Doctor insights on:
Best Way To Treat Dehydration In Elderly
Absolutely: Dehydration is a leading cause of abnormal lab work in an elderly patient. Dehydration can cause an elevation in a person's BUN and creatinine. These two lab values can determine if a person had renal failure. If the cause of the renal failure is truly dehydration, it can be easily corrected with drinking lot of water and re-testing. ...Read more
Turgor: You can check the volume status of elderly individual with skin turgor. The best site to check skin turgor on an elderly person is the skin on the clavicle or "collar bone". Checking skin turgor is done by slightly pinching and raising the skin and observing how quickly the skin returns. The slower it returns, the more dehydrated the patient is. And even better way, check urine output and color. ...Read more
If you found an elderly, but otherwise healthy woman dehydrated with swollen feet and kidneys starting to fail, what would you think first?
Adequate fluids: But, need to understand the common reason for dehydration is not lack of fluid intake. Long gone are the days when people are lost in the desert. In the era of the big gulp and a/c, water pills are the common cause when associated with vomiting or diarrhea. Hold water pills if have fluid loss or lost a/c in summer. Fluid overload is much more than dehydration. Don't overdrink if kidney diseaseor chf. ...Read more
If it hurts: A good way to get her started is to let her sit in warm water in a tub and let her pee. The warm water helps relax the pelvic muscles and an episode or 2 in the tub will allow her to pee without discomfort. She is then likely to resume normal activity in voiding. ...Read more
Conservatively: Management of a simple cold is best managed with gentle hydration, humidification of the air and at times otc cold remedies. Nasal saline for congestion is safe, as is tylenol (acetaminophen) for aches and pains. Guaifenesin is otc and safe and acts to relieve chest congestion. If symptoms persist, person gets short of breath, productive cough or lethargic, these are signs that a doctor should evaluate. ...Read more
Informed Consent: Hello! This is a form that explains what procedure you are having, why it is being done, the risks, benefits, and allows you to ask the doctor any questions you may have prior to saying you will allow them to perform anything on you. If you don't agree with what is in the informed consent, you don't sign and the doctor cannot perform the procedure.. ...Read more
Please help! What is the best way for an elderly person to control gout and still enjoy eating the foods he wants?
I know what a burden being a caretaker can be.
Common sense dictates disposable gloves and good old soap & water. A touch of bleach will render you safe.
Unless this elderly person has something unusually nasty that is passed. Chat with the doctor of your elderly person. ...Read more
What is the best way to resolve conflict (constant arguing) when living with elderly who have health problems?
Stressful situation.: Caring for an unhealthy elderly person is very stressful, and can easily make you more prone to outbursts of anger and intolerance. There are support groups for caregivers, and nursing homes often offer respite care where they watch your elderly relative for a week or so to give you a breather. That may break the anger cycle you're in. ...Read more
Looking to provide care in my home for a disabled elderly parent. What is the best way to find an occasional helper so I can go out?
Senior center: Can advise you of reputable agencies. Also respite care if elderly is in palliative care. ...Read more
Carefully: It matters if they are cooperative with you or not. Generally nails will cut easier if they are soaked first and a bit damp. Thickened nails and brittle ones can be harder to cut neatly. Use a good quality fingernail clippers or a fine scissors, use good light and take your time. ...Read more
What is the best way to handle anger / rage in the elderly? (not related to dementia or alzheimer's)
Depends: First focus on safety for all, then one needs a full assessment to determine possible causes then treatment strategies can be pursued. A geriatric psychiatrist or behavioral neurologist may be able to help. ...Read more
What is the best way to recover from low WBC after chemotherapy (r-cvp for stage 2 diffuse large b-cell lymphoma) for a very elderly (85y) patient?
It depends.: R-cvp is a relatively milder regimen and therefore it does not usually result in very low wbcs. In general, modest decrease in WBC is expected and is not associated with higher risk for infections unless WBC become very low with neutrophil count below 500. If this is the case, you doctor may decide to use a growth factor given after chemotherapy to stimulate your bone marrow to produced wbcs. ...Read more
What is best way to evacuate the bowel once focal ileus has been diagnosed and pt has become nauseous, vomits bile, dehydrated, hypotensive,?
What is best antibiotic to treat 4th ecoli UTI in 90 year old with slight kidney problem (elevated bun when dehydrated)? Is cipro (ciprofloxacin) ok?
Cipro (ciprofloxacin) is OK: Bacteria have to be sensitive to the antibiotic used or the medication will be ineffective. Cipro (ciprofloxacin) will be fine if the bacteria are sensitive to it, this can be checked by getting a culture and sensitivity test. Your 90 year old should also be hydrated. She hopefully is not retaining urine, or having an indwelling catheter, both of which would make UTI elimination very difficult. ...Read more
Is there a way of testing someones dehydration level using their siliva? If not through siliva what are the best ways to test level of dehydration (taking vitals, etc.)
Body weight: As long as you have a reference weight, body weight is the primary feature that allows calculation of the degree of dehydration. If a 20 lb kid comes into the office 2 days after a well check having had vomiting for a day, he is not dehydrated if he weighs 20 lb but is if he weighs 19. A 5% weight loss in a short time frame is water loss. ...Read more
Salt and water: Hydration with electrolyte rich fluids. The best electrolyte is salt or sodium. However, salt water taste terrible and is hard to consume. Therefore, in severe cases of dehydration, the salt or sodium is delivered intravenously directly into the veins as saline fluid. If IV's aren't available, taking salt tabs and chasing it down with water or fluids is one effective way to get lots of salt in. ...Read more
Fluid/fluids in food: Water or other fluids are an obvious solution to poor hydration.Many foods also have fluid value and can provide a boost to hydration. Applesauce or similar foods are about 95% water, vegetables are around 60%.Just pushing up fluid value intake to the point they pee every 6 hours will do it. ...Read more
As long as there is not vomiting going on- mild dehydration should be treated with oral rehydration liquids such as pedialyte. Plain water only is not good to treat dehydration because it can lower your body sodium and cause seizures
Small and frequent amounts of pedialyte or rehydration liquid should be given until the person urinates or no longer is thirsty ...Read more
Dehydration: It depends on the age. Infants will have symptoms of fluid loss in the form of vomiting and diarrhea along with poor intake. They will be less active or playful, irritable or when severe sleepy or lethargic. Decreased urine output is universal across all ages (dka is an exception; see answers on dka). Other signs are sunken soft spot in infants, and decreased or absent tears, dry mucous membranes. ...Read more
If someone had a bout of severe dehydration that did not get treated medically in october 2102, is it too late now to reverse the consquences?
Can't say.: Not sure what consequences you refer to. Electrolyte disorders and kidney injury can be reversible, but your doctor would need blood tests to figure this out. Other consequences such as a stroke or heart attack may not be entirely reversible. Best if the patient be seen by a physician to answer your question completely. Best of luck. ...Read more
Plenty of fluids: Dehydration occurs when someone does not drink enough fluids to keep up with the body losses and or needs. For exemple, as we breathe, urinate and pass stools, we are loosing liquids. Our body is smart and stimulate thirst, so we drink. Sometimes sickness overcomes our abilities, exemple if someone has severe diarrhea and vomiting and cannot drink enough. ...Read more