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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Meripenum, Targocid, Colistin And Doxycyclin Right Medicine For Bilateral Pneumonia?

My husband is in ICU on ventilator with bilateral pneumonia. The antibiotics given (meripenum, targocid, colistin and doxycyclin) is affecting liver and kidneys both making rising trend in blood urea, serum creatinin and all four liver enzymes. Itis now fifteen days and doctors are unable to wean him off the ventilator and he is now very drowsy and can not make efforts. I am bewildered that instead of getting better his conditio
N is detoriating. Please advice. Thank you. His blood urea is 247, sr creatinin - 2.5, BUN 26,500.
Thu, 7 Apr 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Honestly speaking, his reports are not good. He is under going MODS (multiple organ damage syndrome) due to uncontrolled infection (sepsis) in the lungs.
Best treatment for pneumonia is identification of causative organisms and start appropriate antibiotics.
So to isolate the organism, you need bronchoscopy and BAL (bronchoalveolar lavage) analysis.
This is the last resort to take him out of sepsis.
So consult pulmonologist and get done bronchoscopy and BAL analysis.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Is Meripenum, Targocid, Colistin And Doxycyclin Right Medicine For Bilateral Pneumonia?

Thanks for your question on Healthcare Magic. I can understand your concern. Honestly speaking, his reports are not good. He is under going MODS (multiple organ damage syndrome) due to uncontrolled infection (sepsis) in the lungs. Best treatment for pneumonia is identification of causative organisms and start appropriate antibiotics. So to isolate the organism, you need bronchoscopy and BAL (bronchoalveolar lavage) analysis. This is the last resort to take him out of sepsis. So consult pulmonologist and get done bronchoscopy and BAL analysis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.