Doctor insights on:
Treatment For Peritonitis In Pd Patients
A patient with 5-year history of Parkinson's disease, takes no drug treatment.Is there any advanced treatment protocol to this condition in the US?
Sort of: We have some newer forms of L-DOPA, like Duodopa, and Rytary, and Deep Brain Stimulation seems to be used earlier and in more patients, but otherwise, not any profound advances, so far. However, loads of research programs under supervision of some outstanding Movement Disorder Specialists. If you are available, there may be some areas of benefit to consider. ...Read moreSee 1 more doctor answer
Colitis is inflammation of the large intestine. It can be from parasites, bacteria, or other causes. Clostridium difficile is a bacteria that cause mild to fatal symptoms. Diverticulitis is inflammation of pouches that can occur in the large intestine usually seen with age. It is usually provoked by seeds entering the pouch and not being able to exit. Flagyl is ...Read more
What is the typical stay in the hospital for a stage 4 cancer patient with pneumonia? IV antibiotics. No complications to severe complications.
What are the possible negative outcomes for emergency IV fluid treatment for a patient with low blood pressure who also has end stage renal disease?
Dialysis patient: The fact that needs to be ascertained is what the low BP was caused by. Was the patient bleeding or have a heart attack? When was the patient's last hemodialysis? Iv fluids may be appropriate in the short term and the object of therapy is to find the cause of the low BP and treat it. I assume that the patient is in the hospital and can be dialyzed for fluid removal with pressors to raise it. ...Read moreSee 1 more doctor answer
Complicated: The rx would be antibiotics for the treatment of the infection, and supportive care. The supportive care needed depends on how sick the patient is, and can range from supplemental oxygen to needing a breathing tube and support with a mechanical ventilator, other kinds of critical care support, such as fluids & drugs to support blood pressure may be used. Sometimes steroids for inflammation. ...Read moreSee 1 more doctor answer
What are the treatment options for a patient who has hyperphosphatemia, hypercalcemia, and chronic renal failure?
Need some basic knlowledge about consolidations chemo treatments for aml npm1 after the first two chemo treaents in the hospital .?
Usually cytarabine: This mutation is associated with responsiveness to chemotherapy. The typical treatment for consolidation is Cytarabine in high dose. There other other types of consolidation programs. Your oncologist should discuss the options in detail. Good luck. ...Read moreSee 1 more doctor answer
What's the general treatment for patients with hospital acquired pneumonia with risk of pseudomonas?
Pseudomonas: This organism can be difficult to treat when causing pneumonia, but there are several antibiotics that may be quite effective when combined with intensive pulmonary care. The choice will depend upon the in vitro sensitivities of the strain isolated, or in the alternative on what strains in the hospital are showing in general. You need an infectious diseases expert involved. ...Read more
What's the care plan for patient with nephrotic syndrome and diagnosed with ineffective tissue perfusion , renal?
Depends: It depends on if it is steroid responsive or not. Treatment can vary - it needs to be individualized. ...Read more
Mum, 92, 2cm cancerous lump found in scan for gallstones. Waiting for colonoscopy & CT results, what treatment options are for such elderly patients?
Depends: Mostly depends on the person's overall health and activity level, not just age. Where is the lump? How is it known to be cancerous on only a gallbladder study? Would need more detailed information, but if it is a cancerous tumor that is contained or localized, then surgery should be fine depending on the overall health status (and depending on what organ may have the tumor). ...Read more
See below: At this point there is no cure for als. There is a medication that may slow the progression but it is not a cure. Als can progress at different rates in different people. I have known some people who lived much longer that was predicted. There is a lot of research being done and someday in my lifetime, i hope there will be a cure. ...Read moreSee 1 more doctor answer
Are there IV drugs for ovarian cancer patients with low WBC count and severe diarrhea? (oral fluids/food not allowed)
Ovarian cancer: It sounds as if she needs IV fluids first. Then it needs to be known by she has diarrhea. Is it because of an infection (c. Diff) or a side effect o treatment (chemo causing diarrhea). Hydration is key to make sure she doesn't get sicker. The antibiotics and the anti-diarrheals are best when given orally. If she is having a lot of diarrhea, she should see her doctor or go to the er. ...Read more
Which nursing interventions are most appropriate for the patient diagnosed with fluid volume deficit after paracentesis..?
Multiple things: Paracentesis is done to remove fluid from the abdomen for a number of reasons, diagnostically or therapeutically. Diagnostic paracentesis usually removes only a small amount of fluid and is generally not associated with fluid deficit. Large volume paracentesis can be associated with hypotension (particularly orthostatic), tachycardia, diminished urine output. Keep IV patent, give Albumin as rx. ...Read more
Is chronic sinusitis treatment with prednisone (total 275mg in 20d)and antibiotics beneficial for diabetic with thyroid problems?Or priority tosurgery
Diagnosis: 20 days of Prednisone is too long for the treatment of sinusitis. The usual dose is 60 mg. Daily for 5 days. The Prednisone can have an effect on your blood sugar. If the cat scan reveals chronic sinusitis and you have been on multiple antibiotics and you are symptomatic, that is, yellow green nasal discharge, pain and pressure in the face for more than 90 days. Surgery is appropriate. ...Read more
Stage 4 RF: Stage 4 patients have GFR between 15 & 30. I approach this from the standpoint of preserving what kidney function you have, not life expectancy. Ways to do that - watch your diet and avoid foods that have lots of potassium and salt; limit protein intake; watch your weight; take all medicines prescribed; see your doctor regularly. Look here : http://www.Kidneyfailureweb.Com/prognosis/221.Html. ...Read more
PT for epilepsy: Most people with epilepsy will not need PT. Sometimes injuries occur during a seizure, such as shoulder dislocations, which PT would help. Perhaps learning what to do for someone who has a seizure would be a good lesson. http://www.nhs.uk/Livewell/Epilepsy/Pages/Ifyouseeaseizure.aspx Some people with epilepsy may have trouble walking, PT would be suitable for them. ...Read more
Good: Initial severity and cause - dictates long term outcome. ...Read more
NO: Bcg is a strain of the attenuated (weakened) live bovine tuberculosis bacillus used as a vaccine against tuberculosis. Its used in treatment of superficial bladder cancer since late 1980s. Instillation of bcg into the bladder is an effective form of immunotherapy in this disease. While the mechanism is unclear, it appears a local immune reaction is mounted against the tumor. Its not contagious. ...Read more
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