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FARMACOLOGIE

1. Angin acut streptococic


Prescriei antibioticul/ chimoterapicul de elecie la un bolnav cu Dg:
Rp/ Eritromicin cp. 200mg
AO nr. I
DS oral, 2 cp. la 6 ore, 7 zile

2. Angin acut streptococic. Alergie la penicilin
Rp/ Eritromicin cp. 200mg
AO nr. I
DS oral, 2 cp. la 6 ore, 7 zile

3. Pneumonie pneumococica
Rp/ Penicilina G flac. 1.000.000 UI
Flac. nr. XXVIII
DS i.m., 1 flac. la 6 ore, 7 zile
#
Rp/ Ser fiziologic f. 10ml
F. nr. XXVIII
DS solvent pt. Penicilina G

4. Stafilococie cutanat
Rp/ Oxacilin caps. 500mg
Caps. nr. XXVIII
DS oral, 1 caps. la 6 ore, 7 zile

5. Bronit acut
Rp/ Ciprobay cp. 500mg
AO nr. I
DS oral, 2x1 cp/zi

6. Febr tifoid
Rp/ Clorafenicol caps. 250mg
Caps. nr. LXXX
DS oral, 2 caps. la 6 ore, 10 zile



7. Pielonefrit acut
Rp/ Norfloxacin cp. 400mg
Cp. nr. XX
DS oral, 1 cp. la 12 ore, 10 zile

8. T.B.C. pulmonar, form uoar, luna III de tratament
Rp/ Isoniazid cp. 300mg
AO nr. I
DS oral, 2 cp/zi, 3 zile/sptmn
#
Rp/ Sinerdol caps. 300mg
AO nr. I
Ds oral, 2 caps/zi, 3 zile/sptmn

9. Infecie urinar joas (Cistopielit)
Rp/ Ciprofloxacin cp. 500mg
Cp. nr. X
DS oral, 1 cp. la 12 ore, 5 zile

Rp/ Biseptol cp.
AO nr. I
DS oral, 2 cp. la 12 ore, 5 zile

10. Meningit acut
Rp/ Rocephin flac. 1g
Flac. nr. XX
DS i.m, 1 flac. la 12 ore, 10 zile

11. Infecie biliar acut
Rp/ Amoxicilin caps. 500mg
Caps. nr. XXVIII
DS oral, 1 caps. la 6 ore, 7 zile

12. Profilaxia secundar a reumatismului articular acut
Rp/ Moldamin flac. 1.200.000 UI
Flac. nr. VI
DS i.m. profund, 1 flac/lun
#
Rp/ Ser fiziologie f. 10ml
F. nr. VI
DS solvent pt. Moldamin

13. Candidoz vaginal
Rp/ Clotrimazol cp. vaginale 100mg
AO nr. I
DS intravaginal, 1 cp/zi, 6 zile, seara la culcare

14. Zona zoster
Rp/ Zovirax cp. 800mg
Cp. nr. XXV
DS oral, 5x1 cp/zi, 5 zile

Rp/ Aciclovir cp. 800mg
AO nr. I
DS oral, 5x1 cp/zi, la 4 ore, 7 zile

Rp/ Aciclovir unguent
AO nr. I
DS aplicaii locale


Prescriei tratamentul la un bolnav cu Dg:
1. Glaucom cronic
Rp/ Isoptocarpine soluie oftalmic 2%
Flac. nr. I
DS instilaii n sacul conjunctival 6x1 pictur/zi n ambii ochi

2. Rinofaringit acut
Rp/ Olynt spray nazal 0,1%
AO nr. I
DS instilaii nazale, 3x1 puf/zi, 5 zile
#
Rp/ Paracetamol cp. 500mg
AO nr. I
DS oral, 3x1 cp/zi, 5 zile
3. Bronit cronic
Rp/ Acetilcistein cp. 200mg
AO nr. I
DS oral, 3x1 cp/zi
#
Rp/ Miofilin cp. 100mg
AO nr. I
DS oral, 3x1 cp/zi

4. Astm bronic uor
Rp/ Bricanyl Turbohaler
AO nr. I
DS inhalator, 2 pufuri la interval de 5 min, n criza de astm bronic

5. HTA. Insuficien renal cronic
Rp/ Digoxin cp. 0,25mg
AO nr. I
DS oral, 1 cp/zi, 6 zile/sptmn
#
Rp/ Enalapril cp. 10mg
Cpr. nr. LX
DS oral, 2x1 cp/zi
#
Rp/ Furosemid cp. 40mg
AO nr. I
DS oral, cp/zi
#
Rp/ Spironolacton cp. 50mg
AO nr. I
DS oral, 1 cp/zi
#
Rp/ Atenolol cp. 50mg
Cp. nr. XXX
DS oral, 1 cp/zi

6. Insuficien cardiac cronic. Insuficien renal cronic

7. HTA form medie
Rp/ Lisinopril cp. 10mg
AO nr. I
DS oral, 1 cp/zi
#
Rp/ Indopamid cp. 1,5mg
AO nr. I
DS oral, 1 cp/zi, dimineata

8. HTA form uoar. Diabet zaharat tip II cu obezitate
Rp/ Enalapril cp. 10mg
AO nr. I
DS oral, 2x1 cp/zi



9. Cardiopatie ischemic. Angin pectoral de efort
Rp/ Nitroglicerin spray 0,4 mg/puf
AO nr. I
DS sublingual, la nevoie, 1 puf
#
Rp/ Isosorbit Dinitrat cp. 10mg
AO nr. I
DS oral, 2x1 cp/zi, la 6-8 ore interval (ora 8 si 14 )
#
Rp/ Atenolol cp. 50mg
AO nr. I
DS oral, 1 cp/zi
#
Rp/ Aspenter cp. 75mg
AO nr. I
DS oral, 1 cp/zi

10. Fibrilaie artial cronic
Rp/ Digoxin cp. 0,25mg
AO nr. I
DS oral, 1 cp/zi, 5 zile/saptaman
#
Rp/ Trombostop cp. 2mg
AO nr. I
DS oral, 1 cp/zi, cu controlul INR

11. Insuficient circulatorie cerebral cronic

12. Anemie feripriv
Rp/ Ferrogrodumet cp. 100mg
AO nr. I
DS oral, 1 cp/zi, postprandial, 3 luni
#
Rp/ Vitamina C cp. 200mg
AO nr. I
DS oral, 3x1 cp/zi






13. Anemie megaloblastic
Rp/ Vitamina B f. 50g/ml
F. nr. XXXVI
DS i.m, iniial 2 f/zi 14 zile, apoi 2 f/sptmn 4 sptmni, apoi 2 f/lun toat viaa
#
Rp/ Acid folic cp. 5mg
AO nr. I
DS oral, 1 cp/zi

14. Ulcer duodenal. Infecie cu Helicobacter Pylori
Rp/ Omeprazol cp. 20mg
AO nr. I
DS oral, 2x1 cp/zi, 4 sptmni
#
Rp/ Amoxacilin cp. 1g
Cp. nr. XXVIII
DS oral, 2x1 cp/zi, 14 zile
#
Rp/ Claritromicin cp. 500mg
Cp. nr. XXVIII
DS oral, 2x1 cp/zi, 14 zile

15. Reumatism cronic degenerativ. Gastrit cronic
Rp/ Moldamin flac. 1.200.000 UI
AO nr. I
DS i.m, 1 flac. la 10 zile, se dizolv n 5ml ap distilat
#
Rp/ Maalox cp.
AO nr. I
DS oral, 3x1 cp/zi, la 90 de min. dup mas

16. Neoplasm uterin stadiul IV (tratament analgezic)
Rp/ Morfin f. 2%
AO nr. I
DS subcutanat, 3x1 f/zi

17. Nevroz anxioas
Rp/ Diazepam cp. 10mg
AO nr. I
DS oral, 3x1 cp/zi


18. Insomnie cronic
Rp/ Diazepam cp. 10mg
AO nr. I
DS oral, 2x1 cp/zi

19. Diabet zaharat tip II. Sarcin luna a 5-a
Rp/ Lente MC flac.
Flac. nr. X
DS subcutanat 1 flac. dimineaa la ora 11

20. Alergodermie
Rp/ Aerius cp. 5mg
Cp. nr. V
DS oral, 1cp/zi, dimineaa, 5 zile


Prescriei tratamentul de urgen n urmtoarele afeciuni acute:
1. ocul anafilactic
- ADRENALIN : se poate administra i.v. sau i.m. ncepnd cu 0,5mg, doz care se poate
repeta
- HEMISUCCINAT DE HIDROCORTIZON de la 100mg pn la 1000mg
- ANTIHISTAMINIC H1 : Romergan i.m. sau Clemastin i.v.
2. Criza de astm bronic
Criza de oxigenoterapie :
- Spray cu -simpaticomimetrice cu durat scurt de aciune
- Salpotamol
- Ferbutalin Spray 1-2 pufuri la interval de cteva minute
- Fenoterol Maxim 8 pufuri/zi !!!!
- Miofilin
- Hemisuccinat de nitrocortizon, f. i.v.
- Antibioterapie, dac criza a fost declanata de o infecie bacterian

3. Edem pulmonar acut
Oxigenoterapie FUROSEMID f. i.v. DIGOXIN NITROGLICERIN n perfuzie
i.v.







4. Infarct miocardic acut
Nitroglicerin sublingual
Nitroglicerin n perfuzie i.v.
Oxigenoterapie
Algocalmin Mialgin
Aspirin Clopidrogel
Heparin
Tratament fibrinolitic cu streptokinaz
Diazepam
Furosemid

5. Criz de tahicardie paroxistic supraventricular
In atac : prima msur MANEVRE VAGALE dac NU cedeaz ADENOZIN i.v.
dac NU cedeaz VERAPAMIL f. i.v. daca NU cedeaz DIGOXIN dac NU
Prevenirea recderilor : -blocante orale sau blocante de calciu sau Digoxin

cedeaz CONVULSIE ELECTRIC

6. Tahicardie ventricular
Dac este bine tolerat se administreaz LIDOCAIN (XILIN) i.v. iniial 1mg/kg corp sau
100 mg, apoi n perfuzie i.v. cu ritmul de 1-3 mg/min
Alternative la Lidocain : CONVERSIE ELECTRIC sau AMIODARON i.v. sau MEXILETIN i.v
Prevenirea recderilor : Amiodaron sau -blocante

7. Criza hipertensiv
Captopril 25mg sublingual
Furosemid daca NU

scade
8. Colica biliar
NO-SPA (Drotaverin) f. i.v, i.m. sau PAPAVERIN f. i.m.
PIAFEN (Metamizol + 2 antispastice) f. i.m, i.v.
SCOBUTIL f.
KETONAL f. i.m. (Ketoprofen)

9. Colica renal
Rp/ Papaverin cp. 100mg
AO nr. I
DS oral, 3x1 cp/zi
#
Rp/ Piafen f.
F. nr. IX
DS i.v, 3x1 f/zi


10. Criza epileptic
Administrare injectabil de FENOBARBITAL, DIAZEPAM sau FENITONIN