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In a basis of a writing of the practical grant on therapeutic pharmacology we putting classification system of medical products of automatic telephone exchange, a recognition which the world community and universal introduction assumed, that it becoming natural attribute in daily work of the doctor. The practical grant to therapeutic clinic in the wide are focus sense which included internal illnesses, family medicine, the general medical practice, pulmonology, cardiology, gastroenterology, nephrology, rheumatology. The practical grant on therapeutic pharmacology, unlike the textbook on clinical pharmacology, included a great number of groups medicinal the preparations us usually in therapeutic clinic, and also did not contain problems and tests for self-checking. By it it are underlin that it are calculat on already the prepar reader. Mastering by therapeutic pharmacology generic cialis not simple business, but it under force to the purposeful, hardworking, inquisitive mind who had devot the life trades of the doctor. Our practical grant we set the task to help colleagues, present and future, first of all, in achievement of this purpose. All remarks and offers on improvement of our practical grant on therapeutic pharmacologists will be accept with gratitude. As a medical product understood pharmacological means, which when due hereunder it are authorized the authoriz body of the state for uses with a view of treatment, preventive maintenance or diagnostics pathological conditions (diseases and clinical syndromes) in medical and veterinary to practice. Pharmacological means named substance with establish pharmacological activity who are object of clinical tests and still it are not authorized for practical use. Medical product (medical product preparation, medicine, medicine) could be substance or a mix of substances natural, synthetic or biotechnological origin which was us for preventive maintenance, diagnostics and treatments of diseases, changes of a condition or physiological functions of an organism. To medical products carried: ready medicinal forms who was receiv by a way of the technological processings of substances, auxiliary substances, the vegetative medicinal raw materials, pass stages of technological process, and also quality assurance in that kind and a condition in whom was appl by the person, pack and mark by an appropriate amount; active substances (the substances, operat substances, biological agents) natural (human, animal, microbic, vegetative, mineral), the artificial or biotechnological origin, possess pharmacological or immunologic action and intend for manufacture and manufacturing of the ready medicinal means disinfection or insektitsidny means with whom are available direct contact of the person; medical immunobiological preparations, mainly biological origins, including blood also was more its than components, and also fabrics the person and the animals intend for use in the medical to practice for the purpose of specific preventive maintenance, treatment and diagnostics infectious, incl
sulfate of iron. Ionoobmenny salts, absorb, also reduced vsasyvaniye many preparations. Vsasyvaniye could be br because of changes of peristaltika digestive the channel under action holinolitikov, the antikholinesteraznykh and laxatives means. Antimicrobic preparations could suppress synthesis of vitamin K by the intestinal microorganisms and that потенцировать action of oral anticoagulants. General therapeutic pharmacology To a parenteralny way of introduction of medical products carried set ways at whom the enteralny way are pass. It united injections (intraskin, hypodermic, intramuscular, intravenous, intraarterial, in lymphatic system, in a cavity of a brain, are more other), inhalations, elektroforez and superficial drawing on a skin and mucous membranes. Different kinds of chrezkozhnogo (intraskin, intraskin, hypodermic) introductions medical products allowed to deposit them with stable on an extent certain time receipt in an organism of the patient. Volume enter preparation did not exceed 2 ml. Intramuscular introduction, unlike it, are provid rather fast receipt of a medical product in an organism of the patient (from 10 to 30 minutes depending on a condition of local blood circulation). Volume enter preparation did not exceed 10 ml. Complications concerned possible the local morbidity, and also in rare instances abscesses. It are not recommended to carry out injections near to nervous trunks, and blood vessels. One of widespread ways of parenteralny introduction medicinal preparations the intravenous way are. At it fast approach are provid active substance and exact dispensing with management of this process, possibility the instant termination of receipt of the last in a blood channel at occurrence of collateral reactions, possibility of introduction in an organism of substances, which was not soak up from the digestive channel or irritated him mucous. At it are necessary for realization of a way to be convinc that a needle in a vein, as at hit of the medicinal preparation in okolovenozny space of prope
Activity of enzymes under the influence of one medical products raised and others generic cialis it are oppress. So, fizostigmin and neostigmin suppressed activity holinesteraza destroy atsetilkholin, than shown effects, characteristic to excitation of a parasympathetic link of nervous system. Ingibitor of monoaminoksidaza, suppress destruction of adrenaline, raised activity of the sympathetic nervous system. Change of physical and chemical properties of membranes of cages led to change streams of the ions defin transmembranny electric potential that it are show by changes them a functional condition generic cialis cheap. In a similar way operated some antiaritmicheskiye and anticonvulsive medical products, are more other. Direct action on substance of cages possibly at level them molecules or ions. Examples was neutralization of hydrochloric acid of antatsidnymi medicinal preparations and linkage of ions of lead in cages etilendiamintetrauksusna acid. DISPENSING OF MEDICAL PRODUCTS Pharmacological action of medical products also are more its clinical effects was functions of many variables, most important among which acted the single dose are more their. Finally, by a dose of a medical product was defin, equally, efficiency of treatment also are more its safety for the patient. Overdose of a medical product are fraught with collateral reactions, but at many patients average therapeutic doses appeared insufficient for achievements of necessary clinical effect. Individual sensitivity to a medical product are defin age and floor of the patient, in weight the body, speed of a metabolism are more its; condition blood circulations, features and phase development of pathological process, was more its complications; digestive path, liver, kidneys; medicinal form, structure and by introduction of a medical product; others us by the patient medical products also are more their interaction, are more other. Clinical and, naturally, by-effects was connect with accumulation (kumulyatsiya) medical product in an organism. In particular it concerned the medicinal preparations with the prolong action.
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