Tadalafil gehört zur Gruppe der PDE5-Hemmer und wirkt über eine hochselektive Blockade des Enzyms Phosphodiesterase Typ 5. Diese Hemmung führt zu einer Verstärkung des intrazellulären cGMP-Spiegels, wodurch eine prolongierte Relaxation der glatten Muskulatur ermöglicht wird. Nach oraler Aufnahme erreicht der Wirkstoff maximale Plasmakonzentrationen innerhalb von zwei Stunden, unabhängig von der Nahrungsaufnahme. Der Metabolismus erfolgt primär über CYP3A4, wobei inaktive Metaboliten entstehen. Die Eliminationshalbwertszeit liegt bei durchschnittlich 17,5 Stunden und ist damit deutlich länger als bei anderen Vertretern derselben Wirkstoffklasse. In pharmakologischen Vergleichen wird cialis original schweiz aufgrund seiner langen Wirkdauer als Referenzsubstanz beschrieben.

File://c:\round_sample.html

Northlake Hospital Inpatient Rounding List
(Note: Real data imported from Meditech, but names and MRNs have been modified)
Demographics
Diagnosis
XXXX, XXXXXX
meds: clonidine hcl 0.1 mg po tidp/prn, estrogens,conjugated 0.625 mg po qd, lisinopril 20 mg po qd, methimazole 10 mg po qd, normal
Acct: 92833182
saline 10 ml iv qshift, normal saline 10 ml iv prn/prn, olanzapine 2.5 mg po qhs, paroxetine hcl 40 mg po qd, promethazine hcl 25 mg
po 4tdp/prn, propranolol hydrochloride 20 mg po bid, sodium chloride 0.9% 1000 ml iv cont, sodium chloride 0.9% 1000 ml iv cont
Attd: John Smith, MD allergies: Codeine, propoxyphene, naproxen
vitals: 12/04/11 04:40 72 166/82
12/04/11 00:07 170/86
12/04/11 00:01 80 10 170/86
XXXXX, X XXXXX meds: acetaminophen 650 mg po q4hp/prn, aspirin 81 mg po 0600, furosemide 40 mg iv q12h, glyburide 10 mg po bidmeals, lisinopril 20
Room: 312-A
mg po bid, metoprolol tartrate 25 mg po 0800,2000, multivitamins,ther w-minerals 1 udtab po qd, normal saline 10 ml iv qshift,
normal saline 10 ml iv prn/prn, patient's own medication januvia 25 mg po qd, potassium chloride 20 meq po bid, psyllium/sucrose
Acct: 59196473
allergies: Sulfamethoxazole, trimethoprim
vitals: 12/04/11 04:00 98.5 116 22 141/80
12/03/11 20:23 115 136/89
12/03/11 20:00 98.5 115 22 136/89
labs: 12/04/11 03:15 NA 143 , K 3.9 , CL 103 , CO2 33 , GLUC 261 , BUN 42 , CREATININE 1.9 , TOTAL PROTEIN 6.8 , ALBUMIN 2.8 ,
CALCIUM 8.5 , TBI 0.6 , AST 19 , ALT 32 , ALK PHOS 103 radiology: 11/30/11 - RADIOLOGY - - CHEST 1 VIEW REPORT STATUS: Signed IMPRESSION: No significant change with persistent right pleural effusion and right mid lung atelectasis and stable cardiomegaly. Findings were discussed with Dr. Williams at 1800 30 November 2011. XXXXXX, XXXXXX meds: buspirone hcl 10 mg po bid, citalopram 10 mg po qd, diphenhydramine hcl 25 mg iv q4hp/prn, hydrocodone bitartrate/apap 1 udtab
X
po q4hp/prn, hydromorphone hcl 0.4 mg iv q2hp/prn, metoprolol tartrate 75 mg po 0800,2000, normal saline 10 ml iv q24h, normal
saline 10 ml iv qshift, normal saline 10 ml iv prn/prn, ondansetron hydrochloride 4 mg iv q6hp/prn, prednisone 5 mg po qd,
hydroxyzine hcl 100 mg po q8
Acct: 9l90192
vitals: 12/04/11 05:37 97.9 50 16 138/61
12/04/11 00:00 97.9 55 16 144/68
12/03/11 21:00 98.1 68 16 146/76
labs: 12/04/11 05:45 WBC 5.2 , RBC 2.76 , HGB 7.9 , HCT 25.7 , MCV 93.1 , MCH 28.6 , MCHC 30.7 , RDW 14.7 , PLT 197 ,
NEUTROPHIL % 74.6 , LYMPH % 17.1 , MONO % 7.9 , EOS % 0.4 , BASO % 0.0 , NA 144 , K 3.5 , CL 110 , CO2 31 , GLUC 91 , radiology: 11/29/11 - COMPUTERIZED TOMOGRAPHY - - CT ABDOMEN & PELVIS WITH CONTR REPORT STATUS: Signed IMPRESSION:1.Small bowel obstruction with transition point in the mid pelvis that appears to be in the proximal ileum. 2.Perihepatic and pelvic ascites. XXXXX, XXXXX
meds: asa/cal cb(alk)/mg(a)/alh 325 mg po qd@0600, atorvastatin calcium 20 mg po qhs, calcitonin-salmon qd ns, donepezil hcl 10 mg po
qhs, dorzolamide hcl/timolol see dose instr bid -->rig, ferrous sulfate 325 mg po bidpc, hydrocodone bitartrate/apap 1 udtab po
Acct: 59159263
q4hp/prn, hydrocodone bitartrate/apap 2 udtab po q4hp/prn, memantine hcl 10 mg po bid, non-drug see dose instr -->bid@100 mes,
oxycodone hcl/acetaminophen 1 tab po q4hp/prn, oxycodone hcl/acetaminophen 2 tab po q4hp/prn, travoprost see dose instr qhs --
>bot, warfarin sodium 2 mg po q5pm, zn oxide 12% & dimethicone 1% 1 application prn/prn -->top, this exe file was created with the
evaluation version of perl2exe., for more information visit http://www.indigostar.com, (the full version does not display this message
with a 2 second delay.), .
vitals: 12/03/11 20:32 98.9 79 20 111/60
12/03/11 16:13 97.6 74 18 128/64
XXXX,XXXX X
Age: 67 F
Acct: 0823288
meds: calcium carbonate/vitamin d 500 mg po pc, carvedilol 6.25 mg po bidmeals, ciprofloxacin hydrochloride 500 mg po q12, fluoxetine
hcl 60 mg po qd, gemfibrozil 600 mg po acbkdn, melatonin 3 mg po qhs, olanzapine 7.5 mg po qhs, pantoprazole 40 mg po bid,
potassium chloride 20 meq po qd, sucralfate 1 gm po tidac, clonazepam 2 mg po qhs, metronidazole 500 mg po bid
allergies: Penicillins, PCN
vitals: 12/03/11 22:57 98.4 76 24 121/75

Source: http://patientlist.net/hip/hip_round_printout.pdf