32- Dysphagia-Unable to Eat
No appetite and/or psychological failure:
Nystatin liquid can save a life… See protocol "7-Mouth"
Aphthous & Herpetic ulcers
See protocol "7-Mouth"
Unconscious, but still physically "strong"
Our experiences teaches us that a last resort can be a high dose of dexamethasone IM (4cc in morning + 2cc at noon), but if no response by second day, we cannot do anything unless injectable curative care with ampicillin (IM/IV) and/or gentamycin is indicated (e.g. meningitis, pneumonia, septicemia, generalized skin allergy with secondary infection, etc.) If high dose dexamethasone is effective, use the opportunity to give directly the curative treatment (Bactrim for PCP, sulfa-dara for TOXO…) because dexa's effect will be short-lived. Even if patient is still strong, there is nothing to do if we know patient has HIV dementia or other severe irreversible brain damage.
Coma "1", stroke or other neuro damages, cataclysmic dyspnea, or other unknown causes of severe dysphagia...
See supra: "Unconscious, but still physically strong"...