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Doctor insights on: Nursing Care Plan For Hypertension Gout Cva Seizure Sleep Apnea

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Can sleep apnea induce seizures in a non epileptic patient?

Can sleep apnea induce seizures in a non epileptic patient?

Unlikely: Highly unlikely but in a patient with known seizure activity.. Sleep apnea can make the seizure activity worse. ...Read more

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Dr. Marvin Ott
324 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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14 month cirrhosis lt ..58/f. Hbp, diab. Asth/w several infections. Pt/arm. Memory.Back sleep.. Moods..Caregiver 60%. Work possible? Adm position?

14 month cirrhosis lt ..58/f. Hbp, diab. Asth/w several infections.  Pt/arm. Memory.Back sleep.. Moods..Caregiver 60%. Work possible? Adm position?

What is your ?: Are you asking if you can work with these medical problems? There is no way anybody can answer this question without a good history, physical examination and possibly lab tests. How well are all of these being treated, or are they being treated at all? What is the underlying causes of some of these problems? These are questions you need to be asking one or more of your medical providers. ...Read more

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I'm 61 w/heart, brain, kidney conditions including chf, af, bypass, lacunar stroke. I'm avoiding md visits i need. Could a case manager help me?

I'm 61 w/heart, brain, kidney conditions including chf, af, bypass,  lacunar stroke.  I'm avoiding md visits i need. Could a case manager help me?

No.: A case manager is not a replacement for your doctor by any means. With all those underlying medical conditions, you should be getting care regularly. You can avoid the doctor, but you won't be able to avoid the problems your diseases are bringing. Good luck! ...Read more

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Safe to work 3rd shift job if seizure disorder completely under control for six months with meds? Any relationship night shift/seizures if epilepsy

Safe to work  3rd shift job if  seizure disorder  completely under control for six months with meds? Any relationship night shift/seizures if epilepsy

Pace yourself: Glad to hear that your seizures are controlled with lamictal, a quite effective drug. However, you do need to know that sleep deprivation and/or shift work changes in your sleep pattern could possibly increase risk of break-through seizures. Please discuss with your doctor, if work schedule not changeable, as during waking state can use nuvigil, and when wears off, you can sleep better. ...Read more

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Can Status epilepticus be pseudo from PTSD? x19hr total loss aware No+EEG during prob to med given for seize Rpd slwng brain wvs 1rst epilepsy event

Can Status epilepticus be pseudo from PTSD? x19hr total loss aware No+EEG during prob to med given for seize Rpd slwng brain wvs 1rst epilepsy event

What was happening: During the status. Were you having tonic clonic movements or were you in a post ictal or other form of unconsciousness? Seizures can result from a number of medical illnesses. Temporal lobe seizures can be hard to find on an EEG but during a seizure there should be something. I am suspicious that something else may have been happening and would welcome further information . Exam and labs. ...Read more

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I get morning migraines heada%e7he from lack of oxygen due to sleep apnea induce asthma attack at night. Cpap triger asthma attacks with coughing spel?

I get morning migraines heada%e7he from lack of oxygen due to sleep apnea induce asthma attack at night. Cpap triger asthma attacks with coughing spel?

Dryness?: One of the chief complaints of CPAP is dryness which may contribute to your asthma. Humidification can be added to your CPAP device, and another comment would be about the proper cleaning of the unit. ...Read more

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Bp constantly 160/80 despite micardis (telmisartan) 80, norvasc 5, labetolol 50. Pulmonary htn with ckd, lupus.. imdur, diuretics not advised by md. Other choices?

Bp constantly 160/80 despite micardis (telmisartan) 80, norvasc 5, labetolol 50. Pulmonary htn with ckd, lupus.. imdur, diuretics not advised by md. Other choices?

160/80: There seems to be much going on and not fully helping you. For now please check your blood pressure every other morning and every other alternate night. I suspect that the blood pressure data will be different from day to day, in which case you must contact your doctor for treatment advice. Please let me know how things develop. ...Read more

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Is sleep apnea related to COPD and/or asthma? What are some effective treatments for someone with sleep apnea and COPD - cpap, bipap, pillows?

Is sleep apnea related to COPD and/or asthma? What are some effective treatments for someone with sleep apnea and COPD - cpap, bipap, pillows?

Here we go?: No, not related. Treatment is with a c-pap machine are others as you listed. Care is directed by someone trained in sleep disorders. You can have COPD and other lung diseases but not related to sleep apnea. Together, they are difficult. ...Read more

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When should medical attn be sought for alcohol withdrawal? Drinking 7-8 beers/night for 2 yrs. Sober 48hrs. Nitesweats, fast heart, sleep trouble

When should medical attn be sought for alcohol withdrawal? Drinking 7-8 beers/night for 2 yrs. Sober 48hrs. Nitesweats, fast heart, sleep trouble

Usually: Symptoms are not apparent for 5 days or so after the last drink. However i would seek medical attention based on what you are reporting. ...Read more

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What's the prognosis for frail geriatric esrd patient with 3-weekly hd, uncontrollable BP (> 180/100) and dm (fasting blood sugar >350)?

What's the prognosis for frail geriatric esrd patient with 3-weekly hd, uncontrollable BP  (> 180/100) and dm (fasting blood sugar >350)?

Prognosis: You probably don't need a doctor to tell you these parameters are not suggestive of a favorable prognosis ... Dialysis patients are very challenging and a team effort needs to be made to change coarse good luck. ...Read more

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How to first aid a patient having epileptic seizures ?!

How to first aid a patient having epileptic seizures ?!

Safety: Make sure that the patient is not in a situation where he or she can hurt themselves such as by falling or hitting something hard, turn them on their side to keep tongue or other material from blocking the windpipe, call for help. ...Read more

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Bi-polar, aspergers. Huge weight gain last 6 months. Taken of sleeping aids. Therapist/nuitritionist suggest k2 & calm for sleep.

Bi-polar, aspergers. Huge weight gain last 6 months. Taken of sleeping aids. Therapist/nuitritionist suggest k2 & calm for sleep.

Psychiatric review: Before running down the sleep supplement route when on medication is it always wise to talk to the prescribing psychiatrist - some supplements can be problematic depending on your meds - and too many cooks spoil the broth. Some psychiatric meds can cause weight gain - this should all be reviewed medically. ...Read more

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5 hrs sleep= easy to wake but not refreshed. 7+= headaches, oversleeping, coma like. Worse with Trileptal (for bipolar). Blood sugar crashing @ night?

5 hrs sleep= easy to wake but not refreshed. 7+= headaches, oversleeping, coma like. Worse with Trileptal (for bipolar). Blood sugar crashing @ night?

Blood sugar: Possible. One quick way to tell - don't eat any refined carbs (bread, regular potatoes, etc.) for dinner. At bedtime, have a snack of some celery and peanut butter. The peanut butter "burns slowly" in your body. If you feel better in the A.M. - that was it! you should also have a fasting Insulin checked in the A.M. To see if you are "hyperinsulinemic." that could mimic what you describe. ...Read more

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Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read more

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History of hypertension, pre-diabetes, anxiety disorder on SSRI, heart attack. Is Nyquil safe?

History of hypertension, pre-diabetes, anxiety disorder on SSRI, heart attack. Is Nyquil safe?

Many issues: Forget about pre-diabetes, at least for now. If you haven't seen a psychologist you should ask for a referral. If you already have a psychologist ask your friends if they might know someone else. You should be seeing your cardiologist regularly. ...Read more

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Dx CHF 2012 in ICU, problems since.History septal infarct,flutter. Tired, weak, arrhythmic, SOB, pain.No drugs/alcohol. Health not great. Help please.

Dx CHF 2012 in ICU, problems since.History septal infarct,flutter. Tired, weak, arrhythmic, SOB, pain.No drugs/alcohol. Health not great. Help please.

U need Cardiologist: The problems you indicate are important. Coronary artery blockage, atrial flutter, heart failure, medication side effects are all possible causes of your symptoms. Hopefully u have a heart doctor. U need to sit with him/her and go over everything. Best Wishes. ...Read more

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What health education can be given to a 54 year old male patient with congestive cardiac failure, hypertension and obesity to ensure a long healthy l?

What health education can be given to a 54 year old male patient with congestive cardiac failure, hypertension and obesity  to ensure a long healthy l?

Cardiac Rehab: Some hospitals have cardiac rehabilitation departments like a gym but w/expert advice and supervision. Please see your doc to get a prescription to attend. If not available see doc for advice or for referral to a nutritionist or personal trainer. Peace and good health. ...Read more

Dr. Patricia Mcgarry
444 doctors shared insights

Obstructive Sleep Apnea (Definition)

Sleep apnea has two causes. It may be 'central' or 'obstructive'. Central apnea occurs as a disorder in the way the brain controls breathing. Obstructive sleep apnea is much more common and involves an anatomical blockage of the airway. Usually, the tongue blocks the airway, preventing the passage of air between the a sleep study is needed to diagnose particular ...Read more


Dr. Patrick Melder
1,062 doctors shared insights

Apnea (Definition)

This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more