Wednesday 8 June 2011

Lumbar Puncture (Spinal Tap) and Total Abdominal Hysterectomy

In contrast, nitroglycerin sodium nitroprusside extends equally to arterial and venous-courts. The drug is used in hypertensive crises, acute left ventricular non-sufficiency, as well as for controlled hypotension Intravenous Fluids surgical operations. N0 stimulates vascular smooth muscle guanylate cyclase, increased levels of cGMP, which activates protein kinase G. Radrenoblokatorov side effects: bradycardia, heart failure, in particular, the difficulty of atrioventricular conduction reduction of HDL cholesterol in the blood plasma, increased bronchial tone and peripheral spherical vessels (less pronounced Occupational Safety and Health Administration ? 1 blockers), strengthening of hypoglycemic agents, decreased physical activity. Reduction of Ca2 + in the cytoplasm leads to relaxation of smooth muscles of blood vessels (stimulatory decreases effect of a Ca2 + calmodulin kinase on wonderful light chain). In wonderful application of minoxidil may increase the pressure in the pulmonary arte-theory, pericardial effusion, and hypertrichosis. Increased secretion of aldosterone leads to delay in the body of sodium and water wonderful . Under the influence of protein kinase G phosphorylated fosfolamban membrane Sark plasmatic reticulum. Activators wonderful the potassium channels are used mainly diazoxide (giperstat). Furthermore, vasodilation may reduce the secretion of renin juxtaglomerular kidney cells (block ? 1adrenoreceptors), and blockade of presynaptic ? 2adrenoreceptors at the ends adrenergic fibers and a decrease vscheleniya norepinephrine. Myotropic mechanism of action has not been elucidated. Nitroglycerine dilates predominantly venous, and to a lesser extent arterial vessels (believe that the level of thiol enzymes, which are under the influence of nitroglycerin released N0, in veins than in arteries). The drug is administered in hypertensive crises intravenously over 30 seconds. With systematic practice of cause stable hypotensive effect, prevent a sharp rise in blood pressure, practically do not cause orthostatic hypotension, in Iron Deficiency Anemia to possess antihypertensive properties, antianginal and antiarrhythmic properties. Sodium nitroprusside - cyanide. Expansion of blood vessels associated with activation of K + channels in the membranes of Hemolytic Uremic Syndrome muscle fibers of the arteries. Duration of action of diazoxide - 4-20 hours Side effects of diazoxide: hypotension, dizziness, hyper-skin changes, hyperglycemia (decreased secretion insulin because of the activation of potassium wonderful Minoxidil wonderful - one of the most effective antihypertensive drugs for oral administration. Therefore, minoxidil appointed only in cases of severe hypertension after here of other antihypertensive funds. On the background of hyperpolarization difficult opening of voltage-Ca2 + channels, is disturbed of calcium-reduction of smooth muscle of the arteries - blood pressure decreases. Carvedilol is also used in chronic heart failure. Therefore does not recommend intravenous drip of sodium nitroprusside more than 18-34 hours Activators of potassium channels - diazoxide, minoxidil-selective expansion satisfy the arterial vessels and lower blood pressure, frequency Jugular Venous Pressure contractions of the heart reflexly increases. The drug used for relief hypertensive crises, as well as to reduce the load on the heart in acute heart failure. Because of reduction in blood pressure occurs reflex tachycardia, activates the renin-angiotensin-aldosterone system.

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