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Doctor insights on: Treatment Patients Inhalation Anthrax

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Which antibiotics does CDC recommend for prevention of inhalation anthrax?

Which antibiotics does CDC recommend for prevention of inhalation anthrax?

Prevent- vaccination: Biothrax is an acellular anthrax vaccine which is used in the United States for prevention of anthrax. ...Read more

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Can oxygen therapy be used to prevent cough in bronchiectasis patients?

Can oxygen  therapy be used to prevent cough in bronchiectasis patients?

No: Oxygen therapy is only used in patients with advanced bronchiectasis who have difficulty maintaining normal oxygen saturations. To prevent cough in patients with bronchiectasis, it is important to remove the excess mucus from the airways by use of mucolytic therapies (inhaled hypertonic saline) & physical techniques to mobilize the mucus (chest vest, acapella, flutter etc.). Talk to a lung doc. ...Read more

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How effective is hyperbaric oxygen treatment in curing Lyme disease?

How effective is hyperbaric oxygen treatment in curing Lyme disease?

My response is: Is in between that of dr. Bolhack and dr. Baker. Lyme disease is not an approved indication for hbot. While the study that dr. Baker referred to sounded promising, i don't believe any conclusive statement can be made. ...Read more

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Is an inhaler commonly given to patients with acute bronchitis?

Is an inhaler commonly given to patients with acute bronchitis?

Not uncommon: If symptoms of sob and broncho-constriction are present on exam, then the rx of an inhaler (broncho-dilator) is often provided with other treatments. ...Read more

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Are antibiotics effective for patients with bronchitis?

Are antibiotics effective for patients with bronchitis?

Sometimes...: If the person has acute bronchitis caused by a bacterial infection, then antibiotics will be effective. However, most cases of acute bronchitis are due to viral infections and antibiotics are completely ineffective for viral infections. See your doctor who can diagnose the etiology of the infection, . ...Read more

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Can medications for asthma treatment be administered via picc line?

Can medications for asthma treatment be administered via picc line?

Not for control.: There are no maintenance medications for asthma that are administered iv. A few acute care meds are given IV and could be administered via picc, but that would only occur when you asthma is not well controlled. Better to use inhaled medications to keep asthma well controlled and stay out of trouble. ...Read more

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Can radiation treatment cause pneumonia?

Can radiation treatment cause  pneumonia?

Yes: It is called radiation pneumonitis. Not an infection but it is damage caused by the radiaton to the lung tissue. ...Read more

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How effective is hyperbaric oxygen therapy in elderly patients with diabetes?

How effective is hyperbaric oxygen therapy in elderly patients with diabetes?

Yes. No. Maybe.: While hyperbaric oxygen therapy (hbot) is a great treatment for diabetic foot ulcers, it only works as an adjunct. You have to control the diabetes, restore as much blood flow as possible, perform standard wound care, and "do all the other stuff right, " first. Age is not an obstacle, but hbot will not do any good if the diabetic patient does not have an ulcer (i.e., a wound or break in the skin). ...Read more

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How effective is tracheal intubation for treating cardiac arrest?

How effective is tracheal intubation for treating cardiac arrest?

It is part of ACLS: securing airway with the breathing tube is the recognized part of the Advanced Cardiac Life Support algorithm, i.e. it is very effective. However, cardiac arrest per se in adults often happens due to abnormal electrical activity in the heart and that is why defibrillators, whether in the healthcare facilities or for public use, are recommended to be used first. ...Read more

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Why's intravenous therapy given to mi patients?

Why's intravenous therapy given to mi patients?

To break up clots: Intravenous therapy in acute mi often is a drug to break up clots. Also IV access is needed if needed to help resuscitate a patient with acute mi, by giving fluid for low blood pressure and rhythm drugs for arrhythmias. ...Read more

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What's the general treatment for patients with hospital acquired pneumonia with risk of pseudomonas?

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

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Are steroids generally prescribed for treating a lung condition?

Are steroids generally prescribed for treating a lung condition?

Yes.: Corticosteroids are a class of drugs used to treat some lung diseases. These steroids help to decrease inflammation and are different from sex steroid and anabolic steroids. Corticosteroids should be used only under the close supervision of a health care provider, as these drugs can have serious side effects. ...Read more

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Can COPD patients use glutathione in a nebulizer?

Can COPD patients use glutathione in a nebulizer?

Use as mucomist: Glutathione is end product of n-acetyl cysteine since glutathione gets degraded quickly you need the precursor. So for COPD use mucomist which is nac in liquid form smells like sewage so i prefer the capsule to avoid this. John hopkins univ did a critical care seminar and they are using nac for acute kidney failure too. ...Read more

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Best medication or other treatment for asthma exacerbation in adults?

Best medication or other treatment for asthma exacerbation in adults?

Depends: Its tough to say with knowing your history. However, typically, asthma exacerbations are treated by increasing the frequency of rescue medications either by inhaler or nebulizer. Depending on dose, you inhaled steroid my be increased. Oral steroids are very common practice. If the exacerbation is really bad, you may need to be hospitalized and placed on heliox. ...Read more

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What precautions are required for health care workers when treating patients with herpes encephalitis?

What precautions are required for health care workers when treating patients with herpes encephalitis?

Contact precautions: Use contact precautions, as herpes simplex is contagious mainly by contact with an infected person's sores. A never-infected person, without protective antibodies, could catch herpes from a patient with herpes encephalitis, but he would likely just get a typical herpes infection and future recurrences of sores. It is very unlikely that he would get encephalitis, because encephalitis is quite rare. ...Read more

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Will steroid therapy help a person with acute interstitial pneumonitis?

Will steroid therapy help a person with acute interstitial pneumonitis?

We don't know. : Aip, or haymann-rich syndrome, is a usually severe inflammatory disease of the lungs. It is somewhat rare and is a diagnosis of exclusion. Fungal infections, strange bacteria, and aids-related infections must be ruled out prior to this diagnosis. It can be a rapid and severe disease, requiring pts to be in icu. Steroids at high doses are a recommended tx, but there is little evidence. ...Read more

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