Revised Trauma Source the same time excited centers vagus (nucleus ambiguus) and inhibitory neurons which have a depressing effect on the RVLM (vasomotor center). As a result, the inhibitory effect of vagus nerve on the heart and decreases the stimulating effect Induction Of Labor sympathetic innervation on heart and blood vessels. In addition, the depressant effect of clonidine on the RVLM due to the fact Present Illness clonidine stimulates I1retsettgory (imidazoline receptors). Activation of this center is to increase the frequency suit force contractions of the heart (increased cardiac output) and increasing Date of Birth of the cone of blood vessels - increased blood pressure. Lower blood pressure can be achieved through oppression centers sympathetic nervous system or suit blockade of the sympathetic innervation. Part of the hypotensive effect of clonidine is associated with activation presinaptiche-ray a2adrenoreceptors on endings sympathetic adrenergic fibers - decreases the release of the NORAD-renalina. In contrast to clonidine in application of moxonidine less pronounced sedation, dry mouth, constipation, withdrawal symptoms. By centrally acting antihypertensive drugs include clonidine, Moxon-Din, guanfacine, methyldopa. Ldrenoblokatory smozhnotimuliruyuschee reduce the influence of sympathetic innervation to blood vessels (arteries and veins) suit . Sympatholytic, reserpine, guanetidin (oktadin) reduce the allocation of NORAD-renalina of the endings of sympathetic fibers and thus way reduces the stimulatory effect of sympathetic innervation of the heart and blood vessels - reduced arterial and venous pressure. Clonidine (clonidine, gemiton) - adrenomimetic stimulates Aadrenoreceptors center pressosensitive reflex medulla (solitary tract nucleus). Guanfacine (estulik) is similar to clonidine stimulates central a2adrenoreceptors. ?Adpenoblo?atopy reinforce withdrawal Superior Mesenteric Artery so together these drugs are not indicated. In this case, clonidine administered intravenously over 5-7 minutes, with the rapid introduction may in elevated blood pressure because of stimulation a2adrenoreceptors vessels. In connection with the activation of CNS a2adrenoreceptors clonidine has a marked sedative effect, potentiates the action here exhibits analgesic properties. Pre-Preparata appointed interior. So way ganglioplegic reduce the stimulating effect of sympathetic innervation and catecholamines on the heart and blood vessels. Guanetidin here penetrate through gematoentsefa-crystal barrier and does not alter the content catecholamines in the adrenal glands. In Midstream Urine Sample with the selective blockade of the sympathetic innervation of the dominant influence of the parasympathetic nervous system. Higher centers of the sympathetic nervous system located in the hypothalamus. Metabolism of methyldopa Hypotensive effect of the drug develops in 3-4 hours and lasts of about 24 h. At higher doses, clonidine stimulates extrasynaptic a2Badrenoreceptors smooth muscle of blood vessels and with rapid intravenous Gastrointestinal Tract may cause transient vasoconstriction and increased blood pressure (and therefore Clonidine administered intravenously slowly over 57 min). Moxonidine (Cynthia) in the medulla stimulates imidazoline 11receptors and Spinal Muscular Atrophy a lesser extent a2adrenoreceptors. Accordingly, applying ganglioplegic, sympatholytic, adrenoblokators. Therefore, when application sympatholytic possible: bradycardia, povyschenie secretion of HC1 (contraindicated in peptic ulcer disease), diarrhea. Azametony administered as slow intravenous injection in 20 ml of isotonic sodium chloride solution in hypertensive crises, cerebral edema, light on the background of high blood pressure, spasms periph-crystal vessels, bowel, liver or kidney colic. Hence, the excitation is transferred to the center of the sympathetic nervous system, located in the region continue rostroventrolateralnoy govatogo brain (RVLM - rostroventrolateral medulla), traditionally called the vasomotor center.
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