7. Reteta: Bronșita acută, 20 ani

Question 1

Rp1 si Rp2

Answer 1

Rp1/ Amoxicilina cpr 500mg
AO nr. XXI (douazeci si unu)
DS oral, 1 cpr/ 8h, 7 zile

Rp1/ Acetilcisteina cpr 600 mg
AO nr. I (unu)
DS oral 1 cpr/zi, dimineata, 7 zile
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Rp3/ Paracetamol cpr 500mg
AO nr. I (unu)
DS oral 4x1 cpr/zi, 7 zile

Question 2

1.Clasificare

Answer 2

Amoxicilina + Acid clavulanic –antibiotic bactericid de tip degenerativ, Betalactamine, sau aminopeniciline + Inhibitori de betalactamaze (antibiotic)

Acetilcisteina – expectorant secretolitic
Paracetamol- analgezic, antipiretic

Question 3

2.Forma farmaceutica + doza + cale de adm

Answer 3

Amoxicilina: p.o. cps 250 / 500 mg

Acetilcisteina (ACC)
 cps. 200mg
 cpr eff 100mg, 200mg, 600mg;
 pb. Sol orala 100mg/plic; 200mg/plic;
 fiola 300mg/3ml, Inj im sau i.v lent

Question 4

4.Indicatii terapeutice

Answer 4

Amoxicilina: infectii cu HPy

Acetilcisteina
 intoxicatia cu PARACETAMOL
 bronsita acuta sau cronica, bronsiectazie, pneumonie, bronhopneumonie, fibroza chistica
 pacienti cu traheostomie, in timpul anesteziei;
 complicatii pulmonare in urma interventiilor chirurgicale toracice

Paracetamol: febra, cefalee

Question 5

5.Efecte adverse

Answer 5

Amoxicilina: Tulburări gastrointestinale, Erupții cutanate, Urticarie. Prurit.

Acetilcisteina:
-R de hipersensibilitate (urticarie)
 iritatie gastrica, prin cresterea secretiei de mucus
 in asociere cu BD -> BRONHOSPASM
 fluidificare brutala secretii -> inundare bronhii la copii incapabili sa expectoreze

Paracetamol:greata, diaree, constipatie, prurit

Question 6

6. Contra indicatii

Answer 6

Amoxicilina+Acid clavulanic: alergie la betalactamine, mononucleoza infecțioasă

Acetilcisteina: ulcer gastric, criza de astm bronsic, sarcina si alaptare

Paracetamol:alergie la paracetamol, IH, alcoolism cronic