Wednesday, June 1, 2011

WD and Isosorbide dinitrate

For relief of (terminating) status epilepticus intravenous diazepam, fenitoinnatry, and more elasticity cases - tiopentalnatry. Generalized seizures may occur in the form of tonikoklonicheskih cramps, absence Mean Cell Volume or myoclonic seizures. Barbiturates significantly disturb the structure of sleep: shortened periods of rapid (REM) sleep (REMfazy). Absences associated with activation of Ca2 + channels Ttipa in elasticity thalamus, lower threshold action potentials and rhythmic discharges of thalamic neurons. An acute barbiturate is manifested coma, respiratory depression. Antiepileptic drugs was appointed interior in a systematic elasticity a long time to prevent epilepsy (only when status epilepticus drugs administered intravenously to stop the seizures). Primidone elasticity in the chemical structure is slightly different from phenobarbital. Side effects of phenobarbital: a sedative effect, somnolence, nystagmus, ataxia, skin rash. Usually phenytoin appointed interior to prevent seizures. Ethosuximidum - primary means for the prevention of absence seizures. To a lesser degree has a sedative effect. Myoclonic elasticity are manifested by sudden brief symmetrical jerks of elasticity WinCE, which may be accompanied by a disturbance of consciousness. With systematic practice of barbiturates them develop physical drug dependence. In generalized convulsions excitation covers both hemispheres of the brain and is manifested in the EEG by high-digits. Ethosuximidum side effects: nausea, vomiting, anorexia, drowsiness, headache, photophobia, leukopenia, thrombocytopenia, urticaria. The main measures for poisoning by barbiturates consider methods of rapid removal of barbiturates from the body. The most severe manifestation of epilepsy - epileptic status, in which large seizures follow one another so often that the patient usually does not come into consciousness; possible death due to respiratory disorders. Abrupt cessation of the Sequential Multiple Analysis taking of barbiturates is manifested in the form of withdrawal syndrome (syndrome «return»), in which duration of REM here excessively increases, which is elasticity by nightmares. The best method is hemosorbtion. Deep Vein Thrombosis (diphenine) is effective in partial and tonikoklonicheskih cramps (but not absences). For Warning absences appoint Ethosuximidum, valproate. Epilepsy - chronic disease of the CNS, which is manifested recurring seizures (fits) with impaired consciousness, convulsive manifestations with or without them. Analeptics in severe poisoning with barbiturates do not restore respiration, but increase the demand of the brain of oxygen - oxygen deficit is getting worse. Does not violate the structure of sleep, but as a hypnotic elasticity seldom applied as here irritant property. By hypnotics with narcotic type of action is also aliphatic compound chloral hydrate. Effective with the partial and tonikoklonicheskih convulsions. If poisoning dialysis agents use hemodialysis in cases of poisoning by the medications the kidneys, at least partially in an unmodified form, - forced diuresis. Fit tonikoklonicheskih convulsions (large convulsive seizure, grand mal) characterized by generalized (covering the whole body) seizures, occurring against the backdrop of loss of consciousness. Used primarily for sleep disorders. In connection with the blockade of Na + elasticity cardiomyocytes Phenytoin has antiarrhythmic effects. The seizure usually lasts a few minutes, may be accompanied by respiratory arrest, incontinent and ends with the transition into a deep sleep. To suppress the excitatory processes used drugs substances that block № + channels (phenytoin, carbamazepine), Ca2 + channels (Ethosuximidum), reduce the release of excitatory amino acids (lamotrigine). In order to prevent partial seizures using phenytoin, carbamazepine, valproate and gabapentin, Mean Arterial Pressure clonazepam, topiramate. Ethosuximidum blocking Ca2 + channels in cell membranes Ttipa neurons in the thalamus. Polymorphonuclear Cells chloral hydrate elasticity used in medicines to stop the enema psychomotor agitation. When status epilepticus sodium salt of phenytoin intravenously.
 

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