Anemia Drugs Linked to Stroke Study Deaths: FDA

Title: Anemia Drugs Linked to Stroke Study Deaths: FDA
Category: Health News
Created: 9/27/2008 2:00:00 AM
Last Editorial Review: 9/29/2008

Circulation: a quick assessment of the patient's circulation is done; radial pulse is palpated and BP measurement carried out. Maintenance of the circulation is done using intravenous fluids (crystalloids and colloids) as necessary. This is particularly important in the poly-traumatized patients with haemorrhage. If the initial circulation is not optimal, a search must be made for extracranial bleeding sites as intracranial bleed is not sufficient to cause circulatory collapse except in infants and very young children.

The components are:
Airway and cervical spine control: check for, and maintain airway patency. Remove debris or food particles which may occupy the mouth and the upper airway thereby preventing adequate air entry. Jaw thrust and/or traction on the tongue might be needed to keep the airway patent. Insertion of oropharyngeal airways, and when indicated/available, oro- or nasotracheal intubation are essential in keeping the airways open. The patient may die rapidly from asphyxia if this initial step is not quickly and meticulously carried out. In doing all these, it is essential to protect the cervical spine which must be assumed to have been injured in all unconscious patients and in those who have sustained significant impact to the cranium, face, neck and upper chest as well as those involved in high-velocity impacts and falls from height. C-spine protection can be achieved with:
o Rigid neck collars
o Head strappings
o Supportive sand bags placed on each side of the neck

Resuscitation of the injured patient is often an Herculean task for the untrained health workers. Similarly, some students find it difficult answering questions on the initial care of the acutely injured patient. In this entry I have tried to summarise, in simple language, the essential components of resuscitation, specifically for use in head injury, but with wide-ranging applications in other trauma cases. This information is also useful to the members of the public who may at one time or the other find themselves at accident scenes and have to provide initial care for the injured.

ABC of Resuscitation

Environment: it is important to ensure that the environment in which care of the patient is done is safe to prevent further injuries to the patient as well as the care givers

Young neurosurgeon-in-training

Drugs may need to be administered. Commonly used drugs in head injury includes mannitol, analgesics, H2-receptor blockers/proton pump inhibitors, inotropic agents, anaesthetic agents, tetanus prophylaxis, etc. Watch-out for a review of these drugs. It is important to also adequately assess the dysfunction of the nervous system

Treatment Methods For Acute Sinusitis
acute sinusitis
allergic sinusitis treaments
Treatment of Acute Sinusitis
Treatment of Acute Sinusitis

Health Highlights: Sept. 28, 2008

Title: Health Highlights: Sept. 28, 2008
Category: Health News
Created: 9/29/2008 2:00:00 AM
Last Editorial Review: 9/29/2008

Some drugs have a combination of pain reliever with antispasmodic drug. It is an example of shot-gun treatment and these combinations are not rational. At times peptic ulcer pain may resemble colicky pain (or an ulcer without symptoms) that may be aggravated by unnecessary use pain relieving drug combinations. You should feel free to ask the doctor to prescribe a safe drug.

These are atropine or its synthetic substitutes (anti-cholinergic drugs) and are used for relieving the spasm of the muscles of the intestine. The action of almost all anti-cholinergic drugs is more or less the same. There are only slight differences in their potency or duration of action. The adverse effects caused and precautions to be observed with anti-cholinergic drugs have been discussed in the chapter on Drugs Used in Peptic Ulcers.

This drug regulates the irregular movements in spasmodic conditions. It is used in post meal domen distension and pain. It is given in a dose of 100 mg, twice a day. It is useful in irritable wel syndrome also.

Fenoverine (Spasmopril)

It relieves colicky pain of gall-bladder, kidney and urinary passage and dysmenorrhoea (painful menstruation). It relaxes smooth muscle directly and has no anticholinergic adverse effects.

Anti-spasmodic Drugs

Mebeverine (Colospa)

Various household remedies like massage, hot water fomentation, churan, ajwain, jaljeera, pepper mint oil and sometimes even purgatives are tried, but their success is usually limited. Therefore, the patient takes one of the preparations (mentioned in the table given later) which provides immediate relief. What is so special about these preparations that they provide such dramatic relief? If you look at the table, you will find that all the preparations contain an antispasmodic (which prevents spasms of the smooth muscle of the intestine) which relieves colicky pain. However, if the pain is frequent or of a constant nature, the physician must be consulted. Under such circumstances the continued and prolonged use of these drugs, instead of improving the condition, may produce serious adverse effects.

Other Drugs

Drotavarine (Drotin, trosa 40mg, 80 mg)

Abdominal pain, one of the most frequently occurring symptoms, may originate from any organ in the abdomen, like the stomach, intestine, appendix, gall-bladder, pancreas, and kidneys. It is due to any number of causes. Any patient of abdominal pain of recent onset requires early and thorough evaluation for an accurate diagnosis. However, the most common source of abdominal pain in the region of the stomach and intestines is the gastro-intestinal tract because it deals with outside material, that is, the food and drink we take. A little overeating may cause distension and indigestion. A spicy meal may lead to an increase in acid secretion and sour eructations. In these conditions some digestives or antacids are taken for relief. Very often flatulence, diarrhoea, dysentery, or an infection produce spasms of the walls of the intestines, causing a gripping type of pain called colic. This is a distressing situation and suitable measures for immediate relief are necessary.

It is likefenoverine but may cause constipation, dizziness and headache.

Combination Drugs

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acute sinusitis
allergic sinus
allergic sinus
treatment methods for allergic sinusitis