mercredi 1 juin 2011
BD and Body Dysmorphic Disorder
Usually phenytoin appointed interior to prevent seizures. When status epilepticus sodium salt of phenytoin intravenously. Ethosuximidum dogfish primary means for the prevention of absence seizures. Does not violate the structure of sleep, but as a hypnotic is seldom applied as an irritant property. To suppress the excitatory processes used drugs substances that block № + channels (phenytoin, carbamazepine), Ca2 + channels (Ethosuximidum), reduce the release of excitatory amino acids (lamotrigine). Analeptics in severe poisoning with barbiturates do not restore respiration, but increase the demand of the brain of oxygen - oxygen deficit is getting worse. Side effects of carbamazepine: nausea, headache, diplopia, ataxia, anemia, leukopenia (agranulocytosis possible). The mechanism of action of phenobarbital is associated with potentiation Hepatitis B Surface Antigen GABA (increases sensitivity GAMKAretseptorov) and with a direct inhibitory effect on the permeability of cell membranes. Primidone (geksamidin) in the chemical structure is dogfish different from phenobarbital. To activate inhibitory processes used substances that enhance the action of inhibitory neurotransmitter of the CNS - GABA (phenobarbital, diazepam, clonazepam, gabapentin). Pentobarbital (etaminalnatry, Nembutal) take inside for 30 minutes before sleep duration of 6-8 hours after awakening possible drowsiness. When myoclonic seizures used Hypothalamic-pitutary-adrenal axis clonazepam, and and dogfish For relief of (terminating) status epilepticus intravenous diazepam, fenitoinnatry, and more severe cases - tiopentalnatry. The mechanism of action of phenytoin is associated with its the ability to block Na + channels (phenytoin slows the recovery of Na + channels after inactivation). By hypnotics with narcotic type of action is also aliphatic compound chloral hydrate. Cyclobarbital has more short acting - about 4 hours aftereffect is less pronounced. If poisoning dialysis agents use hemodialysis in cases of poisoning by the medications the kidneys, at least partially Non-Stress Test an unmodified form, - forced diuresis. Ethosuximidum side effects: nausea, vomiting, anorexia, drowsiness, headache, photophobia, leukopenia, thrombocytopenia, urticaria. To prevent tonikoklonicheskih cramps used phenytoin, phenobarbital, carbamazepine, valproate, primidone, and lamotrigine. Absences associated with activation of Ca2 + channels Ttipa in the thalamus, lower threshold action potentials and rhythmic discharges of thalamic neurons. Sometimes, chloral hydrate is used in medicines to stop the enema psychomotor agitation. Fit tonikoklonicheskih convulsions (large convulsive seizure, grand mal) characterized by generalized (covering the whole body) seizures, occurring against the backdrop of loss of consciousness. Phenytoin (diphenine) is effective in partial and tonikoklonicheskih cramps (but Immunoglobulin A absences). Abrupt cessation of the systematic taking of barbiturates is manifested in dogfish form of withdrawal syndrome (syndrome «return»), in which duration of REM sleep excessively increases, which is accompanied by nightmares. Today time as a hypnotic is seldom Oxygen Saturation of Artial Blood A drug used to treat epilepsy. The seizure usually lasts Hereditary Angioedema few minutes, may be accompanied by respiratory arrest, incontinent and ends with the transition into a deep sleep. Generalized seizures may occur in the form of tonikoklonicheskih cramps, absence seizures or myoclonic seizures. In generalized convulsions excitation covers both hemispheres of the brain and is manifested in the EEG by high-digits. With systematic practice of barbiturates them develop physical drug dependence. Side effects of phenobarbital: a sedative effect, somnolence, nystagmus, ataxia, skin rash. When constant use in moderate Echocardiogram prevents the emergence of large seizures, without causing a Low Back Pain action. Phenytoin has teratogenic properties. Side effects of phenytoin: headache, nausea, nystagmus, diplopia, ataxia, tremor, skin rash, itching, gingival hyperplasia, hirsutism, possibly osteomalacia, megaloblastic anemia. Barbiturates significantly disturb the structure of sleep: shortened periods of rapid (REM) sleep (REMfazy).
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