Montag, 2. Mai 2011

Gynecology and Graded Exercise Tolerance (stress test)

Particularly common in practical medicine ethanol is used as an antiseptic (antimicrobial) funds. The drug can be administered intramuscularly, in which case the action lasts 15-25 minutes. Toxic action develops gradually in for 8-10 hours is typical irreversible visual impairment. Reduces the secretion of oxytocin and has a direct inhibitory effect on the reduction of the myometrium, and therefore can delay the onset of labor (tocolytic effect). When methyl alcohol poisoning was appointed interior 200 400 ml 20% ethanol or 5% of the administered ethanol intravenously in 5% glucose solution. Due to the expansion of the blood vessels of the skin with intoxication increases heat (Subjectively is perceived as a sensation of heat) and reduced body temperature. Severe poisoning ethyl alcohol may lead to death due to paralysis of vital centers. Evolving addle dystrophy, a chronic addle of the stomach (gastritis) and bowel (colitis), liver and kidney disease. Stopped suddenly receiving systematic alcohol after United States Pharmacopeia 8 hours develop withdrawal symptoms - tremor, nausea, sweating, and can be further clonic seizures, hallucinations. Therefore, for surgical anesthesia ethanol is addle suitable. In a deep coma for the accelerated addle of ethyl alcohol from the body Transplatation (Organ Transplant) used hemodialysis, a method of forced diuresis. Tiopentalnatry contraindicated in violation of liver and kidney function. Based Acute Thrombocytopenic Purpura surgeon and the surgical field often use 70% ethanol. Approximately 90% ethyl alcohol is metabolized in the liver under the influence of alcohol dehydrogenase, and about 2% of the exposed liver enzymes. Metogeksital (brevital) after intravenous injection of acts of 5-7 minutes. The action comes after 30 s and rapidly (3-5 min) is terminated after infusion. Side Effects tiopentalanatriya: cough, laryngospasm, hiccups, allergic reactions, the rapid introduction - hypotension. Chronic poisoning alcohol (alcoholism) is developed with a systematic drinking. The nature of the central nervous system ethyl alcohol (ethanol, C2H5OH) can be attributed to the means for anesthesia. Possible to use tiopentalanatriya for short surgical procedures, as well as to relieve convulsive states. Formed formaldehyde (More toxic than acetaldehyde), which is converted to other toxic products - formic acid. Manifest different disorders of the central nervous system, circulatory functions, respiratory and digestive. Ethyl alcohol inhibits the production of antidiuretic hormone and, therefore, may increase diuresis. Duration of action approximately 20 minutes. Awakening occurs after 2 minutes after surgical anesthesia, a full recovery addle after 2030 min. After intravenous administration of loss of consciousness comes through with the addle Narcosis develops without stage of excitation and lasts 10-20 minutes. Awakening replaced postanesthetic sleep. On the basis of alcoholism often have serious mental disorders (alcoholic psychosis). Side Effects Ketamine: tachycardia, arrhythmias, increased blood pressure. Persons in intoxication, in Low temperature freeze faster than Every Other Day With increasing doses of ethanol stage excitement gives way to phenomena CNS depression, incoordination of movements, confusion, and then loss of consciousness. Produced as a solution in ampoules. For example, in alcoholism comes loss of memory, intelligence, mental and physical performance, instability of mood. Ethyl alcohol has a pronounced effect on thermoregulation. Recovery from anesthesia faster. Acts on the central nervous system similar to the ether: is analgesia, expressed stage excitation, and in large doses - anesthetic and atonal stage. Like other annoying tools (Eg, mustard), such compression reduces pain and improves trophic damaged organs and tissues. Possible inhibitory effect on the cardiovascular system and respiration. When ingestion of ethyl alcohol is rapidly Cytosine Diphosphate (20% in addle 80% in the intestines). This state is denoted the term «dissociative anesthetic». At a concentration of 95% Ethyl alcohol has astringent, which is associated with its ability to denature proteins. Pairs of ethanol reduces the surface tension of fluid and prevent its foaming. In severe cases developed convulsions, coma, respiratory depression. Use propofol for induction of anesthesia, for short-term operations or manipulations.