pharmacological approaches to the management of medications at syndrome of hypertension

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ministry of health of uzbekistan tashkent medical academy department of clinical pharmacology case technology on the topic: "pharmacological approaches to the management of medications at syndrome of hypertension" training and guidelines (case - studies) is intended for teachers and students 6 - year medical schools tashkent – 2013 the drafters: akbarova ds - associate professor of clinical pharmacology, md zufarov ps - professor, department of clinical pharmacology, md musayeva lj - assistant professor of clinical pharmacology, md reviewed by: agzamova nv - head of the course of clinical pharmacology, department of internal medicine, military-field therapy, professional diseases with the course of clinical pharmacology tashpmi, md khamraev aa - head of the department of internal medicine training gps with endocrinology, md education technology approved: at the meeting of the department of protocol №9 dated "03" in january 2013 gps at the section scientific and methodological council tma protocol №3 dated "17" …
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e drug selected; · selection criteria and deadlines for evaluating the effectiveness and safety of ongoing antihypertensive therapy; · selection of the most appropriate combination for each situation; · the application of theoretical knowledge to solve situational problems; • definition of the problem and its solution; for the successful resolution of the case study student should know · the mechanism of action of antihypertensive drugs · indications and contraindications to antihypertensive drugs · dosing of drugs · side effects of antihypertensive drugs · the most significant interactions of antihypertensive drugs • monitoring the effectiveness and safety in the use of antihypertensive drugs this case reflects the real situation in primary care information sources case: 1. в.г. кукес. клиническая фармакология. м., 2008. 2. ю.б. белоусов. клиническая фармакология и фармакотерапия. м., 2003. 3. ю.м. мамадов. клиник фармакология. ташкент, 2006. 4. бертрам катцунг. базисная и клиническая фармакология. м., 2001. 5. зуфаров п.с. и …
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reatment of hypertension syndrome is aimed at restoring blood pressure in the normal or optimal levels binding effect on all modified risk factors. treatment of hypertension should be an early and differential aimed at preventing the progression of the disease and prevent complications, active and long-lasting. in essence, it continues throughout life. intermittent, a course of treatment is permissible only if gipertnonicheskoy disease and functional class. indications for drug therapy: · family history with regard to hypertension, myocardial infarction and stroke in relatives; · increase in blood pressure during the night and morning, and pronounced blood pressure variability; · presence of target organ damage (heart, blood vessels, brain, kidneys); · identification of other major cardiovascular risk factors: hyperlipidemia, impaired carbohydrate tolerance, hyperuricemia. currently, several classes of antihypertensive drugs recommended for long-term treatment of hypertension. antihypertensive agents that are suitable for both monotherapy and combination therapy, are: 1) angiotensin-converting enzyme (ace), …
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hibitors (alpha-blockers) - diastolic dysfunction beta-blockers calcium antagonists ace inhibitors (alpha-blockers, diuretics) cerebrovascular disease calcium antagonists (beta-blockers, diuretics, ace inhibitors) peripheral circulatory disorders calcium antagonists (diuretics, ace inhibitors, alpha-blockers) diabetes mellitus ace inhibitors alpha blockers (calcium antagonists) renal failure loop diuretics thiazides only with creatinine clearance 30 ml / min calcium antagonists ace inhibitors (alpha-blockers) dyslipidemia alpha blockers (calcium channel blockers, ace inhibitors) bronchial asthma copd ace inhibitors calcium antagonists diuretics alpha blockers advanced age diuretics calcium antagonists ace inhibitors alpha blockers methyldopa the purpose of this case study is to develop the student - user case study analysis of the abilities of the situation at admission of patients with hypertension and rational treatment of this syndrome in primary. the solution proposed case study will enable students to achieve the following learning outcomes: · assessment and analysis of the situation; · selection of the dosage of drugs with respect to …
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al color. consciousness is clear, the situation actively. pulse 68 per minute, regular, blood pressure 190/120 mmhg, auscultation of the heart - the tones are muted, i-tone at the top is weak, ii-tone emphasis on the aorta, abnormal noise is not revealed. no breathing disorders on auscultation - no changes in the lungs. the abdomen is soft and painless. therapy was added to enalapril 10 mg once. after taking the first pill after 2.5 hours of blood pressure plummeted to 70/40 mm hg introduction of dobutamine, dopmina had no effect. after 48 hours, independently of blood pressure has risen to the level of 130/80 mm hg, heart rate remained within a 60-66 minute, regular. questions and tasks: 1. explain, resulting in a sharp drop in blood pressure? 2. what is the basis of this clinical situation? 3. why hypertensive therapy was not successful? 4. enter your side effect of ace …

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ministry of health of uzbekistan tashkent medical academy department of clinical pharmacology case technology on the topic: "pharmacological approaches to the management of medications at syndrome of hypertension" training and guidelines (case - studies) is intended for teachers and students 6 - year medical schools tashkent – 2013 the drafters: akbarova ds - associate professor of clinical pharmacology, md zufarov ps - professor, department of clinical pharmacology, md musayeva lj - assistant professor of clinical pharmacology, md reviewed by: agzamova nv - head of the course of clinical pharmacology, department of internal medicine, military-field therapy, professional diseases with the course of clinical pharmacology tashpmi, md khamraev aa - head of the department of internal medicine ...

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