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Doctor insights on: Icu Drip Chart

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Can post nasal drip on 7mo cause coughs? Started w/runny nose. Humidifier, saline & bulb syringe used. Cough AM & PM. Bronchiolitis risk? Nebulizer?

Can post nasal drip on 7mo cause coughs? Started w/runny nose. Humidifier, saline & bulb syringe used. Cough AM & PM. Bronchiolitis risk? Nebulizer?

Yes: A post nasal drip can and commonly does cause a cough. Bronchiolitis is from lower airways (lungs). It is important for her pediatrician to listen and determine where the cough is coming from. The treatments are dramatically different. ...Read more

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Bronchiectasis pt. admitted thrice, was ok, now fever 100F, satO2 drops to 72, ABGs-acute metabolic alkalosis with normal pCO2, satO2 65. ?

Bronchiectasis pt. admitted thrice, was ok, now fever 100F, satO2 drops to 72, ABGs-acute metabolic alkalosis with normal pCO2, satO2 65. ?

Respiratory distress: Hello, no RR but must be raised. The resp alkalosis is compensated. He has COPD & prob chronic compensated resp alkalosis. He has ? p'monia. If he has acute METABOLIC alkalosis he is not going to be able to correct with lungs, he is prob at max resp rate and pCO2 is nl and O2 at 72% He is on edge and needs to be admitted and most likely intubated and cause of metabolic alkalosis treated.thx ...Read more

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58 yr old f in hospitl w/ confusion. Non-compliant cpap (apnea), o2 at times down to 60% while awake. Staff report she's clear when she first wakes?

58 yr old f in hospitl w/ confusion. Non-compliant cpap (apnea), o2 at times down to 60% while awake. Staff report she's clear when she first wakes?

Full evaluation: It's very important when such a young patient has con fusion to understand why. She needs an extensive medical and neurological evaluation. ...Read more

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Dr.Farrell orders acute bronchiolitis due to RSV vaporizer at night saline&bulb suction encourage fluids smaller frequent feeds tylenol&albuterol as needed can I give my 3month old pedialyte&how much?

Dr.Farrell orders acute bronchiolitis due to RSV vaporizer at night saline&bulb suction encourage fluids smaller frequent feeds tylenol&albuterol as needed can I give my 3month old pedialyte&how much?

You may.: You may give pedialyte. However remember pedialyte does not provide enough calories. Pedialyte is not a medicine. It just helps to keep the hydration. If your 3 month old is taking feeds, it is better to continue breast-feeding. You can also express your breast milk and feed with a spoon in small amounts. I hope he/she gets better soon. ...Read more

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Asthma symptoms at night due to post-nasal drip. Wake up choking. Any at-home remedies worth trying for post-nasal drip?

Asthma symptoms at night due to post-nasal drip. Wake up choking. Any at-home remedies worth trying for post-nasal drip?

Saline lavage: The most effective home remedy for these kinds of symptoms is nasal saline lavage (such as neti pot, or using a squeeze bottle available at the pharmacy). Instructions are available with the device, but you essentially rinse the nose with salt water. A good swim in a pool, getting water in your nose, sometimes works too. ...Read more

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5yo wakes with headache daily, complains +/- 2hrs. history osa, is post-t&a now. Snores some on back. Airway bronch aok (june). Possiblereason 4 headache?

5yo wakes with headache daily, complains +/- 2hrs. history osa, is post-t&a now. Snores some on back. Airway bronch aok (june). Possiblereason 4 headache?

See the doctor!: If the headache is waking him up i would be concerned and see doctor soon. If he starts complaining after he wakes up it could be tension headache or behavioral. Have his eyes examined also and see if distraction helps and he stops complaining. ...Read more

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Dob3/31/14 nasal cong. Dry cough sneezing Fussy rectal temp 99.7 have head elevated took into steamy shower min mucas with separator. Breastfeeding.

Dob3/31/14 nasal cong. Dry cough sneezing Fussy rectal temp 99.7 have head elevated took into steamy shower min mucas with separator. Breastfeeding.

Ok so far...: How long has she been sick? She has surpassed her 6 week mark. If her temperature rises above 100.4 call the doctor right away. If she has been sick like this for more than 4 days call. Keep breastfeeding and doing what you are doing. A humidifier may help. ...Read more

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Mother aged 80 patient copd. Ventilator once. Inhaler asthalin, neubulising asthaline and budecort. Deriphyllyne, prbpm90-100, spo2p. Advice?

Difficult situation: COPD at advanced age is difficult. You are probably looking at longterm oxygen which has been showing to decrease mortality in the disease. Make sure your mother's medications are maximized. Also consider physical therapy or pulmonary rehab to help her physically deal with her illness. ...Read more

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Grandpa cannot clear his secretions after stroke/dementia. Sats at 98%.Would the cough assist machine help him. 86yrs old. No other medical problem.Tx?

Grandpa cannot clear his secretions after stroke/dementia. Sats at 98%.Would the cough assist machine help him. 86yrs old. No other medical problem.Tx?

Tough: Poor coughing and swallowing can occur after stroke and increase the risk of aspiration/pneumonia. Options include doing nothing, using thickening agents in feeds or putting in a peg feeding tube to reduce the burden on swallowing. Unfortunately swallowing saliva may still be am issue. Tough problem. ...Read more

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Abx needed? 3 1/2 year old with 3 day fever spiking to 104 at nighttime s/p croup and subsequent otitis media. When to start abx?

Abx needed? 3 1/2 year old with 3 day fever spiking to 104 at nighttime s/p croup and subsequent otitis media. When to start abx?

When warrented: Fever by itself is not an indication for abx. Persistence of fever is an indication for a review of the history, thorough exam & testing if indicated. When evaluation finds a treatable condition, abx can be selected based on the agents suited for that finding and started immediately. ...Read more

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1yr10months boy; high temperature, convulsions earlier in the day, ear infection, possibly tonsillitis 2. Mild flu; blocked nose, cough. Medication?

1yr10months boy; high temperature, convulsions earlier in the day, ear infection, possibly tonsillitis 2. Mild flu; blocked nose, cough. Medication?

Febrile seizures: If he has an ear infection it is due to the mucus which has backed up from the nose. You can help the problem by using salt water nose drops, a vaporizer, and bulb syringe to such up the mucus. Antibiotics such as Amoxil for the ear infection itself. Tylenol (acetaminophen) or advil for fever control. Warm baths when you see the temp riding rapidly or over 102 to try and prevent future seizuring. ...Read more

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Viral illness? In 3 ex-preemie bpders. Chest pain- lower lungs/diaphram? Temps 99-101. Rhonchorous, some whz. How many days b4 cxr is reasonable?

Viral illness? In 3 ex-preemie bpders. Chest pain- lower lungs/diaphram? Temps 99-101. Rhonchorous, some whz. How many days b4 cxr is reasonable?

Pneumonia: Need more info, particularly the age of these kids. Generally they should be seen and examined and if abnormalities by exam then cxr is a reasonable follow-up procedure. If they are being seen by a pediatrician, follow their guidance. Good luck and hope they are better soon. ...Read more

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Airway dilation, what's the chance of needing a trach? now has leak around her breathing tube. 24wk 6 day preemie girl. 1lb 6.2oz @birth 3lb 9.4 oz

Airway dilation, what's the chance of needing a trach? now has leak around her breathing tube. 24wk 6 day preemie girl. 1lb 6.2oz @birth 3lb 9.4 oz

Air leak: Some degree of air leak is OK so long as there is adequate ventilation. It is preferable not to do a tracheostomy because very small size of baby . The neonatologist can elect to change to bigger size tube if ventilation becomes ineffective. ...Read more

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Surgery help with post nasal drip sensation? Hocking thick mucus/phlegm from mouth 2 yrs. ENT/Allergist tried all med. Pseudoephedrine=only drug works

Post nasal drip: Surgery help with post nasal drip sensation? Hocking thick mucus/phlegm mouth 2 yrs. ENT/Allergist tried all med. Pseudoephedrine=only drug works, ANS: would worry U have a rebound from 2 much pseudoepi. I assume Dr. knows how much & how often you use? If not tell them. Then stop COMPLETELY and use heating pad over sinuses at night to see if that loosens things up. Use only saline nasal spray. ...Read more

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Post nasal drip after uri. Lasts for 20 days. Only during winter. Coughs every 3 min. Following tests negative asthma, allergy, bronchoscopy, laryngoscopy. Currently treated for gerd. 13 yr old?

Post nasal drip after uri. Lasts for 20 days. Only during winter. Coughs every 3 min. Following tests negative asthma, allergy, bronchoscopy, laryngoscopy. Currently treated for gerd. 13 yr old?

Postnatal drip.: Following viral upper respiratory infections, it is not uncommon to have cough for 3 weeks. The lining of the respiratory tract has the blanket of very tiny hairs called cilia. The cilia gets destroyed during viral infections. Takes about three weeks for new cilia to be formed. Cilia is involved in getting the mucus out. ...Read more

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