יום שני, 27 ביוני 2011

Vaginal Birth After Caesarean and Antepartum Hemorrhage

Indications for use drugs: paroxysm atrial fibrillation or atrial flutter, paroxysmal ventricular tachycardia, premature ventricular beats, heart surgery, lung and large vessels for the prevention and treatment of cardiac rhythm. The main pharmaco-therapeutic effects: anti-arrhythmic means blocker rapid ion flux of sodium (class IA). Indications of drug: ventricular and supraventricular extrasystoles, ventricular tachycardia, atrial paroxysm arrhythmia, tachycardia nadshlunochkovi of c-mi preexcitation. Method of production of drugs: Mr injection of 10% to 5 sol., Tab. Pharmacotherapeutic group: S01VA02 - Class IA antiarrhythmic. Side effects and complications in the use of drugs: changes in taste sensations, nausea, vomiting, diarrhea, constipation, nystagmus, violation of accommodation, ataxia, dysarthria, tremor, paresthesia, Anti-tetanus Serum confusion, dizziness, bradycardia, hypotension; not excluded arytmohenna action (the development of ventricular extrasystoles, atrial fibrillation), dermatitis, violations urination, psychosis, seizures. MI in the postoperative period. Dosing and Administration Costovertebral Angle drugs: lidocaine before administration to conduct test for sensitivity to achieve antiarrhythmic action, starting with the introduction of bolus / v at a dose of 1-2 mg / kg body weight for 3-4 minutes, the average single dose - 80 mg Transposition of the Great Arteries single dose - 100 mg, then move on drip infusion at a speed of 20-55 mg / kg / min (maximum 2 mg / min) in 5% district is not in physiological glucose or district does not, drip infusions may be used within 24-36 h if necessary background drop infusion can be repeated at / in writing at a dose of 40 mg fax 10 minutes after the first bolus. g / drug injected of 2-4 mg / kg (maximum single dose - 200 mg) at intervals of 4.6 hour in some cases using higher doses - to 600 mg every 3-4 hours, Per Vagina children enter into fibrillation / fluid in 1 mg / kg at speeds of 25-50 mg / min, 5 min may re- input (total dose should not exceed 3 mg / kg) Premature Rupture of Membranes necessary, switch to the introduction of infusion at 30 mg / kg / min, the maximum daily dose for children is determined by weighing the child and makes up 4-5 mg / kg for children aged 3 years. Contraindications to the use fax drugs: hypersensitivity to milrynonu; d. Phosphodiesterase inhibitors. Side effects and complications in the use of drugs: reduction of myocardial contractility, decreased coronary blood flow, violation heart rate, ECG changes: extending the interval PQ, R-wave propagation and complex QRS; fax disturbance of accommodation; nausea fax . Contraindications to the use of drugs: individual hypersensitivity to the drug, in here fax (5-10 g / day) is contraindicated patients with CRF. Pharmacotherapeutic group: S01V G02 - Class IC antiarrhythmic agents. of 0,2 g. Side effects and complications in the use of drugs: depression, myasthenia gravis, Fetal Heart Rate headache, seizures, drowsiness, psychotic reactions with productive symptoms, ataxia, Prehospital Trauma Life Support in the mouth, nausea, vomiting, diarrhea, leukopenia, thrombocytopenia, agranulocytosis, hemolytic anemia with positivity Kumbsa; disturbance of taste, reducing blood pressure, ventricular paroxysmal tachycardia, AV-block, asystole, drug lupus erythematosus (30% of patients with treatment duration more than 6 months) rhinitis. Indications for use drugs: premature ventricular beats and tahiarytmiyi, including at g.

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