TH Dư C Lý

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1. nh ngha tim thi, thi gian tc ng, cng tc ng ti a.

- Tim thi: l time tnh t lc bt u cho thuc vo c th n khi thuc bt u


c hiu lc.
- Thi gian tc ng l thi gian tc ng tn c cc nhm.
- Cng tc ng ti a: l phn ng ti a xy ra trn th sau khi dng thuc.

2. Khi dng thuc ng, cc phn ng xy ra theo trnh t no?


0. Thay i v c ng tng qut.
1. Tht iu.
2. Ng.
3. Mt phn x co rt chn.
4. Mt phn x thng bng.
5. Mt cm gic au.
6. Mt phn x au.
7. Cc giai on hi phc.

3. cch th trng thi ng?


- Khi th nm yn khng c ng, ta t nh ngay trc mi th mt u que hay
bt ch, a ln xung m n khng c phn ng ht, ngi, quay i... th c gi
l ng.
- Ch : khng c chm vo ru chut. Chut vn c th m mt khi ng.

4. Cch th phn x co rt chn, phn x thng bng. Phn x thng bng


dng nh gi iu g?
- Cch th phn x co rt chn: khi th ng, tin hnh phn x co rt chn. Bnh
thng v tr ngh, khi ko 1 trong 2 chn th v pha sau, n s phn x nhanh
chng co rt v v tr c. Nu trong 5s m n khng rt chn v th c xem nh
mt phn x co rt chn.
- Cch th phn x thng bng: khi th mt phn x co rt chn, tin hnh th phn
x thng bng. Bnh thng khi lt con vt nm nghing hay nga, n s nhanh
chng lt p li, nu sau 5s n khng lt p li c th xem nh mt phn x
thng bng.
- Phn x thng bn dng nh gi tnh gy m hay gy ng rt su ca nhng
phn x lin mch thuc ng hay thuc m.
5. Cch th phn x au. Phn bit cm gic au v phn x au.
- Cch th phn x au: Dng u kim chch mnh vo ui chut sau khi n
mt phn x thg bng vi pht
* chut nm yn k nhc nhch , rung git ui l mt phn x au.
* chut nm yn nhng vn nhc nhch rung git ui l chut ch mi mt cm
gic au m cha mt phn x au.

6. Cht cp thi: l thi gian t lc tim dc phm n lc cht m cib vt vn


cha tm li phn x thng bng mt. S cht cp thi c th xy ra trong lc
thc tp nu tim qu nhanh.
(Tim tnh mch m chut cht: Do cn khng kh, cht du, rn, cht gy c
tim).

7. Nguyn tc lin quan gia cu to ha hc v hot tnh dc lc. ng


dng khi a thuc vo chut nht trng? M t ng dng.
* Nguyn tc: Theo nh lut richardson nng lc lm ng gia tng theo s nguyn
t C trong CTHH ca ru mch thng bc 1 . Ng lc s tng mc ti a vi 6
C ri t t gim xung n khng cn hiu lc na vi 14C.
Ngoi ra hot tnh lm ng cn ph thuc vo s C v cch sp xp khc nhau
trong phn t.
* ng dng: tim phc m.
- V tr tim : trn ng thg ni 2 bn chut ta chia lm 3 phn bng nhau. Ta
c 2 im tim phc m.

8. Nguyn tc bi tc ng i khng. Atropin v pilocarpin thuc i khng


no? V sao?
- Nguyn tc: hai dc phm i khng nhau khi hot tnh ca mt trong hai dc
phm lm gim hoc tiu hy tc ng ca dc phm kia.
- Atropin v pilocarpin thuc i khng dc l tng tranh v atropin l lit i
giao cm gy gin ng t, pilocarpin l cng i giao cm gy co ng t.

9. c tnh cp l g? c lng c tnh cp da vo liu no?


- c tnh cp: biu th s tc ng xu hay s t vong ca sinh vt ngay sau khi
dung 1 liu duy nht cht th nghim trn th vt.
- c lng c tnh cp thi ca 1 dc phm, ngta da vo liu lm cht 50%
th vt th nghim ( LD50: Lethal dose 50).

10. nguyn tc xc nh LD50.


- Chu t nht c chia thnh cc nhm tng t.
- Nhng th v t cng nhm s nh n cng 1 liu cht kho st.
- Dng 1 -> 4 liu duy nht trong 24h.
- Theo di, xc nh s chut cht tnh LD50.

11. Mc ch ca th nghim s khi xc nh LD50.


- xc nh LD0 v LD100.

12. nh ngha LD0 v LD100.


- LD0: Liu ti thiu.
- LD100: Liu ti a.

13. Trong th nghim s khi xc nh LD50: V sao phi cho chut nhn i
trc th nghim, thi gian bao nhiu? Thi gian theo di th nghim?
- Chut nhn i ti thiu 5h trc khi th nghim v:
+ C s tng tc gia thc n v thuc ban u.
+ Tng tc chuyn ha gia thc n v thuc.
- Thi gian theo di th nghim: t nht 24h sau khi dng thuc.

14. Trong th nghim xc nh LD50:


- Dng 6 l chut, mi l t nht 10 chut. Lu liu gn LD50: nn gia tng s
lng th vt (t nht 20 con) s o lng c chnh xc hn.
- Quan st th vt t nht 48h (nhiu nht 72h) sau khi cho dng thuc.

15. Cng thc tnh LD50 theo Karber v Behrens, gii thch cc k hiu trong
cng thc.
LD 50=Df
ab
n

Df: Liu ti thiu lm cht tt c th vt. (mg cht c/kg trng lng chut)
a: Ch s trung bnh ca s th vt cht 2 liu k tip.
b: Hiu s liu gia 2 liu k tip.
n: S th vt dng mi liu hoc s trung bnh ca nhng tr s trn: trng hp
s th vt thay i mi liu)

16. Kho st c tnh cp ca Strychnin sulfat, ng dng trn chut nht


trng? M t ng dng.
- ng dng: tim di da.
- Cho chut nm trn v st, kep ui gia ngn p t v ngn t. Dng ngn ci v
ngn tr ko 1 np da lng (Pha gn ui), bi cn l phn da mun tim
(Phn da ny nm trn u ngn tay tr). Mt vt ca kim hng ln trn, m kim
vo song song vi mt lng, bm thuc. Nghing kim 1 gc 45 , rt kim ra
dung dch tim khng b tro ngc tr li. Khng c dng gn chm vt tim v
s lm cho dung dch tim tro ngc tr li.

17. Nguyn tc kim nghim cht sinh nhit.


nc ct pha tim, dd tim truyn khng dc cha cht sinh nhit. Chng ta phi
kim nghim xem c s hin din ca cht sinh nhit khng trnh triu chng
sock gy bi yu t ny khi s dng cho bnh nhn.

18. M t cc bc ly nhit th. Cch hn ch sai s thn nhit gia cc


ln o th v gia cc th.
- Cch hn ch sai s thn nhit gia cc ln o th v gia cc th l: mi trng,
ting n, th s dng cht gy st, th b st trc , c nhit k b sai...

19. iu kin chn th trong th nghim cht sinh nhit.


- Th trng thnh, khe mnh, c 2 ging, cn nng khng di 1,5kg nui
dng bng thc n khng cha khng sinh v th khng c du hiu gim cn
trong qu trnh th nghim. Khng dng th nghim nu :
+ th mi c dng th cht gy st c kt qu m tnh trong vng 3 ngy trc
.
+ th c dng th cht gy st c kt qu dng tnh trong vng 3 tun.

20. Trong th nghim s b cht sinh nhit:


- Dd tim IV tai th l dd NaCl 0,9%. Lm m dd ln 38,5 v dd c nhit
gn ging vi thn nhit th.
- Cch ghi nhit th: ghi nhit th 30' mt ln, t nht 90' trc khi tim v
tip tc 3h sau khi tim.
- iu kin loi th: khng dng th c nhit thay i qu 0.6 vo th
nghim chnh thc.

21. iu kin chn th trong th nghim chnh thc.


Dng th trng thnh, kho mnh, c 2 ging, cn nng khng di 1,5kg, nui
dng bng thc n khng cha khng sinh v th khng c du hiu gim cn
trong qu trnh th nghim.

22. nh ngha nhi t ban u, nhi t ti a, p ng.


- Nhi t ban u: l trung bnh ca 2 gi tr nhi t ghi c cch nhau 30
pht, xc nh trong khong 40 pht ngay trc khi tim dung dch th.
- Nhi t ti a: l nhi t cao nht ghi c cho th trong vng 3 gi sau
khi tim.
- p ng: l chnh l ch gia nhi t ban u v nhi t cao nht.
Khi chnh l ch l m, kt qu c coi l p ng bng 0.

23. nh gi kt qu kim nghi m pht sinh nhi t ca 1 mu th, s lng


th dng ti a v ti thiu l:
- Th dng ti a: 12 con.
- Th dng ti thiu: 3 con.

24. Nguyn tc th kch ng trn da.


- Th kch ng trn da l 1 phng php sinh hc da vo mc phn ng ca
phn da th (ph n, ban , to vy) sau khi cho tip xc vi cht th so vi phn
da i chng khng p cht th hoc p cht i chng.
- Php th khng p dng cho cc cht c tnh acid hoc kim mnh v cc cht
bit l c kch ng trn da.

25. Chun b th cho th nghi m kch ng trn da.


S dng th trng trng thnh , c hoc ci ( khng s dng th ang mang thai
hoc ang cho con b ) khe mnh , cn nng khng di 2kg. Th c nht
ring tng con v nui dng trong iu kin nht th nghim t nht 5 ngy trc
khi th. Da khng b tn thng v da khng b nhim nm.
26. nh gi kt qu kch ng trn da, cn ti thiu my vt mu th. Cch
nh gi kt qu kch ng trn da.

- nh gi kt qu kch ng trn da, cn ti thiu 2 vt mu th.


- Cch nh gi kt qu kch ng trn da: Trn mi th, ta nh n xt v im phn
ng (s to vy v ban ) v im gy ph n chia cho s ln quan st. im kch
ng ca mu th c ly trung bnh im phn ng ca cc th th. Theo nh
thc t p th ta quan st cc thi im 1h, 2h.

27. Tnh dung dch thuc tim cho 15 chut nht trng c trng lng
trung bnh 20g t dung dch thiopental 20mg/ml. Bit iu kin tim l
0.1ml/10g v liu 40mg/kg chut , hao ht 50%.

28. Pha dung dch thuc tim 20 chut cng c trng lng trung bnh
250g. Bit iu kin tim l 1ml/1kg v liu tim l 350mg/kg chut.
T k tim ta c liu lng cn tim cho 1kg chut cng l : 350mg/1ml/kg chut
Tb phi tim cho mi chut cng l 1ml/kg x 250g=0.25ml
Nh vy ta cn ng 0.25ml x 20chut= 5ml
tr hao ta c th pha 10ml dd tim cha 350mg/ml
Vy ta cn 3500mg thuc ha tan trong 10ml dung dch sinh l.

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