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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Cardiac Arrest. Was Giving Morphine, Ibuprofen And Metoprolol For Sleep Apnea, Pepcid. Did She Have Pulmonary Embolism?

My mom died two years ago. A week before she fell and broke her wrist. At the er they gave her morphine. She had sleep apnea. Anyway when they let her go home that same night we could not get her out of the car she would not respond. To make a long story short, they kept her for a week and they did surgery on her wrist. The same day they let her go home she died about an hour and a half after we gave her some meds that we were told to give her. Metoprolol 50 mg, ibuprofen 800mg, & amatodine (a pepcid for her stomach). They said she went into cardiac arrest, but the doctors said the meds would not have caused it. One said that she had a pulmonary embolism. What sre your thoughts?
Thu, 28 Nov 2013
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Cardiologist, Interventional,  's  Response
Hi, I had gone through your query and understand your concerns.
I would like to know whether your mother was receiving morphine throughout. in cases of sleep apnea, respiratory depression that can cause accumulation of Carbondioxide in the body causing secondary cardiac arrest owing to hypoxia(lack of oxygen in the body).
another possibility, may be fat embolism in the pulmonary artery , but, this usually occurs in fracture of long bones.
in cases of prolonged period of immobilization, swelling of the legs due to deep vein thrombosis may also lead to pulmonary embolism. but, in cases of pulmonary embolism, a patient will have profound breathing difficulty and will collapse(cardiogenic shock) before dying.
all these are possibilities. other drugs like Metoprolol 50 mg, ibuprofen 800mg, & amatodine should not be responsible for sudden cardiac arrest.only an autopsy could have confirmed the actual cause of death.
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Had Cardiac Arrest. Was Giving Morphine, Ibuprofen And Metoprolol For Sleep Apnea, Pepcid. Did She Have Pulmonary Embolism?

Hi, I had gone through your query and understand your concerns. I would like to know whether your mother was receiving morphine throughout. in cases of sleep apnea, respiratory depression that can cause accumulation of Carbondioxide in the body causing secondary cardiac arrest owing to hypoxia(lack of oxygen in the body). another possibility, may be fat embolism in the pulmonary artery , but, this usually occurs in fracture of long bones. in cases of prolonged period of immobilization, swelling of the legs due to deep vein thrombosis may also lead to pulmonary embolism. but, in cases of pulmonary embolism, a patient will have profound breathing difficulty and will collapse(cardiogenic shock) before dying. all these are possibilities. other drugs like Metoprolol 50 mg, ibuprofen 800mg, & amatodine should not be responsible for sudden cardiac arrest.only an autopsy could have confirmed the actual cause of death.