Friday, June 3, 2011
BE and Double Contrast Barium Enema
Fentanyl (stimulates mainly tsretseptor) is 100 times more active than morphine, ie, used in doses that are 100 times less than morphine. 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). Therefore they are here agonistamiantagonistami opioid receptors. Methadone is used to order replacement therapy in the treatment of drug dependence to opioids. Analgesic effects, sufficient to for short surgical procedures, providing ketamine (ketalar), which blocks the receptors of excitatory amino acids (NMDApetseptor). To accelerate the elimination of morphine from organism used forced diuresis or peritoneal dialysis. a2Adrenomimetik clonidine (clonidine), reduces pain, arraign due to stimulation adrenoretseptor and enhance descending inhibitory influences on the conduct pain impulses in the spinal afferent paths brain. As a result, when using heroin euphoria develops faster and more pronounced than with morphine. Therefore, heroin can cause particularly severe drug dependence. In most countries, the use of this drug is prohibited. Length of fentanyl 20-30 min. Codeine may be effective in acute infectious diarrhea. The drug has about 2 pm If necessary, naloxone administered repeatedly. In contrast, morphine omnopon does not cause spasm of smooth muscles, as it contains alkaloids of isoquinoline series - papaverine and nartsein having myotropic inflammatory properties. In here with a pronounced depressant effect of fentanyl on the respiratory center can the need for mechanical ventilation. Methadone works weaker, but the duration of morphine arraign by mouth. Morphine content is omnopone 48-50%. In case of deep respiratory depression have resorted to artificial ventilation. On analgesic effect of morphine is inferior. 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). Naloxone is administered intravenously or intramuscularly in cases of poisoning opioid analgesics. Eliminate respiratory depression, eyforiziruyuschee effect and other effects of opioid analgesics. Due to the high content of morphine omnopon applied for the same indications as morphine. When the pain associated with spasm of smooth muscles, such as kidney and liver colic, omnopon has an advantage over morphine. arraign drug was appointed interior, injected subcutaneously, intramuscularly or intravenously. When trigeminal neuralgia, which is usually accompanied by bouts of severe pain, are effective blockers of sodium channels of carbamazepine (tegretol, finlepsin) and phenytoin (diphenine), as well as agonist arraign GAMKvretseptorov Gastric Ulcer depressant effect on the selection of mediators from primary afferents). As an analgesic and antitussive used as dihydrocodeine. Stimulates the reduction of the myometrium. Stimulate oretseptor (sigmaretseptor), and therefore the their application can be dysphoria, hallucinations, tachycardia, increased blood pressure. Baclofen is also effective in phantom pains. Has a weak inflammatory properties. To preparations containing morphine, is omnopon (Pantopon) - mixture of 5 arraign in opium (morphine and codeine, papaverine, nartsein, thebaine). When headache, migraine, neuralgia, arthralgia, myalgia, algodismenoree used Heart Rate (acetaminophen, Panadol), arraign reduces pain due to the inhibition of cyclooxygenase in the CNS. combined with neuroleptic droperidolom (combined drug - talamonal) fentanyl is used for neyroleptanalgezii (Method of pain relief with preserved consciousness during surgery). For reduce the toxicity of this compound is used acetylcysteine (intravenous or oral), methionine (inside). Trimeperidin contraindicated in respiratory depression. However, fentanyl is more effective morphine arraign eliminates the pain of lack of effectiveness of morphine. Pronounced analgesic properties have nitrous oxide, which is used by inhalation for pain relief myocardial infarction in the postoperative period for labor analgesia. Inferior to morphine in analgesic efficacy, less respiratory depression, less dangerous with regard to drug dependence.
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