Doctor insights on:
Nursing Care For Delirium Tremens
We believe delirium occurs when the brain cannot maintain its normal activities when overwhelmed by metabolic demands or other variables which exceed the brain's capacity to compensate for. Brains with less reserve capacity are particularly vulnerable. Not entirely unlike acute heart failure. See my last textbook chapter for more reading in the appi textbook ...Read more
Freedom of speech: This is a free country & you can complain about anything you want. Be aware that should you require any form of health care that it can and will often involve members of both sexes. Your care may involve access to you privates. There will be situations where your care may be given by someone of the opposite sex. You can always stay home and refuse them. ...Read more
Psychotherapy: Treatment for dysthymia is similar to treatment for depression. It should include psychotherapy and may also be appropriate to treat with antidepressants. Start with your primary care physician and a good therapist. Cognitive behavioral therapies and interpersonal therapies can be effective. Exercise, good sleep, good nutrition, and overall self-care help improve mood naturally as well. ...Read more
This site is MedCare: This site is about medical question and answers about medical problems and not nursing care. The only nurses who come in contacts with patients with tonsilopharyngitis, are either Dictors office nurse or in ER. It involved taking vital signs like temp and pulse and history of any allergies. And at the direction of the doctor to do throat swab for quick strep test or culture& give Tylenol (acetaminophen) for fever ...Read more
Is there any insurance coverage for 24 hour nursing care? Any recommendations? This is all new and scary.
You may find the best information by contacting your local department on aging. They can be very helpful. Most home care agencies know how to access whatever payment might be available to you and will also help you find this info if it will benefit them.
The options are different for someone who needs short term care such as following surgery vs long term care or hospice. ...Read more
Patient received bad news about his condition. What nursing care would you implement to help a patient who has received a sudden traumatic diagnosis?
What diagnosis?: It depends on the diagnosis, and what supports the patient already has in his life. Is the patient in the hospital, and trying to sort through treatment options? For cancer diagnoses, there are often oncology nurses who help patients review what they've been told about their illness, help get more info as needed, and discuss. Social services and Consult-Liaison Psychiatry can help also. ...Read more
Hospice: Hospice is an end of life service through medicare or private insurance. It will not pay for 24/7 care unless the person is in the active dying process of the last few days. If you need care in the home you should hire an in home care agency. This is private pay and not covered by medicare. Some long term care insurance may cover it. Check with your agent. ...Read more
Stop Transfusion: If a transfusion reaction is suspected, first stop the transfusion, open a normal saline line, support patient, call physician and report to blood bank for clerical check and compatibility confirmation. A post-transfusion blood sample along with the partially transfused unit should be sent to the blood bank for inspection. Follow you facility's policy and forms to report these events. ...Read more
Consult your texts: This site is not a substitute for doing your own homework. Your nursing instructors expect your work to be done in the jargon of the teaching references they provide you for study. As you enter the profession you will be better prepared and more respected if you avoid shortcuts to complete your assignments. ...Read more
When looking for skilled nursing care center, what are red flags? What if admin gets defensive if asked about staff turnover and staff credentials?
SKILLED NURSING CARE: Your md knows the good nursing facility and recommends it. The hospital he is connected know the credentials of each center. He is also aware of any complaint or reputation that certer have. So follow his suggestion. ...Read more
Here are some. ..: There should be no difference in caring patients with or without urosepsis with timely mental and physical supportive measures besides administrating drugs and implementing constant healthy lifestyle without overindulgence. More? Ask Doc timely. ...Read more
Geriatrics: when looking for skilled nursing care center for a 90 year old frail but social parent, what are the most important considerations?
Visit facility, ask about ratio of patients to nurses, cnas; look at rooms -- see if they're private, semi-private, etc. Compare nursing homes by rating-- medicare website is one of them: http://www. Medicare. Gov/quality-care-finder/#nursing-home-compare
also, when a nursing home has been surveyed by a state oversight agency, it should have the results of survey readily available for you to look. ...Read more
Unable to get any health info or nursing care plan on mom due to hipaa. She signed both of us as poa in tx but in this state can be only 1. What to do?
Need to know: What state you are in to be able to research this. Best thing to do is to consult a lawyer in your mother's state who has dealt with this type of issue before. ...Read more
Preterm labor: To evaluate a patient for premature labor, it is essential to monitor uterine contractions and fetal heart beat. An early cervical examination and a follow up cervical examination will tell if there has been cervical change. Cervical change is a hallmark of premature labor. If there is cervical change, then treatment can be started. ...Read more
Resuscitation: The most critical part of nursing after a AAA repair is the immediate post-operative period- especially if the repair is done in an open fashion. There are dramatic fluid shifts that occur and close monitoring of acid-base status, blood pressure, blood counts, and breathing are critical. Once the breathing tube is out and the patients starts to eat, the focus becomes pain control and slow rehab. ...Read more
Diabetes: Chronic kidney disease is a long term complication of dm. I am afraid there is no nursing care involved, but appropriate medications, can postpone the need for dialysis depending on the severity of illness. ...Read more
Why would someone with high potassium/kidney failure need 24 hr nursing care after potassium is normalized? Mom in ICU.
Hard to say: There are a tremendous number of variables that go into the determination of patient needs. A blanket statement about a problem that may or may not resolve with treatment is mere speculation. Some with acute kidney failure improve well enough to go back to work, some require frequent dialysis. The proper assess can only be made knowing all the variables in the specific case. ...Read more
Hospitalization: Delerium tremens is a severe form of alcohol withdrawal that can involve nervous system (anxiety, hallucinations, agitation, seizures) and cardiovascular (high blood pressure, heart racing) changes. It can be very dangerous. Treatment with various medications (often anti-anxiety medications in the class of benzodiazepines) is used to help people withdraw safely. ...Read more
Treat symptoms: There is no one-size-fits-all treatment for delirium tremens, a potentially-fatal withdrawal syndrome of alcohol abuse. In general the goal is to treat the symptoms and gently support the person through withdrawal while keeping them alive. The important thing to remember is dt can kill you; it must be treated early and aggressively. ...Read more
Hallucinations/shakes: While I have not personally experienced delirium tremens or dts, I have seen it on a number of occasions in alcoholics withdrawing from alcohol. It is characterized primarily by visual hallucinations, shaking tremors, high blood pressure, and rapid pulse. This is a medical emergency that can lead to seizures and death if not treated properly with IV fluids, enough valium to reverse the symptoms, and folic acid. ...Read more
Alcohol withdrawal: Within 6-96 hrs after abrupt cessation of drinking, an alcoholic may develop withdrawal seizures followed by confusion, florid hallucinations, tremulousness, disorientation, agitation, even combativeness. This could well be life threatening and must be treated within a hospital, even an icu. Thiamine administration is critical. ...Read more
Delirium tremens: This is a withdrawal syndrome that can happen when you stop drinking alcohol after a period of heavy drinking -- especially if not eating enough food. Symptoms most often occur within 72 hours after the last drink. However, they may occur up to 7 - 10 days after the last drink. These include body tremors, agitation, confusion, hallucinations, sweating, etc. Can lead to seizures. ...Read more
Can be severe: Delirium tremens or alcohol withdrawal syndrome can have very severe symtpoms. These may include tremenulousness, agitation, confusion, hallucinations, high blood pressure, high heart rate, sweating. This can lead to seizures in the extreme cases. The seizures are usually generalized with uncontrolled movements of all of the limbs. ...Read more