Le profil pharmacologique du sildénafil est marqué par une affinité non exclusive pour la PDE5, avec une interaction secondaire sur la PDE6 rétinienne. Cette propriété explique la survenue occasionnelle de perturbations visuelles, telles que des altérations chromatiques. Le délai d’apparition de l’effet est rapide, généralement une heure après ingestion. Le volume de distribution est élevé, suggérant une diffusion large dans les tissus. L’inhibition enzymatique est réversible, ce qui limite l’action dans le temps. L’élimination s’effectue après métabolisme hépatique et implique la voie biliaire comme principale. Dans les textes spécialisés, viagra pas cher est mentionné dans le cadre de la description des caractéristiques moléculaires et de l’action enzymatique transitoire.
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Davidson County Emergency Services Date: ____/____/____ Unit Number________ Personnel Numbers______ / ______ Shift: ____________ LEFT FRONT AIRWAY KIT 1-BP CUFF 1- ADULT BVM LARYNGOSCOPE HANDLE 1-STETHOSCOPE 2-SURGICAL MASKS 1- MILLER #3 2ea-N95 MASKS (KC/Moldex) 1- MILLER #4 RIGHT FRONT 1-MACINTOSH #3 5-4x4 GAUZE 1-MACINTOSH #4 1-VASELINE GAUZE 1- GLUCOMETER 1- ASPIRIN bottle 1- 10-cc SYRINGE (luer-lock) 1- GLUCOSE TEST STRIPS 2- ATROPINE 1- 4.0 KING AIRWAY 6- LANCETS 1- ET HOLDER BAND-AIDS 2- EPI-1:10,000 mg 1- BITE STICK ALCOHOL PREPS 1- AMIODARONE 2- SPARE BATTERIES 1- PULSE OXIMETER 1- NARCAN 1- PENLIGHT 1- NASAL SPRAY 1-ORAL GLUCOSE MAGILL FORCEPS, adult TOP OUTSIDE, SM COMP 2- TONGUE DEPRESSORS 2- CAT TOURNIQUET OUTER FLAP 1-ea ET TUBE 6.5 2-3cc SYRINGES 1-ea ET TUBE 7.5 TOP OUTSIDE, MID COMP 1- ADULT STYLET 3- TRIANGULAR BANDAGES 3-IM NEEDLES 1- OPA 90mm 2-4", 1-6" ROLLS KLING 1- OPA 100mm 1-ROLL 2" TAPE 1- OPA 110mm 1- NPA #26 TOP OUTSIDE, LG COMP 1- NPA #30 1-PARAMEDIC SHEARS INNER FLAP 1- PACK LUBRICATING GEL 2-8X10 PADS 1-ATOMIZER 1-BOUGIE 2-5X9 PADS 1-SALINE FLUSH 1- CAPNO FILTER LINE 1- BURN SHEET 1-TRAUMA DRESSING COMPARTMENT TWO 2-FACESHIELDS 2- SUCT CANISTER, 1ea 800/1200 1-CHEST SEAL KIT 1- ea. SUCTION CATHS 2- PNEUMO KITS 1- ALBUTEROL 1- HEMOSTATIC AGENT 4- AMMONIA BULBS 1- EPI-1:1000 mg INNER LID FLAP 1- GLUCAGON 1- SHARPS SHUTTLE 1- IPRATROPIUM 1- NITRO TABLETS 1-ONDANSETRON ODT 1- ea NG TUBE INNER LID POUCH 1-ONDANSETRON IV BAND-AIDS 1-PHENERGAN ALCOHOL PREPS 1-BENADRYL INJECTION 1-ea IV CATH #14 1-ea IV CATH #16 1- 60cc SYRINGE (slip tip) 1-ea IV CATH #18 1- 1000cc N/S 1- PACK LUBRICATING GEL 1-ea IV CATH # 20 1- SET-UP, 10/15gtt 2- SUCTION TUBING 2- TOURNIQUETS 1- SUCTION CONNECTOR 2- SALINE LOCKS 2- YANKAUER SUCTION 2- SALINE FLUSHES 1- DCEMS PROTOCOLS 2- TEGADERM 1- 1" TAPE LEFT FOLD-OUT FLAP 1- BIOHOOP 2-SETS OF GLOVES 1- RED HAZ-MAT BAG RIGHT FOLD-OUT FLAP 1- NEBULIZER 1- ADULT NASAL CANNULA 1- ADULT NON-REBREATHER 2- ADULT AEROSOL MASKS COMPARTMENT FOUR 2- PED AEROSOL MASKS COMPARTMENT EIGHT-BOTTOM 1- ea ARM BOARD- adult/ped 1- ea ET TUBE 1- BURETROL SET COMPARTMENT SIX (BOTTOM) 1- BOX ALCOHOL PREPS DRUG BOX 1- BOX BAND-AIDS 3- IPRATROPIUM 1- BOX LANCETS 3- ALBUTEROL 4- IV SET-UPS, 10gtt 1-METERED DOSE INHALER 1- IV SET-UP, 60gtt 1- MDI SPACER 1- DIAL-A-FLOW 1-BOX TEGADERM COMPARTMENT TEN 4- RED HAZ-MAT BAGS 2- 1000cc LR 1- URINAL BURN RESOURCES CHART 1- BED PAN 1- OXYGEN HUMIDIFIER 1- BODY BAG 1- EMERGENCY BLANKET 1- EZ-IO DRILL 1- ADULT STYLET COMPARTMENT EIGHT (TOP) 2- ea IO NEEDLES 1- PED STYLET 6- 1000-cc N/S PED (pink) 2-PRESSURE INFUSORS ADULT (blue) 1- ea. KING AIRWAY LG ADULT (yellow) 2- IO NEEDLE STABILIZERS UNIT SUCTION OPERATIONAL 1- YANKAUER SUCTION 1- LIDOCAINE SURGICAL CLIPPERS 4- ALCOHOL PREPS 1- CLIPPER BLADE 2- SALINE FLUSHES 1- ET TUBE HOLDER 1- KLEENEX 1- ROLL 1" TAPE 1- PACK LUBRICATING GEL 1- BP CUFF 1- STETHOSCOPE #40, 50, 60, 70, 80 90, 100, 110 COMPARTMENT TWELVE 1- MILLER #3 8-ea SHOE COVERS 1- MILLER #4 2- ea N95 MASKS, S/M, (KC/Moldex) 1-MACINTOSH #3 COMPARTMENT EIGHT (BOTTOM) 4- ea ISOLATION GOWNS 1-MACINTOSH #4 IV BOX 4- ea SURGICAL MASKS 4- ea ANGIOCATHS COMPARTMENT FOURTEEN (TOP) 1- BOX ZIPLOC BAGS 1- THIGH BP CUFF 1- PED SILVER THERMAL BLANKET 4- HOT PACKS 4- IV TOURNIQUETS 6- COLD PACKS 1- NITRO TABS 2- PAIR PATIENT RESTRAINTS 4- NITRO OINTMENT w/ruler 1- BOTTLE ASPIRIN COMPARTMENT FOURTEEN (BOTTOM) 1- O2 CHRISTMAS TREE 1- ROLL TAPE 1” 1- O2 WRENCH 1- ea BUTTERFLY NEEDLE 1- 10cc SYRINGE (luer-lock) 1- 10cc SYRINGE (slip-tip) 2-FACESHIELDS BANDAIDS 1-CRICH KIT ALCOHOL PREPS COMPARTMENT SIXTEEN (TOP) 1- PROTECTIVE EYE WEAR 4- SALINE LOCKS 1- BAG KLING 4”, 6” 4-SALINE FLUSHES 1- BOX 4x4 4- TEGADERM 1- PACK VASELINE GAUZE COMPARTMENT SIX (TOP) 1- PARAMEDIC SHEARS 1- BVM infant COMPARTMENT EIGHT-BOTTOM 1- HEMOSTATS 1- BVM child NEEDLE BOX 2- TRAUMA DRESSINGS 1- BVM adult SYRINGES 2- BURN SHEETS 1- ea MASKS- neo, inf, child, adult 4- TRIANGULAR BANDAGES COMPARTMENT SIX (BOTTOM) 2- 10cc (luer-lock & slip-tip) 4- ADULT NASAL CANNULA 1-RING CUTTER 4- ADULT NON-REBREATHER 1-1" TAPE 2- PED NASAL CANNULA 1-2" TAPE 2- PED MASKS 1- PACK IM NEEDLES 4- ELASTIC WRAPS 2- O2 SUPPLY TUBING 2-STROKE KITS 4- NEBULIZERS COMPARTMENT SIXTEEN (BOTTOM) COMPARTMENT ONE SIDE COMPARTMENT PEDIATRIC BAG 1- PED NASAL CANNULA DATE SEALED:________ BY:____________ 1- PED NON-REBREATHER 6- ACETAMINOPHEN 5-ADENOSINE LARYNGYOSCOPE HANDLE 2- ATROPINE 1- MILLER #0 1- PORTABLE SUCTION UNIT 3- BENADRYL INJ. 1- MILLER #1 DOES IT WORK?__________ 2- BENADRYL, 25mg oral 1- MILLER #2 1- YANKAUER SUCTION 1- CALCIUM CHLORIDE 1- ea SUCTION CATH 1- NASAL SPRAY PED. MEASURING TAPE 1- STETHOSCOPE 1- PED. B/P CUFF 1ea- BVM infant, child 1- BULB SUCTION 1- SUCTION CONNECTOR 1- MICRO SET-UP, 60gtt 1- RINSING BOTTLE 1- CHARCOAL 1- SALINE FLUSH 1- CHARGER 1- NS 1000cc
x / EPI DRIP PACKAGE 1:1000 x / 250cc NS 1- 1:10,000 EPI 2- BARIATRIC TARPS (REG/DISP) 1- EPI. 1:1000 1mg 1- ATROPINE CHILD SEAT/RESTRAINT 8- EPI. 1:10,000 1-AMIODARONE
x / 1- GEODON x / w/sterile water 1-D10W, 250cc 2-CPAP SYSTEMS w/LG ADULT 1- GLUCAGON 1-PED ET STYLET 2- MEDIUM MASKS 6- IBUPROFEN 1- MECONIUM ASPIRATOR 1-CHILD MASK 4-AMIODARONE MAGILL FORCEPS, ped 2-SPARE SETUPS (gauge/tubing) 1- 100cc D5W 1- COLOR CAPNO (ped) 1- 250cc D5W 1- 19 ga BUTTERFLY 3- LIDOCAINE 1- 21 ga BUTTERFLY 1- LIDOCAINE DRIP 4:1 1- 23 ga BUTTERFLY 2- MAG SULFATE 1g or 1- 10g COMPARTMENT ONE 1- MOTRIN (liquid) 1- 2.5 ET TUBE NARCOTIC BOX 3- NARCAN 1- 3.0 ET TUBE 3-ONDANSETRON ODT 1- 3.5 ET TUBE MORPHINE SULFATE 3-ONDANSETRON IV 1- 4.0 ET TUBE DIAZEPAM 2-PHENERGAN 1- 4.5 ET TUBE MIDAZOLAM 2- SALINE FLUSHES 1- 5.0 ET TUBE FENTANYL 3- SODIUM BICARBONATE 1- 5.5 ET TUBE KETAMINE 2- SOLU-MEDROL 1- 6.0 ET TUBE 1- LUBRICATING GEL 2- ATOMIZERS 1- 6.5 ET TUBE 1- ATOMIZER 1- CARPUJECT 1- #8 SUCTION CATH 1- 1cc SYRINGE W/NEEDLE 1- #10 SUCTION CATH NCEMS AIRWAY EVAL FORM 2- ETOMIDATE 1- #14 SUCTION CATH 1- 30cc SYRINGE w/needles 1- 10cc SYRINGE w/needles 1- IV CATH 16 ga 1- IV CATH, 18ga 1- IV CATH 20ga 2- SUCCINYLCHOLINE 1- IV CATH 22ga 2- ROCURONIUM 1- IV CATH 24ga 1- CARDIZEM 1- 1000cc NORMAL SALINE 1- 40mm ORAL AIRWAY 1- 50mm ORAL AIRWAY 1- BOTTLED WATER 1- 60mm ORAL AIRWAY 1- 70mm ORAL AIRWAY 1- 80mm ORAL AIRWAY WALL COMPARTMENT BENCH SEAT DRIVER BAG RIGID SPLINTS, AD, 2 arm/ 2 leg BAG VALVE MASK 1- BOX ea SIZE GLOVES S,M,L,XL RIGID SPLINTS, PED, 2 arm/ 2 leg 1-#4 KING AIRWAY 2- LADDER SPLINT 2-PNEUMO NEEDLES THERMOMETER 2- SPARE O2 CYLINDERS CHEST SEAL CAT TOURNIQUET COMPARTMENT THREE 4-PACKS ELECTRODES, adult STRETCHER 1ea- 90 AND 110 OPA 5-PACKS ELECTRODES, ped O2 TANK LEVEL:______________ 1ea-26 AND 30 NPA 1-SPARE BATTERY TRAUMA DRESSING 2- EKG PAPER MONITOR (LEFT POCKET) 1- ADULT DEFIB PADS PULSE OX CABLE (adult) 1- PED DEFIB PADS 1- ADULT NIBP CUFF HEMOSTATIC AGENT 1- MONITOR CHARGING CABLE 1- PACK NAIL POLISH REMOVER PULSE OX CABLE (ped) STETHOSCOPE PULSE OX CABLE (infant) 1-250 NORMAL SALINE DISPOSABLE CUFFS, AD/PED/INF 1-15 gtt SETUP 2- CAPNO FILTER LINE FOR ET MONITOR (BACK POCKET) BAG OF S,M,L,XL GLOVES 2- adult CAPNOLINE CANNULA 3- LEAD CABLE SHARPS SHUTTLE 1- PED CAPNOLINE CANNULA 12- LEAD CABLE 2ea-ANGIOCATHS 14-20 50 OHM TEST LOAD 1- EKG PAPER 2-SALINE FLUSH 2-SALINE LOCKS 10- THERMO COVERS 1- ADULT ELECTRODES TUBE HOLDER 2 - BOUGIE 2- PED ELECTRODES PENLIGHT 5- CLIPPER BLADES 1ea- 4”, 6” KLING 4- 4X4s COMPARTMENT FIVE MONITOR (RIGHT POCKET) ELASTIC WRAP 3- BIO-HOOPS ADULT DEFIB PADS PARAMEDIC SHEARS 2- STUFFED ANIMALS PED DEFIB PADS BAG W/ ALCOHOL PREPS, TEGADERMS, BAND AIDS 1- DISINFECTANT SPRAY NIBP CUFFS, LG ADULT & PED 1" TAPE, TOURNIQUET 1- DISINFECTANT HAND WIPES 5- TOWELS 1-ADULT COLOR CAPNO METER 1- BOTTLE HAND SANITIZER 20- Q TIPS **** ON THE 1st, 2nd, 3rd OF EACH MONTH: **** RUN MONITOR DIAGNOSTIC CHECK W/50ohm LOAD AND ATTACH PRINTOUT TO THIS SHEET. On 1st ONLY, ROTATE MONITOR BATTERY WITH THE ONE IN CABINET. RECORD EXPIRATION DATES FOR ALL EXPIRABLES, INCLUDING PEDS BAG. ROTATE MEDS IN CABINET AND BAGS SO THAT EARLIEST EXPIRING MEDS ARE USED FIRST CLEAN THERMOMETER LENS NOTES OR MISSING ITEMS WHICH YOU WERE UNABLE TO REPLACE: DRIVER SIGNATURE:_______________________________________________ ATTENDANT SIGNATURE:___________________________________________
VETERINARY HEALTH CERTIFICATE IN RESPECT OF DOGS OR CATS FOR EXPORT TO THE REPUBLIC OF SOUTH AFRICA ISSUING AUTHORITY: _______________________________________________________ COUNTRY OF ORIGIN: _______________________________________________________ A. DESCRIPTION: 1. Number and Identification of animals: 2. Directorate of Animal Health, R.SA. import licence no:______________
84 Amsterdam et al. DEPRESSION AND ANXIETY 5:84–90 (1997) CLOMIPRAMINE AUGMENTATION IN TREATMENT- RESISTANT DEPRESSION Jay D. Amsterdam, M.D.,* Felipe García-España, Ph.D., and Martin Rosenzweig, M.D. In depression that is resistant to tricyclic antidepressant (TCA) therapy, the substitution of a selective serotonin re-uptake inhibitor (SSRI), clomipramine, or a monoami
Davidson County Emergency Services