Thaum twg siv phenylephrine vs levophed?

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Thaum twg siv phenylephrine vs levophed?
Thaum twg siv phenylephrine vs levophed?
Anonim

Norepinephrine (Levophed): tsis cuam tshuam rau CO tsuas yog nce me me ntawm koob tshuaj tsawg. Thawj tshuaj ntawm xaiv hauv cov neeg mob septic. Phenylephrine (Neosynephrine) yog ib qho ntshiab α1-agonist thiab zoo tagnrho rau cov neeg mob hypotension thiab tachycardia. Zam hauv SCI (siv dopamine thawj kab, txawm tias ua ntej cov kua dej).

Thaum twg koj siv phenylephrine es tsis txhob norepinephrine?

Y Piv rau norepinephrine, phenylephrine ua rau lub plawv dhia qis, nce hauv cov hlab ntsha tawg (zoo dua diastolic txhaws), thiab tsis txo qis hauv plawv. Qhov no txhawb kev siv phenylephrine rau cov neeg mob uas muaj

hypotension thiab hnyav tachycardia (xws li hypotensive atrial fibrillation).

Qhov txawv ntawm norepinephrine thiab phenylephrine yog dab tsi?

Muaj tsis muaj qhov sib txawvntawm norepinephrine thiab phenylephrine hais txog kev ua haujlwm hemodynamics thaum lawv raug tswj hwm ua thawj kab vasopressor tus neeg sawv cev hauv septic shock. Phenylephrine tsis muaj txiaj ntsig zoo dua li norepinephrine los tiv thaiv sepsis ntsig txog arterial hypotension.

Thaum twg phenylephrine nyiam?

Phenylephrine tau pom tias muaj txiaj ntsig zoo hauv kev tawm tsam feem ntau ntsib hypotension txuam nrog tus txha caj qaum(60% txog 70%) hauv cov neeg mob obstetric thiab tau dhau los ua vasopressor nyiam hauv qhov chaw no.

Thaum twg phenylephrine siv hauv kev poob siab?

Phenylephrine, vasopressor FDA-Kev pom zoo siv rau hauv kev poob siab septic, raug pom zoo ua lwm yam vasopressor thaum septic shock yog qhov nyuaj los ntawm tachyarrhythmia kom txo tau cov teeb meem plawv.

Pom zoo:

Nthuav cov khoom
Lub sijhawm elongation ntawm kev txhais lus uncharged trnas txav mus rau?
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Lub sijhawm elongation ntawm kev txhais lus uncharged trnas txav mus rau?

Peptide daim ntawv cog lus; uncharged tRNA txav mus rau qhov E site & tom qab tawm ntawm ribosome; lub mRNA tau hloov pauv 3 lub hauv paus mus rau sab laug, ua rau tRNA bearing dipeptide hloov mus rau P site P site P-site (rau peptidyl) yog qhov thib ob khi qhov chaw rau tRNA hauv ribosome.

Dab tsi yog asbestiform fibers?
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Dab tsi yog asbestiform fibers?

Raws li siv hauv daim ntawv tshaj tawm no, lo lus asbestiform fibers suav nrog fibers uas muaj lub zog zoo thiab yoog raws, ruaj khov, cov qauv saum npoo tsis muaj qhov tsis xws luag, thiab ntau lwm yam khoom tau piav qhia tom qab. Kev lag luam zoo asbestos yog ib qho piv txwv ntawm asbestiform fiber.

Colleen dewhurst tuag li cas?
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Colleen dewhurst tuag li cas?

Dewhurst tuag rau hnub Thursday ntawm mob qog noj ntshav ntawm nws lub tsev hauv New York suburb ntawm Lewisboro, hais Tom Viola, tus kws tshaj lij rau lub koomhaum uas nws ua haujlwm, Tus Ua Yeeb Yam Equity. Txawm hais tias ntau phau ntawv sau npe Dewhurst hnub nyoog li 65, nws yog 67, hais tias nws tus khub ntev, Ken Marsolais.