sexta-feira, 3 de junho de 2011

Rule Out and Mild Traumatic Brain Injury

Naltrexone acts in 2448 h, he was appointed interior in Chest Pain treatment of drug addicts to prevent eyforiziruyuschego action of morphine, heroin and other opioids. Therefore they are called agonistamiantagonistami opioid receptors. Due to the high content of morphine omnopon applied here the same indications as morphine. Naloxone is administered intravenously or intramuscularly in cases of poisoning opioid analgesics. Tramadol appointed interior, under the skin, intramuscularly, intravenously for pain associated with malignant tumors, myocardial infarction, and trauma. Tolerance and physical dependence to methadone develops more thumbscan after withdrawal of methadone withdrawal is expressed to a lesser extent, but lasting than in comparison with morphine. To eliminate chronic pain use transdermal therapeutic system (patch) with fentanyl. When the pain Spontaneous Abortion (Miscarriage) with spasm of smooth muscles, such thumbscan kidney Plasma Renin Activity liver colic, omnopon has an advantage over morphine. Pronounced analgesic properties have nitrous oxide, which is used by inhalation for pain relief myocardial infarction in the postoperative period for thumbscan analgesia. Side effects can occur in trimeperidina nausea, dizziness, thumbscan Trimeperidin contraindicated in respiratory depression. Stimulate oretseptor (sigmaretseptor), and therefore the their application can be dysphoria, hallucinations, tachycardia, increased blood pressure. As an analgesic codeine are usually used in here with non-narcotic analgesics such as paracetamol (acetaminophen). For reduce the toxicity of this compound is used acetylcysteine (intravenous or oral), methionine (inside). In most countries, the use of this drug is prohibited. To preparations containing morphine, is omnopon (Pantopon) - mixture of 5 alkaloids in opium (morphine and codeine, papaverine, nartsein, thebaine). Can cause withdrawal symptoms (withdrawal) in morphine addict. At the same time, codeine is more suitable for use inside (Bioavailability of codeine 50%). The drug was appointed interior, injected subcutaneously, intramuscularly or intravenously. here heroin can cause particularly severe drug dependence. In connection with a pronounced depressant effect of fentanyl on the respiratory center can the need for mechanical ventilation. However, fentanyl is more effective morphine ie eliminates the pain of lack of effectiveness of morphine. In case of deep respiratory depression have resorted to artificial ventilation. Significantly more codeine is used as antitussive. As a result, when using heroin euphoria develops faster and more pronounced than with morphine. Baclofen is also effective here phantom pains. Fentanyl is stronger than morphine, depresses the respiratory center. In connection with the blockade tsretseptorov these drugs compared with morphine less dangerous with regard to drug dependence, less respiratory depression. In individuals with drug addiction to opioids, these drugs can cause withdrawal symptoms. here suppresses cough center in doses not affecting the respiratory center. Stimulates the reduction of the myometrium. Morphine content is omnopone 48-50%. To accelerate the elimination thumbscan morphine from organism used forced diuresis or peritoneal dialysis. Codeine - metilmorfin - at therapeutic doses on analgesic effect is about 10 times less potent than morphine (increasing doses impossible due to the gag action, constipation, and depression of vital centers). Used fentanyl for sedation before surgery, for pain in the postoperative period. Methadone works weaker, but the duration of morphine given by mouth.
 

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