main drug in the treatment of circulatory failure - cardiac glycosides digitalis, strophanthus, lily of the valley and adonis.The mechanism of action of these drugs in the treatment of circulatory insufficiency successfully combined capacity on the one hand, to improve tone centers vagus nerves, reducing the excitability of the cardiac muscle and conduction through it electrical impulses to slow down the heart rate with circulatory failure, and the other - directly incorporated intomyocardial metabolism and normalize metabolism therein.When circulatory decompensation cardiac glycoside prescribed for the treatment of first 2 - 3 days in the "saturation" (ie, medium or large) doses, then decreases tachycardia, edema, and an increase in urine output gradually reduce the dose to maintenance and continue long-term treatment.
treatment of circulatory failure drugs
Basics medication circulatory failure
When circulatory failure in stage I and IIA good effect in the treatment of infusion have adonis and l
In severe cases, with significant tachycardia, enlarged liver with anasarca and especially recommended for the treatment of circulatory insufficiency strofantin intravenously administered at 0.5 - 1 ml of a 0.05% solution of 20% glucose solution.In those cases, when there is no acceleration of the heart rate or an abnormality of atrioventricular or intraventricular conduction, good effect treatment Korglikon (2 ml 0.06% solution of 20% glucose solution).
How to cure circulatory failure diuretics?
particular importance in the treatment of patients with chronic heart failure are diuretics.They are appointed in the initial period for the prevention of edema with circulatory failure and unloading the body of excess sodium and water.Most of them belong to saluretikami (furosemide, hydrochlorothiazide, Uregei) reducing the reabsorption of sodium and water in different sections of the renal tubules.
Furosemide (Lasix) is among the most potent diuretic.It is prescribed for the treatment of circulatory failure at 40 - 80 mg orally in the morning and afternoon, intravenously in the same doses.The diuretic effect of furosemide lasts 3 - 4 hours at the persistent edematous syndrome appoint other diuretics -. Veroshpiron (aldactone), - that at a dose of 100 - 200 mg / day (at least 4 -. Table 8) reduces the production of aldosterone.All saluretiki used in the treatment in combination with potassium drugs because prolonged use of diuretics can cause hypokalemia.
Peripheral vasodilators for the treatment of circulatory failure
To reduce peripheral vascular tone and venous flow to the heart is indicated for the treatment of peripheral vasodilators.This direct vasodilators acting on the smooth muscles of the vessels, - nitrates (nitroglycerin, nitrosorbit);simpatoadrenolovoy system blockers (alpha-blockers) - phentolamine, prazosin;blockers of the renin-angiotensin system - captopril;calcium channel blockers - nifedipine, izoptin.
In order to improve the metabolic processes in the myocardium at insufficiency of blood circulation for treatment prescribed vitamins, ascorbic acid, potassium supplements, Riboxinum, anabolic steroids (retabolil, methandrostenolone).In all cases, circulatory failure, especially in patients with chronic coronary artery disease, kardiosklerosis shown desagregants - trental, agapurin, stugeron, cavinton.These drugs improve microcirculation in the tissue and should be used for a long time, in small doses.
Treatment of circulatory failure bloodletting
With a large venous stasis are effective for the treatment of bleeding (200 - 400 ml).When fluid accumulation in the pleural and abdominal cavities with circulatory failure shown its removal by a puncture.In severe circulatory failure is effective for the treatment of plasmapheresis.Thus, in the treatment of chronic heart failure patients with a comprehensive approach.With the right treatment can be achieved not only reduce the degree of decompensation and the translation of stage IIB to IIA or IIA in stage I, but the full restoration of circulation.