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Doctor insights on: Sepsis Order Set

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Who needs medical clearance in order to fly?

Who needs medical clearance in order to fly?

Part 2: Pts with recent hospitalization. Pts with recent heart attacks ( 6 months). Pts with not well controlled diseases like hypertension, diabetes. Pts with significant pain, and more would be better if they consult before traveling by plain or long distances by car or if they travel to a high altitude city. ...Read more

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Dr. William Walsh
450 doctors shared insights

Septic Shock (Definition)

Septic shock. Sepsis occurs when an infections enters & is spread through the bloodstream, potentially causing a marked drop in blood pressure with potential for stroke, heart or ...Read more


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What criteria must an intubated patient meet in order to extubate?

Well...: The patient must be able to breathe on his or her own. The Dr. weans off respirator slowly... ...Read more

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The leukemia patient need to exercise?

The leukemia patient need to exercise?

Exercise: is good for us all but we need to adapt it to our physical condition. Please see your doctor to make sure it is ok for you then start gently, perhaps w/a brisk walk daily. If you feel fatigue please stop. Peace and good health. Yoga can stretch muscles, oxygenate the body, and calm the mind. That's another possible option. ...Read more

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Who sets up the lab value, and it differ from lab to another lab?

Who sets up the lab value, and it differ from lab to another lab?

Varies by region: Lab value norms are set up by regional populations. For instance, people living in new york city will have a slight variation of what is normal for a vitamin d level as compared to those living in miami, florida. The same may be true for potassium, thyroid, blood count, etc. Higher elevations affect norms. Take this into consideration and do not be alarmed - there are many variations all around us. ...Read more

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Is it ethical/legal for blood banks to cite fictional patient cases in an attempt to get donations? ie, "A dialysis patient needs your blood type..."

Is it ethical/legal for blood banks to cite fictional patient cases in an attempt to get donations? ie, "A dialysis patient needs your blood type..."

Probably not, but...: How do you know they are fictional? I don't think any false advertisement is ethical, but there is definitely a need for blood donors for everyone from cancer patients to dialysis patients to trauma patients. So thanks for donating! ...Read more

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What additional training does a nurse need to complete in order to be a cardiac rehab nurse?

What additional training does a nurse need to complete in order to be a cardiac rehab nurse?

Depemds: It would depend on exactly where you are applying for the job. They might well just train any nurse but you for sure would need to get certified in basic and advanced life support. (cpr). ...Read more

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Please explain to me the progression of a URI to sob to sepsis to death within 24 hrs?

Please explain to me the progression of a URI to sob to sepsis to death within 24 hrs?

Aggressive illness: Maddie, there are many reasons why this could happen. Not knowing the specifics, it is difficult to tell. As a guidance, an infection can start as a simple"uri" and as it moves into the bronchial tubes and then to the lung tissue, it can cause significant sob. The infection then can move into the blood stream and cause sepsis and cardiovascular collapse. But, there may be many other reasons.. ...Read more

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Can you explain the physiology of neonatal sepsis?

Can you explain the  physiology of neonatal sepsis?

Not in 400 Letters: Essentially, sepsis is a response to a bacterial infection that spreads to the blood stream, and thus the whole body. In neonatal sepsis, a bacterium is transmitted to the newborn at or around the time of birth, and because of an immature immune system, it spreads to affect all organ systems. It can cause significant damage to the organs because of decreased blood pressure and inflammation. ...Read more

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Would an end stage COPD patient be able to come off ventilator?

Would an end stage COPD patient be able to come off ventilator?

Possible: It is possible but very difficult. There are many factors influencing outcome. Mental status, nutrition, extend of lung disease, cause of lung disease, coexisting infections or heart diseases. ...Read more

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Went to the ER with fast pulse low blood pressure . Was their CBC test sufficient enough to rule our sepsis?

Went to the ER with fast pulse low blood pressure . Was their CBC test sufficient enough to rule our sepsis?

InfectDoesn't=sepsis: Sepsis is at the severe end in a broad range of infection sequelae. A CBC can be quite telling when we are looking for infection, but the physical exam is just as if not more important when looking at a septic patient. They didn't rule-out the diagnosis just based on the CBC, they used it as an added piece of information...another piece in the puzzle to explain your symptoms. ...Read more

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Are doctors/hospitals allowed to send a child with severe epileptic fits home with morphine to die?

Never heard of this: You are describing doctor/hospital assisted suicide, which, other than dr kevorkian, has never existed in the United States. A terminally ill child with on-going epilepsy would be kept within intensive care until stable, and if no hope, would be transferred to hospice care. There would not be this scenario in accredited facilities, with doctors licensed in america, at least currently. ...Read more

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Can your doctors order lab blood tests NY?

Can your doctors order lab blood tests NY?

Yes.: If appropriate for this kind of visit, HealthTap doctors can order certain basic lab tests. Most specialized rare tests cannot be ordered, though. Please set up a virtual consult to discuss - and know that getting to the lab, and payment for the tests, are your responsibility and lab tests aren't covered by your visit cost. Good luck! ...Read more

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Under what circumstance will post streptococcal glomerulonephritis lead to nephrotic syndrome? Will it weaken immunity of reproductive organs?

Under what circumstance will post streptococcal glomerulonephritis lead to nephrotic syndrome? Will it weaken immunity of reproductive organs?

Rarely and no: In nephrotic syndrome there is a large amount of protein in the urine because of abnormally porous filters in the kidneys and is a chronic progressive problem with many different causes. Post strep glomerulonephritis is an acute inflammatory autoimmune disease following a strep infection where even blood cells get thru but usually resolves. Neither affects reproductive organs or their "immunity". ...Read more

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Is anyone familiar with the body chemistry testing you can order and send in yourself?

Is anyone familiar with the body chemistry testing you can order and send in yourself?

Why?: There are various labs where you can order your own lab testing, why would you? Insurance won't pay for it, and who will interpret the results? Making your own conclusions on the basis of results you don't understand is risky at best. ...Read more

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Could a portable neonatal abdomen xray fulfill the requirement that the arrt wants for a pediatric abdomen?

Could a portable neonatal abdomen xray fulfill the requirement that the arrt wants for a pediatric abdomen?

Often, yes: I do not know what 'arrt' means, so i cannot address that specific issue. In the neonatal unit, almost all the abdominal x-rays are done portably. There are specific instances when one wuld need to transport the baby off the unit toget more high quality images or images with contrast such as an upper GI study or esophagram. ...Read more

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What non life threatening injury will make you be admitted into the hospital?

What non life threatening injury will make you be admitted into the hospital?

Hospital admission: Generally, orthopedic injuries that create immediate mobility difficulties will earn a hospital admission. Digit reattachments, loss of consciousness, will also get spomeone admitted. However, it is important to realize that injuries that get an individual admitted to the hospital all have potential to be life htreatening. ...Read more

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I need to have the operations manual for a&b neonate monitoring system?

I need to have the operations manual for a&b neonate monitoring system?

Call: Contact the moniter's company.Using the agency or internet should work. ...Read more

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Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

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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What's a do-not-resuscitate dnr order?

What's a do-not-resuscitate dnr order?

DNR: Is parsed into "levels", but hospitals assume that all patients want "full code" - intubation, counter shock and icu, even in ases where there are no expectations that the underlying conditin can be cured, or meaningful, enjoyable prolongation of life can be sustained. Prolonging suffering and death can ensue, so it is very important to clarify what you r a loved one wants rather than waiting. ...Read more

Dr. William Walsh
1,893 doctors shared insights

Sepsis (Definition)

The body's abnormal response to severe infection. Sepsis symptoms include fever, rapid heart rate and rapid breathing, and bloodwork will reveal elevation of ...Read more


Dr. William Walsh
422 doctors shared insights

Infection In The Blood (Definition)

Septicemia / sepsis occurs when a serious infection has spread through the blood. It can cause organs to stop functioning and in some cases ...Read more