Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

My mother was in ICU for exacerbation of her COPD and I left…

Customer Question
My mother was in...

My mother was in ICU for exacerbation of her COPD and I left her sitting at the side of the bed playing her computer, she was doing better and the next day I received a call that she was doing worse and had a seriously decreased LOC, but no explanation given and come to find out she was given 3 doses of Ativan within a 2 hour period for complaints of SOB and then she was pretty much comatose for 2 1/2 days and once it wore off (they were trying to keep it from us that they gave her the Ativan and no Ramazicon was given) she was worse and we couldn't get her through it. My question is how dangerous is Ativan in this type of case?

Doctor's Assistant: Thanks. Can you give me any more details about your issue?

I am wondering about dangers of giving 3 doses of Ativan when someone is experiencing COPD exacerbation.

Submitted: 2 years ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 23 minutes by:
2/3/2016
Doctor: Dr. Muneeb Ali, Doctor replied 2 years ago
Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 9,630
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
Verified

Hi ,

Im sorry to hear about your mother.

Now Ativan or for that matter any benzodiazepine can be dangerous in a patient with COPD, simply because it can cause respiratory depression , secondly if a patients age is greater than 60 years there is a tendency for it to be accumulated inside the body and then excreted much more slowly than in patients who are younger. In addition if your mother had a slight kidney issue that would also increase the time it would take for the drug to be excreted out of the body. Now Considering her situation after the ativan was used, it is possible that any of the above three scenarios occurred in her case. Now Ativan is a relatively short acting drug however if benzodiazepines are to be used in patients who may have a tendency to lapse into an altered state of consciousness, then midazolam is preferred because it is the shortest acting drug and will leave the body much sooner than any of the other BDZs.

Now apart from the coma it is possible that your mother also developed some respiratory depression due to the rapid administration of ativan or rather frequent administration of ativan, if that happened then she would have started to retain carbondioxide in her body, which patients of COPD tend to do if they are having an acute attack. This accumulation of CO2 would have led to further worsening of the conscious level. That is why patients with acute exacerabation of COPD in the ICU are always given benzodiazepines cautiously, and only if there is an antidote close by. Also patients above the age of 60 are preferred to give other agents like propofol which leave the body much quicker, provided there blood pressure is normal.

I hope I have been helpful and this answers your query. Please remember to assign a feedback rating so JA will compensate me for my time. You are free to ask follow-up questions thereafter at no charge although any bonuses would be appreciated. Please allow up to 24 hours for a follow-up response if I am signed off.

If, for some reason, you are not satisfied with the answer, I would appreciate knowing why so that I can try to clear up any misunderstanding that may have taken place and still earn a positive rating from you. Finally, you may request me in the future by beginning the question with "THIS IS FOR Dr. Muneeb Ali".

Thank you for using Just Answer.

Ask Your Own Medical Question
Doctor: Dr. Muneeb Ali, Doctor replied 2 years ago

Do you have any more questions?

If you are satisfied, Please leave a POSITIVE rating by clicking on the stars below, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating.

Ask Your Own Medical Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali
Dr. Muneeb Ali, Doctor
Category: Medical
Satisfied Customers: 9,630
9,630 Satisfied Customers
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine

Dr. Muneeb Ali is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,786 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,934 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

15,787 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor

13,764 satisfied customers

MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

< Previous | Next >

Related Medical Questions
Is a creatinine of 1.26 very high and what does that mea?
Is a creatinine of 1.26 very high and what does that mea?… read more
Ken
Ken
Post-Doctoral Degree
5,285 satisfied customers
I just had some blood work done, my creatinine level is 1.23
I just had some blood work done, my creatinine level is 1.23 and my eGFR is 49. Don't know what eGFR is. There is also a note on the results that I don't understand. "a persistent eGFR 59 mL/min/1.73 … read more
khagihara
khagihara
Post-Doctoral Degree
5,119 satisfied customers
I have heavy periods. However, today I am bleeding so
I have heavy periods. However, today I am bleeding so heavily that I am a little scared. How can I tell whether or not I should go to the emergency room?… read more
Dr. Mark
Dr. Mark
private practice of Internal Medicine
Doctoral Degree
3,466 satisfied customers
What is the difference between high blood pressure &
What is the difference between high blood pressure & anxiety … read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,934 satisfied customers
I am on a number of medications for high blood pressure and
Hi, I am on a number of medications for high blood pressure and recently added Metopolol, which slows down your pulse. Yesterday my GP told me to double my Metoprolol and also to start taking Sentrali… read more
Dr. Greg
Dr. Greg
Residency
463 satisfied customers
Need answer what is best medication for blood pressure in
Need answer what is best medication for blood pressure in case of high creatinine and potasium on border line … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
Is there a diet or guideline to lower blood pressure? I
Is there a diet or guideline to lower blood pressure ? I don't want to go back on pills ! … read more
Dr. Greg
Dr. Greg
Residency
463 satisfied customers
Will contrave interact with blood pressure meds and
Will contrave interact with blood pressure meds and antiinfkamatories? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
At what blood pressure sure one become considered.
Second opinion] at what blood pressure sure one become considered… read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
572 satisfied customers
My blood pressure is 80 over 41, My blood pressure is 80
My blood pressure is 80 over 41 JA: What are your symptoms? Have you used any medication for this? Customer: My blood pressure is 80 pic JA: Have you seen a doctor about this? Customer: My lasortin wa… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
Blood pressure Ned's only slightly lower my blood pressure
Blood pressure Ned's only slightly lower my blood pressure to 180/95.. What else can I do? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
I take blood pressure pills which controls my blood pressure
I take blood pressure pills which controls my blood pressure pretty well.. Today I feel light headed and pulse is up .. My blood pressure is 157.. Is there something I can eat or do that will bring it… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
840 satisfied customers
I just accidently took my AM does of Diovan 320 mg this
Good evening, I just accidently took my AM does of Diovan 320 mg this evening. Do I have a problem and need to seek medical care? Regards, JLH… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,934 satisfied customers
I recently recieved test results of 46 SGOT, 57 SGPT, 12.0
I recently recieved test results of 46 SGOT, 57 SGPT, 12.0 MPV and and RDW of 15.3 - how concerned should I be with these results and what should my next step be?… read more
Dr. Shah
Dr. Shah
MD
4,067 satisfied customers
I normally take 20 mg of lisinopril. I accidentally took
I normally take 20 mg of lisinopril. I accidentally took double dose. What should I do?… read more
Dr. C.
Dr. C.
Medical Director
Doctoral Degree
1,452 satisfied customers
My blood culture result yielded moderate growth of staph
my blood culture result yielded moderate growth of staph aureus how do i get rid of it.… read more
HouseDoc
HouseDoc
Attending Neurologist
Doctoral Degree
1,313 satisfied customers
I took 2 metoprolol tart 50 mg by mistake tonight its
I took 2 metoprolol tart 50 mg by mistake tonight its freaking me out i take it for aFib im 23 235lbs 6'2" i would like to remain awake till it wears of. am i in danger? how long will it take till im … read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,934 satisfied customers
I have just concluded a course of CARMETIC 5mg, three a day
I have just concluded a course of CARMETIC 5mg, three a day for 10 days. However , on my last day I experienced a few dizzy spells that I didn't experience for the 10 days. and I was lying still at th… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x