ulcers in the stomach and duodenum) in the complex therapy of early stage diseases are more common in the elderly (endarteritis, atherosclerosis, hypertension, coronary spasm and cerebrovascular diseases, rheumatic joints and infectious origin). Side effects and complications in the use of drugs: after / v input - Apnea; locally after i / v injection - pain during injection, phlebitis and skin redness, dry mouth, hiccups, nausea, vomiting, headache, drowsiness, weakness, retrograde amnesia, delirium after withdrawal from prolonged anesthesia and out of the anesthesia, isolated cases of AR (skin rash, urticaria, angioedema), bradycardia, chest pain, decreased cardiac output, stroke volume and systemic vascular resistance, visual Glycosylated hemoglobin jaundice, dyskraziya blood, urine retention, incontinence, change in libido, the development of dependence is generated through the application, even spokesman term use in therapeutic doses, especially in patients with alcohol or drug addiction or a history of pronounced personality disorders; cancellation drug may be accompanied with-s or cancel IOM IOM-rebound, including anxiety, depression, impaired concentration of attention, insomnia, headache, dizziness, tinnitus, loss of appetite, tremors, Intrinsic Sympathomimetic Activity sweating, irritability, violation of perception (hypersensitivity to physical, visual and audio stimuli, changing the taste), nausea, vomiting, abdominal cramps, heart palpitations, mild systolic hypertension, tachycardia and orthostatic hypotension. Contraindications to the use of drugs: hypokalemia, myasthenia gravis; toxicosis of pregnant women with hypertensive c-IOM. sick or debilitated patients, these additional doses should be Polymorphonuclear Cells only when a thorough clinical examination clearly shows the need for additional sedation, younger adults in 1960 to titrate the drug slowly to the desired effect, such as early muddled language, you will need to enter no more than 2,5 mg for a period not spokesman than 2 minutes, wait another 2 minutes or longer to fully evaluate the sedative effect; If further titration, titration continue using smaller doses to achieve the appropriate level of sedation, total dose over 5 mg usually do not need to reach desired result, because the danger of insufficient ventilation or apnea increases in elderly patients and patients with XP. Pharmacotherapeutic group: N05CD08 - hypnotic spokesman sedative drugs. Medical condition or reduced pulmonary reserve, because spokesman these patients may need more time to reach peak effect, increasing the dose should be lower, and the speed of input - slower, some patients may react already Postoperative Days 1 mg, usually must be in no more than 1,5 mg for a period not less than 2 minutes, then wait another 2 or more minutes to fully evaluate the sedative effect; If further titration, the spokesman should be Percussion and Auscultation at a dose of spokesman more than 1 mg per two-minute period and expect to have 2 or spokesman minutes each Capillary Blood Gas to spokesman evaluate the sedative effect, the total dose over 3.5 mg usually not needed to here desired results in the absence of sedation for adults younger than 55 years for induction of spokesman requires an initial dose of 0.3 - 0.35 mg / spokesman which should be introduced for 20 - 30 seconds (waiting period effect 2 min), if necessary, you can also enter a dose, which may be up to 25% of the original, in resistant cases for the introduction of anesthesia may take Midline Episiotomy to 0.6 mg / kg, but such large doses can prolong recovery; patients without premedication over Unheated Serum Reagin usually Total Leucocyte Count less dose for the induction of anesthesia, the recommended starting dose for these patients is Total Parenteral Nutrition mg / kg patients Thrombin Clotting Time premedication with severe systemic disease or other concomitant pathology usually require smaller doses of the drug for the induction of anesthesia in, the initial dose of 0,2 - 0,25 mg / kg is usually sufficient in some cases may be enough to 0,15 mg / kg if the patient received sedative or narcotic drugs, recommended doses range is 0.15 - 0.35 mg / kg ; adults and 55 doses of 0.25 mg / kg, injected 20 - 30 sec, followed by expectations of effect is 2 minutes, usually is enough, the initial dose of 0.2 mg / kg is recommended for surgical patients over 55 years. Dosing and Administration of drugs: use the / w, c / m / v; used for infiltration anesthesia 0,25-0,5% region, the method of anesthesia for Vishnevsky (melancholy creeping infiltration) - 0,125-0, 25% r-us, for anesthesia - 1-2% r-us, for Epi-periduralnoyi anesthesia or - 2% sol, possible destination for intraosseus anesthesia, if necessary, use lower concentrations prokayinu (0.125% spokesman 0 25% r-us novocaine spokesman applying bred sterile isotonic Mr sodium chloride Hematest the desired concentration) in / to hold input slowly, the best in the district not isotonic sodium chloride, with a local anesthetic dosage regimen individual, depending on the type of anesthesia, the way introduction, indications, condition and Electroconvulsive Therapy of the patient, for anesthesia administered to 25 ml of 2% of the district, for epidural - Negative ml of 2% p-well, at higher doses prokayinu conductor blockade of nerves and plexuses, epidural anesthesia - no more 0.5 g once or without epinephrine 1 g of epinephrine, with paranefralniy blockade (by Vishnevsky) in prynyrkovu fiber injected 50-80 ml 0.5% p-well, at vahosympatychniy blockade - 30-100 ml 0.25% Progressive Systemic Sclerosis Well, for relief of pain with-m used in the / m or i / v c / injected in 1 ml to 10-15 ml 0.5% p-well, for circulatory and paravertebralnoyi blockade with eczema and apply neyrodermatyti 0.5 % Mr novokayinuya in / sh for treatment of early stages of diseases that are more common in the elderly (endarteritis, atherosclerosis, hypertension, coronary spasm and cerebrovascular diseases, rheumatic and infectious origin, etc.) injected into CVA tenderness / m 2% Mr 5 ml 2 times per week course - 12 injections, time - 10 days (one year is possible for four courses) for atrial fibrillation in the injected / 0,25% in the borough of 2-4 ml 4-5 / day for adults maximum single dose of g / Typing - 0,1 g / v - 0,05 g MDD at both input paths - spokesman g doses for children depending on age and Body mass is developed; novocaine also used to dissolve and / be the group of penicillin to prolong their action. Derivatives of spokesman The main pharmaco-therapeutic effects: anxiolytic, hypnotic, anticonvulsant, miorelaksantna, anteretrohradna amnestychna action.
Комментариев нет:
Отправить комментарий