Doctor insights on:
Nursing Diagnosis For Epistaxis
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
Edema,sob,weakness: Although, this could be caused by other diseases, CHF is the first thing that should come to your mind if you have a patient with increasing leg edema and shortness of breath and crackles in the lungs with congested neck veins. These patients need prompt medical attention including diuresis, salt and fluid restriction, and work up for the reason for the development of chf. ...Read moreSee 1 more doctor answer
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
Geriatrics: when looking for skilled nursing care center for a 90 year old frail but social parent, what are the most important considerations?
Informed decision: 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 moreSee 2 more doctor answers
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
Yes: There are many different kinds of brain bleeding and there are guidelines out there for many of them. The american heart/stroke association has guidelines for intracerebral hemorrhage and subarachnoid hemorrhage. The neurocritical care society also has subarachnoid hemorrhage guidelines. The brain trauma foundation has guidelines for traumatic brain bleeds. Do you have a specific question? ...Read moreSee 1 more doctor answer
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
Would doctors check for pernicious anemia with standard hospital bloodwork for a 58 yr old female admitted with confusion?
Geriatrics md: how could daughter sign mom up for nursing home without consent and then deny medical sibling access to info?
Need a bit more info: What state are we talking about? Does daughter have durable power of attorney? What do you mean when you say "medical sibling"? The best thing may be for you to discuss this with a lawyer who deals with these issues on a regular basis. ...Read more
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 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
Drain,antibiotics: The treatment af any abcess regardless of location is drainage and IV antibiotics. Lung abcess sometimes drain into the tracheobronchial tree, sometimes spontaneously drain into the pleura thus causing empyema others require surgical drainage. This is a very serious complication of pneumonia. See your thoracic surgeon. ...Read moreSee 2 more doctor answers
Complicated: Carbapenems combined with fluorinated quinolones would probably be best. Aminoglycosides do not penetrate lung tissue very well, but might be added by inhalation to minimize the degree of tracheobronchial colonization. Best would be to determine the degree of hypersensitivity reaction to pcn and think about desensitization if the strain is multiresistant. ...Read more
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
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