临床上常用的降压药物六大类.docVIP

一、贝特类调血脂药的不良反应 转氨酶升高：对出现明显升高的患者，应减少用量或停药。 肌肉症状：症状的出现与用药剂量有关，用药早期应注意观察肌酶谱和肌肉症状，一旦出现，应停药。 消化道症状：少数患者用药后出现恶心、呕吐、纳差、腹胀、烧心等，罕见引起胆石症。消化道症状与用药剂量有关，减少剂量后症状可以减轻或消失，必要时停药。 二、临床上常用的降压药物主要有六大类： 利尿剂、a-受体阻滞剂、钙通道阻滞剂、血管紧张素转换酶（ACE）抑制剂、β-受体阻滞剂以及血管紧张素II受体拮抗剂。 三、高血压药物治疗原则： ⑴自最小有效剂量开始，以减少不良反应的发生。如降压有效但血压控制仍不理想，可视情况逐渐加量以获得最佳的疗效 ⑵强烈推荐使用每日一次、24小时有效的长效制剂，以保证一天24小时内平稳降压； ⑶单一药物疗效不佳时，不宜过多增加单种药物的剂量，而应及早采用两种或两种以上药物联合治疗，这样有助于提高降压效果而不增加不良反应； ⑷判断某一种或几种降压药物是否有效以及是否需要更改治疗方案时，应充分考虑该药物达到最大疗效所需的时间。在药物发挥最大效果前过于频繁的改变治疗方案是不合量的；⑸血压高是一种终身性疾病，一旦确诊后应坚持终身治疗。 “合理用药”第一期继续医学教育培训考核试卷 单位 姓名 职称 成绩 一、贝特类调血脂药的不良反应 二、临床上常用的降压药物主要有几类 三、高血压药物治疗原则 Measures for the routine management of moral education in Middle SchoolsMethod of conventional management of moral education in middle schoolFirst, the guiding ideology:School moral education is an organic whole of the whole education work, always adhere to the school adhere to the moral education, education for this product, and actively promote the quality education, the school building efficient curriculum system of moral education, moral education, improve the sense of attraction and appeal, enhance the moral education work for through and timeliness. Teach everyone, service education and management education, and school moral education work must be with family education and community education closely together, to form a concerted pattern, and strive to create a good atmosphere for education, and to promote the all-round development of students, to establish a scientific moral education full of vigor the For long-term mechanism.Two, the goal of moral education:To guide the students to form the correct world outlook, outlook on life, values, to cultivate students unity and mutual assistance, honest and trustworthy, law-abiding, good quality, hard work, set a good XX students ideological quality, psychological quality and image quality. The formation of excellent moral education cu