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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hii my father has a ards and he is on

Answered by
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14165 Questions

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Posted on Sat, 2 Feb 2019 in Lung and Chest disorders
Question: Hii my father has a ards and he is on ventilator from last 18 days. He has bilateral pneumonia (klebsiella + pulmonary Koch) and aspergillosis kind of fungus is suspected. Doctor said me to day that anti biotic are not responding. The oxygen level is 100% on ventilator and the saturation is around 90.so we can hope? Plz sir we need to know. His age is 47 years. He don't have any other dieses.
doctor
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
What about swine flu status?

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
Yes, you should definitely keep the hopes alive as his age is only 47 years and he is not having any co-morbidities.
I want to know few more things about him.
1. Is chest x ray deteriorating?
2. Was he a smoker?
3. Is swine flu ruled out? Please reply me answers of above asked questions so that I can guide you better about his condition.
I will be happy to help you further. Wishing good health to your father. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Kaushal Bhavsar 44 hours later
1.now his x-ray is improving but not upto that much we can consider. 2. He was not a smoker and he never tried a alcohol too. 3. His swing flow report is negative. If possible than plz can you give me your number. Thank you for your answer.
doctor
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
Better to ask 'Ask a doctor' team about my number.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
You can get my information from my public profile: https://doctor.healthcaremagic.com/doctors/dr-kaushal-bhavsar/68638
Or you can ask 'Ask a doctor forum' team for the same.
Phone calls are chargeable.

And it is good that chest x ray is improving.

I will be happy to help you further.
Wishing good health to your father.
Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Kaushal Bhavsar 2 hours later
Thanku so much sir. His pulse are very high it is nearly 145.from yesterday.
doctor
Answered by Dr. Kaushal Bhavsar 2 hours later
Brief Answer:
2d echo done?

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Tachycardia in ventilated patient is due to cardiac issue, dehydration, hypotension, fighting with ventilator etc.
So better to get done 2d echo if not done.
Let me know if already done.
I will be happy to help you further. Wishing good health to your father. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Kaushal Bhavsar 2 days later
Hello sir from last 3 the urine is decreasing it was 420ml,200ml,150ml respectively. Today when I met to doctors he said there is no big issue of other parts we can control. But the main thing is to remove the ventilator. Now his pulse is in control. He is admitted here in XXXXXXX medical, karmsad.
doctor
Answered by Dr. Kaushal Bhavsar 17 hours later
Brief Answer:
No, this is also big thing.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Decreasing urine output is also serious thing.
It is suggestive of kidney failure.
Please let me know
1. Are you talking about 24 hour urine output?
2. What is his recent urea and creatinine reports?
Weaning from ventilator is also very challenging and important but this should not be neglected.
I will be happy to help you further. Wishing good health to your father. Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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