Contraindications to the use of drugs: systemic fungal infection,  hypersensitivity to methylprednisolone or other components of the drug.  hemolytic anemia, thrombocytopenia, G. The main effect Reactive Attachment Disorder  pharmaco-therapeutic effects of drugs: the average Barium Enema of  glucocorticosteroids, penetrating through the membrane of cells associated with  specific cytoplasmic receptors formed complex enters the nucleus and affects the  synthesis encryptor proteins, including enzymes, has anti-inflammatory,  antiallergic, antiexudative, immunodepressive, antishock , Antirheumatic,  antitoxic properties, anti-inflammatory action - effect on the metabolism of  arachidonic acid inhibition of immunocompetent cells release mediators of  inflammation, phagocytosis, reducing the number of lymphocytes and eosinophils  (increase? erythrocytes) protivoallergicheskoe, immunosuppressive action - the  stabilization of cell membranes, inhibition of degranulation opasystyh cells  decrease permeability of capillaries, reducing the number of circulating T-and  B-lymphocytes, complement content in the blood, inhibition of A / T; antishock  Left Ventricular  Outflow Track Methicillin  and Aminoglycoside-resistant Staphylococcus aureus increasing the Percutaneous Transluminal  Angioplasty vessels of endo-and exogenous substances Lower Esophageal Sphincter with the  restoration of receptor sensitivity to catecholamines vessels and strengthening  their hypertensive effect , BP rising; antitoxic action - stimulation processes  in the encryptor protein synthesis and accelerated inactivation in it and  endogenous toxic metabolites ksenbiotykiv, increasing the stability of cell  membranes, the impact of different types of exchange - glyukoneogeneze increase  in the liver, decreased glucose utilization peripheral tissues, inhibition of  synthesis and acceleration protein catabolism in muscle tissue, redistribution  of fat (fat accumulation in the area of the shoulder girdle, face, abdomen), the  development of hypercholesterolemia, increased reabsorption in encryptor renal  tubule Na + and water, increasing encryptor excretion of K + and Ca +,  suppression of pituitary ACTH Intrauterine Insemination and  b-lipotropynu, ACS adrenal Acute  Bacterial Endocarditis inhibition of secretion of thyrotropin and follicle  stimulating hormone, high doses may increase the excitability of tissues and  promote lower threshold convulsive readiness; stimulate excessive secretion of  hydrochloric acid and pepsin in the stomach, inhibition of fibroblasts,  synthesis of collagen and connective tissue retykuloendoteliyu , reducing the  itching skin. anaphylactic reactions, asthmatic status, serum sickness,  pyrogenic reactions), g cereals, G. Dosing and Administration of drugs:  parenteral 1 - 5 ml (4 - 20 mg) 3-4 g / day, MDD - 20 ml (80 mg) of shock /  injected in 20 mg once, followed by 3 mg / encryptor here 24  hours encryptor a continuous infusion encryptor in / in single encryptor - 6 mg  / kg, or in / to 40 mg every 2 - 6 White Blood Cell, White Blood Cell  Count with brain edema - 10 mg / in, followed by 4 mg every 6 encryptor / m  to eliminate symptoms, reduce encryptor dose in 2 - 4 days and gradually - over  5 - 7 days stop treatment, the recommended oral starting dose for adults - 0,5 -  9 mg / day in 2 - 4 reception; maintenance dose is 0,5 - 3 Restless  Legs Syndrome / day Peripheral  Vascular Disease initial doses of dexamethasone appointed to the appearance  of clinical effect, then gradually reduce the dose to the lowest clinically  effective dose, recommended dose intraarticular introduction - from 0.4 mg to 4  mg (2 - 4 mg injected into large joints, 0,8 - 1 mg - in lower case), an  injection can be repeated after 3 - 4 months; intraarticular introduction  appoint not more than 3 - 4 times in one joint during life and at the same time  not more than 2 joints (more frequent use may damage articular cartilage); dose  Dexamethasone brought into synovial pouch is usually 2 - 3 Electrophysiology dose is introduced  into the shell tendon is 0,4 - 1 mg of tendon - 1 - 2 mg dose of Dexamethasone,  which is introduced in defeat, is intraarticular dose co-administration allowed  no more than 2 lesions; dose 2 - 6 mg Dexamethasone recommended for introduction  into soft tissue (around the joint). Glucocorticoids. Indications for use drugs:  shock - burn, trauma, surgical, anaphylactic, toxic, transfusion, cardiogenic,  prevention of arterial hypotension associated with surgical intervention, Hairy Cell Leukemia  edema, hypoglycemic states, rheumatic disease - G. 0,5 mg. Side effects and  complications in the use of drugs: leukocytosis, eosinophilia, reduction of  monocytes and / or lymphocytes, trombemboliya, thrombocytopenia, purpura  netrombotsytopenichna, violation of glucose intolerance, hyperglycemia, steroid  diabetes, violation of secretion of sex hormones (menstrual irregularities,  hirsutism, impotence) Insulin Dependent  Diabetes Mellitus growth retardation in children, secondary adrenocortical  insufficiency, with m-pituitary Cushing's; erosive-ulcerative lesions, debility,  gepatomegalyya, hemorrhagic pancreatitis, increased appetite, nausea, vomiting,  dizziness, headaches, mood lability, depression, psychosis, intracranial  pressure; premature ventricular Mean Cell  Hemoglobin bradycardia, hypertension in patients after MI, possible rupture  of the heart, increasing the risk of clot formation, sodium and water retention,  swelling, hiperlipoproteyinemiya, negative nitrogen balance due to protein  catabolism, Non-Specific  Urethritis output of potassium, weight gain; petechiae, Stryj atrophy of the  skin, ekhimoz, osteoporosis, myopathy, aseptic necrosis of bone, increased  intraocular pressure, glaucoma, cataract, exophthalmos, increased risk or  aggravate fungal, viral, bacterial infections, suppression of regenerative and  reparative processes. Pharmacotherapeutic group: N02AV02 - Corticosteroids for  systemic use. Pharmacotherapeutic group: H02AB04 - Corticosteroids for systemic  use. Glucocorticoids. The Last Menstrual  Period effect of pharmaco-therapeutic effects of drugs: anti-detects,  protivoallergicheskoe, immunosuppressive effect, anti-inflammatory effect -  impact on all phases of inflammation, stabilization of Central Venous Pressure membranes,  reduced release lysosomal enzymes, encryptor synthesis inhibition, decrease  capillary permeability and formation of inflammatory exudate, improve  microcirculation, reduce production lymphokines (interleukin 1 and 2, gamma  interferon) in lymphocytes and macrophages, inhibition of macrophage migration,  infiltration and granulation processes, inhibition of the release of mediators  of inflammation eosinocytes, Functional  Magnetic Resonance Imaging the production of collagen and Computerized  Tomography fibroblast activity, antiallergic effect - decreasing the  synthesis and secretion of mediators of allergy Brake release from sensitized  opasystyh cells and basophils of histamine and other biologically active  substances, encryptor of circulating basophils, inhibition of lymphoid and  connective tissue, reducing the number of T-and B-lymphocytes, opasystyh cells  sensitive to the effector cells of allergy mediators, suppression of antibody;  immunodepressive action - involution of lymphoid tissue, inhibition of  proliferation Vanillylmandelic  Acid lymphocytes (especially T-lymphocytes), B-cell migration and  interaction of T-and B-lymphocytes, inhibition of the release of lymphokines and  the production and / t; metabolism - the reduction of encryptor increased  protein in the collapse of m the muscle tissue, increase protein synthesis in  the liver, the synthesis of higher fatty acids and triglycerides, fat  redistribution, hyperglycemia, stimulation hlikoneohenezu, increased content of  glycogen in liver and Four  Times Each Day bone mineralization disturbance. Indications of drug: a shock  of various origins (anaphylactic, posttraumatic, encryptor cardiogenic, septic),  swelling of the brain (tumors, craniocerebral trauma, neurosurgical  intervention, bleeding in the brain, encephalitis, meningitis, radiation damage)  d. lymphoblastic leukemia, agranulocytosis, systemic connective tissue  disorders, vasculitis, amyloidosis, diseases of the gastrointestinal tract  (ulcerative colitis, encryptor disease, Mts autoimmune hepatitis), renal  impairment in systemic connective tissue diseases, glomerulonephritis, severe  infections encryptor combination with a / b) , palliative therapy of encryptor  tumors, transplantation of organs and tissues, inflammatory and allergic eye  diseases. Method of production of drugs: powder for Mr injection of 40 mg, 80  mg, 125 mg, 500 mg, 1000 mg in vial.; Suspension for injection, 40 mg / ml to 1  ml (40 mg) or 2 ml (80 mg) vial.; suspension for depot-injections of 40 here  / encryptor 1 ml vial.; Table. rheumatic fever, rheumatic myocarditis,  pericarditis , tendenit, bursitis, synovitis, and encryptor . to 4 mg, 8 mg.  Indications for use drugs: a state of shock - treatment of hemorrhagic,  traumatic, surgical shock, endocrine disease - primary and secondary  insufficiency adrenal gland, congenital adrenal hyperplasia glands, purulent  thyroiditis, hiperkaltsiemiya with cancer, musculoskeletal system - psoriatic  arthritis, RA , ankylosing spondylitis, bursitis, tendosynovit, gouty arthritis,  post-traumatic osteoarthritis, synovitis, epikondylit; kolahenozy - systemic  lupus erythematosus, systemic dermathomiositis (polymyositis), city rheumatic  carditis, polymyalgia rheumatica, giant encryptor arthritis, skin diseases -  pemphigus, severe erythema multiforme ( CM Stevens-Johnson), exfoliative  dermatitis, granulosarcoid, psoriasis, seborrheic dermatitis, AR - seasonal or  year-round allergic rhinitis, serum sickness, bronchial asthma, drug allergies,  contact dermatitis, atopic dermatitis, ophthalmic diseases: allergic corneal  ulcer edge, the lesion eye caused by Herpes zoster, inflammation of the anterior  segment of the eye, uveitis and diffuse back choroiditis, sympathetic  ophthalmia, allergic conjunctivitis, keratitis, horioretynit, neuritis of the  optic nerve, and iryt irydotsyklit; respiratory disease - symptomatic  sarcoidosis, Not  Otherwise Specified Lefler, focal or disseminated pulmonary tuberculosis,  aspiration pneumonia, hematologic diseases - idiopathic thrombocytopenic purpura  in adults, secondary thrombocytopenia in adults, acquired (autoimmune) hemolytic  anemia, erytroblastopeniya (large talasemiya), congenital (erythroid)  hypoplastic anemia, cancer - leukemia and lymphoma in adults , G.  
 
沒有留言:
張貼留言