Dyspnea in Terminally Ill or Dying Patients

Clinic A/P, adults

Common presentation: Hospice patient develops SOB. Oxygen Sats 91%. Lungs: CTAB except for mildly diminished breath sounds. Treatment: Morphine sulfate sublingually, Intravenously or orally.   Emerg Med Pract. 2013 May;15(5):1-19. Emergency management of dyspnea...

Hypodermoclysis

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

https://www.aafp.org/afp/2001/1101/p1575.html

Fecal Impaction

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Can occur in children all the way to elderly. In fact, it’s common in children and elderly patients.

Non–Medically Indicated (Elective) Inductions of Labor or C-Sections

Clinic A/P, adults, Clinic A/P, Peds, HealthCare, Hospital A/P, Adults

AAFP and ACOG recommend that non–medically indicated (elective) inductions of labor or C-sections should be scheduled after what 39 weeks, 0 days gestational age. Delivery prior to 39 weeks, 0 days is associated with an increased risk of learning disabilities and may...

Bee, Wasp, and other Hymenoptera Stings

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Systemic allergic reaction (Anaphylaxis). IM Epinephrine is the first treatment to give. Local Reaction Cold compresses. Elevate extremity if the sting is on a limb. Oral prednisone 40 to 60 mg x1 dose or tapered over 2-5 days for significant swelling. Pain: NSAIDs....

Vitamin Supplementation

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Trials have shown an increase in all-cause mortality associated with supplementation with vitamin A, vitamin E, and β-carotene. No benefits or reductions in all-cause mortality were shown for vitamin C or selenium. Further Reading / References Antioxidant supplements...