1.

Anti HTA- asocieri:

IR: BIC: Prev I: 1. diur tiazidice 1. Ca bloc cu ef prelun 1. I!C ". spirono #-ce retin # nu I eneratie ". Ca bloc $. BB cu eli%inare renala ". beta bloc $. diuretice &. Ca blocante $. nitrati &. alfa 1 bloc '. I!C &. I!C inclusiv prev sec PrevII: (): *arcina: 1. I!C 1. I!C 1. alfa %etil dopa ". alfa 1 bloc ". Ca bloc ". labetalol labetlaol iv. ur enta+ $. beta 1 bloc $. prazosin ,itroprusiat ,a ce &. la varst diur &. - *.& creste p. intra cran. '. aldost ce retin # '. BB/ atenolol+ %etoprolol H0*: (islipid: 1. Ca bloc / nifedipina+ verapa%il 1. I!C 1. I!C IC: ". BRTA" ". Ca bloc 1. I!C - 2%ortalitatea cu 131 $. beta 1 bloc BIC ". B1B 4selective- %etoprolol+ carvedilol513&6 &. Clonidina 1. I!C A0C '. alfa %etil dopa ". Ca bloc 1. beta7alfa bloc $. alfa 1 bloc ". Ce ,8 se da in HTA 7 *arcina: 1. I!C 4tub crest / Irenala fat+ ". BRTA1 $. (iuretice- 2 vol plas%+ 2circul placentara+ 2 nutritia fat $. (iuretice din HTA: 1. Tiazidice: ICC+ HTA -1 varstnic+ ". sistolica izolata varstnic+ $. 99 ". Ansa: ICC+ IRenala $. Aldostero: ICC+ Post I-A &. Indicatii : Arit%ice 7 HTA: 1. BB selective ". Ca bloc: 0erapa%il+ (iltiaze%5dupa 2 # posttrat diur-favor ectopii 0 Proarit%i ene6

'.Asocieri de:
(iuretice Anti HTA 1. (iuretic 7 BB Principiu: *iner is%- ef pozitive ". (iuretic7 I!C Anta onis% 4 ef adv $. Ca bloc din tulb de rit% 7 BB protector fata de tulb de rit% &. Ca bloc 7 I!C 4 eficienta in 2 TA '. BB 7 alfa B - rar AA: 1. IA5C:inidina 7IB5-e;iletin6- in:ib can de ,a activ vs can de ,a inactiv CI: ,8 assoc Cls3*ubcls Procaina%ida6 IA7IC 2. I 7 BB 5nu *otalol6 (ACA: <T= ,8 IA+ A%iodarona+ *otalol 3. Propanolol7-e;iletina3>lecainida 4 di%inua ef Proarit%ic A%iodarona7BB 4 ef aditive 4. IA7 *otalol - date clinice inco%plete 5. (isopira%ida 7verapa%il 6. Clonidina70erapa%il 4 :ipotens 7. Propafenona 7 C:inidina3 Procaina%ida

1. !f. Adv AA

CI.:

1. A%iodarona: >ibroza pul%+ neuropat perif+ depozite cornee+ disf :ep+ tiroid : Bo pul%+ :ep 2. BB: bron:ospas%+ :iper licelie : ast%+ (-Insdep 3. Ca bloc: ICC+ BA0 : disf 0+ tulb cond 4. (isopira%ida: ICC+ Tor 0f+ Ret. urinara+ lauco%+ =<T+ tulb rit%+ : <T?+ prostatis%+IR+ lauco% 5. >lecainida: = %ortalitatea Post I-+ bradi arit%ii : tulb de cond 6. Procaina%ida: *dr. @upoid + a ranulocitoza : artrita cr. (iscrazie s 7. @idocaina7 -e;iletina : tre%or : ParAinson 8. Propafenona: ICC+ Brspas%+ proarit%ic : ast%+ tulb cond+ disf 0* 9. C:inidina: Tor vf+ = <T+ diaree+ :ipo# : bo. di cr+ <T?+ :ipo# 10. *otalol: Tor vf+ Brspas%+ ()ins dep : ast%+ ()insdep+ <T?+ :ipo# Brdilat B"Adr: toleranta+ a itatie+ tre%or+ nervoza+ cefalee+ transpir+ slabiciuni+ roseata pielii+ reata+ vo%a+ arit%ii+ HTA+ :ipo# *tabilizatori %astocitari: cefalee+ at uscat+ brspas% tranzitoriu+ tuse+ roseata te u% I%% super : deriv Tio uanina 4supri%a %aduva :e%atopoetica+ -itutiri;ativeC- supresie %edulara+ alopecie+ nefroto;ic+ afect. !pit intest+ Infli;- IResp super 2 I A secretoareC IPP: .%eprazol- Hiper astrine%ie secundara+ Hiperplazia %ucoasei astrice Teofilina: C-0: T*+ T*0+ !*0+ >iA+ >lA+ Ta:icA+ Ta:ic %ultifocala+ arit%ie cu instabil :e%odina%ica D. AA neclasificate: 1. Atropina 4 bradicardie sinusala ". Adrenalina 4 stop card $. Izoprenalina 4 bloc card &. (i o;in 4 >iA '. Adenozin 4 T*0 1. CaCl" 4 T0 prin :iper # D. - Cl" 4 >iA+ into;ic cu di itala+ Tor vf E. !f corticosteroizi: Confirmat - in:ib locala: 2 nev de corticoster siste%+ 2 si%pt sau e;acerb AB+ 2 nev de brdilat B" Adr de ur enta+ 2 crize nocturne3ec:ivalent AB nocturn 4 tuse+ i%bunatateste indicii calitate vietii+ a%eteli functie pul% Posibil: 2 cz deces+ 2 vit declin fct pul%+ = per de re%isie sustinuta a crizelor F. !f Brdilat: Brdilatatie+ stabilizare %astocitara+ in:ib elib @T+ 2 per%eabilG vasc+ 2 e;udat 7 ede% cai aeriene+ = clearence %ucociliar+ = secret %ucus 1H. = *v BB in IC : 2 risc de arit%ii 4ef anti arit%ic prin = activ sinaptice in ICC 11. clase de %adica% in IC: I!C+ BB 5di o;in+ nitriti+ diuretice6 1". Cdtii pato HTA 7 BB : AP+ postI-A+ ICC+ sarcina+ ta:iarit%ii+ cele cu acti intrinseca 4sunt ta:icardizante 4 CI 1$. ,8 se dau HTA 7 BB : OBLIGATORII: ast%+ BP.C+ BA0"3$+ POSIBILE: b vasc perif+ intoler la luc+ pers fizice active 4 atleti 1&. -edica% ce act pe alfa " centrali: Clonidina+ alfa-%etil dopa+ -ono;idina+ Ril%etidina+ Iuanfacina 1'. Cdtii pat. ce deter% Arit%ii: T*+ durere+ :ipovol+ IC+ tireoto;icoza+ an;ietate 11. In ce arit%ii se da (i o;ina: >iA : 1"+' -"'H G 3zi p.o. corelata cu varsta 1D. To vf : - Cl": " in 1-"%in+ repetat la '-1H%in+ alternativ Isoproterenol sau Pa in 5=<T6 1E. Ieneza To vf: bloc#+ anti:ist+ fenotiazidice+ antidepresive triciclice+ #etoconazol+ dieta proteica+ lic:ida 1F. AA = <T: C:inidina+ (isopira%ida+ A%iodarona+ *otalol+ Bepidil+ Producol+ Prenila%ida+ deriv triciclici+ >eniltiazina+ !ritro%icina+ Anti:ista%inice: Terfenadina+ Aste%izol+ =<T pe fond de :ipo#+"H. AA = PR5perioada refractara6: ..CC IA+ IC+ III+ *otalol "1. AA PR.arit%o ene: IA+ IC+ III+ *otalol "". Cu% actioneaza Cls I pe PR: "$. Cu% act Cls I pe PA: IA=+ IB2 "

"&. Cu% act Cls III: = durata >z $+ = PA+ = PR "'. Cu% act Cls I0 pe >z H : 2 depolarizarea spontana+ 2 frecventa conducere A0+ 2 PA "1. In ce afect se da Bloc alfa Adr: Hiperplazie de prostata+ Hiperlipide%ie "D. Cls @a;ative: 1. 0olu% 4 %etilceluloza+ Plicarbop:il 2. !%oliere 4 (ocusat Cu3,a 3. @ubrefianti 4 .l. Parafina3 -a nezia 8sta 4. Iritante 4 *enna+ >enolftaleina+ .l. Castor+ .l. Ricin 5. .s%olice 4 - *.&+ citrat+ polietilen liol electroliti / >ortans+ @actuloza 4 2 ,H$+ encefalie portala "E. Indicatii - *.& / la;ative os%otice in constipatie+ atra apa / 2 densit bol fecal "F. 8I 7HP: Clase: 1. Anticecretor 4IPP: .%epraz&H+ @ansopraz1'-$H+ Pantopraz&H 2. BRH" : Ci%etidina EHHzi+ Ranitidina $HH+ >a%otidina &H 3. Protectoare Bis%ut '"';$3zi 4. Antibio99. : -etronidazol &HH;$3zi Ti%idazol+ Claritro%icina 'HH;"3zi+ A%o;icilina 'HH;$3zi $H. !f adv Ci%etridina: cefalee 73- so%n+ fati abilitate+ reata+ vo%a+ diaree+ constipatie+ tr-penie+ ineco%astie+ alopecie+ i%potenta+ atral ie+ disc-abd $1. (a Ta:icardie refle;a: Clonidina+ vasodilat directe+ I!C $". I!C indicatii: CI: 1. IC toate stadiile :sarcina ". HTA- cu risc = () : stenoza bilat a art renele $. I-A+ post I- cu disf 0* :Hiper# &. ,efropatie diabetica '. Protectie C0+ postI- re%odelare $$. Bo. inf int :Clase: 1. 'A%inosalicilati 4 *ulfasalozina+ -esalazina 4 *ulfapiridina & 3zi in & prize initial 'HH% ;"3zi.+ si%ilar .lsalazina 2. ICz Prednison &H% 3zi 3. I%% *upres : daca nu raspunde la ICz deriv deTio ua%ina / 1-ercaptopurina 1+'% 3A 3zi Azatiopurina "-"+'% 3A 3zi tip% $-1 luni -etotre;at 1'-"'% 3sapt i.%. ef bun in Bo. Cro:n Ciclosporina &% 3A 3zi infuzie cJ san e tot $HH-&HH% 3%l 4 ef = in RC8H ce nu rasp la ICz 4. Infli;i%ab 4 I ce lea a T,>alfa pe care-l neutralizeaza $&. *copul terapeutic in Ast%: $'. Asocieri de diuretice: $1. ce %edica% este cunoscut ca fiind :iper lice%iantC $D. !f nitratilor in IC: $E. Ci in sarcina: $F. Anti%i%etice- '%ed 7eficicienta ptr fiecare: &H. consecinte Cls II- >z &: &1.Asocieri rationale in HTA: &". Ce %edica% = sensibilit la di o;inaC &$. PR in >z1.: &&. Ce %edica% = rezist perif cr.C &'. !f. *tabilizatorilor %astocitari: