
Suggest Remedy For Heavy Breathing And Pressure In Chest With High BP

Drugs when she agrees / may try skin patch?
Detailed Answer:
Hi friend
Welcome to Health Care Magic
The situation could be a threatened heart attack
She needs to be investigated for Coronary Artery Disease.
The ideal option is admission, observation, and investigation. Since she is refusing this, even medicines at night – we have to wait till the morning and repeat the investigations – ECG, Blood test for cardiac marker (Enzyme levels for heart injury) / and ECHOcardiography.
Give the drugs, as soon as she agrees. Discuss with your doctor and add Aspirin and Clopidogrel (300 mg each is usually the loading dose)
Now, you may apply nitro-glycerine patch or ointment on the skin.. it may be difficult to get / your doctor may know local availability and arrange
Good luck
God bless you


Troponin is 0.12 ng/ml
Erthrocytes is 4.26 mlln per cu mm
Packed cell volume PCV is 34.8
Haemoglobin is 11.2
ESR is 32
MCV is 81.8
Injection given is fondaparinux sodium sterlie sln
medicines are telmisartan IP
Dytor plus 10 of cipla,
Esomeprazole magnesium and domperidone capsules,
These are once in morning
And for evening-
Clavilip 20
Montelukast sodium, levocitrizine hydro,acebrophylline,,,
Attached is the ECG report as of now,,
Please advice
Follow up again
Detailed Answer:
Hi
Follow up again tomorrow / And after one week
Follow up with a cardiologist (Heart Specialist)
Repeat Troponin / also CK & CKMB
Have an ECHOcardiogram
Continue the treatment
A small heart attack (at the back of the heart) is the likely underlying cause
Regards


Good / no complications
Detailed Answer:
Hi
ECG is stable / no further changes or complications
Continue treatment as before
She must do deep breathing and movement of legs and feet, while lying in bed.
She can sit at the edge of the bed for a few minutes at a time / and in a day or two sit at a chair..
Give small frequent feeds
Not to strain / stool softeners may be given
Start gradual rehabilitation by the end of the week
Keep following up with her doctor
Regards


Prescription is PROPER
Detailed Answer:
Correct and state of the art
Good indeed ...
God bless her

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