与其他抗精神病药物一样,可能会发生抗精神病药物恶性综合征,这是一种潜在的致命并发症,其特征是高热、肌肉僵硬和自主神经不稳定、意识障碍和肌酸磷酸激酶 (CPK) 升高。如果出现高热,尤其是每日剂量较高时,应停用包括阿米舒必利在内的所有抗精神病药物。QT 间期延长阿米舒必利会导致 QT 间期剂量依赖性延长。这种效应已知会增加发生严重室性心律失常的风险,尤其是尖端扭转型室性心动过缓、低钾血症或先天性或后天性 QT 间期延长(与增加 QTc 间期的药物联合使用)的患者会加重这种效应(参见不良反应部分)。 - 给药前根据患者的临床状况,有必要排除任何心律失常的危险因素,如:心动过缓慢于55
摘要目的:分析在牙科办公室环境中有意识镇静的自闭症谱系障碍(ASD)患者的药理重叠,以确定任何潜在的风险和并发症。材料和方法:通过使用搜索算法和资格标准从在线数据库(PubMed和Lilacs)中选择文章(PubMed和Lilacs)进行了批判性审查。MEDSCAPE®平台用于验证ASD患者常用的药物与小儿牙科镇静剂使用的药物之间的相互作用。Results: Due to their polydrug use, children with ASD are at risk of complications, namely Serotonin Syndrome (SS), Neuroleptic Malignant Syndrome (NMS), increase or decrease of the QT interval (QTi) and Torsade de Pointes (TdP), due to pre-existence of metabolic syndrome, deepening the sedation level or even leading to a decrease in the sedative capacity of the使用的药物。结论:评估提交镇静剂的ASD患者中更好的药物相互作用至关重要。该疾病的严重程度和镇静剂的牙齿治疗需求是直接成比例的。但是,镇静剂量的增加往往会增加ASD儿童的风险和并发症。关键字:心理健康;自闭症障碍;儿童发展;药理;孩子。
大多数新药都会评估其对心脏复极的影响。体表心电图上心率校正 QT 间期 (QTc) 的延长表明对心脏复极有影响,并可能预示有时致命的室性心律失常(主要是尖端扭转型室性心动过速)的风险。目前,为防止药物因意外的尖端扭转型室性心动过速风险而获批,心脏安全性测试范式是根据两项美国食品药品管理局 (FDA) 指南执行的,即《S7B 人类药物延迟心室复极化(QT 间期延长)潜力的非临床评估》(2005 年 10 月)和《E14 非抗心律失常药物 QT/QTc 间期延长和促心律失常潜力的临床评估》(2005 年 10 月),这两项指南分别建议评估药物对心脏人类乙醚相关基因 (hERG) 钾通道和 ECG 上捕获的 QTc 间期的直接影响。这些研究的结果可能会影响监管
3TC = 拉米夫定;ABC = 阿巴卡韦;ALT = 丙氨酸氨基转移酶;ART = 抗逆转录病毒疗法;AZT = 齐多夫定;CM = 隐球菌性脑膜炎;DR-TB = 耐药结核病;DST = 药物敏感性测试;DTG = 多替拉韦;ECG = 心电图;EDST = 扩展药物敏感性测试;EFV = 依法韦仑;EPTB = 肺外结核;EtO = 乙硫异烟胺;FBC = 全血细胞计数;FLQs = 氟喹诺酮类药物;Hb = 血红蛋白;HIV = 人类免疫缺陷病毒;INJ = 注射剂;K + = 钾;Mg 2+ = 镁;MGIT = 分枝杆菌生长指示管;MTB = 结核分枝杆菌;NCAC = 国家临床咨询委员会;NVP = 奈韦拉平; TB-NAAT = 结核病核酸扩增试验;PCAC = 省级临床咨询委员会;PI = 蛋白酶抑制剂;QTc = 校正 QT 间期;RR-TB = 利福平耐药结核病;TB = 结核病;TDF = 替诺福韦;TdP = 尖端扭转型室性心动过速;TEE = 替诺福韦 + 恩曲他滨 + 依法韦仑;TLD = 替诺福韦 + 拉米夫定 + 多替拉韦;VL = 病毒载量;XDR = 广泛耐药
Cardiovascular System Cardiomyopathy: Dilated, Hypertrophic, Restrictive, Stress Conduction disorders/dysrhythmias: Atrial fibrillation, Atrial flutter, Atrial tachycardia, Atrioventricular block, Bradycardia, Bundle branch block, Idioventricular rhythm, Junctional, Premature contractions, QT prolongation, Sick sinus syndrome, Sinus arrhythmia, Torsades de pointes, Ventricular fibrillation, Ventricular tachycardia Congenital heart disease: Atrial septal defect, Coarctation of the aorta, Patent ductus arteriosus, Tetralogy of Fallot, Transposition of the great vessels, Ventricular septal defect Coronary artery disease: Acute myocardial infarction, Angina pectoris, Non–ST-segment elevation myocardial infarction, ST-segment elevation myocardial infarction, Unstable angina, Atherosclerosis Heart failure Hypertension: Primary hypertension, Secondary hypertension, Hypertensive emergencies, Hypotension: Orthostatic hypotension, Vasovagal hypotension Lipid disorder Shock: Cardiogenic, Distributive, Hypovolemic, Obstructive Traumatic, infectious, and inflammatory heart conditions: Cardiac tamponade, Infective endocarditis, Myocarditis, Pericardial effusion, Pericarditis Valvular disorders: Aortic, Mitral, Pulmonary, Tricuspid Vascular disease: Aortic aneurysm/dissection, Arterial embolism/thrombosis, Arteriovenous malformation, Deep vein thrombosis, Giant cell arteritis, Peripheral artery疾病,静脉炎/血栓性静脉曲张,静脉曲张,静脉功能不全
Cardiovascular System Cardiomyopathy: Dilated, Hypertrophic, Restrictive, Stress Conduction disorders/dysrhythmias: Atrial fibrillation, Atrial flutter, Atrial tachycardia, Atrioventricular block, Bradycardia, Bundle branch block, Idioventricular rhythm, Junctional, Premature contractions, QT prolongation, Sick sinus syndrome, Sinus arrhythmia, Torsades de pointes, Ventricular fibrillation, Ventricular tachycardia Congenital heart disease: Atrial septal defect, Coarctation of aorta, Patent ductus arteriosus, Tetralogy of Fallot, Transposition of the great vessels, Ventricular septal defect Coronary artery disease: Acute myocardial infarction, Angina pectoris, Non–ST-segment elevation myocardial infarction, ST-segment elevation myocardial infarction, Unstable angina, Atherosclerosis Heart failure Hypertension: Primary hypertension, Secondary hypertension, Hypertensive emergencies, Hypotension: Orthostatic hypotension, Vasovagal hypotension Lipid disorder Shock: Cardiogenic, Distributive, Hypovolemic, Obstructive Traumatic, infectious, and inflammatory heart conditions: Cardiac tamponade, Infective endocarditis, Myocarditis, Pericardial effusion, Pericarditis Valvular disorders: Aortic, Mitral, Pulmonary, Tricuspid Vascular disease: Aortic aneurysm/dissection, Arterial embolism/thrombosis, Arteriovenous malformation, Deep vein thrombosis, Giant cell arteritis, Peripheral artery疾病,静脉炎/血栓性静脉曲张,静脉曲张,静脉功能不全
日常生活: - 3 把挂锁; - 一个完整的洗漱包(毛巾、肥皂、剃须用品、湿巾等); - 一个小型个人急救箱(扑热息痛、水泡护理、绷带、Compeed、敷料等); - 一双淋浴时穿的人字拖或凉鞋; - 适当的平民服装; - 一块黑色天文台手表; - 女员工需配备发网或发夹(需扎发髻)和发胶; - 衣架; - 为视障人士提供第二副带有松紧带的眼镜; - 棉签、旧抹布、牙签; - 黑色和红色细头永久性记号笔; - 学习用品:笔记本或活页夹、A5 格式小笔记本、黑色和/或四色笔; - 信纸; - 指甲油去除剂。
Cardiovascular System Cardiomyopathy: Dilated, Hypertrophic, Restrictive, Stress Conduction disorders/dysrhythmias: Atrial fibrillation, Atrial flutter, Atrial tachycardia, Atrioventricular block, Bradycardia, Bundle branch block, Idioventricular rhythm, Junctional, Premature contractions, QT prolongation, Sick sinus syndrome, Sinus arrhythmia, Torsades de pointes, Ventricular fibrillation, Ventricular tachycardia Congenital heart disease: Atrial septal defect, Coarctation of the aorta, Patent ductus arteriosus, Tetralogy of Fallot, Transposition of the great vessels, Ventricular septal defect Coronary artery disease: Acute myocardial infarction, Angina pectoris, Non–ST-segment elevation myocardial infarction, ST-segment elevation myocardial infarction, Unstable angina, Atherosclerosis Heart failure Hypertension: Primary hypertension, Secondary hypertension, Hypertensive emergencies, Hypotension: Orthostatic hypotension, Vasovagal hypotension Lipid disorder Shock: Cardiogenic, Distributive, Hypovolemic, Obstructive Traumatic, infectious, and inflammatory heart conditions: Cardiac tamponade, Infective endocarditis, Myocarditis, Pericardial effusion, Pericarditis Valvular disorders: Aortic, Mitral, Pulmonary, Tricuspid Vascular disease: Aortic aneurysm/dissection, Arterial embolism/thrombosis, Arteriovenous malformation, Deep vein thrombosis, Giant cell arteritis, Peripheral artery疾病,静脉炎/血栓性静脉曲张,静脉曲张,静脉功能不全
Cardiovascular System Cardiomyopathy: Dilated, Hypertrophic, Restrictive Conduction disorders/dysrhythmias: Atrial fibrillation/flutter, Atrioventricular block, Bundle branch block, Paroxysmal supraventricular tachycardia, Premature beats, Sick sinus syndrome, Sinus arrhythmia, Torsades de pointes, Ventricular fibrillation, Ventricular tachycardia Congenital heart disease: Atrial septal defect, Coarctation of aorta, Patent ductus arteriosus, Tetralogy of Fallot, Ventricular septal defect Coronary artery disease: Acute myocardial infarction, Non–ST-segment elevation, ST-segment elevation, Angina pectoris, Prinzmetal variant, Stable, Unstable Heart failure高血压:基本高血压,高血压紧急情况,继发性高血压性低血压:心脏病性休克,体位性低血压,血管性低血压脂质疾病:高胆固醇血症,高糖尿性血症外伤性,感染性,炎症性和炎症性渗透性:急性和炎症性细胞质炎:积液瓣膜疾病:主动脉,二尖瓣,肺,三尖瓣血管疾病:主动脉动脉瘤/解剖,动脉栓塞/血栓形成,动脉畸形,动脉畸形,巨大细胞动脉炎,周围动脉疾病,外周动脉疾病,肢体症/肢体疾病/静脉炎,静脉炎,静脉炎,静脉炎,导致静脉疾病<
在心电图(ECG或EKG)上QT间隙表示毫秒(MS)的时间,需要心脏心室去极化(合同)和重复(恢复)。某些药物可以通过干扰心肌细胞膜钾通道的离子电流来延迟心室复极化。这种延迟的复极延长了QT间隙,也称为药物诱导的QT延长。1,2,3这是一个问题,因为QT延长是发展扭转扭矩(TDP)的危险因素,这是一种潜在的威胁生命的心室心动过速。QT延长可以使心肌电障碍发展为TDP,通常是自限制的,并自发地解决。但是,如果未解决,TDP可以进一步退化为心室纤颤(VF)和猝死(见图1)。上市后的监视案例报告已导致药物专着(例如美沙酮)或从市场中取出的药物(例如Cisapride)的黑匣子警告,并在药物开发过程中强制进行了QTC测试。1,3,4,5,6,7请注意,药物引起的QT延长是罕见的副作用,并且通常不会导致TDP。1