Поможем в ✍️ написании учебной работы

Имя

Поможем с курсовой, контрольной, дипломной, рефератом, отчетом по практике, научно-исследовательской и любой другой работой

Выберите тип работыЧасть дипломаДипломная работаКурсовая работаКонтрольная работаРешение задачРефератНаучно - исследовательская работаОтчет по практикеОтветы на билетыТест/экзамен onlineМонографияЭссеДокладКомпьютерный набор текстаКомпьютерный чертежРецензияПереводРепетиторБизнес-планКонспектыПроверка качестваЭкзамен на сайтеАспирантский рефератМагистерская работаНаучная статьяНаучный трудТехническая редакция текстаЧертеж от рукиДиаграммы, таблицыПрезентация к защитеТезисный планРечь к дипломуДоработка заказа клиентаОтзыв на дипломПубликация статьи в ВАКПубликация статьи в ScopusДипломная работа MBAПовышение оригинальностиКопирайтингДругое

Нажимая кнопку "Продолжить", я принимаю политику конфиденциальности

ANSWERS ON QUESTIONS

Main part

A 52-year-old patient was diagnosed with coronary heart disease (CHD),

stable angina pectoris, FC II ". From the age of 30 suffers from atopic bronchial

moderate asthma. As a basic therapy, Seretide receives inhalation.

Asthma attacks stop with salbutamol. About IHD began to receive

Metoprolol 25 mg 2 times a day. On the second day of starting Metoprolol in

asthma attacks became more frequent, peak volume velocity decreased

exhale.

Questions:

1. Suppose the cause of increased asthma attacks and decreased peak speed

exhale.

2. Suggest alternative antianginal drugs in this situation.

3. What undesirable effects can verapamil cause?

4. During ECHO cardiography, a patient ejection fraction of 35% was detected. Verapamil

canceled Offer antianginal therapy.

5. Bisoprolol also has a negative inotropic effect. Will it

latent heart failure contraindication

Bisoprolol?

 

 

Situational task 80 [K000310]

Instructions: READ THE SITUATION AND GIVE EXPLAINED

ANSWERS ON QUESTIONS

Main part

A 30-year-old patient has chronic osteomyelitis. From the separated fistula sown

the causative agent is Staphylococcus aureus, methicillin-resistant (MRSA).

Questions:

1. Offer a first-line antibiotic for the treatment of osteomyelitis, indicate its dosage.

2. On the 3rd day of treatment with an antibacterial drug, the clinical effect

missing. Assume the reason for the lack of effect, the tactics of patient management.

3. Suggest alternative antibiotics in this situation.

4. What is the optimal tactic for antibiotic therapy in this situation?

5. 2 days after the start of the use of the antibacterial drug appeared

skin rash, in connection with which they began to administer ceftaralin, after 3 weeks the drug

canceled, even after a week the condition worsened (fistula opening, temperature

37.5 ° C, anorexia). Explain the reason for the deterioration and suggest further

treatment tactics.

 

Situational task 81 [K000311]

Instructions: READ THE SITUATION AND GIVE EXPLAINED

ANSWERS ON QUESTIONS

Main part

A 65-year-old patient with a diagnosis of hypertension of the II degree, IHD,

stable angina pectoris, FC II, hyperlipidemia (OXC - 6 mmol / L, LDL - 4

mmol / l, HDL - 1.0 mmol / l), chronic heart failure (CHF) stage II,

FC II ". HELL - 135/95 mm RT. Art., there is atrial fibrillation, a constant form,

CSJ - 85 beats per minute.

The patient receives treatment: Enalapril 5 mg 2 times, Nifedipine 10 mg 2 times,

Isosorbitadinitrate prolonged 40 mg 2 times, Hypothiazide 25 mg 1 time in the morning,

Digoxin 0.25 mg 1 time per day; Verapamil 120 mg 3 times. The patient’s condition is not

is improving.

Questions:

1. Assess the validity of the drugs.

2. Which group of drugs is most important for coronary heart disease, heart failure and fibrillation

atria?

3. What complications are possible with a constant form of atrial fibrillation?

What preventive measures should be taken?

4. What anticoagulant is needed? What are the measures for monitoring effectiveness and

security?

5. What are the measures to combat hyperlipidemia in a patient?

 

 

 

Situational task 82 [K000314]

Instructions: READ THE SITUATION AND GIVE EXPLAINED

ANSWERS ON QUESTIONS

Main part

Patient K., 45 years old, went to the polyclinic to a local physician

complaints of dizziness, interruptions in the work of the heart, flickering of "flies" before

eyes. Suffers hypertension for 5 years, occasionally with

Captopril is taken to increase blood pressure. Today after heavy physical exertion

(lifted the closet to the 2nd floor) a similar state appeared.

Objectively: the skin of the face and upper half of the body

hyperemic. Arrhythmic heart sounds, heart rate - 120 beats per minute, frequent

extrasystoles. HELL - 180/100 mm RT. Art. In the lungs, breathing is carried out in all departments,

no wheezing is heard, BH - 18 per minute.

There are no peripheral edemas. ECG: sinus rhythm interrupted by frequent

atrial extrasystoles, signs of left ventricular hypertrophy, heart rate - 120

beats per minute.

Questions:

1. Highlight the leading clinical syndromes.

2. Make a diagnosis.

3. Justify your diagnosis.

4. Select drugs for the relief of hypertensive crisis in this

the patient. Justify your choice.

5. Determine the planned treatment of hypertension in this patient.

 

 

Situational task 83 [K000317]