Thuốc chẹn canxi cho cơn đau quặn thận

[Ways]

"A cocktail for renal colic relief" - http://www.parkhurstexchange.com/nep...002-04-24?zid=

"Medical therapy with calcium channel blockers or a
blockers helps patients to pass urinary stones" - ebm.bmj.com/content/12/1/15.full.pdf

[tknguyen]

"A cocktail for renal colic relief" - http://www.parkhurstexchange.com/nep...002-04-24?zid=

"Medical therapy with calcium channel blockers or a
blockers helps patients to pass urinary stones" - ebm.bmj.com/content/12/1/15.full.pdf

Thuốc chẹn kênh canxi như nifedipin làm giảm co thắt cơ trơn niệu quản, giảm cơn đau quặn thận, mặt khác còn giúp tống sỏi ra ngoài.

Tham khảo thêm về điều trị cơn đau quặn thận: ( trích từ http://journals.lww.com/em-news/Fulltext/2006/05000/Treating_the_Pain_of_Renal_Colic.30.aspx )

▪ Give all medications by the IV route.
▪ IV fluids do not increase the intensity of renal colic.
▪ NSAIDs have a role in renal colic because of their antiprostaglandin mechanism and the inherent analgesia of the medications.
▪ The combination of NSAIDs and narcotics is an acceptable initial regimen.
▪ The nausea and vomiting of renal colic is usually quelled by the relief of pain, but antiemetics may be required.
▪ Alpha blockers may hasten the passage of distal ureteral stones in the outpatient.

▪ Antispasmodics are of no proven value, and are not usually used.


Trích từ http://www.bestbets.org/bets/bet.php?id=1554 : Calcium channel blockers enhance stone passage over days rather than hours, therefore are not a definitive Emergency Department treatment

Tham khảo thêm:
1. http://www.emergencymedicinemims.com...tails.php?id=9
2. http://www.ncbi.nlm.nih.gov/pubmed/19882796
3. http://www.ncbi.nlm.nih.gov/pubmed/20120983