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ICU/Critical Care/Questions

SubjectDate AskedExpert
scary incident2/9/2012Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: 41 yr old female. not overweight, do not smoke or drink. Two nights ago, I woke from a deep sleep ...
  A: I am very happy to hear that you are feeling better, however, this does not rule out the heart. A ...
Pulmonary and Bilateral chronic subdural hemorrhage s/p Burr holes2/6/2012Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: Cipriano, My Dad is going to be 83 by this march. The past history of ou cataract s/p 22 years ...
  A: Your dad is a lucky man. He has survived a great deal of medical problems. Thank you for the ...
how long can this person live2/4/2012Swatantra Mishra
  Q: How long can someone live who has complete liver and kidney failure, the mal score is a 35 and they ...
  A: My apologies for being so late in answering this question of yours. I thought that I had already ...
scary incident2/3/2012Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: 41 yr old female. not overweight, do not smoke or drink. Two nights ago, I woke from a deep sleep ...
  A: I have been overworked at my position. I hope you did not wait for my reply. Whenever there is a ...
Liver2/3/2012Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: Is it true that drinking too much Patrons will lead to blurry vision?
  A: Alcohol enters the stomach and small intestines and is immediately absorbed into the blood stream. ...
Tracheostomy Removal1/18/2012Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: My 40 year old son suffered severe brain trauma from a motorcycle accident June 14, 2009. He has a ...
  A: First, let me extend my happiness to you and your son. What a wonderful miracle! I did a literature ...
crtitical care1/18/2012Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: I was in the hospital diagnosed with CHF and PE in both lungs.While I was in the hospital they ...
  A: Unfortunately, not all hospitals are created equal. It appears that the hospital you were initially ...
food poising and cough1/16/2012Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: I am a healthy obese 36 yr old male who developed food poisining 4 days ago with a lot of vomiting ...
  A: Unfortunately, healthy and obese are not synonymous with each other. Your heart rate, blood ...
Asthma1/11/2012Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: My mother is on ventilator for last 5 days. She is suffering from asthma. When ventilator is she was ...
  A: I am very sorry to hear about your mom. It is difficult to answer your question without some ...
COPD/heart attack/stroke/ICU1/4/2012Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: My dad had a heart attack and stroke 11 days ago. He is in the coronary ICU of a hospital. He had ...
  A: I am so sorry for what you are going through. If I understand you correctly, your dad had both a ...
ICU & ventilator12/9/2011Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: My mom is 61 and had lung cancer she under went kemo and radiation to get rid of it. she has been ...
  A: I am so sorry you and your mom are going through this. Emphysema is a diagnosis sub-grouped into ...
ventilator11/19/2011Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: My grandpa had surgery to remove kidney stones. He was rushed to icu after. He had a massive ...
  A: I am very sorry to hear about your Grandpa. I am going to try my best to make a very confusing ...
Sedation after Surgery11/8/2011Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: My 69 yr old brother underwent major vascular surgery 3 weeks ago and was kept sedated for 2 weeks ...
  A: I'm happy to hear that your brother is on the road to recovery. If I understand your question ...
ANXIETY RELATED TO ICU STAY11/5/2011Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: MY NEPHEW WAS ADMITTED TO ICU 4 WEEKS AGO,HE ENDED UP ON DIALYSIS A VENTILATOR, DIAGNOSIS IS ...
  A:  Dear Anita, I am so sorry your nephew is so sick. Legionnaire's disease is a bacteria that infects ...
ICU after gallbladder surgery10/20/2011Pamela M. Cipriano, MSN, APRN, ACNP-BC
  Q: How many days can I expect my mother to be in the ICU? After gallbladder surgery she was taken to ...
  A: Paula, I am sorry your mom is going through this. There are a few things I need to know before I can ...
ARDS and recovery1/2/2010Wesley
  Q: I have a relative that has been in ICU at the University of Pennsylvania for 6 weeks now. He is a ...
  A: It really depends on the kind of H1N1 test they are running. A rapid test will almost always have a ...
Induced Coma after a severe Pancreatic attack1/1/2010Wesley
  Q: I have a very dear friend who has suffered from panacreatic attacks for several years. Recently ...
  A: Often the pancreas can cause severe heart and lung failure. In order for a person to have a chance ...
difficult removal of vent. due to extreme agitation12/30/2009Wesley
  Q: My husband was put on a ventilator 5 days ago due to pnuemonia, non viral, non bacterial. He has ...
  A: We often have a hard time with this. If his numbers don't change, but he is just agitated then there ...
vent12/30/2009Wesley
  Q: My mom is on a vent and in ICU She had part of her lung taken out in 04. She is on oxygen all the ...
  A: I am sorry that you are going this hard time Peggy. I am surprised that they went straight back to ...
drawing of blood from neck12/30/2009Wesley
  Q: is drawing blood from the neck of a three year old very dangerous in that it can cause a clot prior ...
  A: Get a lawyer. I don't answer post-forensic questions for the simple fact that is impossible to have ...
MRSA lung infection12/30/2009Wesley
  Q: I was told today that sputum culture came back with MRSA infection in my lung. Put on 3 week course ...
  A: Well Lynn you survived lung cancer, I imagine you will survive this too. You are most likely a ...
swine flu autopsy12/28/2009Wesley
  Q: My grandson fourteen years old passed away August 24,2009 of the swine flu. We had an autopsy ...
  A: Michelle I am truly sorry to hear of your loss. Autopsies of any kind can take an average of eight ...
drawing of blood from neck12/27/2009Wesley
  Q: is drawing blood from the neck of a three year old very dangerous in that it can cause a clot prior ...
  A: Depending on how you mean. If it is a central line placed for the purpose of drawing blood and ...
pancreatis and sepsis12/27/2009Wesley
  Q: my dad was admitted to hospital with severe abdominal cramps on the 3rd december 2009. he was ...
  A: There are two schools of thought on pancreatitis: drain or no drain. You have seen the the best ...
mrsa pneumonia12/27/2009Wesley
  Q: My 28 yr old niece contracted the mrsa bacteria almost 2 years ago during childbirth. She was first ...
  A: Okay, I am going to try to answer this, write me back if I get wrong. She was told she had MRSA. ...
My mom is in the ICU12/23/2009Wesley
  Q: My mom was admitted in the ICU on Thursday. She has double pneumonia and apparently symptoms of the ...
  A: You used all my standard answers. I've no idea how long it will take. I wish I could answer this ...
Ventilator and cardiac arrest12/22/2009Wesley
  Q: My uncle a heavy smoker until 5 years ago, suffered severe breathlessness 10 days ago and again ...
  A: Aubrey a lot should go on now. Too much to explain here. Most important is to figure out the ...
My mom is in the ICU12/21/2009Wesley
  Q: My mom was admitted in the ICU on Thursday. She has double pneumonia and apparently symptoms of the ...
  A: First suggestion, be patient. I hope that she progresses well and gets off the vent soon. If it ...
infection due to improper hernia surgery12/20/2009Wesley
  Q: my uncle(71)was operated for hernia surgery about 13 days back and post surgery he started ...
  A: Bhvani, your uncle sounds fairly sick although, not outside the realm of the normal unfortunate ...
Respirator12/19/2009Wesley
  Q: My dad had COPD, his carbon dioxide levels were over 100 they said? he was a retainer....was on Cpap ...
  A: In light of this I wonder if he was actually having one of two things: a heart attack or a pulmonary ...
is there any chance of survival12/18/2009Wesley
  Q: my mother was admitted to the hospital about 2 weeks ago for what we now know is cellulitis. 2 days ...
  A: Oh, Marie these questions are always so hard to answer. I hope that in some way you know that if you ...
Mother with pneumonia, ARDS and ventilator12/18/2009Wesley
  Q: Our mother was in for surgery to assist her with eating again. She hasn't been able to eat in 1 1/2 ...
  A: Stephanie, interestingly we've just completed a course with a man who had nearly the exact issues to ...
very slow recovery from icu/unconsciousness12/17/2009Wesley
  Q: The sedation was stopped 4 days ago, but due to aggitation he has has several small doses of ...
  A: Jennie I'm sorry to hear about your dad, I hope that he is well tonight. Sedation is a tricky and ...
Sepsis Shock in ICU12/16/2009Wesley
  Q: My Mom is in the icu and has been there for almost 11 days, sh went in with a bad infection on her ...
  A: Elizabeth I'm sorry to hear about your mom. There are only a couple of things that help creatinine. ...
Alcohol withdrawal danger after bypass surgery12/12/2009Wesley
  Q: My father is currently in ICU following open heart surgery to replace a valve and perform two ...
  A: I'm sorry Missy, this is a unfair thing that your father has brought you all into. Yes, being ...
Respirator12/12/2009Wesley
  Q: My dad had COPD, his carbon dioxide levels were over 100 they said? he was a retainer....was on Cpap ...
  A: Sadly, no. If he passed so quickly then I feel that he would have suffered just the more on the ...
gastric issues12/10/2009Wesley
  Q: i am asking if having some gastric issues is frequent when someone is in a critical care ward. is it ...
  A: In a series of autopsies from 1999-2003 in deaths from unknown causes in patients in the ICU, 38% ...
ALS-VENT PLUS TRACH12/9/2009Wesley
  Q: My wife is an ALS patient, bulbar onset. It has been just over a year since diagnosis. Recently, she ...
  A: Mike, I hope that this is not the first time the thought of 'what if' has occurred to you guys. If ...
grandfather with COPD11/24/2009Wesley
  Q: I would like some help making a decision about placing a trach tube for my grandfather. He was put ...
  A: Well I usually say yes when asked this question, but it doesn't sound to me like he needs this yet. ...
ventilator11/23/2009Wesley
  Q: My aunt has been on a ventilator for three weeks. She has five infections and herpes has been ...
  A: I'm sorry she has so much going on, I hope that she is comfortable and you and your family are able ...

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ICU/Critical Care

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Wesley

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Expertise

I can translate the jargon and answer the complex emotional and medical questions related to an ICU stay. I am a constant student of the changing face of Medicine, and hopefully I can help you come to a better understanding about what you can expect during your stressful time. I find that once the language is explained a little clearer, the puzzle comes more into focus. Usually, just to know that you are not alone may help. I am familar with all facets of critical care except transplant and neonatal care. Questions about Sepsis, ventilation, gall bladders, hemodialysis, complicated cancer surgery and alcohol withdrawal, suicide/overdose attempts are welcome. Students are welcome

Experience

12 years as an ICU nurse and 2 yrs on Neurosurgery. Mentor, teacher, been there in your shoes myself.

Education/Credentials
BSN from Clemson, 15yrs grunt medic in the ARMY.

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