Doctor insights on:
Hyponatremia And Anesthesia
Normal sodium range from 135 to 145. Low sodium (hyponatremia) is less than 135. Some may have no symptoms at slight decrease in sodium level especially if the level dropped slowly. Rapid decrease or large drop in levels can cause confusion, seizures, coma and even death. Labs should always be rechecked to ...Read more
I read studies that showed General anesthesia can causes amnesia and 35% increase risk of dementia. Is IV Sedation same like General Anesthesia.
Lasix (furosemide) 40 being given in condition of dilated cardiomyopathy, can proove fatal in low blood pressure and low sodium level?
Caution required: In dilated cardiomyopathy, the decreased ejection fraction (squeezing function of the heart) may cause "back-up" of pressure which can result in fluid retention and edema (lungs, legs, abdomen, etc). Lasix (furosemide) can be quite helpful for this. If blood pressure is low, Lasix (furosemide) can be harmful, because blood pressure can worsen. Independently, low sodium is a marker for worse prognosis in cardiomyopathy. ...Read more
What is the lowest potassium level that i can safely going into surgery with? What are risks assoc w/ low potassium under general anaesthesia?
Should be: But check w/your dentist if you have concerns before it's use. ...Read more
Multitudinous: I think you mean hypotension (drop in blood pressure), since spinal anesthesia paralyses the nerves maintaining blood pressure, and so, naturally, it drops. By implication, these drugs "squeeze" blood vessels, to raise resistance, and therefore increase pressure. Commonly used drugs might be ephedrine, (ephedrine sulfate) or phenylephrine. In more extreme cases, epinephrine or norepinephrine might be used. ...Read more
Which is safer and better for general anesthesia in patients with cardiac disease?
Propofol or Ketamine?
Ketofol: is a mixture of ketamine and propofol. The efficacy, and sedation time are similar, however, sedation depth appeared to be more consistent with ketofol. According to the studies there is the absolute reduction in adverse respiratory events compared with propofol or ketamine alone. ...Read more
History of ponv with both general and spinal anesth w/morphine and highly opiate intolerant. What anesth options are left for total hip replacement?
Hip fracture: You seemed to have experienced hypotension and pov from Morphine Sulfate and inhalational agents. Your anesthesiologist can use a continous lumbar plexus block and total intravenous anesthesia. If they are not good with regional techniques , use inhalational agents with a cocktail of antiemetics : scopolamine patch , promethazine/inapsine/zofran and adequate hydration. Good luck. ...Read moreSee 7 more doctor answers
Versed: You want to know what medication your doctor of anesthesia will give you before surgery to help forget the surgery. Most likely the drug will be versed or midazolam. It has a rapid onset and can be repeated. Most patients then describe a memory lapse of the procedure itself. Make sure a family member accompanies you so you can get home, you can't drive yourself, and to remember the instruction. ...Read moreSee 1 more doctor answer
What is used calcium and glucose in case of faintness state (with tachycardia, respiratory insufficiency, pallor, poor view and hearing) for?
Suspected low sugar: in the short term, low blood sugar is more dangerous than high level and so rapidly giving sugar for suspected symptom is a safer bet. I doubt that u had low calcium--as u likely would have experienced muscle spasm etc...but giving u some MAY reduce the risk of cardiac rhythm trouble. I would recommend checking with doc to see why u had trouble breathing...?asthma? Good luck ...Read moreSee 1 more doctor answer
Does methohexital for anethesthesia during surgery cause significant nausea and vomiting like other anesthetics?
Severe neuro reactions to local anesthesia half of a small vial carbocaine separately also epinephrine TIA under gen anesth what is safe at dentist
Two Ideas: You may want to try to find a dentist with experience using the biolase iplus hard and soft tissue dental laser. With most patients, using this laser cavities can be cleaned and prepared for a dental restoration painlessly. If any drugs are to be used, with your history, then treatment in a hospital with a dental service is advisable, so appropriate medical assistance is available. ...Read moreSee 2 more doctor answers
Is there the same risk of post-operative death (e.G., cardiac arrhythmia) from conscious sedation as there is with general anesthesia?
How often should potassium be checked after starting florinef (fludrocortisone) for low bp/fainting in someone with a history of low potassium?
Florinef (fludrocortisone): Florine (f) reduces potassium levels. Recommended doses of potassium (k) in patient on f 8-20- meq/day regardless of what their potassium levels are. There is no documented time period of the frequency of monitoring k levels. Speak to the physician who ordered the f and follow the p's advice. The source of the k deficiency needs to be determined. Ask the p if it is due to a low magnesium level. ...Read more
Surgery: Have a caregiver to drive you home. No driving until the next day. No solid food 6 hrs before sedation. ...Read more
Im 65 with chf ckd, get side effects from lasix (furosemide) (hearing/hemoglobin loss, hyperglyc, aplastic anemia). Any alternatives or tips to tolerate lasix (furosemide)?
Unable to be put under general sedation. Need lumpectomy, can a spinal block be used for breast surgery (along with sedation)?
No: Spinal anesthesia is used for surgery on the lower abdomen (such as a c-section) or on the legs. It causes profound numbness, and can't be given at a high level such as the breasts or it would interfere with breathing. Any patient can be safe under general anesthesia with the right precautions. Meet with the anesthesiologist ahead of time to discuss any unusual health issues and plan for them. ...Read moreSee 4 more doctor answers
Can respiratory therapists administer anesthesia under supervision of a anesthesiologist and start ivs and give injections?
Excellent question: General anesthesia is being put out completely. Regional anesthesia involves anesthesia only to the area involved such as a leg or an arm. Therevare many wsys to administer this. Local anesthesia is numbing of the nerves in a specific location. Sometimes different combinations are used to get the best results. ...Read moreSee 6 more doctor answers
See below: Hyponatremia or low sodium level has many causes.Low levels may be asymptomatic or accompanied by non specific symptoms like generalized weakness, and changes in mentation and cognitive function and in severe or rapid lowering of sodium cause seizures. ...Read moreSee 1 more doctor answer
Too much water: Hyponatremia is a disorder of water balance. In the summer as you describe it would because most likely by in excess of water ingestion, or dehydration overall. Excess water consumption can actually be dangerous, and there have been several deaths in marathon runners from drinking too much water. ...Read more
Please clarify: Hi. We do not induce hyponatremia, we treat it. I don't know what you mean by "clinically-induced" hyponatremia. The causes of hyponatremia, and the approach to treating it, depend on whether the circulating blood volume is low, normal, or high. Please clarify your situation with a little information (volume status, heart status, cancer, etc). Good luck! ...Read more
Hyponatremia: The answers to your questions cannot fit in allotted space. For the causes of hyponatremia go to this link: http://www.Mayoclinic.Org/diseases-conditions/hyponatremia/basics/causes/con-20031445 for the causes of hyperkalemia go to this link: http://www.Mayoclinic.Org/symptoms/hyperkalemia/basics/causes/sym-20050776 good luck. ...Read more
Definitely: Hyponatremia means you have a low sodium level. One way is through dehydration. Dehydration causes hyponatremia usually when a patient is taking a diuretic like hctz (hydrochlorothiazide) or lasix. In this situation, a patient urinates out much more sodium than water. Once this excess sodium is released and the patient's bloodwork is check, there will be much more water than sodium and the pt has hyponatremia. ...Read moreSee 1 more doctor answer
Big topic: Hi. For hypernatremia (hi Na) the body is always hypovolemic and dehydrated. This can result in organ hypoperfusion and tissue damage. For hyponatremia (lo Na), volume status could be low, normal, or high, and needs to be assessed. Lo Na should not be completely normalized rapidly because of possible brain damage due to osmotic shifts (the pons is a classically described site). Need more room! ;-) ...Read more
Low Sodium in Blood: Although the term hyponatremia means "low sodium in blood", it is caused by abnormal handling of water by the kidneys. Reabsorption of water in the kidneys rely on a hormone called ADH (vasopressin) produced in the brain and there are instances where a high concentration is secreted either appropriately (e.g. severe volume contraction) or inapproprately (e.g. medication causing SIADH (vasopressin)). ...Read moreSee 1 more doctor answer
Excess water: Exertional hyponatremia generally occurs when a person loses excessive amounts of both water and electrolytes (usually through profuse sweating during heavy exercise or warm temperatures). Instead of replacing both, the individual only replaces the water component resulting in relatively excess water in the body. This may result in impairment in brain function due to changes in brain cells. ...Read more
Depends: Hi. Hyponatremia (lo Na) can be seen with normal, low, or high circulating blood volume. How it is treated depends on the clinical setting (blood loss/hypovolemia, congestive heart failure, normal blood vol.). If you can specify (e.g., CHF, SIADH, etc), we could be of greater assistance. The standard for SIADH is fluid restriction (sucks) or more recently, a vaptan drug. Good luck. ...Read more
Low sodium: Euvolemia means you are neither fluid overloaded nor dehydrated. Hypontremia is a difficult medical problem. Some people develop low sodium in the blood as the kidneys are absorbing more water than they should. There are several tests to be done, to figure out the reason. You must contact your doctor for futher advice and tests. ...Read more
Elderly and children: Hyponatremia or low salt level in the blood can cause confusion among other problems. Everyone whose blood sodium drops low enough ( especially if a drastic shift) will be symptomatic but the elderly and young children are most vulnerable both to having the condition and being symptomatic. ...Read moreSee 1 more doctor answer
Hyponatremia time: Hyponatremia (H) lasts as long as it is not treated. If one has H due to sodium (S) loss due to diuretics, unless the diuretics are stopped and more S is given to the patient, the S will not improve. If the H gets worse, then the patient may have a seizure and/or die. H can be a serious illness is therapy is started early and appropriately. ...Read more
Los serum sodium: Many conditions can cause hyponatremia (h). Some are, antidepressants, diuretics, cirrhosis of the liver, fluid retention seen in kidney and congestive heart failure, syndrome of inappropriate ADH (vasopressin) secretion addison's disease. Vomiting and too much water intake. H can be a life threatening condition if the sodium gets too low. Go see a doctor to find out the cause and the treatment of h. ...Read more