educational and methodical recommendations for "rational use of drugs in patients with chronic heart failure"

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ministry of healthcare of the republic of uzbekistan tashkent medical academy department of clinical pharmacology case – technology for education on "rational use of drugs in patients with chronic heart failure" educational and methodical recommendation is for teachers and students 6th year medical schools tashkent 2013 teaching abstract the subject: "clinical pharmacology" topic: "the rational use of drugs in chronic heart failure." course: 6 course of treatment, medical and pedagogical faculties. the purpose of this case study: to develop students' capacity for creative thinking in the appointment of drugs used in chronic heart failure, develop the ability to think logically in different clinical situations, the deepening and expansion of knowledge on the syndrome of chronic heart failure (chf). developing the ability to assess and analyze the situation on admission of patients with heart failure, ability and skills of choice tactics, timely hospitalization and after stationary rehabilitation of patients with heart …

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f heart failure. 2. classification of drugs used to treat heart failure. 3. mechanism of action of drugs (hp) used to treat heart failure. 4. indications and contraindications to drugs used to treat heart failure. 5. dosing regimen of drugs. 6. side effects of drugs and their correction. 7. most significant drug interactions, dangerous drug combinations used to treat heart failure. 8. monitoring of the effectiveness and safety of the application of drugs used in the treatment of chf. this case reflects the real situation in primary care. sources of information case: 1. kukes v.g. clinical pharmacology.moscow, 2008. 2. belousov y.b. clinical pharmacology and pharmacotherapy.moscow, 2003. 3. mamadov y.m. clinics pharmacology.tashkent, 2006. 4. bertram kattsung. basic and clinical pharmacology.moscow, 2001. 5. usmanov r.i., zuevа e.b. cardiology.algorithms for diagnosis and treatment.tashkent, 2007. 6. filippenko n.g., povetkin s.v. clinical pharmacology and pharmacotherapy in tables, charts and algorithms. 2004. 7. zuevа e.b., bakiyevа …

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that develops in the outcome of various diseases of the cardiovascular system, leading to a decrease in the pumping function of the heart and chronic hyper activationneurohormonal systems. the most common cause of heart failure:coronary heart disease, hypertension, cardiomyopathy of different genesis, heart defects. heart failure - a progressive disease, but the use of modern medical techniques can significantly slow down the progression and significantly improve the patient's condition. to describe the severity of heart failure in 1964, the new york heart association (nyha) functional classification was created, which distinguishes four functional classes on the ability of patients with exercise capacity. chf therapy is aimed at reducing the mortality of patients, reducing the number and severity of episodes of decompensating of heart failure and reduce the severity of symptoms (reduced chf fc). there are three groups of drugs, the use of which can come close to these goals. this ace …

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heral vascular resistance (afterload), sodium retention and increased blood volume (preload), the development of myocardial fibrosis and the progression of heart failure. ace inhibitors are mixed vasodilators, which reduce the filling pressure and systemic resistance. they are, on the one hand inhibit the renin-angiotensin-aldosterone system and sympathetic nervous system, on the other - positively modify hemodynamic heart failure. reducing the level of angiotensin ii, aldosterone, catecholamine, and sodium reabsorption in the kidneys, they reduce vascular resistance, and improve systolic and diastolic ventricular function. ace inhibitors prevent the remodeling of the heart, increasing the concentration of bradykinin, which increases renal blood flow, diuresis and natriuretic. drugs improve quality of life, reduce the symptoms of the disease, increase portability loads, reduce the mortality of patients with heart failure of different etiologies and varying severity. the most common side effects of ace inhibitors include a dry cough, dizziness, headache, rash, hypotension, photosensitivity, increased …

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e about the same efficiency. in chf ii-iv fc bab prescribed in combined therapy with ace inhibitors and diuretics.side effects of beta blockers: bradycardia, hypotension, headache, av block ii-iii degree, glucose intolerance, dyspepsia. avoid unwanted effects of bab on their first assignment can be achieved by gradual dose titration.the use of beta blockers in chronic heart failure: metoprolol from 12.5 to 100 mg per day. bisoprlol from 1.25 to 10 mg per day.carvedilol from 3.125 to 50 mg per day.diuretics are an important component of the comprehensive treatment of patients with chf, as quickly eliminate wheezing, reduce the pressure in the pulmonary capillaries and filling pressure. increasing the excretion of sodium, they reduce blood volume and vascular reactivity. enhance the action of vasodilators and ace inhibitors. in patients with a pronounced dilatation of the heart under the influence of diuretic reduces the volume of the heart chambers and the relative …

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ministry of healthcare of the republic of uzbekistan tashkent medical academy department of clinical pharmacology case – technology for education on "rational use of drugs in patients with chronic heart failure" educational and methodical recommendation is for teachers and students 6th year medical schools tashkent 2013 teaching abstract the subject: "clinical pharmacology" topic: "the rational use of drugs in chronic heart failure." course: 6 course of treatment, medical and pedagogical faculties. the purpose of this case study: to develop students' capacity for creative thinking in the appointment of drugs used in chronic heart failure, develop the ability to think logically in different clinical situations, the deepening and expansion of knowledge on the syndrome of chronic heart failur...

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