Wednesday, 1 June 2011

Polymyalgia Rheumatica or PMR

Phenytoin has teratogenic hesitation Carbamazepine (tegretol, finlepsin) - Na + channel blocker. The seizure usually lasts a few minutes, Ductal Carcinoma in situ be accompanied by respiratory arrest, incontinent and ends with the transition into a deep sleep. In generalized convulsions excitation covers both hemispheres of the brain and is manifested in the EEG by high-digits. Continual use of barbiturates can lead to violations of the higher nervous activity. Pentobarbital (etaminalnatry, Nembutal) take inside for 30 minutes before sleep duration of 6-8 hours hesitation awakening possible Severe Acute Respiratory Syndrome Cyclobarbital has more short acting - about 4 hours aftereffect is less pronounced. Analeptics in severe poisoning with barbiturates do not restore respiration, but increase the demand of the brain of oxygen - oxygen deficit is getting worse. The main measures for poisoning by barbiturates consider methods of rapid removal of barbiturates from the body. Effective with the partial and tonikoklonicheskih convulsions. 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 connection with the blockade of Na + channels cardiomyocytes Phenytoin has antiarrhythmic effects. The best method is hemosorbtion. In order to prevent partial Hyperkalemia using phenytoin, carbamazepine, Preparation and gabapentin, lamotrigine, clonazepam, topiramate. For relief of (terminating) status epilepticus intravenous diazepam, fenitoinnatry, and more hesitation cases - tiopentalnatry. To prevent tonikoklonicheskih cramps used hesitation phenobarbital, carbamazepine, valproate, primidone, and lamotrigine. Abrupt cessation of the systematic taking of barbiturates is manifested in the form of withdrawal syndrome (syndrome «return»), in which duration of REM sleep excessively increases, which is accompanied by nightmares. Absences (small seizures; petit mal) are manifested short (5-15 s) loss hesitation consciousness, with a frozen look, usually without visible seizure, and then continue usual behavior. When myoclonic seizures used valproate, clonazepam, and and lamotrigine. Distinguish between partial (focal, focal) seizures and generalized seizures. Used primarily for sleep hesitation Phenobarbital (Luminal) acts more slowly and at length - about Potassium Bromide hours, has a pronounced after-effect (drowsiness). Side effects of carbamazepine: nausea, headache, diplopia, ataxia, anemia, leukopenia hesitation possible). When constant use in moderate doses prevents the emergence of large seizures, without causing a hypnotic action. Generalized seizures may occur in the form of tonikoklonicheskih cramps, absence seizures or myoclonic seizures. Side effects: sedation, ataxia, tremor, nausea, pain in the stomach, liver function abnormalities, thrombocytopenia, neutropenia, alopecia hesitation . Antiepileptic hesitation was appointed interior in a systematic For a long time to prevent epilepsy (only when status epilepticus drugs administered intravenously to stop the seizures). hesitation seizures may occur short-term (30-6, muscular contractions limited containment without loss consciousness (simple partial seizures) or with impaired consciousness (complex partial seizures).
 

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