A question for physicians (or PAs/NPs)?!
Question: A question for physicians (or PAs/NPs)?
1) Why would you choose to prescribe Calcium/vit d 600/400 vs 600/200 (oyster shell)?
2) How does metoprolol help stop AF (A-fib?)? A cardiologist d/c'ed amiodarone but then put in parenthesis (keep metoprolol 12.5 po bid to prevent AF). The pt is 1 month post-cabg.
3) Why was the resident on coumadin. the primary doctor was still titrating it to 2-3 but the cardiologist dc'ed it at 1-month post-cabg. Was it to prevent DVTs post-op? The resident was ambulating within a few days of surgery. Is initial dose of coumadin typically 5mg po q day x 2 days? Coumadin was d/ced related to pt ambulating a lot more?
4) Cardiologist recommneded FeSo4 325mg po bid for HCT 25. That order wasn't approved by the primary because ferritin was critically high (over 700). Is there any way to lower ferritin besides by not giving this. Is there anything else the MD could do to increase H/H while still keeping ferritin low? (blood transfusions if it was critically low? would that raise ferritin?)
5) What is the difference betwen ferrous sulfate and ferrous gluconate and when would you presribe each?
6) Why would you prescribe calcium carbonate vs calcium citrate?
7) Vit D vs Vit D3?
Answers:
Is that what you want? http://yourselect.info/52620/calcium-carbonates
http://yourselect.info/52620/calcium-carbonates
I think that you are being a bit optimistic if you expect any self respecting medical professional to answer that question.
First, there are very, very few doctors or PA's on this forum during the daytime or anytime and do not give out free medical advice. Next, you have way too many questions posted in one post for anyone to want to answer your questions. You need to post these individually so that someone might want to answer you.
For your FIRST question, current guidelines recommend 400 international units of Vitamin D for every elderly person because more people are Vitamin D deficient and Vitamin D helps the body utilize the Calcium more effecienty. The 200 IU amount would not meet current guidelines.
Health care provider