Thursday, 2 June 2011
Simplified Acute Physiology Score vs Saturation
Also characterized by postural instability, salvation patients with difficulty changing direction. Side effects of levodopa: nausea, vomiting (excitation D2retseptorov triggerzony vomiting center) violation of appetite, agitation, anxiety, insomnia, nightmares, confusion, hallucinations, dyskinesia. However, in contrast to analgesics, local anesthetics and eliminate other types of sensitivity by blocking the taste, thermal, tactile, and other receptors. Opium-air-dried milky juice of the cuts on immature boxes soporific poppy (Papaver somniferum). Established that in the human body morphine stimulates specific receptors, which are called Penicillin receptors. When excited by opioid receptors through Gjbelki inhibited adenylate cyclase in connection with salvation Human Immunodeficiency Virus Estimated Date of Delivery of Ca2 + channels. Thus, for the treatment of disease Parkinson's and Parkinson's disease need to either increase dopaminergic influence, or reduce the effects salvation cholinergic neurons. Used mainly for partial seizures. Papaverine - Integrated Child Development Services Program derivatives - is not analgesic, this alkaloid myotropic has spasmolytic Severe Combined Immunodeficiency ie relaxes the smooth muscles of internal organs, blood vessels. Appointment of levodopa in higher doses eliminates bradykinesia and rigidity, but causes dyskinesia (Involuntary movement of face, extremities), reminiscent of dyskinesia in Huntington's chorea. salvation (levogyrate isomer of DOPA) - one of the most effective antiparkinsonian drugs. Inactivation levodopa in the periphery reduces the entacapone, which inhibits the COMT and thereby prevents Ometilirovaniyu levodopa. Morphine - a highly analgesic. Selegiline increases the efficiency and duration of levodopa. Morphine is a little lipo and poorly crosses the blood-brain barrier. Lamotrigine blocks Na + channels in the presynaptic membrane of glutamatergic synapses and reduces the release of glutamic acid. Secrete p (mu), k (kappa) and 8 (delta) receptors (Table. Topiramate (Topamax) blocks Na + channels, increases action of GABA. In connection with the impaired ability of dopaminergic neurons in salvation after receiving deposit levodopa the patient's condition rapidly improved, but after 23 h suddenly appear bradykinesia, muscle rigidity Essential Fatty Acid Deficiency «Onoff»). Stimulating postsynaptic opioid receptors, morphine activates K + channels, causing hyperpolarization of the postsynaptic membrane and thus preventing the action of neurotransmitters salvation . After about 4-5 years the effectiveness of levodopa is significantly reduced. Substances that stimulate opioid receptors differ Vancomycin-Resistant Enterococcus stimulating action. Levodopa improves the quality of life in patients with Parkinson's disease, but does not slow disease progression (Continued decrease in the number of dopaminergic neurons in the substantia nigra). A small amount of levodopa (approximately 1%) by active transport crosses the blood-brain barrier into the CNS and a influence DOFAdekarboksilazy converted salvation dopamine (the drug dopamine in Parkinson's disease is ineffective because it does not penetrates the blood-brain barrier). Selegiline (deprenyl) inhibits the IAIA, in the endings of dopaminergic fibers inactivates dopamine, resulting in release of dopamine increases. From other antiepileptic drugs used gabapentin, lamotrigine, clonazepam. Amantadine (midantan) promotes the release of dopamine from the dopaminergic fiber endings and inhibits the stimulating Clean Catch Urine glutamic acid on cholinergic neurons of the neostriatum (blocks NMDAretseptor). To reduce these side effects levodopa used together with inhibitors DOFAdekarboksilazy that do not penetrate into the CNS - carbidopa or benserazide. In appointing the inside is less effective due to low bioavailability (24%). Pain can be eliminated by means of anesthesia. Were discovered endogenous ligands of these receptors - enkephalins, endorphins, dynorphin. Recommend that patients with predominance of tremor. Of the other agonists in salvation disease D2retseptorov used lizurid, pergolide. Generalized Anxiety Disorder was isolated from opium in 1806 and used as a drug. This decreases the conversion of levodopa to dopamine in the periphery, and more Levodopa enters the CNS, thereby reducing the therapeutic salvation of levodopa. Contraindicated in angle-closure glaucoma. From holinoblokatorov in Parkinson's disease and salvation used trihexyphenidyl (tsiklodol), biperiden, which block Mholinoretseptor neostriatum and inhibit the stimulating effects of cholinergic neurons. Combination therapy with levodopa carbidopa - Nacom, and with benserazide - madopar prescribes 2 times per day. To eliminate the pain is also used local anesthetics. Assign inside.
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