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AMAZING MEDICAL MIRACLES! - A FUN POST UPDT (Page 8)

samin6 IF-Dazzler
samin6
samin6

Joined: 02 March 2011
Posts: 2818

Posted: 22 July 2012 at 1:00pm | IP Logged
Originally posted by priya_86

Originally posted by samin096

Originally posted by priya_86

Originally posted by samin096

Maybe the oral drug is metformin or sitaglipin. Because in early stages of NIDDM the blood glucose can be maintained with either and they do not cause hypoglycemia so decreased diet does not necessarily effect and when some one has the autonomic sign symptoms they take sugar- 3 sachets or 1/2 glass of juice.
Yes maybe metformin or any gliptins. But inspite of that OHA's are not advised without diet. And gliptins act via the incretin effect which is possible only on consumption of food.Smile

 I agree. However the glucose level is high even without consumption of food sometimes because of counterregulatory hormones specially in stress
Yes it is high in stress/infections...nut generally we need a CBG testing for that. Assumption can be risky.

That is why always ask the diabetic to keep sugar with them. May be I should have made the post clearer. Metformin or sitaglaptin can decrease your blood sugar without causing a hypoglycemic episode. So of course skipping meal is not adviced but you can still go by that with NIDDM if you are on metformin but not with a sulfonylurea and definitely not when on insulin

priya_86 IF-Sizzlerz
priya_86
priya_86

Joined: 01 June 2012
Posts: 18026

Posted: 22 July 2012 at 1:03pm | IP Logged
Originally posted by samin096

Originally posted by priya_86

Originally posted by samin096

Originally posted by priya_86

Originally posted by samin096

Maybe the oral drug is metformin or sitaglipin. Because in early stages of NIDDM the blood glucose can be maintained with either and they do not cause hypoglycemia so decreased diet does not necessarily effect and when some one has the autonomic sign symptoms they take sugar- 3 sachets or 1/2 glass of juice.
Yes maybe metformin or any gliptins. But inspite of that OHA's are not advised without diet. And gliptins act via the incretin effect which is possible only on consumption of food.Smile

 I agree. However the glucose level is high even without consumption of food sometimes because of counterregulatory hormones specially in stress
Yes it is high in stress/infections...nut generally we need a CBG testing for that. Assumption can be risky.

That is why always ask the diabetic to keep sugar with them. May be I should have made the post clearer. Metformin or sitaglaptin can decrease your blood sugar without causing a hypoglycemic episode. So of course skipping meal is not adviced but you can still go by that with NIDDM if you are on metformin but not with a sulfonylurea and definitely not when on insulin
Metformin generally doesn't cause hypoglycemia and it is a first line drug too. But there have been case reports of metformin induced hypoglycemia also though rare.
-Sukh- Senior Member
-Sukh-
-Sukh-

Joined: 03 April 2010
Posts: 281

Posted: 22 July 2012 at 1:04pm | IP Logged
Originally posted by priya_86

Originally posted by -Sukh-

Originally posted by priya_86

Originally posted by dkatmala

CPR is needed only for cardiopulmonary arrest (cardio-respiratory or circulatory arrest)? Can u be a little bit more descriptive on that. I just want to know or a bit curious on that.
Yes...the full form of CPR is cardiopulmonary r resuscitation. It is performed when a patient is in cardiac/respiratory arrest or impending arrest (various pointers for impending arrest like heart rate etc). Normally it is accompanied by ventilation and defibrillators (when patient is in arrythmia like ventricular fibrillation)Smile


I've learned that you perform a CPR when the person is not breathing, and arnav did check if she was breathing before performing the CPR.
Maybe I'm wrong, but this is what we've learned...
Yes when a person is not breathing it means that he/she has an arrest (respiratory). Cardiac arrest means when you have no pulse beat. CPR is for both the systems. But only cardiac massaging and mouth to mouth is not enough. Since the heart is not pumping blood and the lung is not aeratingt he brain is not getting enough oxygen  and can have an irreversible damage, specially if more than 5-10 minutes. So ventilation is required for lung function and defibrillation for cardiac function.CPR is just a support till you ventilate and defibrillate the patient. Defibrillation may not be required always, but ventilation is usually necessarySmile


Thanks for the reply

But a question; is ventilation needed even when the patient gain her/his breath?
priya_86 IF-Sizzlerz
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Joined: 01 June 2012
Posts: 18026

Posted: 22 July 2012 at 1:25pm | IP Logged
Originally posted by -Sukh-

Originally posted by priya_86

Originally posted by -Sukh-

Originally posted by priya_86

[QUOTE=dkatmala]CPR is needed only for cardiopulmonary arrest (cardio-respiratory or circulatory arrest)? Can u be a little bit more descriptive on that. I just want to know or a bit curious on that.
Yes...the full form of CPR is cardiopulmonary rresuscitation. It is performed when a patient is in cardiac/respiratory arrest or impending arrest (various pointers for impending arrest like heart rate etc). Normally it is accompanied byventilationand defibrillators (when patient is in arrythmia like ventricular fibrillation)Smile


I've learned that you perform a CPR when the person is not breathing, and arnav did check if she was breathing before performing the CPR.
Maybe I'm wrong, but this is what we've learned...
Yes when a person is not breathing it means that he/she has an arrest (respiratory). Cardiac arrest means when you have no pulse beat. CPR is for both the systems. But only cardiac massaging and mouth to mouth is not enough. Since the heart is not pumping blood and the lung is not aeratingt he brain is not getting enough oxygen and can have an irreversible damage, specially if more than 5-10 minutes. So ventilation is required for lung function and defibrillation for cardiac function.CPR is just a support till you ventilate and defibrillate the patient. Defibrillation may not be required always, but ventilation is usually necessary
[/QUOTE

Thanks for the reply

But a question; is ventilation needed even when the patient gain her/his breath?
USUALY IT IS VERY RARE TO RETURN TO NORMAL BREATHNG WITHOUT VENTILATIN (SORRY 4 THE CAPITAL LETTFRS.MY PHN OT ALLOWING SMAL LETTERS)

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-Sukh-

samin6 IF-Dazzler
samin6
samin6

Joined: 02 March 2011
Posts: 2818

Posted: 22 July 2012 at 6:38pm | IP Logged
Originally posted by priya_86

Originally posted by -Sukh-

Originally posted by priya_86

Originally posted by -Sukh-

Originally posted by priya_86

[QUOTE=dkatmala]CPR is needed only for cardiopulmonary arrest (cardio-respiratory or circulatory arrest)? Can u be a little bit more descriptive on that. I just want to know or a bit curious on that.
Yes...the full form of CPR is cardiopulmonary rresuscitation. It is performed when a patient is in cardiac/respiratory arrest or impending arrest (various pointers for impending arrest like heart rate etc). Normally it is accompanied byventilationand defibrillators (when patient is in arrythmia like ventricular fibrillation)Smile


I've learned that you perform a CPR when the person is not breathing, and arnav did check if she was breathing before performing the CPR.
Maybe I'm wrong, but this is what we've learned...
Yes when a person is not breathing it means that he/she has an arrest (respiratory). Cardiac arrest means when you have no pulse beat. CPR is for both the systems. But only cardiac massaging and mouth to mouth is not enough. Since the heart is not pumping blood and the lung is not aeratingt he brain is not getting enough oxygen and can have an irreversible damage, specially if more than 5-10 minutes. So ventilation is required for lung function and defibrillation for cardiac function.CPR is just a support till you ventilate and defibrillate the patient. Defibrillation may not be required always, but ventilation is usually necessary
[/QUOTE

Thanks for the reply

But a question; is ventilation needed even when the patient gain her/his breath?
USUALY IT IS VERY RARE TO RETURN TO NORMAL BREATHNG WITHOUT VENTILATIN (SORRY 4 THE CAPITAL LETTFRS.MY PHN OT ALLOWING SMAL LETTERS)

Actually not. If chest compressions and breaths resuscitate. Actually until  two decades back and still in many hospitals which do not have ALS systems this is used. Indeed for newborns chest compressions and artificial resp is preferred to synchronized cardioversion. In Khushi's case though I thought it was a case of head injury not cardiogenic shock from the fall and hurting head.
priya_86 IF-Sizzlerz
priya_86
priya_86

Joined: 01 June 2012
Posts: 18026

Posted: 22 July 2012 at 8:15pm | IP Logged
Originally posted by samin096

Originally posted by priya_86

Originally posted by -Sukh-

Originally posted by priya_86

Originally posted by -Sukh-

Originally posted by priya_86

[QUOTE=dkatmala]CPR is needed only for cardiopulmonary arrest (cardio-respiratory or circulatory arrest)? Can u be a little bit more descriptive on that. I just want to know or a bit curious on that.
Yes...the full form of CPR is cardiopulmonary rresuscitation. It is performed when a patient is in cardiac/respiratory arrest or impending arrest (various pointers for impending arrest like heart rate etc). Normally it is accompanied byventilationand defibrillators (when patient is in arrythmia like ventricular fibrillation)Smile


I've learned that you perform a CPR when the person is not breathing, and arnav did check if she was breathing before performing the CPR.
Maybe I'm wrong, but this is what we've learned...
Yes when a person is not breathing it means that he/she has an arrest (respiratory). Cardiac arrest means when you have no pulse beat. CPR is for both the systems. But only cardiac massaging and mouth to mouth is not enough. Since the heart is not pumping blood and the lung is not aeratingt he brain is not getting enough oxygen and can have an irreversible damage, specially if more than 5-10 minutes. So ventilation is required for lung function and defibrillation for cardiac function.CPR is just a support till you ventilate and defibrillate the patient. Defibrillation may not be required always, but ventilation is usually necessary
[/QUOTE

Thanks for the reply

But a question; is ventilation needed even when the patient gain her/his breath?
USUALY IT IS VERY RARE TO RETURN TO NORMAL BREATHNG WITHOUT VENTILATIN (SORRY 4 THE CAPITAL LETTFRS.MY PHN OT ALLOWING SMAL LETTERS)

Actually not. If chest compressions and breaths resuscitate. Actually until  two decades back and still in many hospitals which do not have ALS systems this is used. Indeed for newborns chest compressions and artificial resp is preferred to synchronized cardioversion. In Khushi's case though I thought it was a case of head injury not cardiogenic shock from the fall and hurting head.
Most important , is to clarify cardiorespiratory arrest can occur under any situation including brain injury. But again respiratory arrest occurs when the brain stem is affected (respiratory centre is located here). In my ICU we do follow the BCLS and ACLS protocol, and Cjest compressions are the initial stages of CPR (but they should be started when a patient is in brady with an impending arrest because if an arrest has occurred with H.R. below 20/min, there usefulness reduces). Secondly if a patient is apnoeic for a long time, anoxia/hypoxia leads to ischemic changes in the brain.During a CPR in the ICU setup, normally the dco on call stands near the head end with the AMBU bag (mouth to mouth is not the protocol ina any hospital as such), and then goes for intubation and ventilation, cardiac resync. may not be necessary. And in my ICU experience I actually have never seen a CPR  with successful revival without a mechanical ventilation.In fact after the revival we often go for post arrest hypothermia.
 In IPKKND , Khushi wasn't breathing which means she was apnoeic. I don't know about her heart rate...wasn't commented upon. But she was apnoeic for quite sometime, but still didn't have any ischemic changes in the brain

The following 2 member(s) liked the above post:

heidiarsh_sp

ojas_82 Groupbie
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Joined: 07 July 2012
Posts: 111

Posted: 24 July 2012 at 7:54am | IP Logged
Yes truly...these are amazing miraclesLOL
arsh_sp IF-Rockerz
arsh_sp
arsh_sp

Joined: 19 February 2012
Posts: 8232

Posted: 24 July 2012 at 7:58am | IP Logged
lol now we should not be so particular about these

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