Doctor insights on:
Different Iv Fluids And Their Uses
Sugar, salt, lactate: Iv fluids 101. The most common IV fluids uses are some combination and concentration of sugar (glucose, dextrose), salt (saline), and lactate. These combos are generally either isotonic (same concentration as blood), or hypotonic (less so). So, d5w is hypotonic sugar water that would be used for water depleted state; ns (normal saline) for low blood volume state. D5 in 1/2 ns for dehydration.... ...Read more
Can the same drug have different kinds of toxicity when administered intravenously, subcutanously, intramuscularly, spinally, and so on?
Yes: Absolutely. Different ways of administration will result in different degrees of bioavailability, making the drug and/or metabolites more or less available. ...Read more
Depends: The type of IV fluid used depends on the patient's needs. ...Read more
Are physicians and psychiatrists aware of how much patients self meditate, swap meds with friends and drink alcohol? Since i got out of the air force I have watched fellow veterans and other people as well exchange medicines. Drink with the medicines and
Sometimes :-): No human can possibly know what others intend or are doing, unless the person tells it. Or, sometimes they may be seen by others who report it. I'm thinking you mean "self-medicate" rather than "self-meditate." I really hope my patients are meditating -- and they're welcome to do it without telling me. :-) It's very sad when they're uninvested enough in their health to swap meds. ...Read moreSee 4 more doctor answers
When is dextrose vs normal saline IV fluids given to patients? Whats, diff.Significance of each fluid?
Sugar vs salt: Saline by itself is used to keep blood volume up. It doesn't contain any nutrients, unlike dextrose, which is essentially glucose. Every cell in the body depends on glucose for fuel. It may be given alone, though often it's combined with other solutions containing various concentrations of sodium and sometimes potassium as well as whatever else might be needed. ...Read more
Are indiscriminate IV antibiotics used to suppress the establishment of septicemia through blood culture?
Hopefully not: One would think that your ICU physician might use targeted therapy or broad spectrum therapy, rather than indiscriminate treatment. ...Read more
Why are suspensions are preferred instead of syrups in some cases , as active Pharmaceutical ingradient is same in both of them ..?
Syrup vs suspension: Syrups have medication mixed with concentrated sucrose solutions as vehicle for the medication so more palatable. Suspensions have active form of the medicine in liquid forms. ...Read more
Could immunotherapy IV and Protein IV injection be the best combination for Minetriers Disease of the stomach instead of biological antibody? Need hel
Depends on the cause: While the exact cause of Menetrier's dis is not yet established, there are several suspects like increased activity of the Epidermal Growth Factor, H pylori or Cytomegalovirus infection. Treatment needs to target the culprit and make up for the protein loss. Hence, injection of ant-growth factor antibodies and iv proteins as well as an approrpriate diet can all be considered ...Read more
I've heard that digoxin can be administered im and IV in hospitals for people who cannot swallow have these means of administration been available for a long time are they less save than the oral use?
Old medicine: Intravenous preparations of digoxin have been available for decades. This medicine is used for specific reasons, typically in the treatment of atrial arrhythmias, and typically for the effects that digoxin has on the IV node. Usually, IV use is not preferred, though, as the risks of digoxin toxicity are much higher with IV use than with oral use. Monitoring levels is important. ...Read moreSee 1 more doctor answer
Why do different hospitals use different ranges for blood counts? E.g. My hospital uses 140-180 for haemoglobin and another one uses 133-167. Confused
Don't be!: Different labs use different methods in their analysis The value should be checked against THEIR normal values ! ...Read more
If vasopressin allows people to retain water, are other hormones necessary for people to make use of food and air?
Complex: Hi. It's way more complex than I can present in a short blurb. Clearest to look at what hormone deficiencies cause. Insulin deficiency causes inability to "make use of food". Insulin is an anabolic hormone, and without it, nutrients can't be stored. This is way over simplified. As for oxygen use, erythropoietin makes red cells, which transport O2, and thyroid hormone stimulates aerobic metabolism. ...Read more
Anesthesia for D&E: Usually, in a patient of normal height and weight without gerd, this procedure is done under mac (monitored anesthesia care) anesthesia that often involves versed (benzodiazepine), fentanyl ( synthetic narcotic) and Propofol (sedative/induction agent. All standard monitors are in place and supplemental oxygen is used. ...Read moreSee 1 more doctor answer
What's the difference between a nurse anesthetist and anesthesia assistants other than the educationa backgrounds in which they're trained?
Dosing Method: They are the same class of medications and have the same effect on the bones. The IV will cause less GI irritation the the orals. There is also a cost difference. ...Read more
Are there any p450 enzymes that act upon things like acetaminophen and nsaids? I'm really into pharmacology and pharmicokinetics.. And take them.
Yes: Cytochrome p450 metabolism accounts for about 5% of the breakdown of acetaminophen, and produces the toxic compound napqi that is responsible for its toxic effect on the liver. Nsaids are hydroxylated by 2c8 & 2c9 in the liver as one of several paths before conversion to the glucuronide & excretion in the urine. ...Read moreSee 1 more doctor answer
I'm interested in whether IV fluids would help speed the removal of water soluble metabolites from prescription medications i'm no longer taking.
No: Just consume normal amounts of fluids and they will work their way out quite quickly. ...Read more