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TE311C
3a yrrpa:>ImeHlIe N21 (15.02. - 19.02.2010 r.)
113TOLIHl1I(11 3A ITOJIYLIABAHE HA JIEKAPCTBA. r AJIEHOBl1l1 HEor AJIEHOBl1 ITPEITAP A Tl1.
JIEKAPCTBEHl1 <DOPMl1. PEI(EITT A. EJIEMEHTl1 HA PEI(EITT A T A.
MEPHl1 E)J;l1Hl1I(l1 B PEI(EITTYP A T A. <DAPMAKOITE5I.
b. MHoroJ(030BII (Hepa3J(eJIeHII) JIeKapCTBeHII <DOpMII
4. CrropeJ( M5ICTOTOHa rrplIrOTB5IHe:
a. <Da6plIqHII (crreI(lIaJIIITeTHII)
b. O¢III(IIHaJIHII (eKcTeMrrOpaJIHII, MamCTpaJIHII)
IV. OrrpeJ(eJIeHlIe Ha peI(errTa. 3J(paBHo-MeJ(III(IIHCKO,
ropuJ(lIqeCKO II IIKOHOMlIqeCKO 3HaqeHIIe Ha peI(errTaTa.
V. EJIeMeHTII Ha peI(errTaTa:
o InscriptioII Praepositio~Praescriptio• Subscriptio• Signatura"Nomen medici
• Nomen aegroti
VI. HaH-Ba)KHII C'bKpaII(eHII5I B peI(errTypaTa II J(orr'bJIHIITeJIHII
03HaqeHII5I rro peI(errTaTa.
VII. 113rrlIcBaHe Ha JIeKapCTBaTa B 60JIHIIQHIITe 3aBeJ(eHII5I.
VIII. IToH5ITlIe 3a OCHOBHII JIeKapCTBa (Essential Drugs).
IX. MepHII eJ(IIHIII(1I B peI(errTypaTa. MepHII eJ(IIHIII(1I 3a TerJIO:
1g, 1 mg, 1 mcg. Me)KJ(YHap0J(Ha eJ(IIHIII(a: 1 VI. MepHII
eJ(IIHIII(1I 3a o6eM: 1 ml. ITOJ(p'bQHII cpeJ(cTBa 3a 1I3MepBaHe:
cyrreHa II QaeHa JI'b)KIIu:a. OTIIycKaHe II J(03lIpaHe Ha
JIeKapCTBa B KarrKII.
I( E JI 11:
" )J;a ce rrOCOqBaT 1I3TOqHIII(IITe 3a rrOJIyqaBaHe Ha
JIeKapCTBaTa, BIIJ(OBe raJIeHOBII II HeOraJIeHOBII
rrperrapaTII.
" )J;a ce 1I;36po5IBaT 6e3 crrpaBKa BClIqKII eJIeMeHTII Ha
peI(errTaTa II J(a ce 60paBII cBo6oJ(HO C nIX, KaKTO II C
peI(errTypaTa.
I. OrrpeJ(eJIeHlIe 3a JIeKapCTBO. 113TOqHIII(1I II CypOBIIHII
(J(pom) 3a rrOJIyqaBaHe Ha JIeKapCTBa OT rrplIpOJ(eH,
rrOJIYCIIHTeTIIQeH II CIIHTeTlIqeH rrpoII3xoJ( .
II. IToH5ITlIe 3a raJIeHOBII (TIIHKTYPII, eKcTpaKTII, clIporrlI,
MeJ(III(IIHCKII crrlIpToBe) II HeOraJIeHOBII rrperrapaTII.
III. ITOH5ITII5I3a JIeKapCTBeHa ¢opMa. BIIJ(oBe JIeKapCTBeHII
¢OpMII.
1. CrropeJ( rr'bT5I Ha B'bBe)KJ(aHe:
a. EHT;PaJIHII
b. ITapeHeTpaJIHII
2. CrropeJ( arperaTHOTO C'bCT05IHlIe Ha JIeKapCTBeHaTa
¢opMa:
a. TB'bpJ(1I JIeKapCTBeHII ¢OpMII
b. MeKII JIeKapCTBeHII ¢OpMII
c. TeqHII JIeKapCTBeHII <DOpMII
d. ra3006pa3HII JIeKapCTBeHII <DOpMII
3. CrropeJ( c'bJ('bp)KaHlIeTO Ha eJ(Ha IIJIII rrOBeqe J(031I:
a. EJ(HOJ(030BII (pa3J(eJIeHII) JIeKapCTBeHII ¢OpMII
-
X. IToH5ITlIe 3a <DapMaKOrre5I. x
( I
TE311C
3a yrrpmKHeHHe N22 (22.02. - 26.02.2010 r. )
PE~IITYPA HA TB'hP)J;1111MEK11 JIEKAPCTBEHH <!>OPM11.
PEQEITTYPA HA TB'bP,[(H nEKAPCTBEHH <1>OPMH
QEnH:
• ,[(a ce ,lJ;aBa onpe,lJ;eJIeHIle II ,lJ;ace npaBII xapaIcrepIIcTIIKa Ha
BceKII BII,lJ;TB'bp,lJ;aJIeKapCTBeHa ¢opMa.
• ,[(a ce II3nIICBa nOHe no e,lJ;IIHnpIIMep OT BCeKITBII,lJ;TB'bp,lJ;a
JIeKapCTBeHa ¢opMa.
I. Ta6JIeTII (Tabulettae)
1. Onpe,lJ;eJIeHIIe II xapaKTepIIcTIIKa.
2. BII,lJ;OBeTa6JIeTII:
a. Ta6JIeTII 3a nepOpaJIHO npIIJIO)l{eHIIe• Heo6BIITII Ta6JIeTII
• 06BIITII Ta6JIeTII (BKJI. ¢IIJIMTa6JIenr)
• cToMaIliHo-ycTOH:"L{IIBII Ta6JIeTII• Ta6JIeTII C II3MeHeHO oCBo6o)l{,lJ;aBaHe
• pa3TBOpIIMII Ta6JIeTII
,lJ;IICnepmparn:II Ta6JIeTII
• e¢epBeCl\eHTHII Ta6JIeTII
b. Ta6JIeTII 3a npIIJIO)l{eHIIe B YCTHaTa K)'XIIHa:
• 3a JIOKaJIHO ,lJ;eH:CTBIIe- cMY"L{ern:IIce Ta6JIeTII
• 3a CIICTeMHO ,lJ;eH:CTBIIe- cy6JIIIHrBllHaJIHII Ta6JIeTII
(fluH26emu) II 6YKaJIHII Ta6JIeTII (6YKQTiemu)
~. -
II. KarrcYJIII (Capsulae)
1. Orrpe,lJ;eJIeHIIe II xapaKTepIIcTIIKa.
2. BII,lJ;OBe)l{eJIaTIIHOBII KancYJIII:
• TB'bp,lJ;IIKancYJIII - capsulae durae
• M:eKIIKanCYJIII - capsulae moUes, nepJIII (perlae)
• cToMaIliHo-ycTOH:"L{IIBII KanCYJIII
• KanCYJIII C II3MeHeHO oCBo6o)l{,lJ;aBaHe
,• peKTaJIHII KanCYJIII (recto capsulae )• BarIIHaJIHII KarrcYJIII
3. H3nIIcBaHe Ha KarrcYJIII.
III. rpaHYJIII (Granulata)
1. Orrpe,lJ;eJIeHIle, BII,lJ;OBeII xapaKTepIIcTIIKa.
2. BII,lJ;OBerpaHYJIII:
• pa3,lJ;eJIeHII II Hepa3,lJ;eJIeHII (MHOrO,lJ;030BII) rpaHYJIII
• cToMaIliHo-ycTOH:"L{IIBII rpaHYJIII
• e¢epBeCl\eHTHII rpaHYJIII
3. H3rrIIcBaHe Ha rpaHYJIII.
'\
IV.l1paxoBe (Pulveres)
1. Orrpe)];e)];eJIeHlIe II xapaKTeplicTIiKa
2. BII)];OBe npaxoBe:
• npaxoBe 3a nplieMaHe rrpe3 YCTaTa:
• rrpocTIi II CJIO)KHII(pulvis simplex s. compositus)
• e)];HO)];030BII (pa3)];eJIeHII) II MHOfO)];030BII
(Hepa3)];eJIeHII) - (pulvis divisus s. non divisus)
• rrpaXOBe 3a B'bHIlIHO nplIJIO)KeHlIe - rry)];plI (puder)
• npaXOBe 3a nplifOTB5IHe Ha pa3TBOplI, eMYJIClI1IcycneHclI1I
3. 113nlIcBaHe Ha rrpaxoBe.
V. Cyrro3IITOpIIII (Suppositoria)1. Orrpe)];eJIeHlIe II xapaKTepliCTIiKa.2. 113rrlIcBaHe.
VI. BarliHaJIHII fJIo6YJIli (necaplIlI) - Globula1. Onpe)];eJIeHlIe II xapaKTepliCTIiKa .
2. M3nlIcBaHe Ha BaflIHaJIHII rJIo6YJIIi.
PE~EI1TYP A HA MEKM JIEKAPCTBEHM <DOPMM
I( E ]I 11:
• ,[(a ce )];aBa orrpe)];eJIeHlIe II )];a ce npaBIi xapaKTeplicTIiKa Ha
BceKIi BII)];MeKa JIeKapCTBeHa <popMa.
• ,[(a ce 1I3nnCBa rrOHe no e)];IIH npliMep OT BceKIi BII)];MeKa
JIeKapCTBeHa <popMa.
I. Ma3Ii (Unguentum)
1. Orrpe)];eJIeHlIe Ii xapaKTepIicTIiKa.
2. BIi)];OBe Ma3Ii:
a. 06IiKHoBeHa Ma3
• )];epMaTIiqHa Ma3 (unguentum dermaticum)
• OqHa Ma3 (unguentum ophthalmicum)
b. KpeM (Creme, Cream)
• )];epMaTlIqeH KpeM
• OqeH KpeM
c. feJI (Gel)
d. I1aCTa (Pasta)
3. 113rrIicBaHe Ha CrreI(IiaJIIITeTHIi Ii O<pIiI(IiHaJIHIi Ma3Ii.
II. I1JIaCTIipli (Emplastra)
Orrpe)];eJIeHIie. 113rrlIcBaHe
I. TpaHC)];epMaJIHII TepaneBTIiqHIi CIiCTeMIi - TTS.
Orrpe)];eJIeHIie. }brrlIcBaHe.
TE311C
3a yrrpa)I{HeHIIe N23 (01.03.- 05.03.2010 r. )
PEIJ;EI1TYP AHA TEllH11 JIEKAPCTBEH11 <I>OPM11 3A B'b TPEllIHO, B'bHllIHO 11 I1APEHTEP AJIHO I1P11JIOMEH11E.
PEIJ;EI1TYP A HA rA300EP A3H11 JIEKAPCTBEH11 <I>OPM11.
IJ; E JI 11:
• ,ZJ;ace ,n:aBa orrpe,n:eJIeHIle H ce rrpaBH xapaKTepHcTHKa Ha
p33rJIe)I{,n:aHHTe JIeKapCTBeHH <pOPMH.
• ,ZJ;ace H3rrHCBa rrOHe rro e,n:HHrrpHMep OT BceKH BH,n:Te"lJHH,
rrapeHTepaJIHH H r33oo6p33HH JIeKapCTBeHH <pOPMH.
PEIJ;EI1TYP AHA TEllHM JIEKAPCTBEH11 <I>OPM11 3AB'b TPElliHO 11 B'bHllIHO I1P11JIOMEH11E.
I. P33TBOp (Solutio)
1. Orrpe,n:eJIeHHe
2. BH,n:oBe:
a. 3a B'bHIlIHO rrpHJIO)I{eHHe
b. CrreIJ:HaJIHTeTHH H O<pHIJ:HHaJIHH
3. 113rrHcBaHe Ha p33TBOpH. 113rrHcBaHe Ha p33TBOpH B KarrKH.
II. EMYJICHH (Emulsio)
1. Orrpe,n:eJIeHHe.
III. CycrreHCH5J: (Suspensio)
1. Orrpe,n:eJIeHHe.
2. BH,n:oBe: 3a B'hHIlIHO H B'bTpeIliHo rrpHJIO)I{eHHe.3. 113rrHcBaHe
PEIJ;EITTYP A HA ITAPEHTEP AJIH11 JIEKAPCTBEH11 <I>OPM11
I. BH,n:oBe rrapeHTepaJIHH JIeKapCTBeHH <pOPMH.
1. 3a HH)I{eKTHpaHe (aMrrYJIH H <pJIaKoHH) H HH<PY3HpaHe
a. Te"lJHH(p33TBOpH, cycrreHcHH, eMYJICHH)
b. CYXH(rrpaxoBe 3a rrpHrOTB5J:He Ha rrapeHTepaJIHH
p33TBopH,eMYJICHH,cycrreHcHH)
2. 3a HMTIJIaHTHpaHe
PEIJ;EITTYP A HA rA300EP A3H11 JIEKAPCTBEH11 <I>OPM11.
I. 11HXaJIaTOpHH (,n:03HpaHH) aep030JIH
1. Te"lJHH
2. rrpaxoo6p33HH
II. 3a B'bHIlIHO rrpHJIO)I{eHHe:
1. ,n:YIlIHpalll,H2. rreHHH
3. rry,n:pa -crrpeH
4. <pHJIM-o6p33YBalll,H
III. 113rrHcBaHe Ha r33oo6p33HH JIeKapCTBeHH <pOpMH
Y:' ~ fi!.,./
TE3I1C
<I>apMaKOJIOrIDI 3H ~eHTaJIHa Me~Hn;HHa
Yrrpa)lmeHIle N2 5 ( 15.03 - 19.03.2010 r.)
<I>APMAKOJIOr:vrJ! HA JIEKAPCTBATA, JJ:EIICTBAIlJ,I1 HA XOJlliHEPrWUlliTE PE~ITTOPI1
..•
I. JIeKapCTBa, BJIIDIern;U B'bpXY M- U N-XOJIUHeprUqHUTe peIJ;errTOpu
1. AHTUXOJIUHeCTepa3HU JIeKapCTBa
06paTHMO ,lJ;eHCTBarn;U
• C qeTB'bpTUqeH a30T:
Neostigmine ( Syntostigmine ) - tab., amp.
C Tepu;uepeH a30T:
Galantamine ( Nivalin) - tab. 1 mg, 5 mg et 10 mg,amp. 0,25%, 0,5% et 1% 1 ml, sir. 125 ml
PeaKTuBaTopu Ha XOJIUHeCTepa3aTa:
Obidoxim ( Toxogonin ) - amp.
II. JIeKapCTBa, BJIIDIern;U B'bpXY M-xoJIlmeprUqHUTe peu;errTopu
1. M-XOJIUHOMUMeTuu;u
Pilocarpini hydrochloridum
2. M-XOJIUH06JIOKepU ( aTporruHorro,lJ;o6HU )
a. OT rrpUpO,lJ;eH rrpOU3XO,lJ;
Atropini sulfas - amp. 1 mg 1 mlb. ITOJIycuHTeTUqHU
Butylscopolamine (Buscolysin) - film tab. 10 mg,amp. 2% 1 mlc. CUHTeTUqHU
MU,lJ;pUaTUIJ;U
Tropicamide ( Mydrum ) - collyr
6pOHXOCrra3MOJIUTUU;U
Ipratropium ( Atrovent ) - aer.
ypoCrra3MOJIUTUU;U
Oxybutynine ( Driptane ) - tab.
III. JIeKapcTBa, BJIU5!ern;U B'bpXY N-XOJIUHeprnqHUTe peu;errToplI
1. N-XOJIUHOMUMeTuu;u
Cytisine ( Tabex ) - film tab.
Nicotine ( Nicotinell, Nicorette ) - TTS, gum med.
2. N-XOJIUH06JIOKepU
a. EJIOKepU Ha HepBHoMYCKYJIHUTe CUHarrcu
He,lJ;errOJI~pU3UpalQU
Pipecuronium ( Arduan ) - amp .
• ,lJ;errOJI~pU3UpalQU
Suxamethonium ( Lysthenon ) - amp.
3AJJ:A qI1:
1. XOJIUHOMUMeTUIJ;UTe UMaT CJIe,lJ;HUTe<l>apMaKOJIOrlIqmI e<l>eKTII:
a) MU03a
6) rrOBlIlliaBaHe Ha B'bTpeOqHOTO HaJI~raHe
B) TaXIIKap,lJ;lI~
r) 6pOHXOCrra3'bM
,lJ;) rrOBlIlliaBaHe ceKpeU;IDITa Ha CJIIOHqeHIITe )KJIe31I
e) Crra3MOJIIITlIqeH e<l>eKTB rI1T
2. I13rrlIllieTe JIeKapCTBo rrplI rrape3a Ha qepBaTa B cJIe,lJ;OrrepaTIIBHII~
rrepIIO,lJ;:
a) Oxybutynine 6) Galantamine B) Butylscopolamine
3. IToCOqeTe JIeKapCTBo rrplI )KJI'bqHa KOJIIIKa.
4. IToCOqeTe JIeKapCTBO rrplI rrape31I Ha HarrpeqHO-Ha6pa3,lJ;eHaTa
MycKYJIaTypa.
5. IToCOqeTe JIeKapCTBo 3a 60JIeCTTa Ha AJIU;XaHMep.
6. IToCOqeTe M-XOJIIIH06JIOKep 3a JIeqeHlIe Ha XOEE.
7. I1oCOqeTe JIeKapCTBo rrplI OTpaB5!He C <l>oc<l>opopraHlIqHII rrperrapaTII.
8. AHTaroHlIcT Ha He,lJ;errOJI5!plI3lIparn;IITe HeBpoMycKYJIHII 6JIOKeplI e:
a) Galantamine 6) Atropine B) Obidoxim
9. AHTIIXOJIIIHeCTepa3HIITe JIeKapCTBa ca rrpOTIIBOrrOKa3aHII rrplI:
a) 6pOHXlIaJIHa aCTMa 6) 6pa,lJ;IIKap,lJ;lI5!
B) MlIaCTeHIDI rpaBIIC r) aTOHIDI Ha rrIIKOqHII5! Mexyp
1O.I1pO~BU Ha OCTpO aTporrlIHOBO OTpaB5!He ca:
a) KcepOCTOMII5! 6) MlI03a
B) xurrepTepMU~ r) XaJIIOU;UHau;uu
,lJ;)6pOHXOCrra3'bM e) 6pa,lJ;IIKap,lJ;U5!
11.I1ocoqeTe JIeKapCTBo 3a JIeqeHUe Ha HIIKOTIIHOBa 3aBIICUMOCT.
'- ------ ~.. _.-
,...."I
TE3HC
<I>apMaKOJIOnUI 3a AeHTaJIHaMeAHD;HHa3a yrrpa)f<HemIe.N2 6 (22.03. - 26.03.2010 r. )
<I>APMAKOJIOrIDI HA JIEKAPCTBATA, ):I;EHCTBAllJ,H HA A):I;PEHEPrI1lIHHTE PEIJ;EIITOPH
1. AJIcpa-a.D.peHOMHMeTHIJ,H1. HeCeJIeKTHBHH
Epinephrine ( Adrenaline) - amp. 0,1 % 1 mlNorepinephrine ( L-Noradrenaline )
Ba30KOHCTpHKTOpH Ha HOCHaTa JIHraBHIJ,a
Xylometazoline ( Olynth ) - sol., gel, spray
2. AJICPa2- CeJIeKTHBHH
Clonidine ( Chlophazolin ) - tab., amp.
II. AJIcpa-a.D.peH06JIOKepHI. HeCeJIeKTHBHH
2. AJIcpaj-CeJIeKTHBHH
Prazosine ( Adversuten ) - tab.
III. EeTa-a.D.peHOMHMeTHIJ,H1. HeCeJIeKTHBHH
Epinephrine ( Adrenaline) - amp.
Dopamine - amp.
2. Eeraj-CeJIeKTHBHH
Dobutamin (Dobutrex) - amp.
3. EeTaz-ceJIeKTHBHH
a. C KpaTKo .D.eHCTBHe
Salbutamol (Ventolin) - aer. 100 mcg/dose 10 ml,tab. 2 et 4 mg, sir. 0,04% 125 ml, sol. inh. 0,5% 20 mlb. C Y.D."bJIiKeHO.D.eHCTBHe
IV. EeTa-a.D.peno6JIOKepH1. HeCeJIeKTHBHH
Propranolol ( Obsidan ) - film tab.
2. CeJIeKTHBHH rrpe.D.HMH06eTaj-a.D.peH06JIOKepH
( Kap.D.HOCeJIeKTHBHH)
Metoprolol ( Betaloc ) - tab., tab. ret.
Bisoprolol (Bisogamma, Concor) - tab.
3. Ba30.D.HJIaTHpaIJJ;H6eTa-6JIOKepH
Carvedilol ( Dilatrend ) - tab.
3A):I;A qH:
1. H3rrHllIeTe CaJI6YTaMOJI B aep030JIHa cpopMa.
2. 065ICHeTe 3aIIJ,OerrHHecppHH H HoperrHHecppHH He ce rrpHJIaraT per os.
3. 3aIJJ;oerrHHecppHH'bT Y.D."bJIiKaBa.D.eHCTBHeToHa JIOKaJIHHTe aHeCTeTHIJ,H?
4. IIocoqeTe ecpeKTHTe, CB"bp3aHH C B"b36YiK.LJ.aHeTOHa aJIcpaj-a.D.peHeprHqHHTe
peIJ,emopH:
a) crra.D.aHeHa Kp"bBHOTOHaJI5IraHe
6) rrOBHllIaBaHe Ha Kp"bBHOTOHaJI5IraHe
B) CTeCHeHHe Ha 3eHHIJ,HTe
r) pa311IHpeHHe Ha 6poHxHTe
5. IIocoqeTe KOH ecpeKTH ca CB"bp3aHH C B"b36YiK.LJ.aHeTOHa 6eTaz
a.D.peHeprHqHHTe peIJ,errTopH:
a) yqeCT5IBaHe H YBeJIHqaBaHe Ha CHJIaTa Ha C"bp.D.eqHHTeKOHTpaKIJ,HH
6) pa3peiK.LJ.aHeH HaMaJI5IBaHe Ha CHnaTa Ha C"bp.D.eqHHTeKOHTpaKIJ,HH
B) KOHTpaXHpaHe Ha Kp"bBOHOCHHTeC"b.D.OBeHa CKeJIeTHaTa MYCKYJIaTypa
r) peJIaKCHpaHe Ha Kp"bBOHOCHHTeC"b.D.OBeHa CKeJIeTHa MYCKYJIaTypa
.D.) peJIaKCHpaHe Ha 6pOHXHTe
e) Crra3"bM Ha 6poHxHTe
6. IIocoqeTe ecpeKTHTe Ha 6eTa-a.D.peHeprHqHHTe 6JIOKepH B"bpXY CPYHKIJ,HHTeHa
C"bpIJ,eTo.
7. KOH 6eTa-6JIOKepH, HaMaJI5IBaT rrepHcpepHoTo C"b.D.OBOC"brrpOTHBJIeHHe.
8. IIocoqeTe OCHOBHHTerrOKa3aHH5I Ha 6eTa-6JIOKepHTe.
9. H3rrHllIeTe a.D.peHOMHMeTHK3a CHMrrTOMaTHqHO JIeqeHHe Ha xpeMa.
1O.IIocoqeTe .D.BeTeparreBTHqmI rrpHJIOiKeHH5I Ha 6eTaz-MHMeTHIJ,HTe.
11. TeparreBTHqHH rrOKa3aHH5I 3a errHHecppHH ca:
a) aHacpHJIaKTHqeH llIOK 6) KaMepHa aCHCTOJIH5I
B) status asthmaticus r) xHrreprnHKeMH5I
12.HeiKeJIaHH JIeKapCTBeHH peaKIJ,HH Ha 6eTa-a.D.peH06JIOKepHTe ca:
a) 6pOHXOCrra3"bM 6) CTY.D.eHHKpaHHHIJ,H
B) TpeMOp r) TaXHKap.D.H5I
.D.)ce.D.aIJ,H5I,.D.errpeCH5I e) CYXOTa B YCTaTa
13. KaKBo 5IBJIeHHe 3armalliBa 60JIHH5I rrpH p5I3KO crrHpaHe Ha 6eTa-a.D.peHeprHqHH
6JIOKepH rrpH rrpO.D."bJIiKHTeJIHOJIeqeHHe C T5IX?
14.HeiKeJIaHH JIeKapCTBeHH peaKIJ,HH Ha 6eTa2-a.D.peHOMHMeTHIJ,HTeca:
a) XHrrOKaJIHeMH5I 6) TaxHapHTMHH
B) TpeMOp r) XHrreprnHKeMH5I
15.KaK"bB pHCK KpHe rrpHJIOiKeHHeTO Ha KOM6HHHpaH JIOKaJIeH aHeCTeTI1K C 6eTa
a.D.peHOMHMeTI1K,Ha rraIJ,l1eHTHrrpHeMaIJJ;H 6eTa-6JIOKepH.
TE3I1C
cI>apMaKOJIOnUI3a tJ;eHTaJIHaMetJ;UlI.UHaYnpa)!<HeHHe N~7 (29.03. -02.04.2010 r.)
AHAJ1rETI1l\I1- AHTI1IlI1PETI1l\I1 (BEO IlI1 0 I1)JJ1I1 A HAJ1rE TI1l\I1).
HECTEPOI1.D:HI1 IlPOTI1BOB'b3TIAJ1I1TEJ1HI1 J1EKAPCTBA.
VAHAJ1rET~I1-AHTI1IlI1PETI1IJ,I1 TI1Il cI>.D:
(HeomIOHJJ.IIH aHaJIreTHlm) 1.
I.
TI1Il cI>T
TI1TI TOKCI1K0J10rWUm
IlocoqeTe npHlI.eJIHOTOM~CTOHa JJ.ellcTBHe Ha HeCTepOI1JJ.HHTe
npOTHBOB'h3naJII1TeJIHI1JIeKapCTBa B KaCKatJ;aTaHa apaXI1JJ.oHoBaTa KI1CeJIHHa.
06~CHeTe 3aIlI.O caMO MaJIKHTeJJ.03Hall.eTllJICaJIl1l1.llJIOBaKI1CeJII1Ha(50-200 mg)
HMaT aHTl1arperHpa~o JJ.ellcTBHeB'bpXYTpoM60ll.I1TI1Te.
1. IloJJ.peJJ.eTe JIeKapCTBaTa no CHJIaTa Ha YJIlI.epOreHHoTo HM ,lJ,ellcTBHeB'bpXYCTOMalllHaTa JIHramH.(a:
a)~~ B) H6ynpo<peH
6) HHMe3YJIH)J. r) lI.eneKOKcH6
I13nl1111eTeHall-no)J.xOMll.(H~ OTwx KaTO aHTHpeBMaTnqHO JIeKapCTBO npl1
60JIeH C npl1)J.Py)!(aBa~O 3a60JI~BaHe ~3BeHa 60JIecT.
1. IlpH KOH CTOliHOCTHHa pH Ha ypHHaTa ll.(e ce CTI1MYJIl1panO-6'bp30TO OT)J.emlHe
Ha HecTepoH)J.HHTe npOTHBOB'b3naJII1TeJIHHJIeKapcTBa:
a) pH = 5,0 6) pH = 8,0
2.
2. Ilpl1 npo)J.'bJI)!(HTeJIHa ynoTpe6a Ha nHpa30JIOHOBH npoH3Bo)J.HH MO)!(e )J.a ce
nonyql1:a) aHeMIDI B) JIeBKOll.l1TOneHIDI
6) rpaIf)'JIOll.UTOneHH~ r) TpoM60ll.HTOneHH~
3. IlocoqeTe aHaJIreTHK-aHTl1nHpeTHK I1PH H3nOJI3BaHeTO HO KOliTo e
pemcTpHpaHa BHCOKaqeCTOTa Ha aJIeprnqHI1 peaKlI.HH.
4. IlocoqeTe neKapCTBO OT rpynaTa Ha aHaJIreTl1l1.I1Te-aHTHnHpeTHlI.H, KoeTO MO)!(e
)J.a)J.OBe)J.e)J.OqepHo,1J.p06Ha HeKp03a npH oCTpa HHTOKCHKall.IDI.
5. HCTIBJ1 MoraT )J.a BJIOWaTnpOTWIaHeTO Ha:
a) ~3BeHa 60necT 6) xHnepTOHl1qHa 60JIeCT
B) c'bp)J.e<lHa He,1J.OCTaThqHOCT r) 60JIeCT Ha AJIu.xatiMep
JJ.)6'b6peQ!la He,1J.OCTaThQHOCT e) 6pOHXI1aJIHa aCTMa
IlapaaMHHo<peHOJIOBH (aHllJII1HOBH) npOH3BoJJ.HI1:
Paracetamol (panadol) - tab. 500 mgj tab. efferv. 500 mg, supp. 80 mget 300 mg, sir. 125 mI., pulv. 500 mg
II. IlHpa3onoHoBH npoH3BoJJ.HH:
Metamizol (Analgin, Proalgin) - tab.500 mg, sol.,amp. 50% 2 ml
1. I13l1HllleTe l1apaaMlfHo<peHOJIOB aHTl1nHpeTI1K.
2. I13muueTe CeJIeKTHBeH HHXH6HTOPHa COX-2.
~ HECTEPOI1.D:HI1 IlPOTI1BOB'b3flAJ1I1TEJ1HI1 J1EKAPCTBA
I. HeCeJIeKTI1BHI1HIDm6UTopH.Ha COX.
Acidum acetylsalicylicum (Aspirin) - tab. 100,325 U 500 mg, tab. efferv.330 et 500 mgDicIofenac (Feloran, Voltaren) - film. tab. 25 et 50 mg,(DicIofenac Duo) - caps. 75 mg, amp. 75 mg 3 ml, supp. 50 et 100 mg.jgel 1 % 20 et 50 gj collyrPiroxicam (Felden) - caps. 10 et 20 mg, amp 20 mg 2 mi., supp. 10 et20 mgj gel et creme 1% 50 gIbuprofen (Nurofen) - tab. 200 mg et 400 mg, gel 5% 50 gj
_tn~~
II. CeJIeKTI1BHH HHXH6HTOpHHa COX-2
Nimesu1ide (AuIin) - tab., gran.
Celecoxib (Celebrex) - caps.;
.l3A.D:A ql1; tTI1Il cI>P
TI1TI cI>K
1. IlocoQeTe npe,1J.CTaBHTeJIHOT HeCTepOI1)J.HHTenpOTHBOB'b3naJIHTeJIJIHneKapCTBa
C ,lJ,'bJI'brnna3MeH nonY)!(HBOT, 1103BOn~Ball.(eJJ.HoKpaTeH npHeM B ,lJ,eHOHOll.(He.
1
H1- 6JIOKepH (aHTHXHCTaMHHH)
1. H1- 6JIOKepH OT I IIOKOJIeHHe:
Clemastine - tab. Img, sir. 10 mg 100 mlChlorpyramine (Allergosan) - tab., amp.
2. H1- 6JIOKepH OT I IIOKOJIeHHe, H3II0JI3BaHH IIpe,lUIMHo IIPHKHHeT03H H KaTO aHTHeMeTH.QH:
Dimenhydrinate - tab.
Diphenhydramine (Calmaben) - tab.
3. H1- 6JIOKepH OT II IIOKOJIeHHe:
Loratadine (Claritin) - tab. 10 mgCetirizine (Zyrtec) - film tab., sol.
v'II. H2 -6JIOKepH:
Ranitidine (Zantac) - tab. 150 mg et 300 mg, amp. 5mg 2 mlFamotidine (Quamatel) - tab.
6) aKTHBHpaHeTO Ha H1- pe.QeIITOpHTe BO):(H):(0 ma):(KO
MycKynHa peJIaKCa.QH5I.
B) CB'bp3BaHeTO Ha XHCTaMHH C H2 - pe.QenTOpHTe CTHMYJIHpaCTOMallIHaTa COJIHO-KHCeJIa CeKpe.QH5I.
r) ecpeKTHTe Ha XHCTaMHH B'bpXY KO)KaTa ca pe3YJITaT OT
cTHMynHpaHe Ha H1- pe.QenTopHTe.
3. fIOCOqeTe Koe OT H36poeHHTe JIeKapCTBa MO)Ke ):(a ce
H3II0JI3Ba IIPH 60JIeCTH Ha ):(BH)KeHHeTO (KHHeT03H):a) PaHHTH)];IIH 6) KJIeMaCTHH
B) flopaTa):(llH r) ,lJ,HMeHxH):(pHHaT
4. HI-6JIOKepHTe ca IIO):(XOMilIH 3a JIeqeHlle Ha:
a) ypTHKapll5I 6) ce30HeH pHHHT
B) IIOBp'bilIaHe r) 6POHXHaJIHa aCTMa
5. K05I rpyna JIeKapCTBa ce H3II0JI3BaT 3a JIeqeHHe Ha 5I3BeHa60JIecT.
6. fIpH IIpHJIO)KeHHe Ha aHTHXHCTaMHHOBli JIeKapCTBa OT II'bpBO
IIOKOJIeHHe MoraT ):(a ce Ha6mo):(aBaT CJIe):(HHTe CTpaHHqHHecpeKTH:
a) aJIeprHqHH peaK.QHH 6) aHTHaH):(poreHeH ecpeKT
3A,lJ,A lJI1: B) ce):(a.QH5I r) npqOBe IIPH ):(e.Qa
1. I13IIHIIJeTe aHTHXHCTaMHHOBO JIeKapCTBO OT II'bpBO 7. fIOCOqeTe aHTHXHCTaMHHOBH JIeKapCTBa C'bC cJIa60 ce):(aTHBHOIIOKOJIeHHe IIO):(cpopMa Ha CHpOII. ):(eHcTBHe.
2. KOH OT TB'bp):(eHH5ITa ca BepHll: 8. K05I rpyna aHTHXHCTaMHHH HaMHpa IIpHJIO)KeHHe B
a) aKTHBHpaHeTo H,- pe.QeIITOpHTe B [(HC BO):(H):(0 ce):(a.QH5I. ,n:eHTaJIHaTa rrpaKTHKa, ThH KaTO HaMaJI5IBa CJIIOHOOT,n:emIHeTO
! II .OM ~O CenaIjHH "' IIaIjHema ..
'f1
..)1.
XI1CT AMHHEPfHlJHI1 flEKAPCTBA
TE3I1C
<1>apMaKOJIOrH5I3a ));eHTaJlHaMe));HD;HHaYnpa)KHeHHe N2 9 (12.04. - 16.04.2010)
<1>APMAKOflonUI HA XI1CT AMHH
MECTHH AHECTETH[(H
Clt /14 LA /1~
6) raHrpeHa
r)6poHxOKOHCTpHKIJ;H5!
/1.
-In.
MECTHH AHECTETHQH
Ecmepu:Cocaine
Benzocaine B KOM6HHHpaHH rrperrapaTH (Hexoraleten)
Procaine (Novo cain) - sol.
Tetracaine B KOM6HHHpaHH rrperrapaTH (Furotalgin)
AMuou:
Lidocaine (Xylocain~ amp. 2% 2 ml, 0,1 % 10 ml, gel2% 40 g, ung., sprayMepivacain (Scandonest) - amp.
Trimecain (Meso cain) - gel, spray, amp.
Bupivacain (Marcain) - sol.inj.
.J KOM6HHHpaHH JIOKaJIHHaHeCTeTHIJ;H:
AMrrYJIH, C'b.n:'bp)l{aru;HKOM6HHaIJ;HHHa MeCTHH
aHeCTenlIJ;H C Ba30KOHCTpHCTOpH:
Primacaine (Articaine + Epinephrine) - amp.
Baycain - amp.
Xylodren - amp.
3A):(A qH:
1. Koe OT rrOCOqeHllTe JIeKapCTBa e C HaH-KpaTKo .n:eHcTBHeH
Koe C HaH-rrpo.n:'bmKHTeJIHO.n:eHcTBHe?
a) JIH.n:OKaHH 6) rrpoKaHH B) rrpHMaKaHH
2. 3a MeCTHHTe aHeCTeTHIJ;He B5!pHO:
a) 6JIOKHpaT BOJITa)J{-3aBHCHMHHaTpHeBH KaHaJIH
6) 3a6aB5!He Ha rrpe.n:aBaHeTo Ha HepBHH5! HMrrYJIC
B) aKTHBHOCTTaHaMaJI5!Ba, aKO aHeCTeTHK'bT ce rrpHJIara B
HHcpeKTHpaHa ThKaH
r) 6JIOKa.n:aTaHaCThrrBa rrO-6'bp30 rrpH BJIaKHa C rrO-MaJI'bK
.n:HaMeThp
3. IToCOqeTe cpaKTopHTe, rrOBJIH5!Baru;Hrrpo.n:'bmKHTeJIHOCTTaHJIHCHJIaTaHa .n:eHcTBHeHa MeCTHHTe aHeCTeTHIJ;H:
a) Kp'bBHH5!TOK B ThKaHTa
6) aKTHBHOCTTaHa XOJIHHeCTepa3aTa
B) yrrOTpe6aTa Ha Ba30KOHCTpHKTOpH
r) pH Ha ThKaHTa
.n:) KOJIHqeCTBOTOHa HH)J{eKTHpaHH5!aHeCTeTHK
4. HaH-Ba)J{HHTe ecpeKTH Ha rrpe.n:03HpaHe Ha MeCTHHTeaHeCTeTHIJ;Hca:
a) KO)J{eH06PHB
B) 6'b6peqHO YBpe)J{.IJ:aHe
.n:)rnpqOBe
5. 3aru;0 MeCTHHTe aHeCTeTHIJ;Hce KOM6HHHpaT C
Ba30KOHCTpHKTOpH? KaKBH pHcKoBe KpHe KOM6HHaIJ;H5!Ta?
Il _~-~--=--=----=~~--====-~-------~=---=-~--
IrJ'/ /01.4/1 e.t1
TE3HC
<1>apMaKononUI 3a .a:eHTaJIHa Me.a:lUJ,HHa
YrrpmI<HemIe N!!10 (19.04. -23.04.2010 r.)
OI1HOH,[(HH AHAJIfETHlJ,H H AHT AfOHHCTH
05mH AHECTETHlJ,H
B) rreTH,1J,HH
r) MeTa,1J,OH
OI1HOH)J;HH AHAJIfETHlJ,H H AHT AfOHHCTH
1. JIEKAPCTBA C AfOHHCTHLIHA AKTHBHOCT
1. I1pHpO,1J,HH:
Morphine hydrochloride - amp. 10 mg 1 ml
Morphine sulfate - tab. 10 mg; tab.- C'bC 3a6aBeHo
oCB060)l{)J,aBaHe (Doltard) - 30,60 et 100 mgCodeine
2. I1onycHHTeTwum:
Dihydrocodeine (DHC continus) - tab.
3. CHHTeTwIHH OrrHOH,1J,HHaHanreTHll.H:
Pethidine=Meperidine (Lydol) - tab. 25 mg,
amp. 50 mg 2 ml
Fentanyl- amp.; TTS (Durogesic)
D Tramadol (Tramal) - tab., amp., sol., supp.
Methadone - tab., sol.
II. JIEKAPCTBA C AHT AfOHHCTHLIHA AKTHBHOCT
Naloxone - amp. 0,4 mg 1 ml
3A)J;A LIH:
1. H3rrHllIeTe ,1J,'bnro,1J,eikTBaIIJ:MopqmH.
2. H3rrHllIeTe OrrHOH,1J,eHaHanreTHK, K'bM KOHTOTPY,1J,HOce
pa3BHBa TonepaHc H rrCHXWleCKa H ¢H3H'IeCKa 3aBHCHMOCT:
a) MopqmH B) TpaMa,1J,On
6) MerrepH,1J,HH r) ¢eHTaHHn
3. I1oCOqeTe HaH-IIO,1J,XO,1J,HIIJ:HHrrperrapaT rrpH HH¢apKT Ha
MHOKap,1J,a:
a) KO,1J,eHH. B) ¢eHTaHHn
6) HanOKCOH r) TpaMa,1J,On
4. H36epeTe HaH-IIO,1J,XO,1J,HIIJ:OTOneKapCTBO rrpH 6'b6peQHa KonHKa:
a) MOp¢HH B) MeTa,1J,OH
6) TpaMa,1J,On r) MerrepH,1J,HH
5. H3rrHllIeTe neKapCTBO, rrO,1J,XO,1J,HIIJ:OrrpH OCTpO oTpaBHHe COrrHOH,1J,HHaHanreTHll.H:
a) TpaMa,1J,On
6) HanOKCOH
6. I1oCOQeTe neKapcTBo, KoeTO ce H3rromBa B neQeHHeTO Ha
XpOHHQeH MopqmHH3'bM:
a) TpaMa,1J,On B) HanOKCOH
6) MeTa,1J,OH r) MerrepH,1J,HH
7. TonepaHcHe ce pa3BHBa K'bM Cne,1J,HHTee¢eKTH Ha MopqmHa:
a) 3arreK B) rrOTHCKaHe Ha ,1J,HllIaHeTO
6) aHanre3HH r) MH03a
I. JIeKapcTBa 3a IIHxarralJ,IIOHHa aHeCTe31I5I
1. 113rrap5IBaIIl,II ce Te'IHOCTIiAether anaestheticus
e Halothane (Narcotan)
Sevoflurane (Severone)
2. ra30Be
Nitrous oxide ("paHcKIi ra3")
II. JIeKapCTBa 3a HelIHxarralJ,IIOHHa aHeCTe31I5I
1. 5ap6lITypaTli
Thiopental - fl.
Methohexital (Brietal) - fl.
2. He6ap6lITypOBli rrpOII3BO,Il,HII
Ketamine (Ketanest) - fl. sol.
Propofol (Diprivan) - amp. et fl.
Etomidate (Hypnomidate) - amp.
Midazolam (Dormicum) - amp.
Fentanyl (Stobium) - fl.
)
// 05Il(l1 AHECTETI1L(11 3MALII1:
1. IToCO'IeTe 6ap6lfTypOBO rrpoII3BO,Il,HO, rrO,Il,XO,Il,5IIII,03a
KpaTKOTpaHHa aHeCTe31I5I.
2. I1HxarralJ,IIOHHIITe aHeCTeTIIlJ,1I ce rrplIJIaraT rrplI:
a) KpaTKoTpaHHa aHeCTe31I5I
6) rrpO,Il,'bJDKIITenHa aHeCTe31I5I
B) B'bBe)l(,II,aHe B aHeCTe31I5I
r) rrO,Il,'bp)l(aHe Ha aHeCTe31I5I
3. AHeCTeTIIK'bT xanOTaH MO)l(e ,Il,a:
a) rrpe,Il,1I3BIIKBa aplITMlI1i
6) liMa xerraTOTOKCII'IeH e¢eKT
B) rrOTIiCKa ,Il,lIliiaHeTO
r) rrpe,Il,1I3BIIKa MarrlIrHeHa xlirrepTepMII5I
4. IToCO'IeTe ,Il,IICOlJ,lIaTIiBeH aHeCTeTIiK.
5. IToCO'IeTe IIHxarralJ,IIOHeH aHeCTeTIIK, rro,Il,XO,Il,5IIII,3a
KpaTKOTpaHHII IIHTepBeHlJ,IIIi.
2
I~_- _.
TE3l1C
CDapMaKoJIorIul 3a .[J.eHTaJIHa Me.[J.MQHHa
YIIpmKHeHMe.N2 11 ( 26. 04. - 30.04.2010 r.)
CE,Z:(A TI1BHO-C'bHOTBOPHI1 nEKAPCTBA.
AHKCI10nI1TI1IJ,11
:JI.
.JII.
" III.
ArOHMCTM Ha 6eH30.[J.Ma3eIIMHOBMTe pell,eIITOpM
1. C'bHOTBOpHM 6eH30Ll.Ma3eIIMHM
a. C KpaTKo Ll.eliCTBMe:
Midazolam (Dormicum) - film tab. 7,5 et 15 mg, amp. 15 mg.
b. C IIpOLl.'bJI)l{MTeJIHO Ll.eliCTBMe:
Nitrazepam (Eunoctin) - tab. 5 mg et 10 mg.
2. C'bHOTBOpHM He6eH30Ll.Ma3em1HM:
Zolpidem (Stilnox) - film tab. 10 mg.
3. EeH30Ll.I1a3eIIMHM C aHKCMOJIMTWleH (TpaHKBMJIMpam.) e¢eKT:
Diazepam (Relanium) - tab. 2 mg, 5 mg et 10 mg,
amp. 10 mg 2 m!.
Bromazepam (Lexotan) - tab. 3 mg et 6 mg.
4. EeH30Ll.Ma3eIIMHM C aHTMeIIMJIeIITWleH e¢eKT:
Clonazepam (Rivotril) - tab., sol., amp. sicc.
5. EeH30Ll.Ma3eIIMHH C M3pa3eH MMOpeJIaKCMpaIll. e¢eKT:
Tetrazepam (Myolastan) - tab.
EeH30Ll.Ha3emIHOBM aHTarOHlICTM:
Flumazenil (Anexate) - amp. 1 mg 10 ml.
Eap6HTypaTI1
1. Eap6HTypaTlI C IIpOLl.'bJI)l{IITeJIHO Ll.eliCTBlIe:Phenobarbital- tab.
Phenobarbital natrium - amp.
2. Eap6HTypaTlI C KpaTKo Ll.elicTBl1e:
Thiopental - fl. sicc.
CeLl.aTIIBHO-C'bHOTBOpHI1 JIeKapCTBa C pa3JIlILJHa CTpYKTypa
1. C TpaHKBIIJIII3I1pall\ e¢eKT:
Hydroxyzin (Neurolax, Atarax) - film. tab., sir.;
2. C'bC CeLl.aTIIBeH e¢eKT - OT paCTIITeJIeH I1P0I13XOLl.:Valeriana - film. tab.
3A,Z:(A ql1:
TI1TI CDP
1. 113IIHlIleTe 6pOMa3eIIaM B Ta6JIeTM.
2. 113IIMlIleTe MMLl.a30JIaM B aMIIYJIM.
TI1TI CDK
1. 113IIMlIleTe 6eH30Ll.Ha3eIIMH, KoliTO MMa aKTHBHM MeTa60JIHTM.
TI1TI CD,Z:(
1. TIoCOLJeTe C Koli pell,eIITOp B3aHMOLl.elicTBaT 6eH30Ll.Ma3eIIMHMTe M K'bM Koe
M5!CTO B pell,eIITOpa ce CB'bp3BaT.
2. KaKBo OTJIWlaBa MexaHH3Ma Ha Ll.eliCTBMe Ha He6eH30Ll.Ma3eIIMHoBHTe
C'bHOTBOpHM - arOHHCTH Ha 6eH30Ll.Ma3eIIHHoBHTe pell,eIITopM?
TI1TI CDT
1. TIoCOLJeTe 6ap6MTypaT, IIOLl.XOLl.5!ll\3a aHeCTe3M5I.
2. TIoCOLJeTe C'bHOTBOpHO JIeKapCTBo 3a oCMryp5lBaHe Ha HOpMaJIHa
IIpOLl.'bJI)l{I1TeJIHOCT Ha C'bH5I, IIpM KoeTO Hali-cJIa60 ce IIOBJIlI5IBa REM
¢a3aTa.
3. TIoCOLJeTe C'bHOTBOpHO JIeKapCTBo, KoeTO YJIeCH5IBa HaCThIIBaHeTO Ha C'bH5I.
TI1TITOKCI1KOnOfl1QHI1
1. TIoCOLJeTe IIOLl.XOLl.51Il1.0aJIKaJIlI3l1paIll.O JIeKapCTBo 3a KOpllrllpaHe pH Ha
ypMHaTa IIPH OTpaB5IHe C ¢eH06ap6l1TaJI (pKa = 7,3) (amp. 8,4% 20 ml).
2. 0651cHeTe 3all\0 e MHoro Ol1aCHO IIpMeMaHeTo Ha aJIKOXOJI IIpl1 JIeLJeHlIe C
aHKCIIOJIHTMLJHII 11C'bHOTBOpHII JIeKapcTBa.
3. TIoCOLJeTe CJIyqallTe, I1pll KOIlTO ca IIpOTIIBOIIOKa3HII 6eH30Ll.l1a3eIII1HII:
a) YepHoLl.p06Ha l\lIp03a B) 6peMeHHOCT
6) OCThp MIIOKapLl.eH IIH¢apKT r) myasthenia gravis
4. 11311l1meTe IIOLl.XOLl.51Il1.pel\el1TOpeH aHTarOHIICT IIpll OCTpO OTpaB5IHe C
6eH30Ll.lIa3emlHI1.
o
[TE311C
<1>apMaKOJIOrIUI3a )J;eHTaJIHaMe)J;Hn:HHaYrrpa)I<HeHHe N2 13 (10.05 -14.05.2010 r.)
AHT11EIT11JIEITT11LIH11 11 ITPOT11BOf'bPLIOB11 JIEKAPCTBA.AHT11ITAPK11HCOHOB11 JIEKAPCTBA
B) cpeHo6ap6HTaJI
r) cpeHHToHH
B) HaTpHeB BaJIrrpOaT
r) .n;Ha3eIIaM
AHT11EIT11JIEITT11LIH11 JIEKAPCTBA
1. KJIaCHqeCKH JIeKapCTBa
Carbamazepine (Tegretol) - tab. 200 mgPhenytoin (Epilan) - tab.
Valproic acid (Depakine) - tab. ret.Phenobarbital- tab.
II. HOBH JIeKapCTBa:
Lamotrigin (Lamictal) - tab.
Gabapentin (Neurontin) - caps.
JIeKapcm6a nvu status evilevticus:• 6e1-l300Ua3enUl-lu:
Diazepam - amp. 10 mg 2 mlLorazepam, Clonazepam
• 6ap6umypamu: Phenobarbital sodium - amp.
ITPOT11BOf'bPLIOB11 JIEKAPCTBA
1. EeH3o.n;Ha3eIIHHH:
Diazepam - amp. 10 mg 2 mlClonazepam - amp.
II. Eap6luypaTH:
Phenobarbital sodium - amp.
Thiopental - fl.
3A.IJ:A LI11:
T11IT <1>P
1. 113rrHllIeTe .n;Ha3erraM B aMrrYJIH.
T11IT <1>K
1. IToCOqeTe JIeKapCTBa-HH.n;YKTOPH Ha qepHo.n;po6HHTe eH3HMH :
a) Kap6aMa3errHH B) cpeHo6ap6HTaJI
6) cpeHHToHH r) HaTHeB BaJIrrpOaT
2. 3arn:o cpeHo6ap6HTaJI MO)Ke .n;a ce H3rr0JI3Ba 3a JIeqeHHe Ha Te)KKa
)K'bJITeHH:o:aHa HOBopo.n;eHoTo?
3. 1136epeTe JIeKapCTBO, rro.n;xo.n;}lrn:o 3a JIeqeHHe Ha MaJIKa
eIIIIJIerrCH}l (Petit mal):
a) THOrreHTaJI
6) BaJIrrpOeBa KHCeJIHHa
4. IToCOqeTe JIeKapCTBa, rro.n;xo.n;}lrn:H3a JIeqeHHe Ha rOJI}lMa
errHJIerrCH}l (Grand mal):
a) 30rrHKJIOH
6) Kap6aMa3errHH
5. 113IIHllIeTe JIeKapCTBO 3a OBJIa.n;}lBaHeHa Status epilepticus.
6. I1oCOqeTe JIeKapCTBO 3a OBJIa.n;}lBaHeHa XlmepTepMHqeH r'bpq.
7. IToCOqeTe JIeKapCTBo 3a OBJIa.n;}lBaHeHa r'bpq IIPH TeTaHYc.
AHTI1ITAPKI1HCOHOBI1 JIEKAPCTBA
1. )];OrraMIIHepnI"'IHII JIeKapCTBa
1. ITpeKypcopII Ha ,I:(OrraMIIHa
Levodopa (L-dopa)
Levodopa 3ae,I:(HO C IIHXII6IITOP Ha DOP A
,I:(eKap6oKCIIJIa3aTa:
Carel dopa = Levodopa + Carbidopa (Sinemet) - tab.
2. AroHIIcTII Ha ,I:(OrraMIIHOBIIpeIIerrTopII
Bromocriptine - tab.
3. MAO-B IIHXII6IITOPII
Selegilin (Jumex) - tab.
4. JIeKapcTBa, oCBo6mK,I:(aBaIIIII DA
Amantadine (Viregyt K) - caps.
II. IJ,eHTparrHII XOJIIIH06JIOKepII
Trihexyphenidyl (Parkisan) - tab.
Biperiden (Akineton) - tab., amp.
--
3A)];A qI1:
TI1IT <D)];
1. IToCO"'IeTe KOM6IIHIIpaHo JIeKapCTBo, rrOBIIlliaBaIIIO HIIBOTO Ha
,I:(OrraMIIHaB HIIrpocTpIIaTHaTa CIICTeMa.
TI1IT <DT
1. IToCO"'IeTe aHTIIrrapKIIHcoHOBO JIeKapCTBo, rrOBJIII5IBaIIIO rrpe,I:(IIMHOXIIrrOKIIHe3II5ITa.
2. IToCO"'IeTe aHTIIrrapKIIHcoHOBO JIeKapCTBo, rrOBJIII5IBaIIIOrrpe,I:(IIMHO
TpeMopa.
3. IToCO"'IeTe Cpe,I:(CTBa3a JIe"'IeHIIe II rrpoqmJIaKTIIKa Ha
HeBpOJIerrTII"'IeH rrapKIIHCOHII3'bM.
TI1ITTOKCI1KOJIOrI1QHI1
1. IToCO"'IeTe JIeKapCTBa, rrpe,I:(II3BIIKBaIIIII "on-off" ¢eHoMeH.
2
r ~TE3I1C
<1>apMaKOJIOrfI5I3a ,a:eHTaJIHaMe,a:H~HHa
Yrrpa)l(HeHIIe N2 14 (17.05. - 21.05.2010 r.)
HEBPOnEITTI1~I1.AHTI1~EITPECAHTI1
HEBPOnEITTI1~I1
I. TIIrrIIqHII HeBpOJIerrTIIIJ;II
Chlorpromazin (Chlorazin) - tab., amp.Thioridazin - film. tab.
Flupenthixol (Fluanxol) - tab., amp.
Haloperidol (Haldol) - tab. 1.5 mg; amp. 5 mg 1 ml
II. ATIIrrIIqHII HeBpOJIerrTIIIJ;II
Risperidon (Rispolept) - tab. 3 mg et 6 mg; sol.Clozapine (Leponex) - tab.
Olanzapine (Zyprexa) - tab.
3A~AQI1:
TI1IT <1>P
1. I13rrIIllIeTe XaJIOrrepII,lJ,OJI B aMrrYJIII.
TI1IT <1>~
1. IToCOqeTe pa3JIIIKIITe B peIJ;errTOpHII5I MeXaHII3'bM Ha ,lJ,eHCTBIIeHa
KJIaCIIqeCKIITe II HOBIITe HeBpOJIerrTIIIJ;II.
2. B KaKBO ce II3pa35IBa aHTIIrrCIIXOTIIqHII5I e¢eKT Ha
HeBpOJIerrTIIIJ;IITe.
3. IToCOqeTe MexaHII3MIITe Ha pa3BIITIIe Ha eKcTparrIIpaMII,lJ,HII
cMYlI(eHII5I (Harrp. rrapKIIHcoHOB CIIH,lJ,pOM)rrpii yrrOTpe6a Ha
HeBpOJIerrTIIIJ;II.
4. IToCOqeTe xapaKTepIIcTIIKIITe Ha aTIIrrIIqHIITe HeBpOJIerrTIIIJ;II,
OTJIIIqaBalI(II rii OT KJIaCIIqeCKIITe (TIIrrIIqHII).
TI1IT <1>T
1. IToCOqeTe HeBpofrerrTIIK 3a JIeqeHIIe Ha rrOBp'blI(aHe.
2. I13rrIIllIeTe JIeKapCTBo 3a rro,lJ:.IJ;'bp)l(alI(oJIeqeHIIe Ha IlIII30¢peHII5I C
HIIC'bK pIICK OT eKcTparrIIpaMII,lJ,HII HapYllieHII5I.
TI1ITTOKCI1KOnOfI1QHI1
1. KOII OT rrOCOqeHIITe HeBpOJIerrTIIIJ;II ce xapaKTepII3IIpaT C HaH
cJIa60 II3pa3eHII IIJIII JIIIrrCBalI(II eKcTparrIIpaMII,lJ,HII HapYllieHII5I:
a) TiiOpII,lJ,a3IIH B)pIIcrrepII,lJ,OH
6) KJI03arrIIH r) XaJIOrrepII,lJ,OJI
2. IToCOqeTe HeBpOJIerrTIIK, KOHTOMO)l(e ,lJ,arrpe,lJ,II3BIIKa cepII03HII
XeMaTOJIOrIIqHII HapYllieHII5I.
AHTI1~EITPECAHTI1
I. TpIIIJ;IIKJIIIqHII aHTII,lJ,errpeCaHTII
Amitriptylin - tab.
II. CeJIeKTIIBHII 6JIOKepii Ha o6paTHo 3aXBalI(aHe Ha cepoToHIIH
Fluoxetin (Biozac, Prozac) - caps. 20 mgParoxetin (Seroxat) - tab.
III. bJIOKepii Ha o6paTHo 3aXBalI(aHe Ha cepOTOHIIH II HOpa,lJ,peHaJIIIH
Venlafaxin (Efectin) - tab. SR
IV. A TIIrrIIqHII (xeTepOIJ;IIKJIIIqHII) aHTII,lJ,errpeCaHTII
Trazodon (Trittico) - tab.
Bupropion (Zyban) - tab.
1 _
TE3I1C
<DapMaKOJIOrIUI 3a ,l);eHTaJIHaMe,l);HD;HHaYrrpmKHemle N2 15 (24.05 - 28.052010 r.)
<DAPMAKOJIOfI15I HA ,I(I1XATEJIHATA CI1CTEMA
I. AHTI1ACTMATI1qHI1 JIEKAPCTBA (antiasthmatica)
1. bpOHXO,LJ;IIJIaTaTOpii
a. beTa 2 - a,n:peHoMIIMeTIIIIII
Salbutamol (Ventolin) - aerosol 0.1 mg/dose 200 doses,tab. 2 mg et 4 mg, sir. 2 mg/5 ml150 mlb. MeTIIJIKCaHTIIHII
Aminophylline (Novphyllin) - tab.
amp. 3a i. v. II 3a i. m.
c. M-XOJIIIH06JIOKepii
Ipratropium (Atrovent) - aerosol
2. ITpoTIIBOB'b3rraJIIITeJIHII
fJIIIKOKOpTIIKocTepoII,n:II
a. 3a JIOKaJIHa IIHXaJIaTOpHa yrroTpe6a:
Beclomethasone (Becotide) - aerosol
b. 3a CIICTeMHa yrroTpe6a:
Methylprednisolone - tab., amp.
Dexamethasone (Prednisolon F) - tab. amp.
II. OTXP A qBAIIJ:I1 JIEKAPCTBA (expectorantia secretolytica)
Bromhexin - tab. 4 mg, 8 mg, amp. 4 mg 2 ml,sir. 4 mg/5 ml125 mlAcetylcysteine (ACe) - tab., efferv. tab., gran.
Ambroxol (Mucosolvan) - tab., efferv. tab., sir.
III. ITPOTI1BOKAIllJII1QHI1 JIEKAPCTBA (antitussiva)
Codeine
Butamirate (Sinecod) - tab., sir., sol.
Dextromethorphane (Demephan) - sir.
3A,I(A QI1:
TI1IT <D,I(
1. 113rrIIllIeTe JIeKapCTBO 3a OBJIa,n:5£BaHeHa aCTMaTIIqeH rrpIICT'brr.
2. IToCOqeTe JIeKapCTBo, KoeTO ce II3rrOJI3Ba 3a rro,n:,n:'bp)KaIIIO
JIeqeHIIe Ha 6pOHXIIaJIHa aCTMa.
TI1ITTOKCI1KOJIOfI1QHI1
1. IToCOqeTe aHTIIaCTMaTIIqHO JIeKapCTBO, ,n:aBaIIIO KcepOCTOMII5£
KaTO He)KeJIaHa JIeKapCTBeHa peaKIIII5£.
2. IToCOqeTe aHTIIaCTMaTIIqHO JIeKapCTBo, qII5£TOyrroTpe6a qeCTO
BO,n:II,n:o opo-¢apIIHreaJIHa KaH,n:II,n:03a.
3. IToCOqeTe aHTIIaCTMaTIIqHO JIeKapCTBo C MaJIKa TeparreBTIIqHa
llIIIpIIHa.
4. KOII ¢aKTopii orrpe,n:eJI5£T HaMaJIeHaTa yrroTpe6a Ha Ko,n:eIIH KaTO
aHTIITYCIIBHO JIeKapCTBO ?