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Why Are Patients With Copd Given Oxygen Supplement In Low Amounts Of 2lmin
For what reason should patients with COPD be given low flow concentration (1-2l/min) supplemental oxygen?
COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. ...Read more
At what point erythropoitin supplementation given to patients deficient of erythropoitin?What are the side effects?
Depends.: For dialysis pts - if symptomatic as a result of anemia it may be reasonable to use epo at a HGB of 11 g/dl. Otherwise 10 is the standard. For other diseases anemia associated with epo levels in the 100-500 range is typically the trigger. Side effects are headache, hypertension and influenza like syndrome. In cancer patients there is a risk of blood clots. ...Read more
I know that iron pills in SCD are useless because of rapid RBC death but what about the trait? Is iron helpful in iron def. anemia with SCT?
Production,destructi: Think of a 2 part system; one side produces something and one side destroys same thing. In SC disease the person has a hemoglobin which has enough iron but the RBC is not flexible enough so it is destroyed more readily by the body. It is not a problem with too little being made (iron deficiency) but a problem with excess destruction. ...Read more
Low blood oxygen: At the advanced stages of copd, the lungs do not perform their function well, oxygen has a harder time crossing into the blood stream. At this point, the body is not getting enough energy, the blood oxygen level is low. Raising the amount of inhaled oxygen offsets the problem, and prolongs life. Oxygen is used at the lowest amount that would achieve the goal. ...Read moreSee 1 more doctor answer
Excess vitamin K and k2 intake in people NOT on anticoagulant increase the risk.of VTE? Are there any studies on this? Thanks!
Researches show that sodium bicarbonate in small doses significantly delayed the progression of CKD in kidney patients. What is safe dosage? 1gm ok?
No consensus: In 2009 a group at whitechapel published initial findings but this is far from an established fact and the ongoing uncertainty in this very difficult field has been documented by the vienna group. Before you go sodium-loading, get with your nephrologist -- and if you're not being managed by one already, the notion of neutralizing your acid using bicarb is probably moot. http://www.ncbi.nlm.nih.gov. ...Read more
Why are we precsribed 1000 mcg/day of B12 for deficiency? and why not higher dose, e.g. 2000/3000/5000 mcg?
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
What is the recommended dosage of magnesium both - as amino acid chelate and as oxide heavy?, Am deficient in magnesium
Magnesium deficiency: Most Americans are low in magnesium. It can vary from one person to another up to 8 fold how much magnesium a person needs. I recommend following label directions and increasing by one dose per night until 8 doses or loose stool. If you get to loose stool, consider that one dose too many. Most people only need 2 or 3 doses per day, and it could be taken all at bedtime. ...Read more
Is there a risk of low ammonia blood levels in a healthy person due to taking high doses of Lactulose daily for constipation?
No: No risk of low ammonia.Get a more detailed answer ›
Is osteoporosis more likely to occur in adrenal insuff supplementation with single dosing of 20 mg with high peak or triple dosing of 10, 5 and 5?
HC dosing: Hi. There is no objective means for proper dosing of hydrocortisone (HC) in adrenal insufficiency. The general premise is use the lowest dose necessary to feel well and have normal vital signs, etc. I'd recommend twice/day dosing with HC because 1 dose doesn't last 24 hours and a higher morning dose to mimic natural diurnal variation. You could try 10-5 or 15-5. Wouldn't recommend 3 doses/day. ...Read moreSee 1 more doctor answer
Anything is possible: Low iron can lead to (microcytic) anemia while low vitamin d can lead to rickets. While it's possible that someone is hospitalized for low blood (anemia), it's rare unless you're actively menstruating. It's less like for low vitamin d to be problematic. Still, there's really not too much side effects to worry about taking iron aside from constipation. Best to follow up w/your family doc. ...Read moreSee 1 more doctor answer
Is a combination of calcium carbonate and Vit. D3 contained in the tablet CALCIDAY good for people with low ionized calcium and high PTH?
Why is Magnesium oxide always recommended by doctors while it has the lowest absorption rate of all types of Magnesium? Why not chelated Glycinate?
Magnesium: Magnesium glycinate is a chelated form that tends to provide the highest levels of absorption and bioavailability and is typically considered ideal for deficiency. Magnesium oxide is a non-chelated type of magnesium and is less well absorbed. Why magnesium oxide is often prescribed likely has to do with its lower price and stool softening properties. ...Read more
My ferritin level is very low at 9 and has not changed after 3 months of high dose oral iron supplements. Are iron suppositories more effective?
Could sudden cessation of daily dose milk of magnesia (magnesium hydroxide) result in acute hypomagnesemia? In an elderly man with some history of kidney disease?
A dietary supplement, also known as food supplement or nutritional supplement, is a preparation intended to supplement the diet and provide nutrients, such as vitamins, minerals, fiber, fatty acids, or amino acids, that may be missing or may not be consumed in sufficient quantities in a person's diet. Some countries define dietary supplements as foods, while ...Read more
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