Video: Puas yog Norepi yog Inotrope?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Noradrenaline (tseem hu ua norepinephrine ) yog ib inotrope thiab vasopressor (Levick, 2003). Noradrenaline Feem ntau piav qhia tsis raug raws li cov vasopressor ntshiab vim nws α-adrenoceptor agonism thiab tsis muaj zog β2-adrenoceptor agonism (Alexander li al., 2011).
Ua li no, norepinephrine puas yog vasopressor lossis Inotrope?
Feem ntau siv inotropes suav nrog cov tshuaj catecholaminergic, xws li dopamine, dobutamine, thiab phosphodiesterase inhibitors (piv txwv li, milrinone). Norepinephrine thiab epinephrine tshuaj yog catecholamines nrog inotropic cov khoom, tab sis feem ntau yog cais raws li vasopressors vim lawv muaj zog vasoconstrictive teebmeem.
Tsis tas li, qhov sib txawv ntawm inotropes thiab vasopressors yog dab tsi? Vasopressors yog cov chav muaj zog ntawm cov tshuaj uas ua rau muaj vasoconstriction thiab yog li ua kom cov ntshav siab siab (MAP). Vasopressors txawv ntawm inotropes , uas ua rau kom mob plawv ntxiv; txawm li cas los xij, ntau yam tshuaj muaj ob qho tib si vasopressor thiab inotropic teebmeem
Kuj paub, dab tsi yog cov tshuaj inotropic?
Ib qho inotrope yog tus neeg sawv cev uas hloov lub zog lossis lub zog ntawm cov leeg nqaij. Tsis zoo inotropic cov neeg ua haujlwm tsis muaj zog ntawm cov leeg nqaij. Lub sij hawm inotropic lub xeev feem ntau siv hauv kev hais txog ntau yam tshuaj uas cuam tshuam rau lub zog ntawm kev txo qis ntawm cov leeg nqaij hauv plawv (myocardial contractility).
Ua li cas dopamine ua haujlwm li Inotrope?
Inotropes nce plawv contractility uas txhim kho lub plawv tso zis (CO), pab tswj MAP thiab perfusion rau lub cev. Dopamine yog vasopressor nrog inotrope cov khoom ntawd yog koob tshuaj-nyob. Dobutamine thiab milrinone yog inotropes.
Pom zoo:
Puas yog amiodarone tsis zoo Inotrope?
Ntxiv rau qhov ua tau zoo dua piv rau feem ntau lwm cov tshuaj tiv thaiv kab mob, amiodarone muaj qhov ua rau muaj qhov tsis zoo me me thiab qhov qis ntawm ventricular proarrhythmia, ua rau nws zoo rau siv hauv cov neeg mob plawv tsis ua haujlwm [1]
Puas yog kev khuv leej kev qaug zog yog kev puas siab puas ntsws?
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Puas yog ntau tus cwj pwm tsis zoo yog kev puas siab puas ntsws?
Differential Diagnosis: Kev nyuaj siab loj heev
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