Antibiotics and congestive heart failure?
Topic: E case status
July 17, 2019 / By Jayde Question:
Hello, could you explain the ds fragment to me?
"The patient was continued on antibiotics and a chest x-ray improved from her congestive heart failure and it did not show any definitive infiltrates".
How could antibiotics help her CHF?
The full ds is below just in case:
ADMITTING DIAGNOSIS: Shortness of breath. DISCHARGE DIAGNOSES: 1. Congestive heart failure. 2. Probable pneumonia. 3. Coronary artery disease. 4. History of PE and IVC filter placement. 5. COPD. 6. Status post pacer and atrial fibrillation. 7. Depression. 8. Hypothyroidism. 9. Glaucoma. 10. Gastroesophageal reflux disease. 11. History of Clostridium difficile colitis. HOSPITAL COURSE: This **AGE[in 80s]-year-old lady was admitted with shortness of breath, was diuresed, and after cultures were drawn was started on Rocephin and Zithromax. The patient's white count was elevated at 18.6 and she was also febrile on admission. The patient had significant rhonchi and rales over the bases, especially on the left side, with regular heart sounds, a soft, nontender abdomen, nontender extremities, and neurologically she had no deficits. The patient was continued on antibiotics and a chest x-ray improved from her congestive heart failure and it did not show any definitive infiltrates. There was a suggestion of a probable left lower lobe pneumonia. The patient was continued on the antibiotics and was also continued on her Coreg, Lasix, and Diovan for her congestive heart failure. The patient's white count came down to 8.3. The patient had some diarrhea and therefore her antibiotics were stopped. The patient's stool was negative for Clostridium difficile x2. The patient remained stable off antibiotics, was able to ambulate about fifty feet, and did not offer any specific symptoms. On **DATE[Nov 25 2007], the patient was stable enough to be sent back to the skilled nursing facility on the following medications. DISCHARGE MEDICATIONS: 1. Tylenol 650 p.r.n. 2. DuoNeb via inhalation b.i.d. and q. 2h. p.r.n. 3. Aspirin 81 mg p.o. q. daily. 4. Lumigan 0.03% ophthalmic solution 1 drop to both eyes daily. 5. Alphagan-P 0.15% 1 drop to the left eye daily. 6. Os-Cal with D 1 p.o. t.i.d. 7. Coreg 6.25 mg p.o. b.i.d. 8. Plavix 75 mg p.o. q. daily. 9. Lanoxin 0.125 mg p.o. q. daily. 10. Lexapro 10 mg p.o. q. daily. 11. Lasix 40 mg p.o. q. daily. 12. Heparin 5,000 units subcutaneously q. 12h. 13. Synthroid 50 mcg p.o. q. daily. 14. Nitro patch 0.4 mg per hour - apply in the morning and remove in the evening. 15. Protonix 40 mg p.o. q. daily. 16. Potassium chloride 20 mEq p.o. q. daily. 17. Zocor 80 mg at bedtime. 18. Timoptic 0.5% solution 1 drop to both eyes b.i.d. 19. Diovan 40 mg p.o. q. daily. DIET: The diet will be a heart-healthy diet. ACTIVITIES: Activities will be as tolerated. FOLLOWUP LABS: Lab work will include a CBC and a BMP on **DATE[Nov 29 2007]. FOLLOWUP CARE: Followup will be with me at the nursing home. ________
Best Answers: Antibiotics and congestive heart failure?
Eve | 6 days ago
Treatment of heart failure focuses on improving the symptoms and preventing the progression of the disease. Reversible causes of the heart failure also need to be addressed: (e.g. infection, alcohol ingestion, anemia, thyrotoxicosis, arrhythmia, hypertension). Treatments include lifestyle and pharmacological modalities.
The patient had left lower lobar pneumonia and treated with Ceftriaxone, a third-generation cephalosporin antibiotic and Azithromycin. This might have helped to improve her pulmonary blood circulation.
Heart failure is a chronic disease. Emphasis is given to find out the cause of heart failure and treat the same in early stages. In this particular case, the symptoms of heart failure might have reduced.
Please note that emphysema/COPD and underactive thyroid can cause heart failure.
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We found more questions related to the topic: E case status
Originally Answered: If you break out in a rash while on antibiotics, but it goes away, is it from the antibiotics?
Difficult to say for sure. You may have experienced a delayed allergic reaction. Typically this reaction days later is much less severe than an acute reaction within 24 hours.
Write down what you ate and also keep in mind that you may have had a reaction to a
Penicillin type antibiotic. If you are ever on again be mindful an allergic reaction could be a possibility. I'd have Benadryl on hand in
Case reaction more severe next time (like swelling in throat and lips and severe hives)
The good news if it went away and was due to antibiotic then just a minor reaction.
Also explore possibility of a contact dermatitis. Basically a skin reaction from
Contact with something like a new soap, lotion, laundry detergent or even jewelry as possible culpret
I have chf was doing O.K. but got infection in chest - like broncial - put on Azithromycin, I am also on Lasix and other medications - long list. Reason I mention Lasix is because the antibiotic has given me pretty severe diarrhea and am afraid of dehydration. Was hospitalized several times low potassium. Now on potassium saver. Will call Dr. but that does not always work out well. I am unsure whether to go to Itnernest (who doesn't work well for me) or to a Cardiologist. Help me
👍 30 | 👎 -3
Well I've experienced this in pets and it all comes down to whether your dog is suffering every day or not. I mean you should pay attention to how well your dog caan get around, if it can go up or down stairs, if its out of breath all the time, and other things like that. If its symptoms seem very extreme I would go ahead and put it down. It doesn't deserve to suffer severly every day and you would be doing the right thing. Im sorry about this tragedy and I hope you can find comfort and be able to make the right decison.
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We often see hypothyroid symptoms totally reversed when commits to a plan that supports balance through nutrition and daily self-care. Learn here https://tr.im/Yv6Wr
Consume foods naturally high in B vitamins, such as whole grains, nuts, and seeds, and iodine (fish, seaweed, vegetables and root vegetables).
Exercise daily, at least 30–60 minutes per day, 4–5 times a week.
Practice deep breathing and other techniques that trigger the “relaxation response” – such as meditation and guided visualization.
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Originally Answered: Can anyone provide me with one Clinical Study that proves Cholesterol causes Heart Disease or Heart Attack?
Yeah, it's like saying breathing is a "risk factor". What it means is that after 50 years, they STILL don't know what CAUSES coronary artery disease. By the way, more WOMEN are dying of heart disease than men these days. It is the number one killer for women. And women especially need more cholesterol than men yet the medical profession keeps pumping them with statins. People who live the longest actually have higher cholesterol. Having a low cholesterol level is a great "marker" for cancer.
Little known about Ancel Keys is the fact that, as long ago as 1956, he had already speculated that trans fats might be harmful to health and be the cause of heart disease.
The Framingham Heart Study is often cited as proof of the lipid hypothesis. This study began in 1948 and involved some 6,000 people from the town of Framingham, Massachusetts. Two groups were compared at five-year intervals—those who consumed little cholesterol and saturated fat and those who consumed large amounts. After 40 years, the director of this study had to admit: "In Framingham, Mass, the more saturated fat one ate, the more cholesterol one ate, the more calories one ate, the lower the person's serum cholesterol. . . we found that the people who ate the most cholesterol, ate the most saturated fat, ate the most calories, weighed the least and were the most physically active." The study did show that those who weighed more and had abnormally high blood cholesterol levels were slightly more at risk for future heart disease; but weight gain and cholesterol levels had an inverse correlation with fat and cholesterol intake in the diet.
Natural saturated fats do not cause coronary artery disease.
And check out this PDF of the 2007 GWTG study of hospitalized coronary artery disease patients. Seventy-five percent of the patients had LDL cholesterol levels less than 130 mg/dL on admission. Half had LDL cholesterol levels less than 100 mg/dL.
And they tell us high LDL cholesterol is bad?
Draw your own conclusions. We are much better off doing our own research. Maybe heart disease is just too lucrative a business to bother finding a cure in regards to the medical profession, pharmaceutical companies, AHA, etc. There would be no money in a cure.