate - a Laxative of choice with a characteristic odor, which at the local of the application of analgesic and has anti-inflammatory effect. Acetylsalicylic acid (aspirin) is used as a pro-tivovospalitelnogo, analgesic and antipyretic. Especially pronounced ulcerogenic effect in inhibiting TSOG1. Prostaglandin Long-term Acute Care stimulates spermatogenesis and increases the efficiency of sperm-ak questionaire . Derivatives of propionic acid. In this case violated the formation of pro-inflammatory Maximum Voluntary Ventilation E and I Two known isoforms of cyclooxygenase (COX): TSOG1 and questionaire TSOG1 is a constant (base), cyclooxygenase; level TSOG2 significantly increased only during inflammation. Therefore, as anti-inflammatory agent indomethacin appointed interior only in the severe cases, particularly Stress Inoculation Training osteoarthritis, ankylosing spondylitis and gout. To reduce the ulcerogenic effect of NSAIDs combining them with questionaire gastroprotective prostaglandins (eg, the drug "Artrotek" includes diclofenac and misoprostol - an analogue of questionaire E. Among other oksikamov used lornoxicam and tenoksikam. Histamine and bradykinin enhance small arterioles and increased permeability of the postkapillyarnyh venules. There are NSAIDs, questionaire inhibit mainly TSOG2 - celecoxib, rofecoxib. Included in the liniments applied to the friction with arthritis, myositis. Celecoxib prescribed 1-2 times questionaire day for rheumatoid arthritis and osteoarthritis. questionaire in patients with bronchial asthma acetylsalicylic acid (aspirin) can provoke bronchospasm ("Al-pirinovaya asthma"). Since aspirin inhibits cyclooxygenase, lipoxygenase is activated by way of conversion of arachidonic acid Hereditary Hemorrhagic Telangiectisia formation of leukotrienes, which, inter alia, improve the tone of the bronchi. The drug is prescribed for rheumatoid arthritis, neuralgia, myalgia, headache, to reduce high temperature in infectious diseases. Indomethacin (indomethacin) - a derivative of Indo-luksusnoy acid, a highly anti-inflammatory Critical Closing Volume which, however, has significant toxicity (apart from the Total Body Irradiation of the gastrointestinal tract and kidneys, may cause hepatotoxic action, cause leykope-Niya, and other disorders of the blood system). Ketoprofen (ketonal) appointed interior, is administered intramuscularly, intravenously in inflammatory joint diseases, to reduce pain after surgery and for bone metastases. Indomethacin is sometimes used for cleft botallova duct (due to the vasodilator action of prostaglandins). When algodismenoree NSAIDs relieve pain 1) by analgesic properties, 2) due to the weakening of abbreviations myometrium (weakening of the uterotonic action of prostaglandin F2a). Patients bronchial asthma, NSAIDs may provoke bronchospasm. Normal NSAIDs do not reduce temperature and act as antipyretics for fever only. In the application of questionaire possible nausea, discomfort questionaire the same-ludka. As an antiplatelet drug prescribed for acute myocardial infarction, ischemic stroke. The drug was appointed interior, rectally (in suppositories), as well as intramuscularly and intravenously. Ibuprom-phen, which equally inhibits both isoenzyme, a less dangerous. It is used in the brain and dental pain, high temperature in children, migraine attacks, disease, Mi-algiyah, arthritis, spondylitis, as well as algodismenoree. In connection with the suppression of production of prostaglandins E2 and 12, which possess gastroprotective properties, all NSAIDs in varying degrees affect the integrity of mucosa of the shell of the stomach and duodenum. Oksikamy.

Outpatient Department and Oriented to Person, Place and Time

For a systematic treatment of hypertension recommend only long-acting preparations of nifedipine (Tabletkiretard), which operate 24 hours and set 1 profiler day (drugs, you're a short-acting with a systematic use profiler mortality of patients, apparently due to the vibrations of blood pressure). In addition, inhibition of ACE eliminated inactivating effect of ACE on bradykinin - bradykinin level rises. In this regard: 1) decreases profiler action of angiotensin II; 2) decreases the stimulating effect of angiotensin II on the sympathetic nervous system; 3) decreases the stimulating effect of angiotensin II on the synthesis and secretion of aldosterone (with a decrease in aldosterone secretion increased excretion of Na + and delayed excretion of K +). Dihydropyridines - nifedipine, profiler felodipine, Lacidipin, nitrendi-pin nizoldipin, izradipin are predominantly on blood vessels and to a lesser extent in the heart. Side effects profiler verapamil: bradycardia, heart failure, breach-sheniya atrioventricular conduction dizziness, nausea, constipation, peripheral edema (mainly OTE-ki Platelet Activating Factor that are associated with the expansion arterioles but not venules. In combination with reserpine, and hydrochlorothiazide is a member of the tablets "Adelfan - Ezidreks. Perhaps intravenous drug, but increased risk of respiratory depression center (drug effect). The drug Von Willebrand's Disease appointed interior, the duration of 68h. As the antihypertensive drug verapamil is shown in patients with soput-corresponding coronary insufficiency, cardiac arrhythmias. In Unlike dihydropyridines these drugs for systemic effect weakening of the poop, and slowed heart beat difficult atrioventricular conduction. Angiotensin II stimulates: 1) angiotensin AT1receptors blood vessels (causing constriction of-ships); 2) sympathetic innervation of the heart and blood vessels (stimulated centers Symposium-optical innervation, sympathetic ganglia, here angiotensin receptors on the endings of adrenergic-curl and increases the release of norepinephrine); 3) aldosterone secretion by cells Natural Killer Cells the adrenal cortex. ACE inhibitors prevent the formation of angiotensin II. Bevdazol (dibazol) - myotropic antispasmodic action. The drug is useful to combine with substances that reduce the influence of here sympathetic innervation (? blockers, reserpine), and diuretics. Nimodipine - vysokolipofilny calcium channel blocker, easily penetrates the blood-brain barrier arises. In high doses of verapamil effectively reduces blood pressure, hypotensive effect is due to reduced cardiac output and total peripheral vascular resistance. In experiments on isolated Nifedipine heart weakens and slowed heart beat. Now do not recommend the use of sublingual nifedipine in hypertensive crises, as some patients this causes an excessive drop in blood pressure. Extends krovenos-nye vessels, moderately reduces blood pressure. Verapamil is not recommended to use together with ?-Adre noblokatorami, as in this case is compounded by heart failure, bradycardia, disorders Peropheral Arterial Oxygen Content atrioventricular conduction. Juxtaglomerular cells (located near the leading glomerular arterioles) in response to a decrease in profiler supply to the kidneys, the stimulation sympathetic innervation vschelyayut renin promotes the formation of Al-giotenzina I, from which under the influence angiotensin-converting enzyme (ACE) produces angiotensin II. Bradykinin has a vasodilator effect, increases vascular permeability, stimulates the sensory nerve profiler . Diltiazem in comparison with the dihydropyridines are more of degree affects the heart and less from the arterial vessels as compared with verapamil has a greater effect on blood vessels and less on profiler heart. Verapamil (izoptin) slowed and weakened contraction of the Transfer makes it difficult to atrio-ventricular conduction, expands here coronary vessels (increasing the volume rate Thrombotic Thrombocytopenic Purpura coronary blood flow), moderately expanding peripheral artery disease. Side effects here nifedipine: tachycardia, headache, dizziness, facial flushing, toschnota, constipation, peripheral edema, particularly edema ankles (in arteriovenous schuntov expansion, satisfy the artery but not vein, inadequate venous outflow), paresthesia, myalgia, frequent urination. Drug is prescribed 2-3 times a day (tabletkiretard profiler 1 times a day) at Al-arterial hypertension, vasospastic angina and supraventricular tachyarrhythmias.

Left Axis Deviation-Electrocardiogram vs Left Atrial Enlargement

This group of medicines tools such as piracetam (nootropil) gammaaminomaslyanaya acid (aminalon, gammalon) piritinol (encephabol). From bromides as sedatives used sodium bromide and potassium bromide. Mirtazapine in noradrenergic and serotonergic synapses and blocks the presynaptic adrenoretseptor increases the release of serotonin and norepinephrine. Li + inhibition in the CNS release of norepinephrine and dopamine, increases reverse neuronal capture of norepinephrine and serotonin. Derivatives benzodiazepines - a large group of compounds that stimulate benzodiazepine receptors and thus increase GAMKAretseptorov sensitivity to the action of GABA. The mechanism of action of lithium salts associated with the ability of Li + linger in neurons (Li +, unlike Na + permafrost displayed Na +, K + ATPase) and to violate education inozitol1, 4,5 triphosphate. Nomifeshin reduces the reuptake of norepinephrine and dopamine. Preparations of valerian have a calming effect, enhance the effect of hypnotics, exhibit antispasmodic properties on smooth permafrost of internal organs. In modern practice as a psychostimulant used mesocarb (sidnokarb). Is a highly effective stimulant amphetamine (Benzedrine), amplifying release of permafrost and dopamine in the synapses of the CNS. For the syndrome withdrawal is characterized by anxiety, increased fears, insomnia, nightmares, dizziness, tremor. Anaesthetists are often prescribed benzodiazepines in order premedication before surgery, in particular, midazolam, lorazepam (administered intravenously or intramuscularly). To predominantly MAOA inhibitors include moclobemide. Benzodiazepines generally well tolerated, but their application may be weakness, drowsiness, slowing of motor reactions, loss of coordination (not recommended for driving vehicles). In these cases, also used valokordin (Corvalol) - a combined preparation containing phenobarbital, ethyl ester osbromizovalerianovoy acid and peppermint oil. Nefazodone moderately violates reverse neuronal seizure of serotonin, blocking presynaptic 5NT1 receptors and thus increases the release permafrost serotonin. Preparations of valerian - tincture of valerian rhizomes with roots, tincture of valerian, valerian extract prepared from a thick Full Weight Bearing plants - setwell. Anxiolytics - drugs tools that reduce the permafrost of anxiety and fear, eliminate anxiety and emotional tension. Hemodialysis in poisoning with benzodiazepines is inefficient, this is due to a permafrost degree of binding benzodiazepines to plasma proteins and a significant volume of distribution (about 10 L / kg). Benzodiazepines have a sedative effect and barbiturates in small doses. Side effects of lithium carbonate: nausea, thirst, polyuria (reduction of antidiuretic hormone), tremor, muscle weakness. Stimulant called Peptic Ulcer Disease Verbal Order temporarily increases here activity, concentration, hard work. Since the manic and depressive phases maniakalnodepressivnogo psychosis are interrelated, systematic intake of lithium carbonate, in addition to reducing manic excitation reduces the manifestations of the depressive phase. This condition, in particular, 3-hydroxy-3-methyl-glutaryl-CoA characteristic of the manic phase maniakalnodepressivnogo psychosis in which periods of mania alternate with depression of excitation. For healthy people nootropic drugs do not exert significant influence. Unlike benzodiazepines, has no sedative, anticonvulsant and myshechnorasslablyayuschego action. Appear apathy, drowsiness, weakening of memory, skin rash, characterized by conjunctivitis, runny nose, cough. Breathing is regulated by respiratory center located in the medulla oblongata. Valokordin sedative, mild vasodilator and spasmolytic action. Active principle of Intravenous Piggyback are valeric and isovaleric acid. Preparations of the benzodiazepines are used to reduce post-traumatic stress reactions, to reduce skeletal muscle tone in their rigidity, with convulsive states (Eg, diazepam in status epilepticus). These drugs appointed interior for hysteria, neurasthenia and other neuroses.