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Anonymous
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Anonymous
Asked: September 22, 2020In:
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What is the role of thiamine in the management of delirium tremens?

What is the role of thiamine in the management of delirium tremens?

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  1. Moneylady Estimable Member

    Although thiamine has no effect on the symptoms/signs of alcohol withdrawal or on the incidence of seizures or delirium tremens (DTs), thiamine (100mg PO/IV/IM qd for three days) is useful in preventing Wernicke encephalopathy and Korsakoff symptoms.

    Although thiamine has no effect on the symptoms/signs of alcohol withdrawal or on the incidence of seizures or delirium tremens (DTs), thiamine (100mg PO/IV/IM qd for three days) is useful in preventing Wernicke encephalopathy and Korsakoff symptoms.

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Anonymous
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Anonymous
Asked: August 19, 2020In:
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What are the symptoms of hepatitis C and is it curable?

What are the symptoms of hepatitis C and is it curable?

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  1. ehoneahobed Eminent Member I am the Africapreneur. Finding solutions to African-based problems through software development is my dream

    Hepatitis C may present with symptoms such as: 1. Easy fatiguability 2. Bleeding 3. Bruising 4. Poor appetite 5. Jaundice (yellow discolouration of the skin and eyes) 6. Dark-coloured urine 7. Itchy skin 8. Fluid buildup in your abdomen (ascites) 9. Swelling in your legs 10. Weight loss 11. ConfusioRead more

    Hepatitis C may present with symptoms such as:
    1. Easy fatiguability
    2. Bleeding
    3. Bruising
    4. Poor appetite
    5. Jaundice (yellow discolouration of the skin and eyes)
    6. Dark-coloured urine
    7. Itchy skin
    8. Fluid buildup in your abdomen (ascites)
    9. Swelling in your legs
    10. Weight loss
    11. Confusion, drowsiness and slurred speech (hepatic encephalopathy)
    12. Spiderlike blood vessels on your skin (spider angiomas)

    Hepatitis C is curable but a new infection with hepatitis C does not always require treatment, as the immune response in some people will clear the infection. However, when the infection becomes chronic, treatment is necessary. The goal of hepatitis C treatment is cure.

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Anonymous
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Anonymous
Asked: August 16, 2020In:
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A 64-year-old male patient, Mr TS, is to be prescribed aspirin therapy following an acute myocardial infarction. What questions should you ask Mr TS before starting treatment with aspirin? 

A 64-year-old male patient, Mr TS, is to be prescribed aspirin therapy following an acute myocardial infarction. What questions should you ask Mr TS before starting treatment with
aspirin? 

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  1. ehoneahobed Eminent Member I am the Africapreneur. Finding solutions to African-based problems through software development is my dream

    Mr TS should be asked if he has had aspirin before and, if so, whether he tolerated it. Caution is necessary in elderly patients, in those with uncontrolled hypertension and in patients taking other drugs that increase the risk of bleeding. Caution is also required in those with a previous history oRead more

    Mr TS should be asked if he has had aspirin before and, if so, whether he tolerated it. Caution is necessary in elderly patients, in those with uncontrolled hypertension and in patients taking other drugs that increase the risk of bleeding.

    Caution is also required in those with a previous history of peptic ulceration, and some manufacturers advise avoidance in such circumstances; active peptic ulceration is a definite contraindication. Other contraindications include severe hepatic impairment, severe renal failure, haemophilia and other bleeding disorders.

    Aspirin may induce bronchospasm or angioedema in susceptible individuals, for example, in asthmatics, and caution should be exercised in these circumstances.

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Anonymous
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Anonymous
Asked: August 16, 2020In:
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Mr MT, admitted to an acute hospital with suspected myocardial infarction, says that he had a myocardial infarction 4 years ago and was treated with a drug to ‘dissolve the clot in the coronary artery’. The chest pain started 4 ...Read more

Mr MT, admitted to an acute hospital with suspected myocardial infarction, says that he had a myocardial infarction 4 years ago and was treated with a drug to ‘dissolve the clot in the coronary artery’. The chest pain started 4 hours earlier, and his electrocardiogram shows ST-segment elevation in the anterior leads. What relevance may Mr MT’s previous treatment, present history and findings have to his management on this occasion? 

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  1. ehoneahobed Eminent Member I am the Africapreneur. Finding solutions to African-based problems through software development is my dream

    Thrombolytic drugs are indicated for any patient with acute myocardial infarction, provided the likely benefits outweigh the possible risks. Trials have shown that the benefit is greatest in those with electrocardiogram (ECG) changes that include ST-segment elevation, especially in those with anteriRead more

    Thrombolytic drugs are indicated for any patient with acute myocardial infarction, provided the likely benefits outweigh the possible risks. Trials have shown that the benefit is greatest in those with electrocardiogram (ECG) changes that include ST-segment elevation, especially in those with anterior infarction, and in patients with bundle branch block.

    The patient has received a thrombolytic, possibly streptokinase, in the past. Mr MT should be asked if he was given a card to carry with him with the identity of the therapy he was given. If
    the prior treatment was with streptokinase, prolonged persistence of antibodies to streptokinase may reduce the effectiveness of subsequent treatment.

    Therefore, streptokinase should not be used again beyond 4 days of first administration of streptokinase, and urgent consideration should be given to the use of an alternative thrombolytic agent such as alteplase

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