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Doctor insights on: Sedation In Ventilated Dialysis Patients

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Are dialysis patients with HIV allowed to be in the same dialysis room as other patients?

Are dialysis patients with HIV allowed to be in the same dialysis room as other patients?

Yes: Hiv patients are not segregated from the other patients. All of the dialysis personnel use "universal precautions" and there is minimal risk of any blood contamination. ...Read more

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Dr. Quresh Khairullah
523 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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Why are most patients in the icu sedated?

Why are most patients in the icu sedated?

For various reasons: There are two main reasons to sedate patients. First is for comfort, having a breathing tube or getting stuck for procedure is uncomfortable and allows patient to tolerate these interventions. A second reason is when patients are critically ill you want to control various physiologic parameters such as breathing and heart rate. We sedate people so we can manipulate these factors. ...Read more

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Can kidney transplant patients keep cats in their homes?

Can kidney transplant patients keep cats in their homes?

Yes: Although your body is immunocompromised due to the anti-rejection medications, it is still safe to keep cats in the home. I would suggest keeping the cats away the first 3 months after transplant as that is when you are must at risk for an infection. ...Read more

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Wanted to know if CHF patients in general receive fluids while in the icu?

Wanted to know if CHF patients in general receive fluids while in the icu?

Yes, but not much: Most CHF patient are treated with diuretics, to remove fluid from circulation. In some instances, depending on the cause of CHF, we might give a modest amount of fluid to keep the heart filled properly so it can pump. ...Read more

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Do pts on long term mechanical ventilation (at a vent home) have to be sedated during ventilation hrs? If not, why sedated in hospital setting?

Do pts on long term mechanical ventilation (at a vent home) have to be sedated during ventilation hrs? If not, why sedated in hospital setting?

Depends on Pt., etc.: Sedation for the ventilated patient is dependent upon the patient (level of cognitive/ physical function and level of anxiety), the pt's comorbidities/active medical problems, and vent mode regardless of the setting. No two patients and their hospital courses are alike. Therefore, sedation and comfort plans should be pt.-specific with frequent assessment for appropriate modification if needed. ...Read more

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Can we use bifilac in renal transplanted patients.?

Can we use bifilac in renal transplanted patients.?

Well....: First, this is not a LIVE probiotic if it is a dried capsule. The consensus of benefit is only on LIVE culture. http://www.ncbi.nlm.nih.gov/pubmed/24912386 Vitamin C may cause kidney stones. It is probably helpful in maintaining grafts (in transit, NOT after they are inside someone) but hasnt been shown to do much otherwise http://www.ncbi.nlm.nih.gov/pubmed/25599738 ...Read more

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Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patience/compassion: It is hard to watch a viable adult dwindle in to memory loss as with alzheimer's. Most people who communicate with them have patience, understanding, and can read body language and facial cues. Caregivers remember what these patients liked and how to help them and communicate that to nurses. Art, music, and old pictures reach the long term memories of these patients and that helps. ...Read more

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If heart failure patients retain fluid in their system can they die from drowning?

If  heart failure patients retain fluid in their system can they die from drowning?

Similar: Pulmonary edema from heart failure is an excess of water in the lungs. The water in drowning itself causes problems as it can contain bacteria and pulls water out of the cells in the lung. The water from heart failure, if removed, has not usually caused an injury to the lung itself. If not removed, it will lead to death. ...Read more

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Would an elderly demented person be admitted into icu and put on mechanical ventilation.?

Would an elderly demented person  be admitted into icu and put on mechanical ventilation.?

It happens: Pneumonia, heart failure, stroke, & serious injury are some of the more common reasons; it's important to consider the goals of care & realistic expectations. Patients/family/power of attorney should make it clear what level of support they feel is acceptable. It's ok to make comfort a priority & say "no" to the ventilator. It's also ok to say "yes". Best to discuss this before the crisis. ...Read more

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Are cardiac bypass patients usually put on a vent?

Are cardiac bypass patients usually put on a vent?

During surgery: During surgery, yes. And sometimes for a short period after surgery. ...Read more

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Can kidney transplant patients have cats in their homes?

Can kidney transplant patients have cats in their homes?

Yes they can: No reason not to have cats unless subject or family is allergic to them. ...Read more

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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

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Why aren't terminal patients in pain put into a coma to die in peace?

Why aren't terminal patients in pain put into a coma to die in peace?

They sometimes to be: It depends on the patient's goals of care. Some want to remain as alert as possible and are willing to suffer to remain alert. Others do not but can be managed with pain medications yet remain alert. Others however require higher doses and the only way relief is found is when they are sleeping, in which case "sedation for refractory symptoms" is used when nothing else has worked. ...Read more

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Do all patients in a mechanical ventilator need to have tracheotomy procedure done?

Do all patients in a mechanical ventilator need to have tracheotomy procedure done?

Trach with vent: Patients who have issues with their anatomy that would prevent effective ventilation with an endotracheal tube or those who may need ventilation for long periods of time are candidates for tracheostomy. ...Read more

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Oncology: Who are the best candidates to receive 24 hour IV chemotherapy in a hospital setting vs. 6 hour out patient? Thank-you.

Oncology: Who are the best candidates to receive 24 hour IV chemotherapy in a hospital setting vs. 6 hour out patient? Thank-you.

Inadequate info: It would seem, by your question, that there was a specific cancer you were asking about. If not, then more specific information needs to be provided in order to answer. ...Read more

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How useful is the hyperbaric oxygen therapy in elderly patients with diabetes?

How useful is the hyperbaric oxygen therapy in elderly patients with diabetes?

Agree w Dr. : Del rosario. Hyperbaric oxygen therapy (hbot) has very specific uses. Being elderly or having diabetes are not indications for use of hbot. However, a person who is elderly or diabetic may have a medical issue that could be addressed with hbot. ...Read more

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