Doctor insights on:
Nursing Diagnosis For Nephrectomy
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
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
How many minimum sittings for chemotherapy is required for 2nd stage breast cancer after mastectomy. Is it necessary.
Depends: As much as possible, most surgeons do not recommend complete mastectomy surgery for breast cancer unless there is no other surgical option. Lumpectomy or partial mastectomy can be done for some patients. Reasons for mastectomy may be large cancers, ulcerating cancer, inflammatory cancer, multiple sites of cancers, extensive dcis , cancer already metastatic. Ask your oncologist for opinion too. ...Read more
Small catheters: Nurses use small plastic catheters inserted down endotracheal tubes to clear airways of secretions. ...Read more
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
Be there often: I tell my breast cancer patients to be ready for a tough year. The diagnosis of breast cancer is often initially is tough. But surgery is only the first and sometimes the easiest part of treatment. The patient may also need radiation therapy and chemotherapy which can take close to a yr to complete. Make sure you are still offering support 3, 5 and 12 months down the line. ...Read moreSee 1 more doctor answer
Mom going for chemotherapy(gemcitabine) for gallbladder cancer 4th stage with severe lung mets, she is with home oxygen, does chemo worthful?
Palliative care.: Treatment for stage 4 cancer is mainly palliative, menaing to improve symptoms and hopefully to prolong life. Based on your age, your mom is probably in her late 70s or 80's. With her on home oxygen because of diffuse lung metsand at her advanced age, we should be careful and realistic about her treatment. You and mom should have a thorough discussion with her oncologist about his goal for her. ...Read moreSee 2 more doctor answers
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
Depends: The choice between mastectomy (either one or both breasts) and lumpectomy depends on many factors including genetic issues, size of the cancer and of the breast, location, and many others. It is a choice to be made by both the surgeon and the patient after a thorough discussion. ...Read more
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