Management Of Comatose Patients?
want to ask. When the patient is in a coma and a small tube is inserted into the nose to the lungs, was there a need for a signature for the family’s approval first?rnAnd after the procedure, blood will come out of the tube? Is it bleeding or dirty blood coming out? Then, is there a possibility that after the injection, it took about 5 minutes for the patient to be critical and died?rnAt that time the patient had a fever of 41 degrees to a coma, and had a history of seizures and lungsrnPlease help answer
Hello Ailee, Thank you for your question on HealthReplies.com
All medical actions taken by doctors must obtain the consent of the patient or the patient's family. Approval of medical treatment has been regulated by Law no.29 of 2004 concerning medical practice in Article 45 paragraph (1) to paragraph (6) and in the Minister of Health no 290/menkes/per/III/2008 concerning approval of medical action. Consent is given after the patient has received an explanation of the medical action to be performed, consent can be given in writing or unwritten. A medical procedure that contains a high risk must obtain written approval. The explanation of the medical action includes:
Diagnosis and procedures for medical treatment Purpose of medical action performed Alternative other actions and risks Risks and complications that may occur Prognosis of the action taken Estimated cost Explanation must be directly to the patient or his family, if the patient is a child or person who is not aware of the explanation to the family who brought him.
The tube that is inserted through the nose into the stomach is said to be an NGT tube, which serves to insert food or medicine, fluids orally to people who are unable to take orally, such as unconscious patients, people who have difficulty swallowing on their own, and to expel gastric juices, if needed. NGT bleeding may be gastric bleeding, or stress ulcers, namely irritation of the stomach lining.
My advice if you are the family of the patient you are talking about, you should ask for an explanation of the condition and cause of the patient's death, because only the doctor who treats the patient knows the overall condition, and only the doctor who treats the patient has the right to give an explanation.
Thank you, hopefully useful. dr. Nurmarwiyah