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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Pneumonia

Hi my mother in law is in oaxaca and has been diagnosed with chronic pneumonia. The doctor said her heart is not strong enough to withstand treatment? ? Her body is swelling ? The family does not have access to Internet and I feel like I am not fully understanding the diagnosis? Can you help explain to me some of the effects so I can help explain why to them ?
Tue, 6 Dec 2016
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General & Family Physician,  's  Response
please check whether these investigations has been carried out or not-Serum chemistry panel (sodium, potassium, bicarbonate, blood urea nitrogen , creatinine, glucose)
Arterial blood gas (ABG) determination (serum pH, arterial oxygen saturation, arterial partial pressure of oxygen and carbon dioxide) – Hypoxia and respiratory acidosis may be present.
Venous blood gas determination (central venous oxygen saturation)
Complete blood cell (CBC) count with differential
Serum free cortisol value
Serum lactate level
A pulse oximetry finding of
Blood cultures
Sputum Evaluation
Chest Radiography
Bronchoscopy With or Without BAL
Thoracentesis
use this tool to calculate risk associated -https://internalmedicine.osu.edu/pulmonary/cap/10675.cfm
Treatment -a)Respiratory support
b)Fluid resuscitation
c)Empiric antibiotic therapy
d)Corticosteroids
e)Drotrecogin alfa
Discuss with your local doctor regarding these basic points (Thanks)
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Suggest Treatment For Chronic Pneumonia

please check whether these investigations has been carried out or not-Serum chemistry panel (sodium, potassium, bicarbonate, blood urea nitrogen , creatinine, glucose) Arterial blood gas (ABG) determination (serum pH, arterial oxygen saturation, arterial partial pressure of oxygen and carbon dioxide) – Hypoxia and respiratory acidosis may be present. Venous blood gas determination (central venous oxygen saturation) Complete blood cell (CBC) count with differential Serum free cortisol value Serum lactate level A pulse oximetry finding of Blood cultures Sputum Evaluation Chest Radiography Bronchoscopy With or Without BAL Thoracentesis use this tool to calculate risk associated -https://internalmedicine.osu.edu/pulmonary/cap/10675.cfm Treatment -a)Respiratory support b)Fluid resuscitation c)Empiric antibiotic therapy d)Corticosteroids e)Drotrecogin alfa Discuss with your local doctor regarding these basic points (Thanks)