Age 64, Male, In hospital now for 3 weeks for bacterial infection. Was given Heparin for clots in right leg that I had surgery on last year for bypass surgery. While on heparin, now have a hematoma that is bleeding. Was on Ventilator for 3 days, then was breathing on own. Today on CPAP. Kidney functions stopped. On Dialysis. Rectal tube in, bed sores. Can’t move. Prior to hospital was in terrible back pain. Found a mass in pelvic area that was drained. Have been on antibiotics and not seeming to help. I don’t want to die yet. Can you help?
Actually I need to know what is that infection and where?
What medications are you taking?
What is the mass in the pelvis?
What labs did you do?results?
Thanks
Waiting your answer ..
Where was the haematoma ?
A bacterial culture should be done to decide the best antibiotic, 2 types should given together if your infection is resistant type , your kidney should rework again if they removed the cause for shutdown could be the block you explained or the infection ,CPAP means they think your okay but weak , i think you are improving
You will need ICU physical therapy to help with the bedsores and avoid any further complication (its very helpfull can be life saving )
Hope by the time you read this you are better , Good Luck
hi
the infected hematoma should be drained out,the pus should be sent for culture ,sensitivity.
depending upon this reports,appropriate broad spectrum antibiotics should be started.
frequent change of positions,bed sore care and iv fluids with chest physio should be done.
90 % of your recovery depends upon a good nursing care.
thanks
HI
THIS MAY BE HOSPITAL ACQUIRED NOSOCOMIAL INFECTION.
PSEUDOMONAS AEURIGINOSA IS THE ORGANISM MOSTLY INVOLVED.
HIGHER ANTIBIOTICS WITH PHYSIOTHERAPY AND GOOD NURSING ARE THE MAINSTAY OF THE TREATMENT.
hello there
thorough local drainage of the hematoma is the mainstay of the treatment.
histopathology of the drained tissue needs to be done.
MRSA needs special consideration and higher antibiotics covering gram negative bacteria shuld be taken.
Heparin is having a various side effects including renal, chest and haematological affections,
Please do pelviabdominal U/S and tell me more about the infections you have and the drugs your are taking in brief details
Best regards