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Multiorgan failure

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My mother is currently at the hospital with, major organs failing in her body. ( heart , Liver , & Kidney s )
She only had a heart failure and it took only two weeks while she was at the hospital and her eyes where yellow. All these happened while she was at the hospital. Yesterday the nurser said the organs are failing because of low blood pressure. What supplement cane I give my mother to help her the urine from the carthet is very dark. Can these failing organs be reversed? Can the ion supplement help her.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 31 Doctors Online

Hello,

Thank you for choosing Doctor Spring. Multiorgan failure can be due to various reasons like sepsis or hypovolemia. In your mothers case the cause for multiorgan failure is cardiogenic shock leading to hypoperfusion of vital organs in the body.

Prolonged hypoperfusion has led to damage or inadequate functioning of those organs leading to further worsening of general condition. Low pressures are treated with continuos infusion of certain drugs called inotropic. Common inotropes used are dopamine and norepinephrine. Dobutamine also may be required in addition to them.
Here are my recommendations:

1. She requires treatment under the supervision of a intensivist in the ICU setting and no supplementation should be given.

2. Blood pressure maintenance is the prime goal of treatment. For this purpose dopamine, dobutamine and norepinephrine are used.

3. Treating hypotension early can prevent irreversible damage to vital organs and hence improvement in her general condition.

4.Depending upon the cause for heart failure, treatment should be directed.(common causes include myocardial infarction, cardiomyopathy, left ventricular failure etc)

It is very difficult to say whether this can be reversed. While there is a chance that it can be, an irreversible damage can be possible. It all depends on the functional capacity of her heart. If you have the blood investigation reports with your please let me know the values .

Hope this helps. Please let me know if you have any follow-up queries.
Thank you.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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