УЦТМ | АКАДЕМИЯ ПЕРВОЙ ПОМОЩИ | United States America (US)

Create: 2024-05-02 Update: 2024-06-06 03:34:29

Промедол
Распаковка препарата. Уровень санинструктора.

Что это такое? Основной опиоидный наркотический анальгетик, используемый на поле боя в постсоветских странах.

Режим дозирования: взрослым вводят от 10 до 40 мг (максимальная разовая доза). От 1 до 4 мл в зависимости от концентрации.

Анальгезирующее действие развивается НЕ СРАЗУ!
Как правило через 10 – 25 минут. Не стоит ожидать через 5 минут обезболивающего действия, особенно если вы ввели в мышцу!

Максимальная суточная доза 160 мг

Показания: болевой синдром средней и высокой степени

Противопоказания: депрессия дыхания, признаки шока, угнетенное сознание.

Побочные эффекты:
-снижение АД
-снижение ЧСС
-головокружение и слабость
-тошнота и рвота + запор

Поэтому при признаках дыхательной недостаточности, шока и угнетении сознания нужно взвешивать все за и против применения промедола и др. опиатов.

Лекарственные взаимодействия: усилит угнетение сознания, если этанол в организме. Снижает эффект ЦЕРУКАЛА. Поэтому противорвотное выбора в случае тошноты - ондансентрон!

Не следует ожидать того, что человек с с тяжелым ранением легко обезболится промедолом. В мире массово используются гораздо более сильные анальгетики: фентанил и кетамин.

Однако для усиления промедола можно использовать принцип мультимодальной анальгезии: добавить нефопам и/или НПВС и/или парацетамол с целью взаимного усиления эффектов этих препаратов.

#Уцтм #катулин #командакатулина #тактическаямедицина #промедол
#обезболивание

УЦТМ | АКАДЕМИЯ ПЕРВОЙ ПОМОЩИ

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Should I buy bitcoin?

“To the extent it is used I fear it’s often for illicit finance. It’s an extremely inefficient way of conducting transactions, and the amount of energy that’s consumed in processing those transactions is staggering,” the former Fed chairwoman said. Yellen’s comments have been cited as a reason for bitcoin’s recent losses. However, Yellen’s assessment of bitcoin as a inefficient medium of exchange is an important point and one that has already been raised in the past by bitcoin bulls. Using a volatile asset in exchange for goods and services makes little sense if the asset can tumble 10% in a day, or surge 80% over the course of a two months as bitcoin has done in 2021, critics argue. To put a finer point on it, over the past 12 months bitcoin has registered 8 corrections, defined as a decline from a recent peak of at least 10% but not more than 20%, and two bear markets, which are defined as falls of 20% or more, according to Dow Jones Market Data.

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