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What Causes Deteriorating Health After A TKR Surgery?
Question: My mother (65yrs) got operated for TKR surgery in Fortis Hospital(India) on 2nd.Dec.14.The surgery was successful followed up with physio.She was able to walk with walker and carry out all the excercises.My mother is dibetic type2 (mellitus).
She was kept on IV medications till 6th.Dec14 & discharged on 7th.Dec'14 with following oral medications#
Widcef (cefuroxime sod)-500mg twice a day, nexpro (esomeprazole)-40mg once a day, ultracet (tramadol hcl+paracetamol) thrice a day, letzmove (diclofenac)-150mg twice a day, disperzyme (trypsin+bromelain) four times a day, cobadex cz once a day, glycomet(metformin)-500mg once a day, glycomet (metformin)1000mg once a day, glypride 2mg oncd a day,telma 40mg once a day, xarelto 10mg once a day.
Thus in total 19 tablets(6500mg) in one day prescribed which led to heart/chest burning, upper abdomen burning, dizziness.
The Ortho surgeon asked to stop alk medications except for sugar/bp and nexpro on 8th.Dec'14 but the problem still persisted.
On 9th.Dec'14 ths ortho surgeon directed me to consult with Gastroenterologist for further treatment.
The Gastroenterologist has now prescribed Pantocid dsr, lesuride, mucaine gel for 4 days and LFT/RFT and other test will bd carried out on 13th.Dec'14.
Pls revert urgently for my next course of action as my mother health is deteriorating with time and doctors aporoach seems to be casual.
Regards
XXXX ( YYYY@YYYY )
She was kept on IV medications till 6th.Dec14 & discharged on 7th.Dec'14 with following oral medications#
Widcef (cefuroxime sod)-500mg twice a day, nexpro (esomeprazole)-40mg once a day, ultracet (tramadol hcl+paracetamol) thrice a day, letzmove (diclofenac)-150mg twice a day, disperzyme (trypsin+bromelain) four times a day, cobadex cz once a day, glycomet(metformin)-500mg once a day, glycomet (metformin)1000mg once a day, glypride 2mg oncd a day,telma 40mg once a day, xarelto 10mg once a day.
Thus in total 19 tablets(6500mg) in one day prescribed which led to heart/chest burning, upper abdomen burning, dizziness.
The Ortho surgeon asked to stop alk medications except for sugar/bp and nexpro on 8th.Dec'14 but the problem still persisted.
On 9th.Dec'14 ths ortho surgeon directed me to consult with Gastroenterologist for further treatment.
The Gastroenterologist has now prescribed Pantocid dsr, lesuride, mucaine gel for 4 days and LFT/RFT and other test will bd carried out on 13th.Dec'14.
Pls revert urgently for my next course of action as my mother health is deteriorating with time and doctors aporoach seems to be casual.
Regards
XXXX ( YYYY@YYYY )
Brief Answer:
It may take 24 to 48 hours for relief.
Detailed Answer:
Hello,
Welcome to HCM.
I am Dr Rakesh Sharma answering your query.
I can understand your concern.
I have gone through the course of event.
In daily clinical practice , these are very common problem and side effects, dealt by all doctors.
The medications which were prescribed at discharge from hospital were all necessary, and right doses.
The gastro also has given good prescription.
But it may take 24 to 48 hours to to show their result.
If I was her treating doctor I would have given her injectables again for few days.You can consult her doctor about injectables.
You may give reference of our conversation as well.
Give her sips of cold water(Even that may hurt).
Her BLOOD SUGAR NEEDS TO be monitored.
Hope I have answered your query.
If any thing else you are welcome.
Good luck.
It may take 24 to 48 hours for relief.
Detailed Answer:
Hello,
Welcome to HCM.
I am Dr Rakesh Sharma answering your query.
I can understand your concern.
I have gone through the course of event.
In daily clinical practice , these are very common problem and side effects, dealt by all doctors.
The medications which were prescribed at discharge from hospital were all necessary, and right doses.
The gastro also has given good prescription.
But it may take 24 to 48 hours to to show their result.
If I was her treating doctor I would have given her injectables again for few days.You can consult her doctor about injectables.
You may give reference of our conversation as well.
Give her sips of cold water(Even that may hurt).
Her BLOOD SUGAR NEEDS TO be monitored.
Hope I have answered your query.
If any thing else you are welcome.
Good luck.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I sm not convinced with the answer. Her condition is furthrr deteriorating.
Brief Answer:
Needs to check vitals functions and blood sugar
Detailed Answer:
Hello again,
If her condition is deteriorating she should immediately be shifted to hospital again
to get her vital functions checked with blood sugar monitoring, injectables and Iv fluids.
Please act fast.
we will discuss later.
Good luck.
Needs to check vitals functions and blood sugar
Detailed Answer:
Hello again,
If her condition is deteriorating she should immediately be shifted to hospital again
to get her vital functions checked with blood sugar monitoring, injectables and Iv fluids.
Please act fast.
we will discuss later.
Good luck.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am in hospital only..
Brief Answer:
What about vitals, like EKG and blood sugar.
Detailed Answer:
Hello.
What about vitals and blood sugar like?
Is a doctor around?
IV Fluids started?
Is oxygen being given or she is comfortable without that??
What about vitals, like EKG and blood sugar.
Detailed Answer:
Hello.
What about vitals and blood sugar like?
Is a doctor around?
IV Fluids started?
Is oxygen being given or she is comfortable without that??
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Her sugar was 143(fasting) today..In fact I am staying in Fortis Inn within hodpital premises from day of discharge and consuting doctor in person along with mother in their OPD.
I stayed in fortis inn by taking package of 5dayd for physio.
I stayed in fortis inn by taking package of 5dayd for physio.
Brief Answer:
?? perforation of old peptic ulcer
Detailed Answer:
Hello again,
If she still crying with pain it may be severe gastritis or perforation pf peptic ulcer which may not have manifested clinically before.
What is sugar at present is more important.
Ultra sound abdomen , and EKG are important.
What is pain at present like??
?? perforation of old peptic ulcer
Detailed Answer:
Hello again,
If she still crying with pain it may be severe gastritis or perforation pf peptic ulcer which may not have manifested clinically before.
What is sugar at present is more important.
Ultra sound abdomen , and EKG are important.
What is pain at present like??
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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