Doctor insights on:
Pneumonia In Elderly Prognosis
Good: The chances of getting lung infections increases with age and underlying diseases, but is far more common in those over the age of 60. Pneumococcal pneumonia used to be called the "old man's friend" because it would produce death in elderly individuals with chronic diseases that were debilitating. ...Read more
If they lie down.: If they lie down for a long time, especially on his/her back. ...Read more
Generally: It depends on the virus - there are outbreaks where the old and very young appear to have been spared for unclear reasons while those in the prime of life are most affected (e.g. The h1n1 outbreak). In most cases, however, the very young and elderly are more vulnerable due to either a fading immune system or an immature one. ...Read moreSee 1 more doctor answer
All of them: Elderly get all the same diseases as the young ones.. Sometimes immunity wanes and vaccines get forgotten so they are prone to many of the same illnesses as unvaccinated children. Most contagious disease though is mild and viral ( not amounting to a pneumonia) and there is no vaccine for that. ...Read more
Sputum culture: Nosocomial pneumonia most commonly are Gram negative bacteria, MRSA, fungal organisms such as Candida. Sputum cultures and sensitivities determine which antibiotics are most appropriate . But because the culture takes about 48-72 hrs , initial regimens include a second or third generation Cephalosporin plus a Quinolone. Institutions where there is prevalence of MRSA , Vancomycin is chosen. ...Read more
Should an elderly wiman sleep in a room with temp below 50 degrees when she is having respiroty problems, just got over pneumonia.
Yes: It is more dangerous in that more severe illness and even death is statistically more common in the very young or the elderly. In both age groups pneumonia is still usually readily treatable with appropriate antibiotics and support. The highest risk of serious illness occurs not just with age, but with the existence of some other underlying disease. (cancer, heart disease, hiv, etc.). ...Read moreSee 1 more doctor answer
Depends: This depends on many factors - what bug, how strong is the person's immune system, how quicky treatment was started, how many organs are involved, etc. Sometimes even severe cases of sepsis can be treated successfully with complete recovery. Other times we are not as lucky. ...Read moreSee 1 more doctor answer
For an elderly with dementia, to further avoid aspiration pneumonia should we replace the peg tube for a pej one. Is that an option?Consequences? Thx
Yes it is an option: If she is having aspiration while receiving feedings via a peg tube, conversion to j- tube should diminish aspiration from gastric reflux( assuming there is no obstruction distally in the GI tract). If the aspiration is from swallowing, conversion will not help. If her dementia is profound, it may be helpful to discuss both medical and life goals with her physician or ethics board. ...Read moreSee 2 more doctor answers
This is a hypothetical scenario If an elderly pt is hypotensive eg BP in recent days 116/59, 107/59, 104/69, 112/69, 102/62 & 106/70 & is in pain could regular hydromorphione lower BP too much or affect other vital signs if pt has pneumonia & sepsis?
Every year I have my 96 yr-old mother vaccinated against influenza. However, it is always possible that she could contract influenza before then. Can influenza be sufficient to kill an elderly person by itself or is it only if it leads to pneumonia?
How appropriate is a regimen of augmentin (amoxicillin and clavulanate) and azithro for rx of nosocomial pneumonia in elderly male not responding to moxifloxacin?
Not- if right dx: I would first step back and ask how the diagnosis of nosocomial pneumoina was made? There is specific criteria for the diagnosis since it implies the presence of multidrug-resisistant bacteria, for which amoxicillin-clavulanate and azithro is less effective. The combination stated seems more appropriate for coverage of community acquired/aspiration/atypical pneumonia ...Read more
Elderly mother survived pneumonia, "c diff", 2 consecutive uti's, and fecal impaction, resulting delirium. Can she come back to herself?
Usually is not good: Regardless of etiology, uip is relentlessly progressive, usually leading to respiratory failure and death. Some patients do well for a prolonged period of time, but then deteriorate rapidly because of a superimposed acute illness (so-called "accelerated uip"). The outlook for long-term survival is poor. In most studies, the median survival is 3 to 4 years. ...Read more
Yes: This is the name for the pathology of a disorder called pulmonary fibrosis. This is a progressive disease, which has no cure, how fast it progresses can vary, and if personally affected by this or if one of your loved ones is so affected it is best to discuss the details with your doctor. ...Read more
I'm very sorry: I'm very sorry because likely either you or an individual you care about is affected by this cancer. No physician has a crystal ball, but tumor type, size, and patient's health condition all play a role. Some non-small cell lung cancers may have genetic mutations (EGFR, Alk, Ros) that may be sensitive to "targeted therapies" which may prolong, but are unlikely to cure the disease. Good luck! ...Read more
Pan can stage 4. In the hospital with serious pneumonia for over 2 weeks so far. What is the patients prognosis if they make it out of the hospital?
Varies: If bacterial pneumonia with fluid= effusion are caught and treated early and with appropriate antibacterial agents, then full recovery is likely. If the effusion is large, drainage by thoracic tap="thoracentesis can be diagnostic and therapeutic. Depending on age, smoking, etc. One likely needs cut scan and maybe bronchoscope to rule out cancer of the lung causing the pneumonia. ...Read moreSee 1 more doctor answer
Possible affects of being HIV positive and heptitis c for 25 years
after pneumonia and gbs and milfis var. Prognosis?
Q not clear: Please rephrase your question. What is milfis? ...Read more
66 year old male, overweight. Had a tumor on his pancreas removed. Developed pneumonia and high fever and slipped into coma. Prognosis?
Tough one to answer: Difficult to determine prognosis based on this information. Depends on the cause of the 'coma'. Is it just related to the infection, to the surgery, due to heart issues, due to a stroke, due to medications...Lots of things contribute to unresponsiveness in someone who is so sick. ...Read more
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