However, Treatment In A Combination Formoterol + Tiotropium

However, treatment in a combination formoterol + tiotropium has ended it is significant the best results on To objective criteria of improvement of functions of a lung in comparison with The results received at patients, receiving salmeterol + fluticasone. Features of treatment COPD in a stage III and IV Application through a mouth (Construction Department) and Inhalation () allow to add a variety Therapies in very certain situations of a current of stable forms COPD. Though short courses of Construction Department (for example about 2 weeks) uses at Patients with COPD, are often used to estimate the potential answer The patient on long-term therapy , in recommendations GOLD 2006 are not recommended. It is considered that there are numerous Certificates to offer unreliable character of the predictive Values of this test for the long-term answer to treatment of Construction Department and . In Addition to it long-term tactics of treatment of Construction Department is not recommended, First of all because of the limited quantity of the positive clinical The data, to the registered adverse reactions and complications, Connected with long reception of Construction Department.

Treprostinil And Prostanoid It Is Possible To Recommend

treprostinil and prostanoid it is possible to recommend preparations To use through continuous intravenous or hypodermic injection, and Iloprost - prostanoid through the special aerosol adapter of 6 times in Days. 8. Antagonists receptors (ETAs) At reception through a mouth improve tolerance to physical activity at Patients with PAH. Thus liver function should be supervised Monthly. (PDE-5 inhibitors) also Improve tolerance to physical activity and haemodynamics at patients With PAH. It is important to notice that patients with low indexes should be urgently translated on introduction Preparations and therapy, while patients with 11 and early signs 111 classes can begin therapy with ETAs or PDE-5 . Last researches testify that such combinations in therapy The Russian Academies of Sciences can be useful. Transplantation of lungs is a choice only for The selected patients which condition negatively progresses Despite optimum treatment. 9. Because of difficult character of illness and it Treatments, patients c PAH should be observed at skilled doctors, Clinical physicians and nurses.

3. An Estimation Of Streams Of Air Of

3. An estimation of streams of air of type a loop-volume (analogue 1 = FEV1) Graphic record of simultaneously received Lung volume for the first second of the forced exhalation can be It is useful to full representation about a condition of pulmonary function, but Most precisely this indicator reflects a condition of obstruction of the top Respiratory ways. 4. Diffuzionnaja function of lungs. The condition of this function depends on qualities alveolar and capillary Surfaces of membranes, and as from a condition blood and Conditions of blood circulation limits of a small circle. This indicator Allows to estimate an effective alveolar exchange of oxygen and Carbonic gas with the external air environment. 5. Gases blood (the arterial!). Kislotno-alkaline balance and alveoljarno-arterial gradient on To oxygen can be calculated as And - (a gradient in room air) Can be estimated approximately as (150 - pCO2*1.25) - arterial pO2. This gradient And should be less than 9 for age of the patient of 20 years, And for age of 80 years - less than 24.

Haemodynamic Definition PAH Includes: - Average Pressure Pulmonary

Haemodynamic definition PAH includes: - average pressure pulmonary Arteries> 25 mm Hg; pulmonary capillary pressure of jamming (PCW), size left pressure or it is final Pressure left =15 mm Hg the item; and PVR> 3 units Wood'a. Research of function of expansion of vessels of a small circle of blood circulation ( vasodilator function) for patients with IPAH should be executed in The specialised centres with application calcium channels Long action for the future therapy. Contra-indications for the such The test obvious signs insufficiency of heart are Or haemodynamic instability. 6. The general scheme of treatment of patients from the Russian Academy of Sciences includes Diet, obligatory inoculations, vaccination and pregnancy prevention. Application operated therapies (Warfarin) It is recommended to all patients with IPAH. are used for Symptomatic treatment of overload RV in volume. Treatment by oxygen Recommend only at oxygenation of blood less than 90 %. 7. Courses intravenous (epoprostenol) improve physical patients, haemodynamics and Survival at IPAH illness forms that allows to recommend Exclusive choice of such treatment for the most difficult Patients.