ﺃﺩﻭﻳﺔ ﺍﻟﻄﻮﺍﺭﺉ
ﻫﺬﻩ ﺍﻷﺩﻭﻳﺔ ﺍﻟﻤﺘﻌﻠﻘﺔ ﺑﺎﻟﺤﺎﻻﺕ ﺍﻟﻄﺎﺭﺋﺔ ﻭﺍﻟﻤﻮﺟﻮﺩﺓ ﺿﻤﻦ ﺃﺩﻭﻳﺔ ﺍﻟﻄﻮﺍﺭﺉ وﻓﻲ ﺳﻴﺎﺭﺓ ﺍﻹﺳﻌﺎﻑ
ﺃﺗﺮﻭﺑﻴﻦ Atropine
ﺩﻭﺑﺘﺎﻣﻴﻦ Dobutamine
ﺩﻭﺑﺎﻣﻴﻦ Dopamine
ﺃﺩﺭﻳﻨﺎﻟﻴﻦ Adrenaline
ﻟﻴﺪﻭﻛﺎﺋﻴﻴﻦ Lidocaine
ﻧﻴﺘﺮﻭﺟﻴﻠﺴﺮﻳﻦ Nitroglycerin
ﺩﻳﺠﻮﻛﺴﻴﻦ Digoxion
ﺇﻧﺪﻳﺮﺍﻝ Iideral
ﺇﺳﺘﻴﺮﺑﺘﻮﻛﻴﻨﺲ Streptokinase
ﺃﻣﻴﻨﻮﻓﻴﻠﻴﻦ Aminophyline
ﺃﺳﻴﻔﺎﻝ – ﻓﺎﻟﻴﻮﻡ Diazepam
ﻻﺯﻛﺲ Lazix
ﺃﺩﻻﺕ Adalat
ﺳﻜﻮﺑﻴﺘﻴﻞ Buscopan , Hyoscine
ﺑﺮﺍﻣﻴﻦ pramine , Metocolpramide
ﺩﻳﻜﺴﺎﻛﻮﺭﺕ Decort , Dexamethasone
ﻫﻴﺪﺭﻭﻛﻮﺭﺗﻴﺰﻭﻥ Hydrocortisone
ﺩﻳﻜﻠﻮﻓﻴﻦ Diclofen
ﺭﺍﻧﺪﻳﻦ Randin
ﺑﻴﻜﺮﺑﻮﻧﺎﺕ ﺍﻟﺼﻮﺩﻳﻮﻡ Sodium Bicarbonate
Atropine
ﺃﺗﺮﻭﺑﻴﻦ
ﻣﻔﻌﻮﻟﻪ :
( 1 ) ﻳﻤﻨﻊ ﻫﺒﻮﻁ ﺿﺮﺑﺎﺕ ﺍﻟﻘﻠﺐ Brady cardia ﻭﻳﺤﻔﺰ ﺍﻷﻋﺼﺎﺏ
( 2 ) ﻳﻘﻠﻞ ﺍﻹﻓﺮﺍﺯﺍﺕ ﻭﺍﻟﻠﻌﺎﺏ ﻣﻦ ﺍﻟﻘﺼﺒﺔ ﺍﻟﻬﻮﺍﺋﻴﺔ
( 3 ) ﻳﺤﻔﺮ ﺍﻟﺠﻬﺎﺯ ﺍﻟﻌﺼﺒﻲ ﺍﻟﻤﺮﻛﺰﻱ
ﺍﺳﺘﻌﻤﺎﻻﺗﻪ:
(1) ﺗﻮﻗﻒ ﺍﻟﻨﺒﺾ
( 2 ) Brady Cardia ﻧﻘﺺ ﻓﻲ ﻋﺪﺩ ﺿﺮﺑﺎﺕ ﺍﻟﻘﻠﺐ
( 3 ) ﺍﻧﺴﺪﺍﺩ ﺍﻟﻘﻠﺐ Heart Block
(4) ﺗﺴﻤﻢ ﺍﻟﻔﺴﻔﻮﺭ
ﺍﻵﺛﺎﺭ ﺍﻟﺠﺎﻧﺒﻴﺔ :
(1) ﻳﺴﺒﺐ ﻏﺸﺎﻭﺓ ﺍﻟﻨﻈﺮ
( 2 ) ﺯﻳﺎﺩﺓ ﺍﻟﻨﺒﺾ Tacky cardia
(3)Dysrhythmia ﻋﺪﻡ ﺍﻧﺘﻈﺎﻡ ﺿﺮﺑﺎﺕ ﺍﻟﻘﻠﺐ
( 4 ) ﺍﺭﺗﻔﺎﻉ ﺍﻟﻀﻐﻂ
( 5 ) ﺟﻔﺎﻑ ﺍﻟﺤﻠﻖ
( 6 ) ﻏﻴﺒﻮﺑﺔ
ﺍﻻﺣﺘﻴﺎﻃﺎﺕ ﻭﺍﻷﺧﺬ ﺑﺎﻻﻋﺘﺒﺎﺭ ﻋﻨﺪ ﺇﻋﻄﺎﺀ ﺍﻟﺪﻭﺍﺀ ﻓﻲ ﺣﺎﻻﺕ :
(1) ﺣﺎﻟﺔ ﺍﻟﻤﻴﺎﻩ ﺍﻟﺰﺭﻗﺎﺀ ﻋﻠﻰ ﺍﻟﻌﻴﻦ Glaucoma
(2) ﺣﺼﺮ ﺍﻟﺒﻮﻝ
ﻃﺮﻳﻘﺔ ﺇﻋﻄﺎﺀﻩ :
ﻳﻌﻄﻲ ﺍﻷﺗﺮﻭﺑﻴﻦ ﻋﻦ ﻃﺮﻳﻖ ﺍﻟﻮﺭﻳﺪ ( I.V )
Dobutamine
ﺩﻭﺑﺘﺎﻣﻴﻦ :
ﻣﻔﻌﻮﻟﻪ :
( 1 ) ﻳﺰﻳﺪ ﻣﻦ ﻛﻔﺎﺀﺓ ﺍﻟﻘﻠﺐ ﻭﺿﺦ ﺍﻟﺪﻡ
ﺍﺳﺘﻌﻤﺎﻻﺗﻪ :
( 1 ) ﻓﺸﻞ ﺍﻟﻘﻠﺐ ﺍﻹﺣﺘﻘﺎﻧﻰ C.H.F
(2) ﺗﺠﻤﻊ ﺍﻟﺴﻮﺍﺋﻞ ﻓﻲ ﺍﻟﺼﺪﺭ Pulmonary Edema
🔄➖ﺍﻵﺛﺎﺭ ﺍﻟﺠﺎﻧﺒﻴﺔ :-
(1) ﺯﻳﺎﺩﺓ ﺿﻐﻂ ﺍﻟﺪﻡ ﺍﻹﻧﻘﺒﺎﺿﻰ
( 2 ) ﺯﻳﺎﺩﺓ ﺍﻟﻨﺒﺾ Tacky Cardia
ﺍﻻﺣﺘﻴﺎﻃﺎﺕ ﺍﻟﻼﺯﻣﺔ :
(1) ﻳﺠﺐ ﻣﺮﺍﻗﺒﺔ ﺿﻐﻂ ﺍﻟﺪﻡ
( 2 ) ﻋﻤﻞ E.C.G
ﻃﺮﻳﻘﺔ ﺇﻋﻄﺎﺋﻪ : ( I.V )
Dopamine
ﺩﻭﺑﺎﻣﻴﻦ :
ﻣﻔﻌﻮﻟﻪ
( 1 ) ﺯﻳﺎﺩﺓ ﻛﻔﺎﺀﺓ ﺍﻟﻜﻠﻰ
( 2 ) ﺯﻳﺎﺩﺓ ﺿﺦ ﺍﻟﻘﻠﺐ
ﺍﺳﺘﻌﻤﺎﻻﺗﻪ :
( 1 ) ﺍﻟﺼﺪﻣﺔ
( 2 ) ﺍﻟﻔﺸﻞ ﺍﻟﻜﻠﻮﻱ
( 3 ) ﻓﺸﻞ ﺍﻟﻘﻠﺐ ﺍﻹﺣﺘﻘﺎﻧﻰ
ﺍﻷﺛﺎﺭ ﺍﻟﺠﺎﻧﺒﻴﺔ :
(1) ﺍﺭﺗﻔﺎﻉ ﺍﻟﻀﻐﻂ
( 2 ) ﺯﻳﺎﺩﺓ ﺍﻟﻨﺒﺾ
( 3 ) ﻏﺜﻴﺎﻥ
ﺍﻻﺣﺘﻴﺎﻃﺎﺕ ﺍﻟﻼﺯﻣﺔ :
(1) ﻓﺤﺺ ﻣﺴﺘﻮﻯ ﺍﻟﻨﺒﺾ
( 2 ) ﻓﺤﺺ ﺿﻐﻂ ﺍﻟﺪﻡ
( 3 ) ﺍﻹﺧﺮﺍﺝ ( ﺍﻟﺒﻮﻝ )
ﻃﺮﻳﻘﺔ ﺇﻋﻄﺎﺋﻪ :
( I.V )
Adrenaline
ﺃﺩﺭﻳﻨﺎﻟﻴﻦ :
ﻣﻔﻌﻮﻟﻪ :
( 1 ) ﻳﺰﻳﺪ ﻣﻦ ﻛﻔﺎﺀﺓ ﻋﻀﻠﺔ ﺍﻟﻘﻠﺐ
ﺍﺳﺘﻌﻤﺎﻻﺗﻪ :
(1) ﺗﻮﻗﻒ ﺍﻟﻘﻠﺐ
( 2 ) ﺻﺪﻣﺔ ﺍﻟﺤﺴﺎﺳﻴﺔ
ﺍﻷﺛﺎﺭ ﺍﻟﺠﺎﻧﺒﻴﺔ :
(1) ﻋﺪﻡ ﺍﻧﺘﻈﺎﻡ ﺿﺮﺑﺎﺕ ﺍﻟﻘﻠﺐ Arrhythmia
(2) ﺯﻳﺎﺩﺓ ﺿﻐﻂ ﺍﻟﺪﻡ
( 3 ) ﺍﻟﺮﺟﻔﺎﻥ
( 4 ) ﺯﻳﺎﺩﺓ ﺍﻟﻨﺒﺾ
ﺍﻻﺣﺘﻴﺎﻃﺎﺕ ﺍﻟﻼﺯﻡ ﺃﺧﺬﻫﺎ ﻓﻲ ﺍﻻﻋﺘﺒﺎﺭ :
(1) ﻣﺮﺍﻗﺒﺔ ﺍﻝ Arrhythmia ﻋﺪﻡ ﺍﻧﺘﻈﺎﻡ ﺿﺮﺑﺎﺕ ﺍﻟﻘﻠﺐ
( 2 ) ﻣﺮﺍﻗﺒﺔ ﺍﺭﺗﻔﺎﻉ ﺍﻟﻀﻐﻂ
( 3 ) ﻣﺮﺍﻗﺒﺔ ﻧﻘﺺ ﺇﺧﺮﺍﺝ ﺍﻟﺒﻮﻝ
ﻃﺮﻳﻘﺔ ﺇﻋﻄﺎﺋﻪ :
( I.V )
Lidocaine
ﻟﻴﺪﻭﻛﺎﺋﻴﻴﻦ
ﻣﻔﻌﻮﻟﻪ :
( 1 ) Anti Arrhythmia
(2) Local Anthstesia
ﺍﺳﺘﻌﻤﺎﻻﺗﻪ :
( 1 ) ﻟﻌﺪﻡ ﺍﻧﺘﻈﺎﻡ ﺿﺮﺑﺎﺕ ﺍﻟﻘﻠﺐ ventricular Arrhythmia
ﺍﻵﺛﺎﺭ ﺍﻟﺠﺎﻧﺒﻴﺔ :
(1) ﺩﻭﺧﻪ
( 2 ) ﺿﻌﻒ ﻋﺎﻡ
( 3 ) ﻧﻘﺺ ﺍﻟﺴﻤﻊ
( 4 ) ﻋﺪﻡ ﺍﻟﻮﻋﻲ
( 5 ) ﺇﺣﺒﺎﻁ ﻓﻲ ﺍﻟﺘﻨﻔﺲ
ﺍﻻﺣﺘﻴﺎﻃﺎﺕ ﺍﻟﻼﺯﻣﺔ ﺃﺧﺬﻫﺎ ﻓﻲ ﺍﻻﻋﺘﺒﺎﺭ :-
(1) ﻣﺮﺍﻗﺒﺔ ﺿﻐﻂ ﺍﻟﺪﻡ
( 2 ) ﻣﺮﺍﻗﺒﺔ ﻭﻋﻤﻞ ﺭﺳﻢ ﺍﻟﻘﻠﺐ E.C.G
(3) ﺃﻭﻗﻒ ﺍﻟﺪﻭﺍﺀ ﺇﺫﺍ ﺣﺼﻞ ﺩﻭﺧﻪ ﺃﻭ ﺿﻌﻒ ﺃﻭ ﺗﺸﻨﺞ Convulsion
ﻃﺮﻳﻘﺔ ﺇﻋﻄﺎﺋﻪ :-
( I.V )
Nitroglycerin
ﻧﻴﺘﺮﻭﺟﻠﺴﺮﻳﻦ
ﻣﻔﻌﻮﻟﻪ :
( 1 ) ﻳﻘﻮﻡ ﺑﺘﻮﺳﻴﻊ ﺍﻟﺸﺮﺍﻳﻴﻦ ﻭﺍﻷﻭﻋﻴﺔ ﺍﻟﺪﻣﻮﻳﺔ ﻭﺧﺎﺻﺔ ﺍﻟﺸﺮﻳﺎﻥ ﺍﻟﺘﺎﺟﻲ
( 2 ) ﻳﺨﻔﻒ ﻣﻦ ﺃﻝ Ischemia ﻋﺪﻡ ﺍﻟﺘﺮﻭﻳﺔ
ﺍﺳﺘﻌﻤﺎﻻﺗﻪ :
(1) ﺍﻟﺬﺑﺤﺔ ﺍﻟﺼﺪﺭﻳﺔ
( 2 ) ﻓﻲ ﺣﺎﻻﺕ ﻓﺸﻞ ﺍﻟﻘﻠﺐ ﺍﻹﺣﺘﻘﺎﻧﻰ ﻭﺍﻟﻨﻮﺑﺔ ﺍﻟﻘﻠﺒﻴﺔ
ﺍﻷﺛﺎﺭ ﺍﻟﺠﺎﻧﺒﻴﺔ :
(1) ﻏﺸﺎﻭﺓ ﻋﻠﻰ ﺍﻟﻌﻴﻦ
( 2 ) ﺻﺪﺍﻉ
( 3 ) ﺩﻭﺧﻪ
( 4 ) ﺿﻌﻒ ﺍﻟﻌﻀﻼﺕ
( 5 ) ﺍﺯﺭﻗﺎﻕ
( 6 ) ﺗﻐﻴﺮ ﻓﻲ ﺍﻟﺤﺎﻟﺔ ﺍﻟﻌﻘﻠﻴﺔ
ﺍﻻﺣﺘﻴﺎﻃﺎﺕ ﺍﻟﻼﺯﻣﺔ :
(1) ﻣﺮﺍﻗﺒﺔ ﺿﻐﻂ ﺍﻟﺪﻡ
( 2 ) ﻣﺮﺍﻗﺒﺔ ﺍﻟﻨﺒﺾ
ﻃﺮﻳﻘﺔ ﺇﻋﻄﺎﺀﻩ :
ﺗﺤﺖ ﺍﻟﻠﺴﺎﻥ
Digoxion
ﺩﻳﺠﻮﻛﺴﻴﻦ :
ﻣﻔﻌﻮﻟﻪ :
( 1 ) ﺯﻳﺎﺩﺓ ﻗﻮﺓ ﻋﻀﻠﺔ ﺍﻟﻘﻠﺐ
( 2 ) ﺯﻳﺎﺩﺓ ﺍﻻﻧﻘﺒﺎﺽ
ﺍﺳﺘﻌﻤﺎﻻﺗﻪ :
(1) ﻓﺸﻞ ﺍﻟﻘﻠﺐ ﺍﻹﺣﺘﻘﺎﻧﻰ C.H.F
(2) ﺧﻠﻞ ﻓﻲ ﺍﻧﻘﺒﺎﺽ ﺍﻷﺫﻳﻦ
ﺍﻷﺛﺎﺭ ﺍﻟﺠﺎﻧﺒﻴﺔ :
(1) ﺻﺪﺍﻉ
( 2 ) ﺯﻏﻠﻠﻪ ﻓﻲ ﺍﻟﻌﻴﻦ
( 3 ) ﺍﻧﺴﺪﺍﺩ ﺍﻟﻘﻠﺐ Heart Block
(4) ﻗﻴﺊ ﻭﻏﺜﻴﺎﻥ
ﺍﻻﺣﺘﻴﺎﻃﺎﺕ ﺍﻟﻼﺯﻣﺔ :
(1) ﻋﻤﻞ ﺭﺳﻢ ﺍﻟﻘﻠﺐ E.C.G
(2) ﻣﺮﺍﻗﺒﺔ ﺍﻟﻌﻼﻣﺎﺕ ﺍﻟﺤﻴﻮﻳﺔ
( 3 ) ﻣﺮﺍﻗﺒﺔ ﻭﻇﺎﺋﻒ ﺍﻟﻜﻠﻰ
ﻃﺮﻳﻘﺔ ﺇﻋﻄﺎﺋﻪ :
( I.V )
Anderal
ﺃﻧﺪﻳﺮﺍﻝ
ﻣﻔﻌﻮﻟﻪ :
( 1 ) ﻳﻘﻠﻞ ﻣﻦ ﺍﺳﺘﻬﻼﻙ ﺃﻝ (O2 ﺍﻷﻛﺴﻴﺠﻴﻦ ) ﻓﻲ ﻋﻀﻠﺔ ﺍﻟﻘﻠﺐ
( 2 ) ﻳﻘﻠﻞ ﻣﻦ ﺍﺭﺗﻔﺎﻉ ﺍﻟﻨﺒﺾ ﻭﺍﺭﺗﻔﺎﻉ ﺿﻐﻂ ﺍﻟﺪﻡ ﻭﺍﻧﻘﺒﺎﺽ ﻋﻀﻠﺔ ﺍﻟﻘﻠﺐ
ﺍﺳﺘﻌﻤﺎﻻﺗﻪ :
(1) ﺍﻟﺬﺑﺤﺔ ﺍﻟﺼﺪﺭﻳﺔ Angina ) )
(2) ﺍﻟﻨﻮﺑﺔ ( ﺍﻟﺠﻠﻄﺔ ) ﺍﻟﻘﻠﺒﻴﺔ ( M.I )
(3) ﺍﺭﺗﻔﺎﻉ ﺿﻐﻂ ﺍﻟﺪﻡ Hypertension ) )
ﺍﻻﺣﺘﻴﺎﻃﺎﺕ ﺍﻟﻼﺯﻣﺔ :
(1) ﻣﺮﺍﻗﺒﺔ E.C.G ﺭﺳﻢ ﺍﻟﻘﻠﺐ
( 2 ) ﻣﺮﺍﻗﺒﺔ ﺿﻐﻂ ﺍﻟﺪﻡ
ﻃﺮﻳﻘﺔ ﺇﻋﻄﺎﺋﻪ :
( I.V )
Streptokinase
ﺃﺳﺘﺮﺑﺘﻮﻛﻴﻦ :
ﻣﻔﻌﻮﻟﻪ :
( 1 ) ﻳﺤﻠﻞ ﺍﻟﺘﺨﺜﺮ ﻭﻳﺬﻳﺐ ﺍﻟﺠﻠﻄﺔ
ﺍﺳﺘﻌﻤﺎﻻﺗﻪ :
(1) ﺍﻟﺠﻠﻄﺔ ﺍﻟﺮﺋﻮﻳﺔ Pulmonary Embolism
(2) ﺍﻟﺠﻠﻄﺔ ﺍﻟﻘﻠﺒﻴﺔ M.I
(3) ﺟﻠﻄﺔ ﺍﻟﺴﺎﻕ D.V.T
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