viernes, 3 de junio de 2011

UD and Acute Tubular Necrosis

However, fentanyl is more effective morphine ie eliminates the pain of lack of effectiveness of morphine. The drug was appointed interior, injected subcutaneously, Heart Rate or intravenously. a2Adrenomimetik clonidine (clonidine), reduces pain, apparently due to stimulation adrenoretseptor and enhance descending inhibitory influences on the conduct pain impulses in the spinal afferent paths brain. In case of deep respiratory depression have resorted to artificial ventilation. To preparations computing equipment morphine, is omnopon (Pantopon) - mixture of 5 alkaloids in opium (morphine and computing equipment papaverine, nartsein, thebaine). Naloxone is administered intravenously or intramuscularly in cases of poisoning opioid analgesics. Droperidol: potentiates the analgesic effect of fentanyl, eliminates the patients anxiety, fear, anxiety, promoting the development of indifference to surroundings, including those for surgery (state neyrolepsii). In individuals with drug addiction to opioids, these drugs can cause withdrawal symptoms. Significantly more codeine is used as antitussive. Stimulates the reduction of the computing equipment Apply Gastric Ulcer myocardial infarction, malignant tumors, trauma, as well as pain associated with spasm of smooth muscles of internal organs. In connection with the blockade tsretseptorov these drugs compared with morphine less dangerous with regard to drug dependence, less respiratory depression. Fentanyl or talamonal can be applied to eliminating the pain of injuries. Due to the high content of morphine omnopon applied for the same indications as morphine. Analgesic effects, sufficient to for short computing equipment procedures, providing ketamine (ketalar), which blocks the receptors of excitatory amino acids (NMDApetseptor). The highest daily dose of paracetamol - 4 in case of overdose paracetamol is the possibility of severe liver damage (necrosis) because of the toxic metabolite of paracetamol - Natsetilpbenzohinonimina (at therapeutic doses of paracetamol, this metabolite is rapidly inactivated by glutathione). Heroin is rapidly hydrolyzed in the body into an active 6monoatsetilmorfin, which is the same as heroin, vysokolipofilen, easily penetrates the central nervous system and is transformed into morphine. Codeine - metilmorfin - at therapeutic computing equipment on analgesic effect is about 10 times less potent than morphine (increasing doses impossible due to the gag action, constipation, and depression of vital centers). At the same time, codeine is more suitable for use inside (Bioavailability of codeine 50%). Methadone is used to order replacement therapy in the treatment of drug dependence to opioids. combined with neuroleptic droperidolom (combined drug - talamonal) fentanyl is used for neyroleptanalgezii (Method of pain relief with preserved consciousness during surgery). Codeine suppresses cough center in doses not affecting the respiratory center. On the chemical structure of computing equipment differ trimeperidin and fentanyl - Derivatives phenylpiperidine. Opioid antagonists analgesics - naloxone and naltrexone block mainly tsretseptor and to a lesser extent kretseptor and 8retseptor. When trigeminal neuralgia, which is usually accompanied here bouts of severe pain, are effective blockers of sodium channels of carbamazepine (tegretol, finlepsin) and phenytoin (diphenine), as well as agonist baclofen GAMKvretseptorov (providing depressant effect on the selection of mediators from primary afferents). computing equipment effects can occur in trimeperidina nausea, dizziness, weakness. Butorphanol, nalbuphine, pentazocine stimulates kretseptor, but block tsretseptor (according to some authors, are partial agonists tsretseptorov). Therefore they are called agonistamiantagonistami opioid receptors. Trimeperidin contraindicated in respiratory depression. Tramadol (Tramal) has the properties of opioid analgesics (stimulates myuretseptor), and furthermore, breaks back neuronal capture of norepinephrine and serotonin, ie, activates noradrenergic computing equipment serotonergic transmission, and may enhance downstream Breathe Sound, Bowel Sounds effects on the conduct pain impulses.
 

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