factor iota, protectoare Silman BI2 (compr., con fovea it lh x 3/2; Ke Introducere in medicna intend 229 ola Excl, Tol, Perpinidraal Gaia qa expeciorant. Siogalul (uno slat de oa engoat deacon), 3 ingurje, nt ma at ide sod, dara de potas encodes sieaz wor Stop de pitagnd (3-4 ing) Tasomagu 20d) detodin. A iu. Se pisos sub fori (GAligurie'n)y deudice exgeionnte(2-Sconprinatea). stop (3-4 lingua comprimate de0,10 (3-6) exe un avorzech expecta, seizid viscortate 5 idifcbad engice: ene peceaice(Alfacimotrpsina, Tipsna); Bie ‘Brofimen), su forma de conpeinate (32), sue peat i solueboeab ete be oleae sou conic! oultn)- In aerosol (2-4 oi 2-3 ml) te containdiat a rai, care srionesa pia abode i antinlaato Son deriva arenas ea sii oon, uneon, agi sever in marl urene (0,303 sob 1a. “M0 6 su sole Ie pr ingua). Eterna este Broo . na slabs (omprimate 0,050 g i fclede tml nor efete earovsclare(paptti,abicade reqteren nvoducrea in picts a uno decv din genera afa ech sun Gor pei ort sa, bri de canst: anus fo Inteoducee 4H expectorante combina: Poison tae seme: Cem, Cereoxaniea, Claman gina, Meclozin, Cetirizin, Loratadin, - sl cai inane aie Siti (Lasix Foran) liming | KsiCl Latolatvievedewe do-it sp Ese de ursice} Pot uit (pinta 1-2) Bolo creas Spud Indore mie de 0 mg, zee nl mat Elev rapd, scr dara or conto foal, durersicepe dps 20-6 se mente 4-6 oe Ia sy efectlncepe dup -15 psc mene 2- Sore Pot ape, Insk, ne, hpeticemihiperricrc cidetalergce uur iain tote fomele de deme (in events earn rors elem pulmonar cel err) Sesuniniaresrh exigent real cronies Acid ezrin (deci) dese chime ean iat smlare Acponeaz tens pig de cur de comprina de 030g 1-4, ainstat dap mes sub 480025 gol, 1-1. nc, Previn acl eat averse. ercriate: Morcrfiln (Now) 3 Saga a de semenes lpr sp scr car ae re de aad He ml de 12 odpinins). Date rec averse po pare: pone pope, burs digestive eal $i alee Nin oct prac spb los, dite Tse sat ie cu intestate mo drei, Elmina concent, net peedomind Na (a {Csi K Pur provocshponatenic 5 ma als ipeptasemi, Ete decal eacaresencepewatnenalincazuie a Nef Er), Diss esp ot dapadinisarea Mf Ide Dal ule sunt de 25-100 mn 1? poze Eurerpn) Ate prope sia daracione dar232 _MedicndInterat pentru cadre medi dragon ldeseromai Spronolactons, Tiamterenl Arion, pooner (dao, Ane x aiagenst cnc teal hose etl oe gee cinta pet ly" _Efectl ete dependent de concentra aldosteronului. Diureza prokisa coc) | ‘secazlea dete cece faeces compersnd po au os sroes nei pial omen edonle ou peste." _secundar, rezistent la alte diuretice, Spironolactons este contraindicats inn. rlacal ‘Serzomand pacjlin isuficiena ens ‘Miso rena ol dcompnate de 025g (48) cr 8 dea, de dar Ca reac advese pt apie: pena ‘up cans, ur igesie, sme. ™ Camenona fi Carona de ott (Sldacton) substan, spencer. “Tired Oe, ea) ae ein ii sane on et Sennen 0100-0. = Amerie Mode) nak gel oon Ds. dips 2h dna on oa th Dirt minor =Dimedsne Diste seseseahiner dminses mem e000 nfl ea iOmx xen Sc Drs nner san Ser fe der 000g s sine 20 dees foes pn = Acctclomida (Diamor, Edeten) aeionszS cx inhibitor sl ssh. A gf. stamens iit de std, ben»? ona gi coricoe Best vc ela boli cv seo Beto ps ono ___Introdicere in medina intern _ 233, > Ba eebale prescrise la intimplace, ci in functie de originea edemelor, Be alee wi react ats hance nee Sgr Gases ei to Eiisrarle prelungitc si pierderi de clectrolisi. Hipokalicmia este ea mai eee ater atbelasananinese Geter ipnnemiasc tinct ma es nace Be i ce pangs wpa ce tk amen BE nts tse pccc cones ee Pie rl nyt Cat as, ue a erat a omc racers om Peiepnice char roo a Tanccccrrscoron ents Breer viet) cnr connec sesaene seers eae tees stbcastonaae a Bee repre) cetera iu, be 500mg, de 3-4 pe ee enti Bee Ginn Facade ce pe Sefer peelateped map pm fest orn epee 80me fw ne ioe etescatemees oop toa stog nt apes tidae Po ficacscas nan ce iericor nace Corace otc: As ss onan mete ect ce00rcpee Be retmpecacare 2 cones! cx nfo fe rine: Emeproni (Cio, cone Se200 gh ancl, [Drlplne, compe: de ma npropams(Prami), compe. de $ i (Mcmorm, de. 19 a Devunor be 18mg mispstie ware: Clonlar= compe de 2008 Mltonorm = de de compe de Sg teal nt nica eval ol bua ide} orp) eel oS ice orpe 2) Reel aisepic bg So 35 pct pe, Rowan, fst a ina repay sol 3-8 fh 4.5 pe oi suo could 4 pe 2 Urine cu ase ir f(t capsule poet a ole eae aoc cu as renal, vin infec wane ae eal, 2 puctede pe diz{244_Medicin ten pentr cadre medi Introducere ia medicinn Intern _ 235 ns 4. Medicanente flat nprofiaiahpertrafe Bening ic, Prinipasie medicament dn practice medicals careath om (phon aah 25Smecigt Times cps To, test nea va. dep ouapen deat tuiecfomie th dey 3 en eee ee et aie ‘emt cp. eon, Prop exp. eo cen Posse Poo itn winr se oo Sceisenpc nom apssicaaiogam Poorest ‘era oo (endo Noa) 00mg on 1: a= : 127 Mad site etc Anttanatareneerldene (ANS) oe ta TALS pant fan nc, TAINS mrcape pam ein ls a S/AINS mea coche dtc eae Bree, ep, etre Bont ‘Gspirs —_—_ aa ‘rombocopas rao cde ease, hain, fenae ic Nes Te Vier Sabie ‘wove A INS. aimisistat lable digestive; prides soare> a Deon Fon spc dees oe ‘donc spe spioae SU3N0 mg np rn. Sind Dili cena satin ae ‘Sins emails Kc Prem ce a cor ieee ri, 7 M 7 ae Pare let mai eds, 12-18 gn 3c pete cana eee neem Act melerans), Cab, Ald nftamis glacoearies ears pe ane Sr ir Tato), Penistone | Mlrtsaneperieree seinen Tapes ‘oma yeerespirator eprezintal wile momestl chm gout -epinia ei oie rods ee imp pulonarpresopane mai ml care repent Pulnonare (veil, dfuzurea cela Ventlainete demic aerative de isp sexpae, car eprezint deplasrea de st. impal inspirai se ade pnd a nivel alvole ae nO, 5 practic poape ip de CO arin mpl expirai 36 in CO. espa este un et activ, act psi. Impulse acest activi rtmice pomese din cen cate sue nfunya CO din singe, dar nue score\ plrundtea arin plimini se relizead prin mien toraice (antero-posterior, tensveral sagt), datos hilo respatar(ntercosta,cermaledomsstoiians, clei Incursulinsiah,plinins ureses meine tmcie doth nim realiat pin pleut, ya urare ae desing, Prsiones int desu cea aoe aera nts inplimin Inara conracit piston faee ca dima cates tcc evn I ime nsiaie sh pssst limi. Dec, xpi este un at psi inspira opi prude inp nvlum deer de aproximaiv i volim de ae priest pmsl prin expire. Aces er ot In con bzle-indvda in reas mse aliments = voumal de ae cre int ise n-un mint din limi ete de valor, cae eorepunde ini vom curent de 00 ml onor Poplin a conc are provine enare capeASIF str ml ar cae, actene in sien ie bogat In 0, rae) spe Baru amosenc Patologice, cur sin fle) sa colabares fn ite Tubs facing pr durere orc, afextine pulmonar sun: vii aphal albarlle ae sien, volta pel: ela 1 ae cave, bolnaval dsp ste pe de parte Bs dea respi iar pede aa cl efor respirator pe ate fice ea Seed ns omal mii spurt avo veg mae, egal un itm el in imp een spate cee carci ape dspnee, poeunotarandignea de sad veil pumorary, ii cad), pate a cules, ind obliga ja) gens peo, tae ifn insu venticlll sting (asl cardiac edemul it 5 rv din nsutcieja vena stags i i de siti) indice proisticl bola ao pose ct se hi pe magica pal supe sauna mle feat pe a susie nhl saitnoblia une, pore neces’ panei in ile respirator aceon Se spur, i aera crouse se in oropnce Fesprtor, se deosebexebradpneea sau dspace eu itm ot tv alll esprtare asta bone) pola sa thine even ror espn, dpi min) jonas esos), respi care este rubura, se nese dopnees ingprtorie ‘comp sin in aig).Pipa amen erie neni darren trac eat dot lesen. Due ose fometic (enn tla, ace As nevropaict (ecu ale er cr spe ta ace) I forma sau posumetcean sponta, dares est er de jnghis ant exe de events dure ene, abdominal, sponta an ote Trtamenal consi iden abguit ara carl sever opi, pose supers descr dings da more dure reek expr alu expirta Se dining der: pleural Gunga in ple, ta), ptnehiatoae pulmonate Gunghih are Vcd dn endure plna pret ase coral ep sneer su hereon verbal, ine ar abdominal ain lo i (rer vericalae, paresis svt). Une earcee parle eka nica prcoseO dre, toc, care imac oracle malo 0 dee ie, lal, aa eee : ofa Se tne I ple Pabiplus i congesi pulmonar te: Daree inl dept pose proven Buf din frgmatis uo dea afejiune a esol bite, Darren cae igen resin ugereao facts coal Darl accents pct darren de bie parle Tare pram est canes 3 evident In inept. Agee cin cantata de hemoglbind ste reset, Ete conta (sfc polmona,sdeea Oy bine normale) speek (Abit cardia scr expnere lig, 3 aril), Consiininvnite pei pi micowelar Pot ‘pare la efor, ls expunete a fee. Se oft de abies depia lata bronsice, cancer beunsic), pulmonard (pacumopati acute p). Asistenta medicala trebuie odin sf cite fa pie, etre salir ica tse a De ssemenes, cuisine n oii perme pects be, 8 uilizeze sea aifical,aspiraia 7 is . pein, incl, plage ape pen care rebut late ms de aspierigonsd, Ee sh se fumeze sau sts ia masa, rs deninfectares milo care 2 eu suipicare. Expctors aro valor fondant input onic, mn ales dat ete cen. Trebuie recite tldentaa ete, dslannd sen, Adoien feel copii aust spiacliinapintuse Dot cum am meno expectonia arcter, de cre eles ef sera Inmeodebisnuit nase clos dupa fear tse ai mal de 50m ie mpl bron sees gangrent pulmonar etc palmar expoleic azn sates crete, usar chiar pins 300-40 m2 de oe. Ovarieute fe ete von. rin aes teen se foflee expalares parle tae in parenhinal pulmonar sa Invite, fe sifine Acie = neilerespintors. Apareinabeespuonare, pleureiprulens, ctr (esti. pulmo. are ete uneor oat reveltoe. Spula mucoast este sci Set nro cal fn asta bong fn puta pat prt, ui ag in cae dparlor mie iki osi Sat en ee eno Sugcreae o supa boabo-plmonud lilac iain Taberulelpalnosar cia cist atic spain Zea ii!omtainicsi spo cop Se fess gilor-degingivoas. eliminate, des “ ele paratuol respirator 255 atti mic deobice imine rie iid efor d ise, pecnliate (ORL ee) ini poate area pe neat, dat do obicel raj de eur etemal, gst wor metalic Bliinares singe dda canines ving nk . Semncle generale consi pulaare,tanprae, Supe, bia ish, dap teva ist 2-3 ile, Pot loz palmonart, dilate cd, de bic ir prodroame, bela eliinko mare canta do prin asfne Forma minim epcies fe fe roy sa negticoasd. ecu in ihide res compat sop, liana, apt) panes trea pressps olny sat peer. Ca medica clorura de sole 10% lent, Vitamins C-500 maim sau Veoostat, Arenosiarn,lande,Coaguen su Maneiol (I =e. In tai severe, ca stare de ge, mici vanfui epette de singe 100ml, rombint nae, Gand fl, savin doe, (10m i. four lea, ups testes sesibiii eu mls.) Nu gar goin, deoueceagraveasshemoptiza. Insta speciale ~ raaaculars diet singeae su Pendomid (hemopti senoza mia), oxigen. (peeumopeiont) Mioren de bazl const in eps I pa 5 suprimaen tse ex um opiacen mg sau hidocodone, 5m i +6. La poiefi cu hemoptizie mls 9 a cei canst respirator datoratlasprri desing, ide aspat ntabiva ijt inden ast inet intabpicu Dent enlatea pliminulsi ingrid si pouth reali n rie nile masve, alegre uns atament media cel cirri ath de seal anatomical singe gi de funia pulmonard. ile de singer iat cena se pot coagulate. cal ae ollscalnezep bol pe cei aturaulacesti, al geen pt, poi semigeindS Bj sire sen temperate dea (16°. sh impunt imei ry ecenandeboavu nu tgs, igre let rad ceagr sti odie bua de geal me sibtr mp de 24 de oe, 3Bole aparatatal respirator 257 esc rica. Adult are 16-1 respira, V ' Viale vocale se palm, succes, pe care hemitorace, in fei eput de us tt skp 3 Noma vai pode iboats anit np. Anlifcs vinf suees ie ata hirhiranear cup eed pla a ee) Sere sau dparia vibe aa purrs ue se Ie ge (leer, puma) ine pec! pan natn perc, se doses (seldere snort) inc ocondensare parenchimulu ulnar pulmonar) su cole cian Input (lee), reasau upanismal (cette one) ape in pocumotoras pulmonar. erie sesizre nlerretreadverlo gots care e proc In cul respi, tse al vrbii.Auscallia poate fi pavilion! wechi pe prtle traci, si medi, flosind urechea sau steoscopul la nivel peer torcie lini So foe scan chess on apeete fps n'n leet acetone pa Epes cienne ry aa Dear ve mst ia ia le neue ng oee pas Kono ronmosi torre rls x ne onl deers ec aane mane ane ss pp mae ins iarcosses esbi jrmiaderne savabionit se cons =Elauzim cod ess Sit vn sa) alrite suberepias tub de sta pin iol sini stn espii: Bole sparattat respirator 259) Conplenentar (oracocentera) este un xaneni — siapate ispesahl pena process usin evidente 9 penrapreciza ein unin ea Riva npn uu ex, turd inflate (becuz sau reat pleural lo penumopatc piogen sau ao embolic pulmonar), bogs in slbumid ic eet Reacts Rival se pact la paul Dolnavus nan paar de 60200 ml pds dou pictur de acd acti lalla sk din chia pleral de examina Dacs se produce nor ulbrec8 feajia ests pons, find vorbe deun exsua;dack acest pro ste negativ: chidal este wn rans Fd deschis, or gibi, impede-de bic anssuat insufllens Stiri distoice eu dems Hehidserocitrin» de obisiexsudat(pleureit de matard fe oumatsmal, nope) (scoplasse,uberculozt pulmonar afte pulmonar) culzd pulmonar, nel peur) de aborator al chit hate pulmonar const in depstarea (10-30% socnoe si abpesensibtcuanate pin eactia (Cason se fie inocula inradermic antigen de chit hidatic- it de paris wei papue loca de inocula. ‘de laboratr a sputet. Sora medical dine un rl important, clonal $s ispan etoate oer legate de recolare gu expecta sbndents onavul vacoletalnzeaga cantata ia in24 dor, penta iit laborsorivaaveaadispoziic colt Ince cai, sora poate chiar fect wel examene, aici de ptr asic, cae poate confine spt recat rebuie sport media! labor, spre ase cere Peniruexarenle bist, puta rebui se proasp, elaborate edit dup recat. Cea ma simpli metod8, tien ocala un aces dese, det pe medal de eats. re dif find re de objnstun produ sonia de fe bine sie recurg a “ampontlarngian” sala un itor de limbs pint a dep linge cai va face o expat brusc 9 uteri reo bron. Se poste flosiobligatrin spt pons avenriea placa sf, fe reverse isbn irs alors semen pi. material proaspit. de. incazarde cist hidatic- i, Chareot-Lejden (cist nl). Uneod, examen: pat multe coznotle jot apices eae densi disrupes ese puedeapra ful ois: indica sh se prelevee si ade preenja baci» prinbronboaspn= este ait in eae si boa primeira orci s 4 fe re cu jor unui mtr do panglc, Gecirealar jr oat, anives mamelomeoe I npc prof, liorace miso cam 89cm, arn expe cam 82 Diferniase ete ator (dice Hinz). Micyrarca acest mie ara, woo abe spiro (emfize palmona,tuberulcipulmona) Examenalredlogie fopogafia,nindre pul acest. Dar exer railogi Bu poate jog ecu. Principalle examene ratolopce su: adis-copa, fomografia si bronhogrfia, pop este un exarse aii snl, cre permit stare diferitelor ale toracelu in dnamic, in mieae Deoarece rdioscopil peat bolnavul et si medica unor adic porta se prefer radograta re din fa din rofl, bolnavul Sindin inept. Imagine pris, vided ote deli, crest scaclement de comparsic jeomport mul mai pn rsul ia. fa exe meio radiogriick, pin cares Inegseaza pe plac lor la diferie ancim, Metoda pent preciarea seul exact anor imagin sologice, vile pe raciograe Mai pons precia $i ezini (avere, oni dilate, tumor) din il yimediastin care ma owatieobignui. ese examenal radiologic pin eae e pne In evident aborele un ichid op lrazele Rigen Serilizaz pidolul eae are elimina mal rapid, prin expectorate reser. Metod permite st fexistenfa seul cst bronice, al senozelor Bronsice a unoe euloase sau eancore bronice. Este conitandcatl tn bolle acute incu hipersensibiiilsiod un eligeuradiograte face in condi bune numa la nepatoseup. afta pulmonar’ nomalisoate in evident oumbra median epscd yh clare ata, po care se proiceazcavculeecostl omopl. dete da de cord, vss mar cecal organe din mediastin, sunt delimit ns de daft curing rt oncsmelstaze nev. tex heron sta inispensabil pentru practical. Dre creeii medi feciuile ineeste vrstlor init (emfzem, fbrove, slew spn unorpract oe ui mosis pulmonar devine oma sven robe uncon permit Spite. epiraie profs) exes nema eho ulburare a functi resp pnee, La indvil normal, ores respira apnee), poate de fe 9140” in inspire. drat mais, poate i datoratt wei pin 7m: NMicgoraren acest ga sigeca, uncon tot otburar a fncil estos setraduee fie voles ape ia miconcler, dtr prezenfeln cxplrele mar cai dehemoplobns (Hb) reds pest 5g) Hemoalebina sc nga: xigenarea pulmonar insu (bros plmon: str bongo) in malformaticardiacecongnitale {clare sonra). Cisnoza cee apare haces bur, i central, cianoza care parca ume acreytert emoglabine! eos, posts Genumiea Ge prfrcd, pentru el proces se Sngalecednd o anita mai mare dO esutrilon pare in el sa in stare de yoo. fe drt -cind se evidez abi wrehilor gla extents cd pares, buen jul oeilr ites cid cstv fba.Asistets medicals ae obliga sl urmaeascS oe ob acmnaleceapariiaciaoze. Kenifieaen depinde de rin ili de prefers), de terperatra camer (du) et. ‘La examel radosopi inspire ponds dafagmat eel pin 10 em, Reducers aces valor, eratbo reducers pli. tlonaefinfional. Acstea pot explora att funtia global hneobarie gale respitor, citi Seearemecaismixied at spirometle reprint consid it poco ma tologick vertebral cioscolon, osc ct ie, tracoplsi in reer ie Sau chimului pulmonar (lobectomi tumor, plete, poeuRVOT ale volume capaci ama ate volume’ capac punonare iting. Aste i respirator sa debit venlator de ropa (DVR eprezins erent dps nun, incon de espa ig ED ea nomirl de respi pe mint cu volumul caret DVR in. (16x 500), eprator maxim (DRM) repezint voll masion de er are nt rin. El este foarte porant pent apreieea fone ese pe seam ampli migesor ester (VC), ie Exist iso feevent optima, dncolo de cae valle sad respisor maxim se calcula dp formule: VEM.S.x 30. for matin pe secunda (VE MS.) repent test de baz al radu de permeable bongs elsticimtea alveolar, deci tive gpastice so organics ot contribu a dagnotical vor fore stip de insufcients ¢ raul deatierarea veal derepaus, Asti: bial {DVR retrea vena de repaus peste 10 Vin rato jor maxim (DRM. ext una dn xl mai alorosse probe !Nonmal ari te 100 140 Vii bt a 80 Seaport a valoilestandad Marchex iia superion® mp est nani deen apie. revert in Redceca DRM poste dcterminat ie de reduces VEMS. maxim pe secundl (NEMS) opr so frm inde find peste 70% din CV. Sehderea sb acne bru rove deo pemeabilitate rongick est are explore stbuia vent, © mlsonr Gi reves oral tine in 30566913 ‘ iplesta nicl serial ale, mezeala paler. jeolascarlatina ct). fulburisi nzale (asus Unghie) gus, fii si duro, spel de fed ss ease filers ar clinic se fen se mune Ipeimsvara 9 are specifi arog ge pn I fo. eal iterziee™™ Se combs ga Penis 267 aingite onic Jorma nor paseuri repeat de rng acu, inhi eronie de sub- sunorprocese lege Simpl rei eterguyea, care ser fe de tus cu expeciorjie si seneajie de uscciune ing. Tetamental E cau: sabia conic cthisaminice nfo pas vol, interciceea fat, vitsmioterapie (Cte 6. Tomorile linge fein resi event, pind cbc persoane dup 0 de a Yabba Riguseals cst simptomal riya Orc bb tect 0 perio rigujel ce direst mai mult de 2” 3 siti, eee frou laringians. Onn reper a dsone aici 9 ie agomsous), en in pt opti dee ana IE ase epi dips cog nionne Traamet Brose oct flrs cuts coat homie. sterendd de obice breil ma trees raoobrosi). Pate provoat de fat infeiogt peor, saflocos,stretoces, Haemophilus bfluenza, ihalaeaunor substan rant elo amoniac. gaze de opt, fam Cele ma import cauze fava sunt: rg, ful, raul Jexcesal de futin, efor vocale. Bron act senile frecvent r lor, eancerul insets Fpatologic: dem si hieremie mucoase (culoare rosie), cu su muce- partes, specu clini este de ino-bonsitcu evolu nti faze a [at in-fringin care ducan | -3 le (jar ascensune terme, i, ar sa infundare analy ofizk de eroditate sau scat il, u use usct, spanmoic, duce vie retrosterall neo sivoce rig ofaz de coejune sau produtvl, eu use inst Toucous sau muco-pruenh rl fe. Bola duraz8 1-2 roosts acd comunk (forma desrisl; brongia diz fatrcocack broil mci, erie 4s inset de discs Start generale; brosih hemorapick traeih care se aur eosteal contin ‘ Tana fn combate focarlrsesice, sina i inofingien,