Anti HTA

1. Anti HTA +:( pica 100% cel putin 3 subiecte din urmatoarele:)
 IR:
1. Diur Tiazidice
2. Ansa-Furos
3. Spirono-K
4. BB cu elim renala
5. Ca Bloc
6. IEC
 DZ:
1. IEC,
2. Ca Bloc
3. Beta1B
4. La varst Diur Tiazidice
5. La varst Diur Aldost
 Dislipid:
1. IEC
2. Ca Bloc
 BIP:
1.IEC,
2.Ca Bloc,
3.1B

 BIC:
1.Ca Bloc cu eff prelungite Nu prima gener,
2. BB,
3. Nitrati,
4. IEC inclusiv prev sec
 Sarcina:
1. Metil Dopa,
2. Labetalol,
3. Prazosin,
4. MgSO4,
5. BB=Ateno-Metoprolol,
6. Ca Bloc=Nifedipina Verapramil
 IC:
1. IEC-mortalitatea cu 1/6,
2. B1B-selective-Metoprol,Carvedilol  Mortalitata cu ¼

 AVC: by yury 
 Prev I:
1. IEC
2. Ca Bloc
3. Diuretice
4. Alfa1Bloc

 Prev II:
1. IEC,
2. 1Bloc/
Labetolol iv. urgenta, Nitroprus Na-Creste p i.cran

 HVS:
1. IEC
2. BAT2
3. 1B
4. Clonidina
5. Metildopa
6. Bloc

2. Ce NU se da in HTA + Sarcina:1.IEC-tulb crest=IRen fat,
2.BRAT2,
3.Diuretice-Vol Plasm,Circ Placenta,Nutrit Fat
3. Diuretic in HTA: Tiazid: ICC, HTA-1. varstnic 2. sistolica izolata varstnic 3. de o: apicana
Ansa: ICC, Insuf.Renala
Aldost: ICC, Post IMA

4. Asociere de
 Diuretice
 AntiHTA 1. Diuretic + BB Principiul: Sinergism-efecte pozitive prin 2 mecanisme diferite
2. Diuretic + IEC Antagonism-eff adv
3. Ca Bloc din tulb de ritm + BB protecrot fata de tulb de ritm
4. Ca Bloc + IEC – eficienta in scaderea TA
5. BB + B – rar
 AA: 1. IA(Clonidina, Procainamida)+IB(Mexiletina)Can Na Activ vs Can Na Inact Interz: 1.Nu se Asc ac Cls/SubCls:IA+IC
2. I+BB(no Sotalol) 2. Dc QT NU – IA, Amiod, Sotalol
alte : 1.Propranolol+Metixilina/Flecainida - Diminua Efectul Proaritmic 3. Amiod+BB – eff Aditive
2.IA+Sotalol - Date clinice incomplete
3.Clonidina+Verapamil – Hipotensiune
4.Disopiramida+Verapamil
5. Propafenona+Chinidina/Procainamida
5. Indicatii :Aritmie+HTA:1.BB selective, 2.Ca Bloc Verap.Dilti (DupaK posttrat diur–favor EctopiiV Proaritmigene
6. Eff Adv: CI – AA:
 AA 1. Amiodarom: Fibr Pu, Neuropat Perif, Depoz Cornee, Disf Hep+Tir, B.Pu, Hep, Neuropat
2. BB: BeSpasm, HiperGlic Asm, D-InsDep
3. CaBloc: Icc, BAV Disf V, Tulb Cond
4. Disopiarmida: ICC, Torsada Vf, Ret Urin, Glauc, Creste QT, Tulb Ritm QT>, Prostatism, Glaucom, IR
5. Flecainida: Creste Mortalitatea Post IM, BradiAritm Tulb Cond,
6. Procainamida: Sdr.Lupoid, Agranulocitoza Artrita Cr, Discrazie Sg
7. Lidocaina+Mexilitina: Tremor Parkinson
8. Propafenona: ICC, BrSpasm, ProArtim Asm, Tulb Cond, Disf VS
9. Chinidina: Torsada Vf, Creste QT, Diaree, HipoK B.Dg Cr, Qt>, HipoK
10. Sotalol: Torsada Vf, BrSpasm, DZInsDep Asm, DZ InsDep, QT>, HipoK
 Brdilat 2Adr:Toleranta,Agitatie, Tremor, Nervoz, Cefalee, Transpir, Slabici, Roseata Pielii, Greata, Voma Aritmii HTA, HipoK+
 CoSt:Sistemic-1.Metab-Intol Gluc, Obez, Dislip, Proteoliz; 2.Os:AbsCA, NecrAvsc Cap Femur, Osteopor; 3.CV:Retent.Hd, HTA, ATS; 4.Supresia Sys Imm-Vulnerab La Inf; 5.M.Striata;Miopatie, Mas Musc, 6.Piele-Atrofie, 7.HipoGonadism8.Ulcer Peptic, 9.Cataracta, 10.Neuro:Euforie, Depresie, Tulb Somn, Ideatie Psihotica, 11.Tulbcopii:secr horm de, Inhib Ef Fact de  Insulin Like, Local: Disfonie-Fav dezv Fungi Candid OroFar, Iritatia, Gat Tuse
 Stabil Mast: Cefalee, Gat uscat, Iritatie, BrSpasm tranzitoriu, Tuse, Roseata Tegumentara


 Sulfasalazina:Cefa Fe Greata Diaree DiscGastric, Anemie Megalobabs Ac.Fol, R.Alerg:Artralgii, Hemoliza, Agrnul, Tt-penie,
 ImmSupr:DerivTioguanina-Suprima MadHePoet, 2.Mtxat-SupresMed, Alopecie, Nefrotox, EpitIntest, 3.Inflix-InfRespSupIgASecrt
 IPP: Omeprazol-HiperGastrienemie Secundara, HiperPlazia Mucoasei Gastrice
 Teofilina C-V: TahicSinusala, TSV, ESV, FiA, Ftt, TahicAtriala, TahicMultifocala, Aritmie cu instabilitate hemodinamica
6. AA Neclasificate:1.Atropina -Bradic Sinusala, 2.Adrenalina - Stop, 3.Izoprenalina-Bloc, 4.Dogoxin - FiA, . . 5.Adenozin-TSV, 6.CaCl2 - TV PrinHiperK, 7.MgCl2 - FiV, Intoxi Digitala, Torsada Vf
7. Efecte CoSt: Confirmat:Inh Local:Nev De Cssyst, simpt sau Exacerb AB,Nev DeBrDiladr de urgenta,
Crize Noct /Echivalent AB Noct -Tuse, Imbunatat Indici Calitate Vietii, Ameli Fct Pu,
Posibil:Cz Deces, Vit Declin Fct Pu, Per De Remisie Sustinuta a Crizelor
8. Efecte BrhDil:BrDil, StabMast, Inhib Eliber LT, PermeabVasc, Exudat+EdemCA, Clearance MucoCil, Secr Mucus
9. Sv BB in IC:  Risk De aritmii- Eff Anti Aritmic, Prin Activ Simpatice In ICC
10. Clase de Medicamente in IC: IEC, BB, Ca Bloc, Nitriti, Diuretice
11. Medicamente ce actioneaza pe Alfa 2 Centrali: Clonidina
12. Cond Pat HTA+BB: Angina P, Post IMA, ICC, Sarcina, Tahiaritmii, Cele cu Act Intrinseca- Sunt Tahicardizante=CI
13. NU se daHTA+BB: Obligatorii-Astm, BPOC, BAV 2/3, Posibile:BoalaVascPerif, Intoler la Gluc, Pers Fiz Active - Atleti
14. Cond Pat Ce Det Aritmii:TS: Durere, HipoVol, IC, Tireotox, Anxietate
15. In ce aritmii se da Digoxina: Fi A: 62,5-250 g/zi p.o. corelata cu varsta
16. TorsadaVarfuri: MgCl2-2g in 1-2 min, repetat la 5-10 min, Alternativ Isoproterenol sau Pacing (  QT )
17. Genza Torsada: Bloc K+, Antihist, Fenotiazide, AntiDepres3Ciclice, Ketoconazol, Dieta proteica Lichida
18. AAQT: Quinidina Disopiramida Amiodarona Sotalol Bepidil Probucol Prenilamida Der.Triciclici Fenitiazina Eritromicina Antihistaminice:Terfenadina Astemizol ; Creste QT pe fond de hipo K+Mg+
19. AAPRR--
20. AA Proaritmogene: IC,A, III-Sotalol
21. Cum actioneaza Clasa I pe PRefract
22. Cum actioneaza Clasa I pe PA:1a-, 1b-
23. Cum Actioneaza Clasa III:  Durata Faza 3  PA  PRE
24. Cum actioneaza Clasa IV pe Faza 0: Depolarizarea Spontana; Frecventa Conducere AV; PA
25. In ce afectiuni se da BlocAdr:1. Hiper plazie Prostata, 2. Hiperlipidemie
26. Clase Laxative:1.Volum-MetilCeluloza,Plicarbophil,
2.Emoliente-Docusat Cu/Na,
3.Lubr-Ol.Parafina/Magnezia Usta,
4.Iritante-Senna,fftaleina,Ol.castor,Ol.Ricin
5.Osmotice-MgSO4. Citrat. PolietilenGliolElectroliti = Fortrans, Lactuloza -scade NH3 Encef. portala,
27. Indicatii MgSO4:= laxative osmotice in constipatie, Atrag apa =   Bol Fecal
28. UG+HPClase: 1. Antisecr-IPP:Omepraz40, Lansopraz15-30, Pantopraz40,
2. BRH2:Cimet800Zi*No,Ranit*300,Famot*40,
3. Protectoare Bi525x3/zi,
4. Abo:Metro400x3/zi, Tinidazol, Claritro500x2/zi, Amoxi500x3/zi
29. Boala Inf Int Clase
▷ 1.5AminoSalicilati-Sulfasalozina,Mesalazina-Sulfapiridina4g.zi in 4 prize initial500mgx2/zi,Similar Olsalazina.
▷ 2.GCz Prednison40mg/zi,
▷ 3.ImmSupres:dc nu raspunde la 2•Deriv.de.Tioguamina=6MercaptoPurina 1.5mg/kg/zi, Azatiopurina2-2,5mg/kg/zi}3-6 luni•Metotrexat15-25mg/sapt im:Debut Ac Mai rapid de cat<<|Eff buna in B Crohn•Ciclosporina4mg/kg/zi infuzie c% sange tot 300-400mg/ml:Eff in RCUH ce nu rasp la 2
▷ 4.Influximab Igce leaga TNF pe carel neutralz
30. Eff Adv Cimetidina: Cefal,+/-Somn,Fatigab,Greata,Voma,Diaree,Constip,Tr-penie,Gin-mastie,Alopec,Impoten,Artralgie,Disc-Abd
31. IEC Indic: CI:
1. IC toate st, Sarcina
2. HTA-Cu risc Cresc+DZ, St.Bilat a.Renale
3. IMA, Post IM Cu disfunct VS, HIperK
4. Nefropatie Diabetica,
5. Protectie CV, Post IM Remodelare
32. Da Tahic Reflexa: clonidina,vdilat,directe,ieca

Aceste 2 pagini invatati la sfintenie, este scris exact ce trebuie completat la examen, Un sfat prietenesc de la cineva care a experimentat 