cagas,bill of rights

8/8/2019 Cagas,Bill of Rights

http://slidepdf.com/reader/full/cagasbill-of-rights 1/16

CLIENT'S BILLCLIENT'S BILL

OF RIGHTSOF RIGHTS



1. Clients Are Entitled To Respect

2. Clients Are Entitled To Control

3. Clients Are Entitled To Competence4. Clients Are Entitled To Attention

5. Clients Are Entitled To Loyalty6. Clients Are Entitled To The Truth

7. Clients Are Entitled To Efficiency8. Clients Are Entitled To Budgets

9. Clients Are Entitled To A Fair Written Agreement10. Clients Are Entitled To Reasonable Bills



ACUTE CHRONIC TONSILITISACUTE CHRONIC TONSILITIS

Patient is put to

bed.

Temperature is controlled by giving aspirin or paracetamol group of drugs which also act as analgesics. Aspirin 500 mg. every 6 hours or paracetamol 500 mg. T. D. should be given.



In milder form, antibiotic is not given to allow thebody to develop resistance, but in severe cases Penicillin

is the drug of choice to be given either orally orsystemically. It should be continued for a full period of5 to 7 days³orally Penicillin 'V (250 mg) 1 tab 6 hourlyor systemically Inj. (Cryst) Penicillin 5 lakhs. I. M. twice

daily. Broad spectrum penicillin (ampicillin oramoxycillin) or erythromycin is administered moreoften in recent years.



Bowel is opened up. Fluid and soft solid

foods should be allowed.Mild warm antiseptic gargle is soothing ,mouth

wash with saline water or NaHCO3

For constipation-Milk of Magnesia 1 teaspoonful

thrice daily.Soft diet and Vit. C is helpful.

TREATMENTTREATMENT



TREATMENTTREATMENT

Treatment is conservativeat first with attention to general health,nutritious diet, well ventilated room, likethat of acute tonsillitis.

If trouble persists & recurrent i.e. at least3/4 attacks a year then tonsillectomy isadvised.



ACUTE FOLLICULAR TONSILITISACUTE FOLLICULAR TONSILITIS

TREATMENT

B u t f e w r e m e di e s a r e n e e de d ; a c o n it e ,

p hy t o l a c c a , be lla do n na , m a c r o t y s ,

ge lsem ium , and gua i ac will m eet a l l t hec o n d it io n s pr e s e n t .



BRONCHIOLITISBRONCHIOLITIS

Frequent small

feeds are encouraged to maintain hydration as evidencedby good urine output, and sometimes oxygen may berequired to maintain blood oxygen levels.



Bronchodilatordrug s such a s

sal buta mol /albuterol or ipratropium are

no l onger recommended, but many

cli nicians offer a tri al dose to se e i f ther

is a ny benefit (especi ally if there i s a

fa mily history of asthma , since it can be

diff icult to clinica lly disting ui sh

bronchi olitis from a viral- induced

asthma). Racemic epinephrine is

another drug that is sometimes given.



BRONCHIECTASISBRONCHIECTASIS

Bronchopulmonary Hygiene TherapyImproved clearance of mucus is the cornerstone of

the management of bronchiectasis and includes

several components.T

hey include:Inhaled medication (bronchodilator and/orinhaled steroid) and

Airway clearance measures (oscillating positiveexpiratory pressure device, high-frequency chest

wall oscillation vest).Your healthcare provider may recommend one or

more of them depending on your individualneeds.



Inhaled Medication

Inhaled Bronchodilators - An inhaled bronchodilator medication opens the

airways by relaxing the smooth muscles around the airways. This type ofmedication is available in a number of inhaled forms. Commonly usedinhaled short-acting bronchodilators include:ProAir®, Proventil® HFA, Ventolin® HFA (albuterol)Xopenex® (levalbuterol)Maxair® (pirbuterol)Inhaled long-acting bronchodilators may also be used. They include:Serevent® (salmeterol)Foradil® (formoterol)Spiriva® (tiotropium)



If you produce a large amount of mucusyourIf you produce a large amount of mucusyourhealthcare provider may recommend techniques tohealthcare provider may recommend techniques to

help clear the mucus.help clear the mucus.Oscillating positive expiratory pressure devicesOscillating positive expiratory pressure devices

(OPEPD): These include devices such as the Acapella®(OPEPD): These include devices such as the Acapella®

or the Flutter Valve® that help clear mucus from youror the Flutter Valve® that help clear mucus from yourlungs. These are small devices you exhale into.lungs. These are small devices you exhale into.



COR PULMONALECOR PULMONALE

Eliminat io n of th ecause is th e m ost impor tant

inter vention .D iur etics for RVF, In pulmonar y

embo lism, th romb olysis (enzymatic dissolutio nof t he blood clot) is advocated by so me

auth oritie s if th ere is dys funct io n of th eright

ventr icle, and is oth erwiset reat ed wit h

anticoagulant s. In COPD, lo ng-ter m oxygen

the rapy may im prove cor pu lmonale.



Cor pulmonale may lead to congestive heart failure(CHF), with worsening of respiration due to pulmonaryedema, swelling of the legs due to peripheral edema and

painful congestive hepatomegaly (enlargement of theliver due to tissue damage as explained in theComplications section. This situation requires diuretics(to decrease strain on the heart), sometimes nitrates (to

improve blood flow), phosphodiesterase inhibitors such assildenafil or tadalafil and occasionally inotropes (toimprove heart contractility). CHF is a negative prognosticindicator in cor pulmonale.



SILICOSISSILICOSIS

Stoppingfurther exposure to silica and other lungirritants,includingtobaccosmoking.

Coughsuppressants. Antibioticsfor bacterial lunginfection. TB prophylaxis for thosewith pos itive tuberculinski

testor IGRA bloodtes t. Prolongedanti-tuberculosis (multi-drug regimen)for

those with activeTB. Ches tphysiotherapytohel p the bronchialdrainage of

mucus. Oxygen administration totreat hypoxemia, if present. Bronchodilatorsto facilitate breathing.



Sudden Infant Death SyndromeSudden Infant Death Syndrome

Breastfeeding

Sleep positioning

Secondhand smoke reduction

cagas,bill of rights

Documents