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Doctor insights on: Icu Protocol

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Has ARDS hospital ever performed hisorectomies?

Has ARDS hospital ever performed hisorectomies?

Unclear: ARDS can occur in any hospital. Hysterectomies are performed in many, but not all hospitals. The two are not related. ...Read more

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Do patients in intensive care recover?

Do patients in intensive care recover?

Depends why in ICU: It all depends on why they are in the intensive care unit. Most patients do recover, but certainly there are very ill patients that do not recover after being in the icu. There are also those that have conditions that would not lead to a good quality of life. Those patients do not recover. But overall, the majority of ICU patients recover. ...Read more

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Emotional recovery time after being?In intensive care unit 2 weeks?

Emotional recovery time after being?In intensive care unit 2 weeks?

Variable: It has been recently recognized that survivors of critical illness often have physical and emotional recovery issues after ICU stay. Post-traumatic stress, memory loss, and weakness are common and can take weeks to months to improve. It is worth discussing these issues when you follow up with your provider. ...Read more

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What is the s.T.E.E.R protocol for CT service post op (day1) open heart surgery?

What is the s.T.E.E.R protocol for CT service post op (day1) open heart surgery?

Ventilator: Steer protocols deal with weaning patients from the ventilator. S-screen; t-test; e-exercise; e-evaluate; r-report. ...Read more

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Can hospital care include hospice care for the terminally ill ?

Can  hospital care include hospice care for the terminally ill ?

It depends...: It depends on the hospital course. If the person was admitted for a condition and treated but worsened during the hospitalization to the point that death was imminent, comfort care or hospice care may occur in the hospital. However, most hospitals will try and transfer people home or to a skilled nursing facility with hospice care if the person has a little longer to live. ...Read more

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Dr. Ted King Dr. King
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Signed up for phlebotomy classes. Would patient care technician or dialysis be better?

Dr. Ted King Dr. King
1 doctor agreed:
Signed up for phlebotomy classes. Would patient care technician or dialysis be better?

Up to you: It all depends on where your interests lie and what you like to do best. The only person who can really answer your question for you is you. ...Read more

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Which hospital unit are cancer patients placed in?

Which hospital unit are cancer patients placed in?

Oncology Ward: Many hospitals have an oncology ward where all the patients with the diagnosis of cancer are admitted for specialised care. Some hospitals do not have such a special unit...So patients are scattered all over the hospital in regular rooms. ...Read more

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Do all hospitals have a neonatal intensive care unit?

Do all hospitals have a  neonatal intensive care unit?

No: Every hospital does have an area to transition babies while they maybe experiencing problems after birth. However, not all hospitals have a neonatal intensive care unit. If you have a prenatal diagnosis that recommends or suggests neonatal care after delivery you should deliver in a hospital with a level one or two nicu. ...Read more

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Protocol for treating post surgical staph infection?

Protocol for treating post surgical staph infection?

Depends: The type of staph based on antibiotic sensitivity os what determines the best drug. ...Read more

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How is palliative care done in a hospice setting?

How is palliative care done in a hospice setting?

Hospice: Well, you may just need a palliative approach to care; comfort over cure. Hospice is palliative care in the last months of life. Discuss with your physician about working on your comfort or find a physician who is hospice and palliatively board-certified. It is unfortunate that cms has sort of defined hospice meaning palliative care for the last six months of life, but this is only an estimate. ...Read more

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What kinds of doctors work in the pediatric intensive care unit at children hospitals?

What kinds of doctors work in the pediatric intensive care unit at children hospitals?

Peds intensivistde: Depending on the type of hospital one may find general pediatricians or board certified pediatric intensivists. It may also depend on the"level" of ICU ie are there really sick kids or only moderately i'll children? ...Read more

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Oncology: Who are the best candidates to receive 24 hour IV chemotherapy in a hospital setting vs. 6 hour out patient? Thank-you.

Oncology: Who are the best candidates to receive 24 hour IV chemotherapy in a hospital setting vs. 6 hour out patient? Thank-you.

Inadequate info: It would seem, by your question, that there was a specific cancer you were asking about. If not, then more specific information needs to be provided in order to answer. ...Read more

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What's the difference between the icu (intensive care unit), and a ccu (critical care unit)?

What's the difference between the icu (intensive care unit), and a ccu (critical care unit)?

None: These are terms that essentially describe the same high level care floor/unit for the critically ill. ...Read more

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Dr. Gutti Rao Dr. Rao
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Will all skilled nursing facilities provide IV therapy?

Dr. Gutti Rao Dr. Rao
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Will  all skilled nursing facilities provide IV therapy?

Usually not: Some nh who have rn round the clock can administer IV medications. Most of them do not provide this service. ...Read more

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Would an elderly demented person be admitted into icu and put on mechanical ventilation.?

Would an elderly demented person  be admitted into icu and put on mechanical ventilation.?

It happens: Pneumonia, heart failure, stroke, & serious injury are some of the more common reasons; it's important to consider the goals of care & realistic expectations. Patients/family/power of attorney should make it clear what level of support they feel is acceptable. It's ok to make comfort a priority & say "no" to the ventilator. It's also ok to say "yes". Best to discuss this before the crisis. ...Read more

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Dementia pt. had aspirational pneumonia D'C'd back to RCFE even tho needs higher level of care. Nursing scvs provided by hospice. Why not sent to SNF?

A different focus: Hospice services are a wonderful asset to have at the end of one's life. We all have an end. When the end is near, we don't go to a skilled nursing facility (think of an SNF as a place to recover and get back to good mental and good physical functioning). When our end is in sight, hospice is the way to go. It lets one die a good death, at home, pain-free, worry-free, in peace and quiet. ...Read more

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What is the delirium rating for intensive care unit?

What is the delirium rating for intensive care unit?

Diagnostic tool: There are a number of tools used to diagnose delirium in the intensive care unit. The two most common tools in north america include the cam-icu and the intensive care delirium screening checklist. Both have good sensitivity for detecting delirium. ...Read more

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Management of dic in post cesarean patient ?

Management of dic in post cesarean patient ?

Emergently: Dic (disseminated intravascular coagulation) is an emergency in any situation. The patient with dic has, for one of several reasons, consumed elements in her blood which are needed to cause blood to clot. Without the ability to clot, she will bleed continuously until something is done to replace the "clotting factors" or otherwise arrest the bleeding, e.g., hysterectomy. ...Read more

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Pt w/asp pneumonia, ave stay is 6 days, but hospital only 3 days, o2 and antibiotics 2 days, back to facility w/some hospice care. Was pt written off?

Pt w/asp pneumonia, ave stay is 6 days, but hospital only 3 days, o2 and antibiotics 2 days, back to facility w/some hospice care. Was pt written off?

This does not: make any sense to me. A patient with aspiration pneumonia needs more therapy than what you are describing. How long you stay in hospital would depend on how sick you are. However, hospice care does not mean you are dying or "written off". They offer spectacular care to those who need it and can't be at home. Talk to your doctor for more information ...Read more