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What Is The Cause And Treatment For Chronic Cor-pulmonale

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Posted on Thu, 18 Sep 2014
Question: Hospitalised patient has COPD, CCF (with pacemaker), renal insufficiency, myeloproliferative disorder (without acute transformation), dyspnea, dysarthria, pleural effusion, dementia (not very advanced), history of XXXXXXX strokes, pneumonia, suspected but unconfirmed sepsis, hypoxia, hypothermia, pain, delirium and is extremely malnourioshed. If 0.5 mg of haloperidol IM for delirium has no effect at all after a couple of hours then should this matter be reported to a doctor if one is available? Why?
doctor
Answered by Dr. Benard Shehu (10 hours later)
Brief Answer:
Cor-pulmonale as the cause to patients problem...

Detailed Answer:
Hi,

The patient is suffering the symptoms of chronic cor-pulmonale (COPD and CCF). Hypoxia itself is the cause of cerebral damages (delirium, hypothermia), for which the patient is taking Haloperidol.

The cerebral damages due to hypoxia are causing delirium and hypothermia.

If Haloperidol is not having any effect on the patient, then, the doctor should be consulted to:
- change the actual dose
- or to switch to another medication until the desired effect is reached.

Hope it helped! If anything unclear, do not hesitate to write me back!
Dr.Benard
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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What Is The Cause And Treatment For Chronic Cor-pulmonale

Brief Answer: Cor-pulmonale as the cause to patients problem... Detailed Answer: Hi, The patient is suffering the symptoms of chronic cor-pulmonale (COPD and CCF). Hypoxia itself is the cause of cerebral damages (delirium, hypothermia), for which the patient is taking Haloperidol. The cerebral damages due to hypoxia are causing delirium and hypothermia. If Haloperidol is not having any effect on the patient, then, the doctor should be consulted to: - change the actual dose - or to switch to another medication until the desired effect is reached. Hope it helped! If anything unclear, do not hesitate to write me back! Dr.Benard