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Chinese health 中医保健 >>
Family health medicine 家庭
2014年11月10日
Taking nitroglycerin exquisite
China's traditional Chinese medicine to
Middle-aged teacher liu in recent months in depressive feeling discomfort, chest hospital diagnosis of coronary heart disease (CHD). The doctor let him carry nitroglycerin, in case of angina pectoris attack. Once in the class, liu suddenly felt chest tightness, and the area before the heart pain. Liu immediately took out a grain of nitroglycerin under the tongue. After about two minutes, liu feel symptoms relieved some. But not for a moment, he blacked out, suddenly a burst of dizziness, fell to the ground and lost consciousness. Liu was taken to hospital after come, doctor said after communication with miss liu, make its unconscious culprit is performances of nitroglycerin. Specifically, medicine is liu's position is not right.
Nitroglycerin is coronary heart disease angina pectoris patients commonly used one kind of performances, and standing drugs in patients with coronary heart disease. But many people tend to ignore the correct way of taking the nitroglycerin, easy cause dizziness or fainting, cause dangerous.
Don't stand taking: nitroglycerin clinical treatment and prevention for coronary heart disease, angina pectoris, can reduce blood pressure or treatment congestive heart failure. However, suck it need to pay attention to the position. Can lead to low blood pressure caused by the improper position dizzy, dizzy, even fainted. Recumbent medicated, increase the change of blood volume, increase myocardial oxygen consumption, heart burden, affect curative effect. When administering nitroglycerin, should take half decubitus position, namely the top and bottom are about 45 degree Angle, maintain 15 ~ 20 minutes. In addition, also desirable seat, but after medicated to sit for 15 ~ 20 minutes. First effect, because the liver bioavailability is only 8%, so the sublingual nitroglycerin used to suck it, not swallow. Adults with 0.25 ~ 0.5 mg, is administered under the tongue work about 2 ~ 3 minutes, 5 minutes to achieve maximum effect, 1 piece can be repeated every 5 minutes, until the pain relief. If the total of 15 minutes after three slices of persistent pain, should immediately go to a doctor. In 5 ~ 10 minutes before the activity or defecate preventive use, can avoid to induce angina.
Compatibility with taboo: after administering nitroglycerin should avoid to eat and to drink strong tea, coffee etc. Therapeutic dose severe hypotension may occur, patients may appear dizziness, weakness, palpitation, nausea, vomiting, sweating, pale and collapse, etc., especially appear blurred vision or mouth works should be stopped. Nitroglycerin is early myocardial infarction (severe hypotension and tachycardia), severe anemia, glaucoma, and increased intracranial pressure and known patients allergic to nitroglycerin. Also banned for use of sildenafil citrate (viagra) in patients, which enhance the antihypertensive effect of nitroglycerin. In addition, the degree of M receptor blockers can block the antihypertensive effect of nitroglycerin differently, so unfavorable, belladonna piece, scopolamine and atropine, bromine too M choline receptor blocking drugs such as Lin with clothing.
In once half a year, the characteristic of nitroglycerin is volatile, unstable, need to avoid light preservation at room temperature, so the nitroglycerin tablets with dark bottle packaging. Patients carry the original bottle and don't put it in the other dark bottle or first-aid box, for the first time after opening, should remove the cotton ball. The chemical and physical properties of nitroglycerin is very unstable, demand deposit below 20 ℃, some patients used on close-fitting pocket is wrong, the body temperature will accelerate the volatilization of effective components from the nitroglycerin. Out advice to nitroglycerin in a coat pocket and temperature is suitable for place, summer in carry-on bags. Nitroglycerin is valid for 1 year commonly, such as open again and again to take medicine every day, the drug is affected by temperature, humidity and light, it is only valid for 3 ~ 6 months. Using nitroglycerin, therefore, must pay attention to the expiration date, every time take medicine should be quick opening, fast cover, with the back cover tightly, the best 3 ~ 6 months to replace a nitroglycerin. (high flower blue)
The original link: http://www.cntcmvideo.com/zgzyyb/html/2014-11/06/content_92786.htm