Doctor insights on:
Force Treatment Sedatr
Palliative sedation : Sedation use to relieve refractory symptoms is often indicated in palliative treatment of dying patients. Inoperable malignant intestinal obstruction or advanced malignant cancer is the most common cause of intractable vomiting. Medications such as Midazolam & propofol, +/- haloperidol are often used for this purpose and work by creating a medication induced coma. Life expectancy is 3-4 days. ...Read more
Ventilated pneumonia patient needs antipsychotic med's before extubating. How to make med's work quicker than 2 wks? Agitation prevents extubation.
No definite answer: Many critically ill patients suffer from delirium. The exact cause of this ICU delirium is not understood, at times metabolic problems such as kidney or liver failure, or side effects from other medications play an important role, but sometimes no cause is identified. In that situation a number of drugs can be tried, including antipsychotics, but there is no definite evidence of any specific rx. ...Read moreSee 1 more doctor answer
For adjunct therapy for anaphylaxis during prehospital treatment (not in ambulance)Would you prescribe your patient benadryl (diphenhydramine) pills or injection?
What is the most effective topical numbing agent for subluxing peroneal tendon pain? Financially can't afford to redo failed surgery w/ time off work.
There is none.: A second opinion is in order.there are a few ways to correct this, & boney reconstruction builds a mechanical block so the tendons stay where they are supposed to be. ...Read more
What is recommended to make radio frequency injections bearable? 2 10mg lortab and 20mg Valium not enough. Halcion (triazolam) is their next attempt for comfort.
It depends: Usually radiofrequency procedures when appropriately performed should not be unbearable. The main thing is pre-procedure explanation of the procedure allays anxiety. Giving enough local anesthetic and adequate time for it to take effect is most helpful. If you are really that anxious have it done as an outpatient procedure. ...Read more
How do I take Xanax (alprazolam) 0.25 mg to treat ssri, tca induced initial stage anxiety/ panic treatment?
Danger: You don't. At least not without the specific recommendation and management by an experienced physician. ...Read more
Given 50 mg of versed for impacted tooth extraction. Blood pressure went from 114/52 to 169/99. Since then lucky to sleep 3-1/2 hours total.?
Other Meds?: It is highly unlikely you were given 50mg of versed during your surgery. Some patients who have impacted wisdom teeth removed also receive Decadron (dexamethasone) a steroid to help minimize the postoperative swelling. You were likely also prescribed some type of pain medication to take post op. Some patients report feeling hyper with the Decadron as well with some pain meds. ...Read moreSee 1 more doctor answer
Better?: I have been practicing and removing teeth for over 35 years. The vast majority only require local anesthesia. For many i also administer nitrous oxide\oxygen analgesia (sweet air-laughing gas). That's all that is really necessary. For some patient they want or require IV sedation and that's fine if necessary. Inhalation sedation is not used very much for extractions. Discuss with an oral surgeon. ...Read moreSee 3 more doctor answers
Pt on hospice care no flu shot or Thorazine (chlorpromazine) for hiccups, either sure to kill him. Losing weight. Why?
Overdose on 600 mg temazepam does it necessitate admission to psychiatrist ward? Can patient choose to leave ER after being medically cleared?
Yes/no: Any intentional overdose requires psychiatric evaluation. When that happens, you are placed on a psychiatric hold which means your right to leave the hospital is relinquished until cleared by the psychiatrist. This is protected by state law and will be supported by a judge. Medical clearance simply means there is nothing medically acute - then you can be admitted to the psychiatry ward. ...Read moreSee 1 more doctor answer
Please help with dental pain control. I have vital irreversible pulpitis. An interappointment flare-up was treated w/ amoxicillin/Medrol/Violin. After the initial treatment, a local anesthesia with 2x 7.5-200 vicoprofen couldn't block pain. Any suggestion
Sorry to hear: If your question is how to manage pain must bring down inflammation and infection via Ibuprofen and antibiotics which you have been on. Make sure you take the Ibuprofen 600 or 800 mg every 4 to 6 hrs for 1st 24 hours until the inflammation is down so pain is less. If everything went well with root canal then have to wait, if u get swelling need to change the antibiotics. Report clearly to your den. ...Read moreSee 5 more doctor answers
I'm having tumesc lipo and the preop oral sedation is Xanax (alprazolam) and Vicodin. I'm hypersensitive to meds. Is this combo safe to take?
At certain doses..: Narcotics and benzodiazepines can work together to suppress your breathing, which would be bad. However small amounts of each works well together for preoperative medicine. If you are concerned, take a half of each pill. ...Read more
Can antidepressant drugs really cure depression ... How much a degree of 10 can you give for antidepressant drugs as an effective treatment ?
From a Ph.D.'s POV: I'd think more of 'resolve' and manage than cure, but drugs do seem helpful for more severe cases especially in combo with coordinated CBT therapy. That's where you can learn skills to use throughout your life. Rating scales don't work for this - what you invest will make it successful. If it's mild to moderate - therapy and you together can avoid side effects or, at least minimize doses. ...Read moreSee 2 more doctor answers
CERVICAL VERTIGO & tinnitus. Began since chiropractor treatment with impulse instrument. What treatment to make it stop Ice/Aleve/Further adjustment?
Tinnitus: You should see an MD for a full exam. A physician will determine if you have pulsatile versus non pulsatile tinnitus. A hearing exam is indicated. An ENT then scopes your Eustachian tube to see if it is patulous-another cause. MRI of the IAC in your brain indicated to rule out tumors in severe unilateral tinnitus. Specialty tinnitus clinic good idea find one. Try white noise for sleep. Good luck. ...Read more
I'm currently undergoing chiropractic treatment using Impulse Adjusting Instrument for my neck issues. Proper time range for each session would be?
Only chiropracter: can answer , trained physician do not believe all diseases are due to maladjusted spine , and ' adjusting ' will cure them. THere is no known scientific proof this ' impulse Adjusting instrument ' Good Luck ...Read more
Can you die from anti anxiety Medication side effect its dangerous to take anti anxiety medication ?
What clinical procedure is followed to treat 400 mg benzodiazepines (temazepm) od - 2 hours after intake? Not suicide attempt, taken by mistake
Go to ER!: The clinical procedure would be to go to the er after such an accident. To achieve that amount of temazepam, one would have to take more than 10 pills even at the highest dosage/pill there is. It is not a case of taking just a pill extra by mistake. Because of this it doesn't sound accidental at all. This is a serious problem, and needs emergency evaluation. ...Read more