Doctor insights on:
Effect Of Neutrophils When Patient Respiratory
Daily multidisciplinary rounds to implement the ventilator bundle decreases ventilator-associated pneumonia in trauma patients: but does it affect outcome?
Episodes of body aches/severe weakness. Only thing in blood work is low platelets, lowest 95k. Typically between 100-120k. Are these normal levels?
Body aches : Rheumatological issues? Weight loss? Cold intolerance? While weakness aches and pains can reflect osteoarthritis, hypothyroidism or myositis , the answer lies in a careful history of your illness , meds , surgeries, environment/occupation. Studies show chronic fatigue with no clear cause may or may not be fibromyalgia. http://tinyurl.com/hvympcv ...Read more
How long should someone with respiratory failure be given 2liters prn oxygen. Each time the person either appears to be in distress or their 02 saturation levels fall
Depends: Most likely its not enough oxygen to compensate for the resp failure. There are some cases where someone who has severe COPD and the o2 may suppress respirations because in these people the elevated co2 is not what drives respirations since they live at such high levels. Most likely your are describing someone who needs an o2 mask or a breathing tube to get the o2 to the tissues/brain/heart. ...Read moreSee 1 more doctor answer
Isn't the effectiveness of SSRI/SNRI's on person with depression directly dependent on the person's natural production of Serotonin and/or Norepinephrine? And therefore they would be useless in someone who produces little to none?
SSRI/SNRI meds: SSRI/SNRI meds are remarkably effective for depression and anxiety disorders because they boost the efficacy of serotonin and norepinephrine already in the brain. They don't increase the absolute levels of these brain hormones. These meds must be carefully monitored by your doctor for a therapeutic response and side effects. Hope this helps. ...Read moreSee 2 more doctor answers
Anti platelet action: Giving more then 325mg of Aspirin is not recommend in the usa. Aspirin is anti platelets drug that prevents blood clot formation. In mi patients it does that to minimize blood clot within blocked coronary artery. Mostly it is a cholesterol plaque that cracks leading to blood clot formation that further narrows the vessel limiting blood flow to the myocardium. ...Read moreSee 1 more doctor answer
When we should use PEEP 0 on MV? In which category of patients?
From : student Respiratory therapist
Not the site: This is situational and judgmental according to the case at hand, please refer to your tutors and text books, good luck ...Read more
AVerySensitiveArea: That's a very sensitive area.Lots of stuff packed into a small space. Any lesion down there has profound effects. Also, it's the most basic area for being awake. So it really depends on the cause of the stroke.If the result is just swelling,then it may go away & there will be some improvement.But if due to a lot of bleeding or a mass(like cancer)then the future is a lot dimmer. So ask for details. ...Read moreSee 1 more doctor answer
Low grade of fever acting as stimulant of immune system in a child with urti. Avoid antipyretic below 37.5 c. Is it true?
I think so!: Many people have an unnatural fear of fever, and are medicating children for very low grade fevers. I think fever medication should be reserved for children who feel bad due to a fever; this often doesn't occur until temps are 102-103. One does not prevent seizures by giving medicine early. There are data that suggest that fever does stimulate the immune system and help us fight infection. ...Read more
Risk - kidney injury: High BP, whether bedridden or ambulatory, can cause kidney injury if severe enough over a long period of time. Mild to moderate elevation of BP may not have much impact over short term unless kidneys significantly diseased (for example with long standing diabetes). If BP elevated on sustained basis it should be treated whether bedridden or not. ...Read more
What is the significance of raising band neutrophils and normal lymphocyte in CSF in case of "streptococcus pneumoniae " meningitis ?
Meningitis: In bacterial meningitis the numbers of wbcs in the CSF is elevated and usually consists of cells in the neutrophilic series. Many labs indicate that up to 5 wbc/ml is normal, but my practice is to consider any neutrophils to be abnormal, but this must be evaluated in the context of the clinical presentation. With strep pneumoniae the protein is likely to be high and the glucose significantly low. ...Read more
What does c reactive protein rxl <0.3 with a sedimentation rate of 6 usually indicate, the person is already showing signs of an auto immune disorder?
Normal: These values are normal and cannot be interpreted even if they were abnormal without placing them in the context of clinical presentation. ...Read more
My partners afraid of the long term effects of his Vyvanse (lisdexamfetamine) prescription because the increased heart rate effect. Will he damage his heart as a result?
Could pulmozyme (dornase alfa) use result in increased respiratory rate in non-cf patient with a tracheostomy?
Maybe: Side effects with Pulmozyme (dornase alfa) are various and can include irritation of the throat, nose and voice changes. It can also cause hoarseness. I use a fair amount in my patients and have not seen it increase respiratory rate. I guess if it was irritating the airway you could breath faster due to pain/discomfort. I don't think that increased resp rate is very common on this drug. ...Read moreSee 1 more doctor answer
No: The drugs given for the most common type of pulmonary fibrosis, would include anti-inflammatory medicine and an immune suppressant called azathioprine. These drugs do not cause respiratory failure per se, although suppressing the immune system may increase the risk of pneumonia, which itself can cause respirator failure, especially in the setting of lung disease. ...Read moreSee 1 more doctor answer
I understand renal impairment can cause a build up of haloperidol & hydromorphone in the body. Is this risk reduced by the use of high dose diuretics?
No: renal failure may cause side effects and diuretics will worsen it . ...Read more
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