For the systematic prevention of bronchial Asthma inside appoint a leukotriene-receptor blockers - Zafirlukast (akolat) and montelukast (singular). From anti-trust peripheral actions inside appoint prenoksdiazin (libeksin), which reduces the sensitivity receptors of the respiratory tract, preceding thus, the peripheral link of the cough reflex. Acetylcysteine is used in inflammatory diseases of the airways with viscous, detachable hard phlegm (chronic bronchitis, tracheobronchitis etc.). When intravenous may be pain in the heart, lowering blood pressure. Preparation reduces the viscosity of mucus and stimulates the cells of bronchial glands. Mucolytic and expectorant properties have Bromhexine. Bronchial asthma bronchodilatory drugs act as symptomatic agents and do not slow disease progression. Drugs are not effective for relief of asthma attacks. By Compared with morphine about 10 times less effective as an analgesic. Assign into tablets or solutions for bronchitis with detachable hard phlegm, and bronchiectasis. There drugs that excite the respiratory center. As a stimulator of breathing carbogen inhalation is used - a mixture of 5-7% CO2 and 95-93% oxygen. Analeptics - Bemegride, niketamid (Kordiamin), camphor, caffeine have on the respiratory center of the direct stimulatory effect; niketamid, also stimulates chemoreceptors of the carotid glomeruli. Effective way to relieve bronchial Asthma is aminophylline (aminophylline), the active principle of which - Theophylline has myotropic spasmolytic action. In the development of the disease play important role autoimmune and allergic processes. Antitussives are divided into substances central and peripheral actions. anti-trust funds are ineffective at inhibition Respiratory hypnotics or means for anesthesia, as hypnotics and drugs violate the reflex excitability of the respiratory center. Nonsteroidal antiinflammatory drugs (acetylsalicylic acid, diclofenac, ibuprofen, etc.) can worsen the condition Reversible Inhibitor of Monoamine Oxidase A patients bronchial asthma as inhibit cyclooxygenase, in connection with which activates lipoxygenase path transformations arachidonic acid and increases formation of leukotrienes. Heart failure - a weakening heartbeat, decrease in cardiac output, which leads to a deterioration of blood supply to organs and tissues and disturbance of their functions. For cupping asthma inhalation is used (adrenomimetic short (about 6h) of the action - salbutamol, terbutaline, fenoterol. These drugs weaken the Hepatitis A Virus effect anti-trust the respiratory center hypnotics, funds for anesthesia. Preparations appointed interior anti-trust strong painful cough which may accompany the respiratory tract (tracheitis, bronchitis, etc.). In high doses of expectorants reflex action can cause vomiting. Heart failure, a number of reactions aimed at maintaining adequate perfusion of organs and tissues. Glautsin and okseladin (tusupreks) did not inhibit respiratory center, do not cause drug addiction, do not reduce intestinal motility. This leads to stagnation of blood in the tissues, organs and the development of edema, shortness of breath. Causes development of heart failure may be coronary insufficiency, myocardial damage (cardiomyopathy, myocarditis), and and excessive load on the heart (eg, valvular heart disease, hypertension). Lobeline and cytisine may stimulate respiration in neonatal asphyxia, poisoning with carbon monoxide. Ambroxol - the active metabolite of Bromhexine; appointed interior or inhalation. In severe poisoning substances depressing the central nervous system analeptics contraindicated, since it does not restore respiration and at the same time Immediately demand of brain tissue oxygen. By centrally acting antitussives include agents from the group narcotic analgesics, including codeine, as well as narcotic drugs action - glautsin, okseladin. Drug has not significant effect on the CNS. For relief of asthma attacks aminophylline is administered intramuscularly or intravenously. Spasm bronchi caused mainly anti-trust C4, Transcendental Meditation E4 (leukotrienes) and platelet activating factor (FAT). Drug is prescribed inhaled 23 times a day in severe cases, injected intramuscularly or intravenously. Codeine - opium alkaloids fenantrenovogo series. These drugs inhibit the cough center. Cough reflex involve the participation of the cough center, located in the medulla oblongata. Acute heart failure - Severe circulatory problems with a possible pulmonary edema, which requires rapid therapeutic intervention. A solution of lobeline or tsititon (0,15% solution of cytisine) was administered intravenously, the action anti-trust and short-term (Few minutes). In response to reduced cardiac output is increased activity of the sympathetic nervous system - increased frequency heartbeat, the tone of blood vessels, increases the secretion of renin, which leads to the formation of angiotensin II anti-trust . In this case, breathing becomes more frequently increases the Certified Registered Nurse Anesthetist of respiratory movements. May cause constipation, drug dependence.
No comments:
Post a Comment