• If your nose starts bleeding, squeeze the soft parts of the nose against the center wall while you are sitting in an upright position for 10 minutes. • Return to your normal activities as directed by your health care provider. Ask your health care provider what activities are safe for you. • Avoid contact sports for 3–4 weeks or as directed by your health care provider. • Keep all follow-up visits as directed by your health care provider.
After total gastrectomy, small intestine has to drawn in water from the rest of the body to help break down food.Patient will suffer from severe abdominal cramping, nausea, vomiting, diarrhea, sweating, dizziness,cramps.Evaluate the dose and rate of administration to relieve dumping syndrome. Educate the patient about eating habit to prevent dumping syndrome when resume feeding.Dumping syndrome will make the patient difficult to get daily required calories to maintain or retain weight. To promote weight gain, eat calorie dense food to maintain body weight. Eat small frequent meals and eat more variety of food, but make sure to include fruits and vegetables other than high calories food. Prevent dumping syndrome when the patient resume fasting.Ask patient to eat at room temperature,because temperature extremes will stimulate peristalsis, more easier to have dumping syndrome.
from January 2004 to April 2005 aimed to discover whether administration of oral ondansetron to pediatric patients with gastroenteritis would decrease symptoms of vomiting and dehydration. The 215 patients who met the study’s inclusion criteria received either oral ondansetron (2, 4, or 8 mg ODT based on weight) or placebo followed by one hour of Enfalyte 30 mL every 5 minutes as oral rehydration therapy 15 minutes after dose administration. Those patients who vomited within 15 minutes received another dose of medication. A physician followed up with the patients after oral rehydration therapy and a decision to start intravenous therapy was made. The primary endpoint of the study was the proportion of pediatric patients who vomited while receiving oral rehydration therapy among those who received ondansetron or placebo.
To begin with, a child must undergo a physical examination by the family doctor or their pediatrician within at least seven days before the surgery. The purpose of the physical examination is to ensure the child is in good health. Medications that are used to treat fever and pain should be avoided at least three days before the procedure. Tylenol® (acetaminophen) is the only exception. After the procedure, Children’s Motrin® (ibuprofen) can be used to help reduce pain.
If in doubt, it is beneficial to get an opinion from another provider. For the patient with well women exam, the patient was uptodate with the pap, so I did not do any pap. However, I ordered flu vaccine, refilled OCP, discussed safe sex practices, encouraged drinking water, exercising regularly and healthy diet. For the patient with pink eye, the patient had purulent discharge from both eyes and it was itchy and crusty in the morning. I ordered tobramycin for 1 week for his both eyes and encouraged to wash hand frequently.
Recent chest x-rays and pathology including FBE, U&Es, LFTs, CK?, TFTs and common pertussis serology are unremarkable. Treatment wise, Rachael has been treated with amoxicillin, roxithromycin an Augmentin, the most recent course of antibiotics was completed a month ago. She also had a five-day course of prednisolone around two months ago. On review today, oxygen saturation was 97% and oropharyngeal inspection was unremarkable. Chest auscultation was surprisingly clear.
1. Amlodipine: • US Brand Names: Norvsac • Generic Names: Amlodipine • Dose/Route/Frequency: • 10mg/oral/daily • Why the medication was ordered this route: • The does was ordered this way because they patient is able to drink the liquid. • Therapeutic Classification: • Antihypertensive • Pharmacologic Classifications: • Calcium Channel Blocker • Mechanism of Action: • Inhibits the transport of calcium into myocardial and vascular smooth muscle cells, resulting in inhibition of excitation contraction coupling and frequent contraction. • Relates mechanism of action to pt diagnosis: • The patient has a history of CAD, which damages or disease in the hearts major blood vessels. So this medication is helping to excite a contraction.
This is especially important if you are taking diabetes medicines or blood thinners. • You may be given a medicine to take for a couple days before the procedure. This medicine blocks the production of certain chemicals in your stomach that can interfere with the scan. Take this medicine as directed by your health care provider. PROCEDURE • An IV tube will be inserted into one of your veins.
For example, the doctor said “We will divide your total dose into 3 times a day” Mrs. Shaw said “one moment please,” in order to let the doctor know not to continue on conversation yet. She went into setting up in her space morning, afternoon, and night, and how much of the total dose would be taken at each. When she finished her interpretation, she would say “go ahead”. I also noted that when the interpreter needed clarification for herself, she would lower her body position towards the doctor, but when she was interpreting she remained upright at good
The emergency room physician, David C. Lee, M.D., ordered medication, a series of diagnostic tests, and blood cultures, and he admitted Mrs. Adae to the hospital for further observation and testing, in order to rule out myocardial infarction and ACS. Dr. Lee listed "infectious etiology" in his differential diagnoses. Jennifer Bain, M.D., came on duty as an attending physician during the morning of June 29, 2006. Dr. Bain, an employee of UC, recorded her suspicion that Mrs. Adae 's chest pain was musculoskeletal. Dr. Bain noted that Mrs. Adae 's EKG, cardiac enzymes, and blood tests, with the exception of her elevated blood sugar, were normal.
For example, if you have heparin-induced thrombocytopenia, your doctor will direct you to stop using heparin and prescribe a different blood-thinning drug. Your thrombocytopenia may persist for a week or more despite stopping all heparin therapy. If your platelet level become too low, your doctor can replace blood loss with transfusions of packed red blood cells or platelets. If other treatment does not help your doctor my recommend a splenectomy. An enlarged spleen may harbor too many platelets, causing a decrease in the number of platelets in circulation.
• An alternative to Azithromycin is Doxycycline for seven days. In patients with lymphogranuloma venereum or anal chlamydial infection, the Doxycycline regimen is the most indicated. • As the clinical picture of chlamydia can be very similar to that of gonorrhea, it is common for the doctor to prescribe a treatment that acts on the two bacteria. Ceftriaxone is associated with Azithromycin. • All couples of the infected patient should undergo tests and, if necessary, perform a treatment against chlamydia, even without presenting
According to them, Prostzan shrinks the enlarged prostate. A particular ingredient in Prostzan, saw palmetto berry extract stops the production of the DHT hormone and also protects the prostate gland against its attack. They recommend that Prostzan prostate enhancement supplement is to be taken two (2) every day. The pill is preferably taken with food and liquid in order to work effectively. Each bottle of Prostzan contains 60 pills, which is a 30–day supply when taken as the makers directed.
In September 2004, a 17 year old girl was diagnosed with Type 1 Diabetes Mellitus in Craigavon Area Hospital. She presented with key symptoms of hyperglycaemia, tiredness, blurred vision and an increased thirst and polyuria. She also displayed signs and symptoms of ketoacidosis at the time of diagnosis. HBA1C analysis and glucose test results also supported the diagnosis. She was diagnosed with Type 1 diabetes mellitus and began treatment management of her glucose levels by administration of frequent insulin injections throughout the day on a basal bolus regime.
Oral clonidine is readily absorbed, has a 30-60 min onset, and lasts 6-12 h. In the treatment of acute hypertension, 0.1 mg can be given orally every hour until the blood pressure is controlled, or up to a maximum of 0.6 mg; the maintenance dose is 0.1-0.3 mg twice daily. Transdermal preparations of clonidine can also be used for maintenance therapy. They are available as 0.1, 0.2, and 0.3 mg/d patches that are replaced every 7 days. Clonidine is metabolized by the liver and excreted renally. Dosages should be reduced for patients with renal