Doctor insights on:
Albuterol Patients Chf
Which is better for COPD patients, albuterol inhaler or Combivent (albuterol and ipratropium) inhaler?
Unknown: Longer term studies show that both drugs are quick acting and relieve acute dyspnea/shortness of breath. It appears unlikely that either drug affects the natural history of asthma/copd. Longer acting drugs called maintenance inhalers are associated with significant decreases in exacerbation (flares) of these diseases and may affect lung function longer term. ...Read moreSee 2 more doctor answers
Ventolin is the trade name for the chemical / drug albuterol. This drug is a medicine to be inhaled to open the airways and it acts quickly, so it is called a "short-acting bronchodilator". The medicine comes in both a hand-held inhaler and as a liquid to be used with a nebulizer machine . It also comes in a liquid form to take by mouth, but this should not be used ...Read more
83 yrs f; stable diastolic hf; rate controlled a-fib. Meds: cardizem, coumadin, (warfarin) lasix, inderal, spiriva (mild copd). Would a cardioselective betablocker be better than inderal ?
Theoretically yes: In patients with COPD or asthma , cardioselective beta blockers like atenolol are felt to be superior to Inderal (propranolol) which also has possible harmful effects on the bronchial tree and could produce wheezing(bronchospasm). This may be a concern in someone like you who has copd. Your physician is best to advise you, however especially if you're doing well on inderal (propranolol). ...Read moreSee 1 more doctor answer
Depends: Usually, CHF pts will need to be treated daily for life but there are exceptions depending on the cause of the chf, the severity of the symptoms, and whther there were extraneous factors that caused a flare of symptoms. Please note: if this is about you, chewing tobacco is very dangerous in the presence of CHF (can precipitate dangerous arrhythmias). ...Read more
No: Only if they have bradycardia arrythmias.Get a more detailed answer ›
Mother aged 80 patient copd. Ventilator once. Inhaler asthalin, neubulising asthaline and budecort. Deriphyllyne, prbpm90-100, spo2p. Advice?
Difficult situation: COPD at advanced age is difficult. You are probably looking at longterm oxygen which has been showing to decrease mortality in the disease. Make sure your mother's medications are maximized. Also consider physical therapy or pulmonary rehab to help her physically deal with her illness. ...Read more
Is isordil (isosorbide dinitrate) for chest pressure contraindicated in patients with constrictive pericarditis?
Not necessarily: With good healthcare and, good lifestyle choices (limit salt, weight loss, no smoking, etc) people can live long lives even with a history of chf. There are excellent medications to help the heart beat more efficiently, decrease fluid, and help people feel much better. ...Read moreSee 1 more doctor answer
Beta-blockers: They are beta-blockers and may cause bronchial constriction which exacerbates asthma and copd. We treat asthma with beta-agonists (albuterol etc) which are exactly the opposite. That being said, metoprolol in particular is a selective drug and many asthmatics/copd-ers are able to take it if needed for heart disease without any ill effects. Talk to your doctor. ...Read moreSee 1 more doctor answer
Use as mucomist: Glutathione is end product of n-acetyl cysteine since glutathione gets degraded quickly you need the precursor. So for COPD use mucomist which is nac in liquid form smells like sewage so i prefer the capsule to avoid this. John hopkins univ did a critical care seminar and they are using nac for acute kidney failure too. ...Read moreSee 1 more doctor answer
Resistant pulmonary htn due to sjogrens. Norvasc (amlodipine) works but isosorbide unpredictable. Beta blocker worsens. Arb acs contraindicated ckd high K. Advice?
Pulmonary HTN: There are a range of molecules available by prescription that address P HTN ;go see a cardiologist or pulmonologist that has an interest in treating this condition ...Read more
No perfect answer: Probably best to avoid combination medicines which contain pseudoephedrine, which many do. This speeds up your heart. Diphenhydramine (benedryl) can dry up secretions. However, it is important to understand that the cough may be due to the chf. Also medications commonly used to treat CHF (ace inhibitors - often end with ..Pril) can sometimes cause a chronic dry cough. Talk to your md. ...Read moreSee 1 more doctor answer
Heart rhythm: Lanoxin is the brand name for digoxin or digitalis, which is a medication with a long history of use to treat heart failure and abnormal heart rhythms. It is not always necessary in pneumonia; it is given to treat heart problems that can sometimes accompany pneumonia especially in elderly patients. ...Read more
Interesting question: If you ask me, most if not all such patients should get abgs. Physicians practice differently though and not all do this. There are no hard guidelines and standard of care for that as far as I am aware, unless the patient is in respiratory failure/intubated where abgs guide the management. ...Read moreSee 2 more doctor answers
Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more
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