Doctor insights on:
Nursing Diagnosis For Acute Appendicitis
RLQ Pain: Long list including diverticulitis, crohn's disease, pelvic inflammatory disease, cholecystitis(gallbladder), ovarian cyst or twisted ovary, colon cancer, kidney stone, perforated ulcer, pancreatitis, bacterial infection and urinary tract infection to name a few. ...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
Hemopneumothorax: That is the diagnosis; usually results from penetrating or blunt trauma. Evacuating air & blood is priority after ABC stabilization. Pain control is an important nursing consideration. If a result of assault or intoxication, social service/psych involvement is helpful. ...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
Hard to say: It really depends on whether you have any coinfections, and your general physical health (metal toxicity, poor detox capacity and food allergies, adrenal fatigue and low thyroid can all make treatment more difficult) expect treatment to the point of being symptome free to take many weeks at least, many months at worst. ...Read moreSee 1 more doctor answer
See your doctor: Localized small infections can be rinsed with sterile saline and dressed with a topical antibiotic ointment and covered with a sterile dressing. Deeper more involved infections with extending redness past the immediate margins will likely require a more aggressive approach such as incision and drainage, debridement, and oral antibiotic. Consult with your physician. ...Read moreSee 1 more doctor answer
Do your homework: The site is not a shortcut for you to get your nursing homework answered for you. Apply yourself ; acquire the answers from the texts ; sources in your curriculum. To be successful as a nurse you need to do the work ; gain the skills or you will be neither happy or successful. ...Read more
I've been admitted to hospital for severe infection/pain. Is 2 mg of IV morphine consider an effective treatment for pain? Right to ask for more?
Pain management: Everyone experiences pain a little bit differently. 2 mg of morphine is a good place to start -but u may need more depending on a number of factors. I always describe pain as a 'tidal wave' -u need to be out in front before it's crashing over you-then it's harder to catch up. Docs in hospitals sometimes undermedicate because they need to watch u for symptoms that could indicate worsening. Hold on ...Read more
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
Infection...: Acute bronchitis is due to infection of the airways. If the infection is severe enough, it could result in decreased oxygen levels in the body which, in turn, could cause the heart to have a fatal arrhythmia. Fortunately, this does not happen often as most cases of acute bronchitis resolve with treatment. It could also infect the lungs, causing pneumonia, which is sometimes fatal, esp in elderly. ...Read more
Any recommendations for long term follow up for elderly woman hospitalized for UTI ? ?Low dose maintenance antibiotics ?Monthly testing?
Prevention measures: Daily cranberry juice or pill will help to prevent uti. However, if there is multiple uti, then there may be a kidney stone, tumor, incontinence, dryness of vaginia, bladder dysfunction or urethrea problem. Urology consultation is therefore recommended to prevent from having long term UTI problems. ...Read more
Diagnosed with non-specific proctitis. If it is acute, would it last for several months? Colonoscopy negative for IBD. Is retest needed?
Is hospitalization needed for chronic Lyme disease treament (during an intravenous antibiotic treatment)?
Not necessarily: Not necessarily.Get a more detailed answer ›
Gradual testicular pain for 4 months. US + MRI negative. Suspicion orchitis + epididymitis. Surgery for confirmation or antibiotics? Celiac disease.
Is it possible to have acute pyelonephritis with a negative CT scan, urinalysis pos for infection, flank pain, nausea/vomiting, fever?
I believe so: I am not a radiologist, but as a pathologist i can assure you that i've seen cases of pyelonephritis that i'd think are are too subtle anatomically to show on x-rays. White cell casts in the urine establish the diagnosis, and if there's white cells in the urine and flank pain and fever, the presumptive diagnosis is kidney infection, imaging or no. ...Read more
Supportive care: It is treated mainly supportively-i.e. You need to keep yourself hydrated obviously. You can try gatorade, or pedialyte for hydration. What kind of chemo? If no fever, no blood or mucuous in stool- after you discuss with your oncologist- anti diarrhea can be considered. If diarrhea persist for 3 days or more-iv hydration and perhaps antibiotics should be considered. Discuss with onc in detail. ...Read more
Which one is better - colectomy or remicade (infliximab) for left sided colitis? Advice from 2 different gis.
Hard to say: It all depends. Surgery is usually reserved for medically refractory toxic disease or dysplasia/surgery. Most patients with severe disease will have an opportunity to respond to medications such as Remicade (infliximab) or cyclosporin before surgery is performed. Colectomy is curative but having an ipaa also presents problems. ...Read moreSee 1 more doctor answer
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