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Medication for giant cell tumour of the bone and pre-post amputation. - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Cancer
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
Doctor :   Hi
User :   hello
Doctor :   How can I help you
Doctor :   tell me your name
User :   i'm a nursing student and we'r supposed to do drug studies, I need medications for giant cell tumor of the bone, post and pre op meds for amputation
User :   my name
Doctor :   Yes
Doctor :   How is that i can help you with that..
User :   what would medications would you prescribe for a patient with a giant cell tumor, and antibiotics for an amputation
Doctor :   which year of Nursing are you in.
User :   i wasnt able to get a hold of my patient's chart, but when i came back, my patient was gone, our clinical instructor let us choose our patients by case. i'm a 4th yr nursing student
Doctor :   Antibiotics are mostly Broad spectrum once (gram +ve and including the gram -ve to) and the
User :   could u give me the brand and dosage? my case study is due tomorrow. :)
Doctor :   It is varied based on the Surgeons choices and if there are any blood investigations that were done..
Doctor :   we are not supposed to prescribe them on the Chat since they are prescription based and require a valid Hand written prescription by the surgeon..
User :   oh. ok. but dont u have the usual round of meds for bone cancers, it's really hard to find it on the net, my C.I told me to look for it. but I understand. ty for your time Doc :)
Doctor :   Corticosteroid therapy
User :   like dexamethasone and stuff? :)
Doctor :   methotrexate or azathioprineare the few for the Giant cell artheritis
Doctor :   Prednisone
Doctor :   also..
User :   could i include all those 3?
Doctor :   yes it will be mostly a combination of the same
Doctor :   2 or 3 drugs.
User :   yay! ok. thanks thanks. =) what about health education for GCT and/or amputation? pre and post op. i've included these: (but they dont seem approppriate for the category) Presurgical preparation
â?¢Encourage the patient to eat foods high in protein and vitamins to foster wound healing.
â?¢Begin teaching the exercises that, after surgery, prevent contractures and strengthen limbs to accept the adjustments in posturing and movement.
Post surgical preparation
â?¢Care of the surgical wound.
â?¢Control of pain.
Doctor :   Please fill this Feed back form I send, while I type the necessary information, say done when done.
Doctor :   pre
Doctor :   Blood studies. like basic investigations for any surgery..
Doctor :   ESR and C-reactive protein (CRP) are essential..
Doctor :   Normocytic normochromic anemia and thrombocytosis should be ruled out..
Doctor :   liver function tests, especially the alkaline phosphatase level are needed to be seen
Doctor :   are you there?
Doctor :   Muscle enzyme levels (eg, creatine kinase, aldolase)
User :   yes im still here. im reading. cud i paste my case study hre so u cud have a look-see?
Doctor :   hypoechoic halo around the temporal artery lumen on color duplex ultrasound shold be seen
Doctor :   Yes you can send it to YYYY@YYYY
Doctor :   the entire case file.
Doctor :   it will be good since we can respond you through the mail..
Doctor :   WWW.WWWW.WW Doctor :   You can take alook into this site for information regarding the Giant cell Tumor.
Doctor :   It is very much in detail about the various modalities of treatment..
Doctor :   are you there?
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM everyday.
Doctor :   Yes..
User :   im sending u the email
Doctor :   Sure we will get back to you at the earliest..
User :   just sent it
Doctor :   ok..
User :   It is very much in detail about the various modalities of treatment.. - i dont think so. just the drugs aremissing and i still have to do a minimum of 3 nursing care plans, ialready have the dxs
User :   the emedicine link was one of my references for the study
Doctor :   dxs whats that.
Doctor :   ok..
User :   dxs - diagnoses
Doctor :   We will make it a part of the email that you will be receiving from our end.. to mention about the drugs..
Doctor :   ok..
User :   okidoki. ty so much. hope i get it soon soon soon. :)) im going to work on thenursing care plans now.
Doctor :   ok..
Doctor :   Thanks for consulting Health care magic, If you like our Services please refer your Friends and relatives.
Doctor :   Bye for Now,
User :   I'll spread the word
User :   bye
Doctor :   thank you. bye.
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