Doctor insights on:
Nursing Care Plan For Acute Coronary Syndrome
What's the care plan for patient with nephrotic syndrome and diagnosed with ineffective tissue perfusion , renal?
Depends: It depends on if it is steroid responsive or not. Treatment can vary - it needs to be individualized. ...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
Primary percussionist coronary intervention is preferred re-perfusion method for STEMI if within 90min, but also preferred in pt w/ >3hrs from onset ?
Presume you mean: I presume you mean that interventionalist tries to achieve a door to balloon time of 90 minutes or less which is the benchmark for centers offering emergency Angioplasty for acute MI. This is the time from admission to the time the balloon is inflated in the cath lab. Angioplasty can be offered if the attack occured 3 hours or less. The shorter the interval the better the outcome ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Does medicare pay for long term care non-acute medical care or custodial care? I'm referring to dementia class patients.
Rest and fluids: Post cardiac cath. Pts should rest and not lift greater than ten pounds or drive for 48 hrs. Drink plenty of water to flush out the dye and keep an eye on the access site for pain or color change. After 48 hrs if no isues are noted patient can resume normal activities. Meds such as glucophage or Coumadin (warfarin) special instructions for restarting will be given. Notify your dr if pain fever numbness etc. ...Read moreSee 1 more doctor answer
A/N/V/dizziness: If i understand question correctly, the nursing diagnosis should mainly address the actual signs and symptoms. So, severe dehydration should not be nursing diagnosis since technically you may call volume depletion by mistake a dehydration. But would be appropriate to say dizziness, weakness, low blood pressure as these are not disputable and not amenable to error. ...Read moreSee 1 more doctor answer
Is there any proper treatment for viral encephalitis with polycythemia ? Pt is 17 years old and over 6 month in icu waiting for good treatment
Missing information: You get more from the site when you provide better background information. Just listing "Viral" doesn't give much to work with. If it has lasted 6 mo and the patient is in the ICU I suspect it is Herpes encephalitis that has not responded to treatment and the prognosis is poor. Once the infection has lasted that long the damage is often permanent. ...Read moreSee 1 more doctor answer
Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?
COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more
If a patient is committed to a psychiatric hospital for long-term care, what type of care would they receive?
Multidisciplinary: In long-term hospitalization, there are are multiple avenues of treatment, some of which depends on areas of interest or focus in a specfic hospital. In general, you can expect medication treatment, individual and group therapies, and various recreational and activity based therapies. Family therapy will also be used as needed. ...Read moreSee 2 more doctor answers
Advanced cardiac issues- how can a patient obtain treatment w/o health insurance or medicare coverage while waiting 2 yrs. For the ssi/cal program?
FQHC : Seek out a fqhc near you. Federally qualified health centers are the best places for uninsured or underinsured patients to recieve their care. ...Read more
Icu 'intensive care unit' emergency. is it possible that somebody can get better after 'restarting' their heart?
Yes: The reason coronary care units were invented in the 1960s was from the observation that many people who sustain a sudden cardiac arrest during a heart attack or acute illness can get better and live many more years if they can be quickly resuscitated. Prior to ICUs and CCUs, they were left in unmonitored beds and were just found dead in their rooms hours after the event. ...Read more
Care: Depending on the degree of stenosis, patients should avoid exertion that can cause passing out. Best is to do light activities and not to exercise (more than casual walking). Control fluid and salt intake to avoid fluid overload. Use meds judiciously to prevent fluid overload or passing out due to low blood pressure. Get the surgery done soon! ...Read more
I need a link for physiotherapy role in an inpatient hospital ? Different departments especially chest, ortho and icu
Here you go....: http://www.hhnmag.com/hhnmag/jsp/articledisplay.jsp?dcrpath=hhnmag/article/data/09sep2011/0911hhn_fea_clinical&domain=hhnmag it's very useful in many settings. ...Read more
Can you weigh the benefits of in-patient and out-patient, hospital and home care for palliative care?
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