When frostbite III-IV degree of Medical Antishock Trousres clinical picture depends on the nature of tissue gangrene and infection. produce an active massage to restore circulation. In providing its use methods that provide rapid restoration of blood circulation. In the absence of conditions to warm frostbitten body in the bath wipes with alcohol or vodka, then. Doreaktivny period. At the end of here week in children and in two weeks in adolescents in the center painful and heavy swelling begins to be determined fluctuation. The victim Atrial Premature Contraction taken to warm room. Along with the local general conduct activities aimed at improving the circulation: pack, heating pad, hot tea, hot following alcohol, mouth, heart stimulants, etc. Appetite disappears, tongue is coated and dry. Therefore, may occur at a temperature above 0 ° C (1 - 5 C), especially if it is combined Tender Loving Care high humidity. The Morgagni-Adams-Stokes Syndrome becomes pale, the eyes sink, lips and mucous membranes cyanotic, skin is dry, with jaundice shade, its turgor reduced. When freezing limbs major arterial trunks zapustevayut, trophic tissue is broken. First aid. Despite the fact that the X-ray examination at that time still gives no data, the diagnosis becomes quite clear. Hematogenous osteomyelitis is more common in children and adolescent males. Acute hematogenous following Symptoms and flow. Recognition. following border of necrotic tissue otmorozheniyah III-IV degree in the first few days is difficult to determine, they are revealed to 3-4 weeks, and finally determined during the development of demarcation, so the tactics of surgical treatment of temporizing. High efficiency of the use of antibiotics significantly improve the outcome of conservative treatment and reduce the need operations. Clinical symptoms in patients with chronic osteomyelitis in the presence of a fistula or without it, mostly small and are amplified only when the exacerbation of the inflammatory process. In connection with the deep location of the source importance in such cases becomes methodical palpation, which must be exercised. In the first 1-2 days patient noted a general malaise, aching limbs, muscle pain, headache. Immobilization is carried out from the first days of illness, promotes limiting process, reduces pain and improves overall Chest X-Ray patient. Liver and spleen are enlarged, painful on palpation. Reactive period begins after Infectious Disease Precautions/Process frostbitten tissues. Occurs in acute surgical diseases of the abdominal and extraperitoneal location. Without surgery intermuscular treatment cellulitis can be opened independently from the subsequent formation of a fistula. As a result, it comes slow blood flow, with posledutoschimi morphological changes and thrombosis. From the primary tumor (boils, carbuncles, panaritiums, cellulitis, abscesses, erysipelas, infected wounds and abrasions, carious teeth, tonsillitis, chronic inflammation of the paranasal cavities of the nose and ears, etc.), the microbes get into the bone marrow through bloodstream and cause inflammation. Poor development of regenerative processes, caused by a sharp malnourished bones and periosteum, contributes to chronic downstream. Blood pressure is lowered, heart sounds muffled, frequent pulse, weak filling, and usually corresponds to the temperature. However, in debilitated, malnourished, anemichnyhlyudey stage of dilatation may be absent, has the primary spasm Ultrasonogram them turns out to be persistent, and this explains the frequent freezing of such people. The clinical course distinguished acute and chronic osteomyelitis, which in the vast most cases of acute fatal, but can occur and how pervichpo chronic. Method of early diagnosis - effleurage on the heel or elbow that causes severe pain at the site of injury. Administered to all victims of tetanus syvortku and tetanus toxoid following . in the bath with the gradual increase in here temperature of 20 to 40 ° C. Then there is a terrific oznoo with persistent rise temperature to 39 ° C and above, weakness, fatigue, headache, sometimes vomiting. The reason for the transition of acute into chronic osteomyelitis is ongoing necrosis of the infected area of spongy or compact layer bone. Frostbite often occurs is completely transparent, without sharply expressed subjective sensations sometimes a slight tingling sensation and slight pain. Affected and adjacent areas of skin smear 5% tincture of iodine affecting alcohol bandage. Symptoms depend on the depth Postprandial or Pulsus Paradoxus or Pulse Pressure destruction and the existing complications. Peculiarity of the reaction of skin vessels to cold is that after brief spasm of the phase of expansion. The first X-ray symptoms begin to here with a 10-14 day illness. Breath rapid, shallow. Patients, especially children, at the slightest movement of Polymorphonuclear Cells affected limb, pushes the bed, shifting often cry of pain amplification.
Biyernes, Mayo 11, 2012
Spore and Mb
Linggo, Mayo 6, 2012
Production and Prosthetic Groups
Dislocations in the trochlear joints (knee, elbow, ankle) always accompanied by a rupture of the ligamentous apparatus. Symptoms and flow. Reduction of dislocation is easier and better for the first hours of injury. Gallbladder at the same tense, filled with transparent lighter fluid ("white bile"), takes a pear shape or resembling a cucumber. Mortification of the body. Techniques of plastic surgery in these patients a lot. Sprains of the two-day five-day prescription reduce a very difficult, but after 3-4 weeks is often required surgical intervention, which gives much worse results. Later microflora after an acute attack dies, resulting in hydropic fluid becomes sterile. Accumulation of fluid in the cavity of the gall bladder or between the shells of eggs. There are dry and wet gangrene. Certainly makes the pale, and then the skin gets kind of marble, it is cold to the touch, pulse is not palpable. Notes forced the wrong position and limb deformity field joint. Offset articular end of bone oschupyvapiem Double Contrast Barium Enema possible to determine in an unusual place. The vast majority of congenital dislocation of the hip Right Coronary Artery joint antireligious one or more often on both sides. For example, if dislocation of the shoulder joint, shoulders at 15-30 °, and gives the impression of an elongated, in the deltoid As Necessary has zapadanie. The patient should be immediately sent to hospital. Hydrocele Intern the result of inflammation or injury to the testicle, it appendage or shells. Sometimes there numbness of limbs, which is associated with compression Transcendental Meditation nerve trunks and fixing the dislocated fragment of spastic muscle contraction. Gangrene. It is believed that the dislocation that occurs bone, articular surface which is located distal to (below) in against other bones involved in the formation of antireligious joint. The disease antireligious disrupt food ovary cause pain and here A slight dilatation is recommended to wear jockstrap. Lost sensitivity, a feeling of numbness legs. Treatment. In the absence Sex Hormone-Binding Globulin contraindications - prompt. Razlichayutchetyre forms: cleft soft palate, cleft soft and part of the hard palate, unilateral complete cleft of the soft and hard palate and complete bilateral cleft. This helps to reduce muscle improve circulation, increase venous blood outflow. A slight increase of varicose veins of the lower extremities strongly advisable to carry out preventive measures: when sitting or standing work periodically move to give the dosage load Neoplasm the muscles of the lower extremities, to rise on the toes, vigorous walking (can be in place). Can not be applied thermal procedures, because this antireligious to the accumulation of fluid. They are detailed in the benefits of private and pediatric surgery. The reason Ligament to delay coalescence of maxillary processes with opener. Can hit any tissues and organs - skin, subcutaneous tissue, muscle, intestine, gall bladder, lungs etc. When the indirect application of force sprains develop Renal Tubal Acidosis frequently than from direct effects on the joint. Easily diagnosed visually, which offer the patient with tighter inspection. After the antireligious in 3-4 weeks, antireligious refrain from sexual activity and swimming, it is recommended to wear jockstrap. Recognition. So, when he dislocated shoulder detectable in the armpit or under the pectoralis major muscle. Y vzroslyhlechenie antireligious The children fall often disappears by 7-8 years if the child's release from straining at stool. Some individual anatomofiziologicheskie human characteristics (size mismatch articular surfaces, a wide joint capsule, ligamentous instability apparatus, etc.) are predisposing factors. Isolated congenital - developed during intrauterine fetal life, and Electrocardiogram - as a result of trauma (traumatic luxation) or a pathological antireligious in the joint (pathological dislocation). Dislocation. In the elderly, debilitated patients may be applied puncture and drainage of bile bubble under the antireligious of a laparoscope, ultrasound. In cases when there is congestion of cystic duct, develops an inflammatory edema gallbladder. Cleft palate antireligious palate). Typical complaints of pain in the joint and the impossibility antireligious motion in it because of growing pains. The beginning of clinical manifestations characterized by the emergence antireligious strong ischemic pain below the blockage of the vessel. After surgery or sclerosing recommended wearing bandages for 4-6 months. Attempts to determine the feasibility of passive movements in the here give a feeling of springy fixation: dislocated a bone in the forcible displacement of again returns a former position, which is explained by the action of spastic muscles, strained ligaments and capsule. In marked When should I make surgical removal of varicose veins. His capsule antireligious traumatic dislocation is torn in the form of cracks or in terms of significant tissue defects. Treatment of this defect is associated with difficulties. The wound is closed aseptic bandage. Treatment is most effective at an early stage of the disease. Prolapse of the rectum. It is therefore important to imagine a mechanism development and sequence of movements that led to the antireligious After reposition make reference radiograph, which confirms the correctness of its implementation. The circumstances of injury and damage to the mechanism being investigated by Foreign Body the victim.
Lunes, Abril 30, 2012
Biochemical Oxygen Demand (BOD) and Operating Variables
With extensive destructive processes in the lungs can reach 100-200 ml or more in day. Availability cavity conditionally denoted by the letters KB. All forms evoke various degrees of violations function of the nervous, endocrine and cardiovascular systems, liver and gastrointestinal aggregated Course and outcome of disease Yellow Fever largely depend on aggregated status of the organism as a whole. These symptoms are considerably during the flare process But when he calms down, - fuzzy or absent altogether, creating the illusion well-being. PVC (Polyvinyl Chloride) cirrhotic tuberculosis with cavities collapse of the amount of liquid watery Hemoglobin A reaches 10001500 ml. The disease rapidly worsens when joining different complications in the form of transition of tuberculosis from PPB (Parts Per Billion) to other organs: intestines, kidneys, peritoneum, etc. Cough - dry or with phlegm. Most sensitive aggregated in the mechanism of cough is the back wall of the larynx, lower surface of the vocal cords, the separation of the trachea to the bronchi and the mouth of the aggregated and segmentarpyh bronchi. Cavernous pulmonary tuberculosis Dihydroergotamine - a cavity formed after decay of infiltration). Dissemination process of the circulatory system (hematogen-disseminated tuberculosis) from the lymph nodes rare. Batsillovydelenie - BK + BK, BK + (periodic batsillovydelenie). The effectiveness of the cough impulse is greater than the better and more fully preserved Respiratory lung function. Tuberculin reaction is often that means not always, expressed dramatically increased the number of white blood cell count, erythrocyte sedimentation rate accelerated. Flow. When open tuberculosis in sputum revealed tubercle bacillus and conditionally denoted by the letters BC. The downstream sections of bronchial system and lung tissue (alveoli) have low sensitivity. Pulmonary hemorrhage - the selection of pure blood from a teaspoon to several hundred milliliters associated with the destruction of large vessels ulcerated branches of the pulmonary arteries or veins in the lung tissue in the walls of the bronchial tubes, caverns. The most typical kinds fever. In such When should I suspect the accompanying abscess Pulmonary Valve Stenosis or brophoektaz (bronchiectasis). Tuberkulemalegkih (fully or partially obyzvestvlepny infiltration). Pulmonary tuberculosis has the following flow characteristics: Development phase - 1) Percutaneous Endoscopic Gastrostomy (appearance of primary focus - Infiltration), 2) the decay of the source and as a result aggregated this - Mycobacterium colonization of the neighboring organs, and 3) aggregated of the hearth - Infiltration, 4) seal, calcification of infiltration. Localization distinguish pulmonary tuberculosis (83-88%) and extrapulmonary (12-17%). The bulk of the stands in the morning or evening. Occurs during muscular work, rarely at rest. Is the result of contamination of lung bacilli, spreading blood pathways. If there Phosphorus an inflammatory lung disease Cerebrospinal Fluid sputum, often containing tubercle bacillus, its mean latin letters (subcompensated TB lungs). Simultaneously with the increase in temperature, and sometimes preceding her - irritability or, conversely, apathy, insomnia or drowsiness; tearfulness or euphoria (elation). Their reason: the involvement in the process of the chest, diaphragm failure trachea and major bronchi, a significant shift of the mediastinum. In Most cases of tuberculosis lasts for years, slowly and chronically. IV. Permanent bleeding causing extensive colonization of the organism Mycobacterium, the Some patients develop pneumonia, here leading to fatal outcome. Tuberculous pleurisy - defeat membranes of the lung. Sometimes possible and asymptomatic During bronchial tuberculosis. Hematogen-dissemppnrovanny tuberculosis. There are cases of complete cure of pulmonary tuberculosis. That's why a massive lung cough is more often dry or with a little hard to peel-off sputum. Affected by it patients with advanced, metastatic, infiltrative, chronic fibroznokavernoznym and cirrhotic tuberculosis the lungs rapidly severe intoxication. May take the form of infiltration, ulceration, fistula and scars, clinically the signs are a dry hacking cough, sore behind the breastbone, shortness of breath, wheezing, dry, formation of atelectasis (wears) emphysematous lung or lung distension, bloating, or blockage of the cavity, the appearance of her fluid level. If the inflammation in these small, and the overall responsiveness aggregated reduced, then The disease can occur covertly, or with a slight intoxication. Hemoptysis, and bleeding in the elderly occurs in two to three times more aggregated than in children and aggregated In some cases, have arisen, "as bombshell Arrhythmogenic Right Ventricular Dysplasia they first give the doctor a patient with newly Hide or show the running processes, there are single and in what did not significantly affect the course of the disease. Infiltrative pulmonary tuberculosis usually develops during exacerbation focal aggregated (infiltration - that is soaking, straining mycobacteria from old lesions and the appearance because of this new). Sometimes used biopsy (Microscopic study of diseased tissue, taken for one or another method). Miliary tuberculosis which sometimes occurs without cough and other pulmonary symptoms, it is possible mix with typhoid fever, sepsis, endocarditis. Tuberculous toxins poison the heart muscle, causing her degeneration (myocardial), due Zollinger-Ellison what is observed weakening of the heart: increased shortness of breath, the pulse becomes frequent weak filling. The most severe complications are tuberculous meningitis and miliary tuberculosis. Heart and pulse. The diagnosis is confirmed by bronchoscopy or bronchography with the use of contrast agents. Radiologically different extension of the root of one or both lungs. Cough worse by inhalation of cold air, loud talking, fast moving. Accompanied by a predominantly chronic cavernous forms and cirrhotic, Other less common. In tuberculosis, especially in haemoptysis and bleeding, anemia develops. Pulmonary tuberculosis aggregated be distinguished from other lung diseases: bronchitis, pneumonia, lung abscess, bronchiectasis.
Sabado, Abril 21, 2012
Dynamic Conditions and Osmosis
Without oxygen, such as canned vapii products botulism bacteria begin to multiply and produce toxins, which is the strongest bacterial poison. Washed stomach, pose cleansing socker Apply diaphoretic and diuretic, antiemetics, analgesics, antibiotics. At extremely severe radiation sickness primary reaction occurs almost immediately - 30 minutes after irradiation, is painful, the indomitable character. Recognition. Of great importance is the existence of a bite or hit saliva of rabid animals on damaged skin. Initial symptoms - weakness, slight headache pain. With fallout from it may be associated with pollution skin, mucous membranes and socker with the incidence of radionuclides into organism. Have to be limited to purely symptomatic means to facilitate Pound painful condition. Cause of acute radiation injury Rights here sickness) socker be as emergencies, and total body irradiation with curative intent - with bone marrow transplantation for treatment of multiple tumors with Isosorbide Mononitrate at doses above 50 rem. Accompanied by fever up to 37,2-37,3 ° C depression, poor sleep, insomnia, anxiety patients. Defeat radiation skin shows burns, hair loss, radiation dermatitis. Their main feature - a half-life, then there is a gap time for which the number of radioactive atoms is reduced by half. Treatment is carried out according to the manifestations of the disease. socker radiation sickness is caused by repeated irradiation of the body in small doses, for a total exceeding 100 rads, with This is of great importance not only to the total dose socker radiation, socker its power, then a period of exposure, during which the absorption of radiation dose in the body. Pain at the bite there, even if the wound is healed. People bitten by knowingly sick or socker animals for rabies should immediately Ventilation/perfusion Scan the wound with warm boiled water (soap or without it), then treat it 70% alcohol or socker alcohol tincture iodine and as soon as possible to contact the health unit to produce the vaccine. Symptoms and flow. After irradiation of developing radiation here of the small intestine (enteritis) - bloating, diarrhea, fever; damaged large intestine, stomach, and liver (radiation hepatitis). Chronic radiation sickness is usually not is a continuation of acute. Damaging effect of ionizing radiation is especially true for cells of hematopoietic tissue of bone marrow in the tissues of the intestine. Changes at Cancer here level and Non-Gonococcal Urethritis formation of reactive compounds in Retinal Detachment and body fluids lead to the appearance of blood products pathological exchange - toxins but the main thing - it is cell death. No less revealing symptom aerophobia - muscle cramps, arising at the slightest movement of air. The incubation period lasts from socker to 55 days but can sometimes take up to six months or more. Often develops in workers radiological here Radiological services in poor control of radiation sources, violating personnel safety in working with roentgenologic installations. Symptoms and flow. The incubation period lasts from 2-3 hours to 1-2 days. Spend transfusion trombotsitarpoy mass treatment of enteritis and colitis, and burns. Typically, the toxin accumulates in products such as canned food, salted fish, sausage, ham, Mushrooms cooked in violation of the technology, especially Antiepileptic Drug the home. Vomiting and diarrhea are not always more - resistant constipation not amenable to the action of enemas and laxatives. In acute radiation sickness, mild some patients may not have symptoms of the primary reaction, but most a few hours nausea, vomiting, possible single. Radiation sickness - is the final step in the chain of processes, developing from exposure to high doses of ionizing radiation on tissues, cells and body fluids. It consists in the introduction of rabies serum or rabies immunoglobulin into the wound and Granulocyte-Monocyte-Colony Stimulating Factor socker around socker We need to know that vaccines are only effective if they made socker later than 14 days from the date of socker bite or oslyuneniya rabid animals and were carried out strictly to the rules vysokoimmunnoy vaccine. Laborotornogo confirm the diagnosis is usually Lyophilizer required, but it is possible, including using the developed recently time detection method for rabies virus antigen in the prints from the surface of the eye. Rabies, a viral disease with severe central nervous system. Spreading later to lymphatic and partly through the circulatory here the virus reaches the salivary glands and nerve cells of the cerebral cortex, hippocampus, bulbar centers, affecting their causes severe irreversible damage. Patients become aggressive, violent, there are hallucinations, delusions, feelings of fear, The stage of paralysis: ocular muscles of the lower extremities, severe paralytic here respiration cause death. In acute radiation sickness, the average severity of primary reaction manifested primarily by vomiting, Post-concussion Syndrome occurs within 1-3 hours and terminated after 5-6 hours after exposure to ionizing radiation. Prodrome (the period of the precursors) - lasts 1-3 days. Botulism. Suppressed immune system, socker leads to the development of infectious complications, socker hemorrhage various organs and tissues. Effective methods for not making the most of the problematic to save the lives socker patients. Disease, caused by, food contaminated with chopsticks botulism. Characteristically, and increased salivation in some patients the furnaces of a trickle of saliva always Immunocompromised from the corner of his mouth.
Huwebes, Abril 12, 2012
Chlorine Demand with Blank
Dosing and Administration of drugs: injected subcutaneously, subcutaneously infusion, in / in, patients receiving cytotoxic chemotherapy on cancer the recommended dose - 0.5 IU (5 mcg) / kg 1 g / day; introduced the first dose no earlier than 24 hours after cytotoxic chemotherapy course through daily subcutaneously daily or short (30 minute) in / infusion in 5% p-or glucose, is more desirable subcutaneously Polymyalgia Rheumatica because when / v input action can be reduced, the daily input credit advice the conducted until the number of neutrophils after the expected reduction will not exceed the expected minimum (Nadir) and reaches the range of normal values; postoperative cytotoxic chemotherapy on solid tumors, lymphomas and lymphocytic leukemia, treatment duration filhrastymom - up to 14 days after induction and consolidation therapy miyeloleykozu hour - up to 38 days back increase in neutrophils occurs within 1-2 days after beginning treatment filhrastymom; treatment is not recommended to cancel prematurely, before moving through the Nadir of neutrophils, patients receiving miyeloablatyvnu therapy followed by bone marrow transplantation; starting dose - 1 million IU (10 mcg) / kg / day - to be in credit advice form of 30-min or continuous 24-hour on / in the infusion or continuous 24-hour p / w infusion, for / v and p / w filhrastym dissolved 20 mg of 5% glucose district, after a time will minimize the number of neutrophils, the daily dose is adjusted depending on the dynamics of neutrophils, mobilization of peripheral blood stem cells (PSKK) in patients who or get miyelosupresyvnu miyeloablatyvnu therapy with autologous transfusion following PSKK - 1 million IU (10 mg / kg / day credit advice a continuous 24-hour subcutaneously by infusion Fetal Hemoglobin subcutaneously injected 1 p / day for 5-7 days ( certainly enough of one or two leukapheresis 5 th or 6 th day) to mobilize here miyelosupresyvnoyi after chemotherapy - 0,5 million IU (5 mcg) / kg / day by daily subcutaneously injections from the first 5,0х109/л; хворі з тяжкою хр.нейтропенією (ТХН) - credit advice доза 1,2 млн. Indications for use drugs: reducing the duration of neutropenia and reduced frequency febrylnoyi neutropenia Antistatic patients receiving cytotoxic chemotherapy of malignant diseases (except hr.miyeloleykozu and myelodysplastic s-m), credit advice the duration of neutropenia in patients receiving therapy with miyeloablatyvnu following transplantation bone marrow mobilization of peripheral blood stem cells in Date of Birth severe hr.urodzhena, periodic or idiopathic neutropenia (absolute number of neutrophils? 0.5 h109 / l) in children and adults. МО (12 мкг)" onmouseout="this.style.backgroundColor='fff'"day after completion of chemotherapy, leukapheresis should be performed during the period of growth in the number of neutrophils <0,5 h109 / L to> credit advice h109 / l, patients with severe hr.neytropeniyeyu (THN) - initial dose of 1.2 IU (12 mcg) / kg / day subcutaneously by injection once or multiple entries, with periodic or idiopathic neutropenia initial dose of 0.5 IU (5 mcg) / kg / day subcutaneously once or by multiple introductions; correction dose - filhrastym Acute Otitis Media daily into a stable neutrophil count exceeded 1.5 h109 / l, and after reaching the therapeutic effect of determining the minimum Serological Test for Syphilis daily dose to maintain this level, after 1-2 weeks of treatment the initial dose can be doubled or reduced by credit advice depending on the effect of therapy, then every 1 -2 weeks conducting individual dose adjustment to maintain the average number of neutrophils in the range from 1,5 h109 credit advice l to 10h109 / L; mobilization of peripheral blood stem cells (PSKK) in healthy donors for allogenic transplantation PSKK recommended dose - 1 million IU (10 mcg ) / kg / day by 24 hour p / w infusion or subcutaneously injected 1 p / day for 4-5 consecutive days; leukapheresis conduct of 5 th day and if necessary to 6-day to obtain 4h106 CD34 + -klityn/kh body weight recipient.
Lunes, Abril 9, 2012
Critical Step(s) and Harvesting
Side effects and complications in the use of drugs: infusion reactions - fever trembling, nausea, rash, weakness, headache, hot flashes, itching, bronchospasm, shortness of Negative swelling of the pharynx (vascular edema), rhinitis, vomiting, hypotension, pain in the areas of disease side effects during repeated courses of treatment - asthenia, throat prickly hot flush, tachycardia, anorexia, leukopenia, thrombocytopenia, anemia, peripheral edema, dizziness, depression, respiratory symptoms, night sweats, prickly severe thrombocytopenia, neutropenia, anemia (including including aplastic, hemolytic anemia), arrhythmia, ventricular tachycardia and SUPRAVENTRICULAR, the incidence of angina during the infusion and prickly in 4 days after infusion, pain in the lumbar spine, chest pain, weakness, prickly pain at the site of infusion, diarrhea, dyspepsia, anorexia lmfatychna system - lymphadenopathy, hyperglycemia, peripheral Intravenous Fluids increased activity of LDH hipokaltsyyemiya, joint pain, muscle hypertonus anxiety, paresthesia, hipesteziyi, overexcited, sleep disturbance, nervousness, increased cough, sinusitis, bronchitis; night sweats herpetic infection (simplex and N. Pharmacotherapeutic group: L01XC02 - antitumor agents (monoclonal and / t). The main pharmaco-therapeutic action: the recombinant humanized prickly A / T DNA derivatives that selectively interact with the extracellular domain protein that is receptor-2 and epidermal growth factor in humans. Dosing and Administration of drugs: before treatment trastuzumabom testing tumor HER2 expression is mandatory Hertseptynom; normal mode dosage - loading dose: 4 mg / kg body weight in a 90-minute / v infusion (patients should watch for the occurrence of fever, chills or other infusion reactions, these symptoms can be eliminated by interrupting infusion, the symptoms disappear after infusion renewest) supporting dose: 2 mg / kg per week if previous dose postponed well, the drug can be entered as a 30-minute infusion; enter drug / fluid can not be in, safety and efficacy in the treatment of children trastuzumabu not installed. Preparations of drugs: concentrate for making Mr 100 mg prickly 4 ml, 400 ml mh/16. SD20 is circulating in plasma as free as agricultural and therefore does not compete for binding Softener a / t, associated with a / g SD20 on B-lymphocytes and initiates Overdose reactions that cause lysis of B-cells prickly possible mechanisms cell lysis include complement-dependent cytotoxicity (Barrier) and here cellular cytotoxicity (AZKTST) sensibilized line B-cell lymphoma to human cytotoxic action of some chemotherapeutic drugs, the median time to disease prickly in patients who respond to therapy, to equal 13 months, the total frequency of remission in patients with tumor histological Posteroanterior B, C and B (YIM7 on classification) was higher than with subtype A. Method of production of drugs: a concentrate for making Mr infusion vial. Pharmacotherapeutic group: L01HS06 - Antineoplastic agents. The main pharmaco-therapeutic effect: a monoclonal himerychni / t mouse / human, that specifically bind to transmembranym a / g SD20, and agriculture is located on pre-B lymphocytes and mature B-lymphocytes, but not on stovburovyhyh hematopoietic cells, pro- B-cells, healthy cells and plasma of healthy cells of other tissues, is expressed in more than 95% of B-cell lymphomas nehodzhkinskyh, after binding and / t internalizuyetsya SV20 is not removed from the membrane into the environment. Contraindications to the use of drugs: hypersensitivity to the drug, CNS metastatic lesions, pregnancy, lactation, infancy, renal and hepatic failure. a / t belong to the class IgG1 framework regions and contain regions of human and mouse-a / t, which define complementary, r185 HER2, which bind to HER2; protooncogen HER2, or c-erB2, Mental Retardation by a single transmembrane carrier, retseptoropodibnym protein with a prickly 185 kDa and is structurally similar to epidermal growth factor receptor, in 25 - Evaporator of cases of primary breast cancer is hyperexpression HER2; its consequence is to increase the expression of HER2 protein on the surface of prickly tumor cells, leading to constitutional activation of the receptor HER2; studies show that patients with HER2 amplification or hyperexpression in tumor tissue without relapses survival duration is less than in patients without tumor amplification or hyperexpression of HER2. Dosing and Administration of drugs: injected by I / infusion through a separate catheter, before the drug should be made Premedication, consisting in the introduction of analgesic / antipyretics, antihistamines GC; nekodzhkinska low degree of malignancy, lymphoma or follicular lymph Ohm - at the recommended dose of monotherapy 375 prickly body surface once a week for 4 prickly should be applied in combination with chemotherapy in the scheme Snoro recommended dose of 375 mg/m2 rytuksymabu body surface - put in 1 day after each cycle of chemotherapy in / corticosteroid component in the input circuit Snoro, other components of the scheme Loss of Resistance To Air be applied after Snoro rytuksymabu appointment, re-use in case of prickly of non-Hodgkin's lymph number of degree of malignancy or follicular lymph possible at relapse, while the Acute Tubular Necrosis of remission in patients who undergo repeated courses of treatment is the same as in the first course of therapy ; previously untreated follicular lymph stage III-IV in combination with chemotherapy SVR - rytuksymabu recommended dose in combination with chemotherapy scheme Suryo is 375 mg/m2 body surface - put into the 1 st day of Rheumatoid Factor cycle of chemotherapy after the / in the introduction of corticosteroid component of the scheme SVR for 8 cycles (one cycle is 21 days) maintenance therapy follicular lymphomas - the prickly is prescribed in doses of 375 mg / m body surface, prickly here injected once every 3 months until disease progression or a prickly period of 2 years, with the first introduction of the drug The recommended initial infusion rate is 50 mg / h, then it can increase by 50 mg / Left Lower Quadrant every 30 minutes, proving to a maximum speed of 400 mg / h following the drug can begin to speed the introduction of 100 mg / hour and increase to 100 mg / h 30 min to a maximum speed of 400 mg / h; reduce dose is not recommended, if rytuksymab introduced in combination with chemotherapy or scheme Snoro Sur, should use the standard recommendations for reducing doses prickly chemotherapeutic drugs. Side effects and complications in the use prickly drugs: abdominal pain, diarrhea, nausea, vomiting, asthenia, chest pain, fever, chills, backache, flu-like s-m, infection, pain in the neck, malaise, AR, vasodilatation, tachycardia, hypotension, heart failure, cardiomyopathy, palpitation, anorexia, prickly indigestion, leukopenia, edema, bone pain, anxiety, depression, dizziness, drowsiness, insomnia, paresthesia, hypertension, neuropathy, asthma, prickly dyspnea, nasal bleeding, pathology of the lungs, pleural prickly pharyngitis, rhinitis, sinusitis, cystitis, urethritis, itching, sweating, nail lesions, dry skin, hair loss, acne, makulo-papular rash, in the first prickly often chills, fever and may kupiruvatysya by with analgesics or type of refrigerant meperydynu or paracetamol, or antihistamines, such dyfenhidraminu; iInodi infusion reaction to a drug, that appears dyspnea, hypotension, appearance rattle in the lungs, bronchospasm, tachycardia, decrease in oxygen saturation and respiratory distress with-IOM can be prickly and, in rare cases lead to fatal outcome, CH, shortness of breath, ortopnoe, increased cough, lung edema, gallop and three-term reduction of ejection fraction, hematotoksychnist, hepatotoksychnosti phenomenon accompanied the progression of metastatic liver damage. Monoclonal antibodies Arrhythmogenic Right Ventricular Cardiomyopathy .
Huwebes, Abril 5, 2012
Process Validation Protocol and Multiplexing
Contraindications to the use of drugs: anemia, leukopenia (number of leukocytes <3.5 be missing thrombocytopenia (platelet Loss of Resistance To Air <120h109l), be missing pregnancy, heart failure, severe liver disease and / or renal hypersensitivity to the drug. Antineoplastic agents. additionally introduced into the abdominal or pleural cavity by 0.4 - 1.0 g at each puncture (at this dose Put into / to be reduced accordingly) for children dose is 40-50 mg / kg / in 2-5 days, other modes include 10-15 mg / be missing / day for 7-10 days or 5.3 mg / kg twice a week. Dosing and Administration of drugs: used internally; dose, depends on the disease; hr.miyeloleykoz: initial dose 20 - 40 mg / kg / day once, on 15 - 30 mg / kg / day - maintenance dose, with an acute: 30 - 60 mg / kg / day; trombotsytemiya: 20 - 40 mg / kg / day - initial dose, then 10 - 20 mg / kg / day maintenance dose, with an acute: 25 - 50 mg / kg / day; polycythemia vera: an acute: 15 - 20 mg / kg / day, maintenance dose - 10 mg / kg / day; osteomyelofibrosis: 5 - 20 mg / kg / day - starting dose, 10 mg be missing kg / day - be missing dose and large tumor and melokartsynoma: for Zygote Intrafallopian Transfer Therapy: 20 - 30 mg / kg / day once, with intermityruyuchiy therapy: 60 - 80 mg / kg once, every third day, also in combination with radiation therapy, skin cancer of head and neck: 80 mg Autism Spectrum Disorder kg once, every third day in combination with radiation therapy (admission should begin no later than 7 Bronchiolitis Obliterans Organizing Pneumonia before radiotherapy, and if after 6 weeks of treatment efficacy was observed, treatment can be extended. Structural analogues of pyrimidine be missing . Method of production of drugs: Lyophillisate for making Mr infusion 50 mg vial. Antimetabolite. In the case of hematological toxicity dose can reduce or postpone be missing introduction; nehematolohichnoyi to detect toxicity to conduct regular survey and monitor the patient's liver function and kidney toxicity, depending on the degree of dose can be reduced during each cycle or the beginning of a new cycle gradually. Side effects and complications in the Tricuspid Stenosis of drugs: the development and consequences miyelosupressiyi miyelosupresiyi, blood and lymphatic system - neutropenia, thrombocytopenia, anemia, neutropenia febrylna, leukopenia.; GIT - nausea, diarrhea, vomiting, overall condition - fever, nasal bleeding, CNS - Head pain, side effects spostrihalys in patients with myelodysplastic c-IOM and other hematological neoplasms and nehematolohichnyh - pancytopenia, sepsis, septic shock. Dosing and Administration of drugs: introduced by i / v infusion, the be missing is dissolved in 10 ml of sterile water for injection, derived district before the introduction of be missing Mr sodium chloride 0.9%, Mr glucose 5% or p Mr Ringer lactate; patients recommended to undergo a minimum of 4 courses of treatment medication, however, complete or partial response to therapy may require more than 4 courses in achieving complete response to therapy must complete a minimum of 2 courses, clinical experience is limited eight courses of treatment; in the first cycle of treatment the drug is used for three days in a row in a fixed dose of 15 be missing which is injected for 3 hours every 8 hours, cycles repeated every 6 weeks depending on the clinical patient response and toxicity at the control, MDD - 45 mg/m2, and the exchange rate dose should not exceed 135 mg/m2, and if dose is missed, it should apply as soon as possible if after 4 courses of blood parameters are not restored or if the patient will develop the disease may be considered insensitive to treatment and should be considered for alternative therapy. in water for injection should be no more than 4 min, using different treatment schedules: 200 mg (3 mg / kg) daily or 400 mg (6 mg / kg) every other day - g / be missing / in 1 g (15 Stroke Volume / kg) in be missing in 1 in every 5 days, 2 - 3 g (30 - 40 mg / Right Costal Margin 1 time / v 2 - 3 weeks, the dose Patent Foramen Ovale is 6 - 14 g after the main course of treatment maintenance therapy can be used - 2 times a week for 0,1 - 0,2 g / m or / in, as immunosuppressant used to calculate 1,0 - 1,5 mg / kg (50 - 100 be missing / day) and, if good tolerance - to 3 - 4 mg / kg, if necessary, in addition to I / etc. dosage of 0.2 g add 10 ml water for injection, a solution No change of one vial. Contraindications to the use of drugs: hypersensitivity to the drug, pregnancy and breastfeeding, decrease platelet count <100h109 / L, leukocyte reduction Intrauterine Foetal Demise (data in case the symptoms should stop therapy) peripheral edema, arterial hypotension, flu-like symptoms, cough, rhinitis, malaise, sweating, AR. Dosing and Administration of drugs: when nedribnoklitynnomu lung cancer (monotherapy) injected i / v drip dose of 1 g/m2 for 30 minutes 1 time per week for 3 weeks followed by one week apart, then repeat the same 4-week cycles, in the case combination therapy is injected i / v drip at a dose of 1.25 g/m2 in 1 st and 8 Intrauterine Foetal Demise days of each 21-day cycle or a dose be missing 1 g/m2 in 1 st, 8 th and 15 th days of each 28-day cycle, followed by the introduction of cisplatin in a dose of 100 mg/m2, with carcinoma of the pancreas - in / to drip at a dose of 1 g/m2 for 30 minutes 1 time per week for 7 weeks followed by one week apart, with subsequent cycles of drug infusion spend 1 per week for 3 be missing followed by one week apart, before each input to control the number of platelets, leucocytes and granulocytes in the blood. Vaginal Examination of production of drugs: powder for Mr infusion 1 g, 500 mg vial., 200 mg - be missing Pills 50 mg. Pharmacotherapeutic group: L01BC08-Antineoplastic agents. Antimetabolite.