Tuesday, 10 November 2015

Using Viagra lands a 74 year old man in the hospital (plus how to treat priapism)

A 74-year-old retired hairdresser had to be treated by paramedics after taking two Viagra tablets for a night of passion with a 27-year-old.

After having "some fun" with the young lady, Roy began having major heart palpitations and feared he was going into cardiac arrest.

After calling 999, tests taken by paramedics showed Mr Boddington had a high blood pressure reading of 157/88mmHg. A normal reading should not be above 140/90.

His heart was also beating at a high rate of 102 beats per minute - above the regular 60-100 beats.

Speaking out after the incident, he said: 'It was for a laugh. She's a lot younger than me so I wanted to be able to keep up. I'll not be doing it again, that's for sure.'

He added: 'In the ambulance the paramedic said "it’s coming down". I said "it doesn’t feel like it’s coming down" and she said: "No, I’m talking about your blood pressure".

'I had to keep my arm over it otherwise it would have been up in the air.'

He added: 'It's like a new craze, a new thing. It should be a national thing being discussed.

'Imagine if someone dies because no-one has spoken about the dangers. People shy away from the subject. It took around 24 hours for things to go back to normal.'

He's definitely learnt his lesson the hard way. And I'd like us to learn a thing or two from his experience as well.

Imagine you are the nurse or doctor on call. How would you handle a case of priapism?

Start with your ABC- Airway, Breathing, Circulation and vital signs. Place an ice pack on the penis and inform a senior colleague for further management (Don't forget your history and examination.)

Now we've gotten that out of the way, you should know, there are two types of priapism, non-ischaemic and ischaemic.

Non-ischaemic priapism usually results from an injury to the penis or perineum. If an artery that feeds into the corpora cavernosa ruptures, blood might spill into the erectile tissues. While blood can now flow both in and out, the outflow is not sufficient to shrink the erection. As a result, a man with non-ischaemic priapism will have a semirigid penis for hours on end. Because the circulation of blood has not been impeded, non-ischaemic priapism doesn't hurt and often clears up on its own without causing long-term damage. Treatment usually consists of little more than an ice pack.

In the case of ischaemic priapism, blood flows into the penis but doesn't flow out. The loss of circulation deprives the corpora cavernosa of oxygen and causes a painful, rigid erection. If left untreated, the loss of oxygen can damage erectile tissues, cause the formation of scar tissue, and lead to a permanent loss of function.

The first treatment for ischaemic priapism is "therapeutic aspiration." The urologist sticks a needle into the side of the penis and draws blood directly from the cavernosa. The same needle is sometimes used to inject saline solution into the penis, which can help flush out the remaining blood. Aspiration and irrigation work around 25 percent to 30 percent of the time. Doctors can also inject drugs that constrict the arteries and cut off penile blood flow. Injections are given every few minutes for about an hour.

In rare cases, an intractable erection will resist both aspiration and drug injections. In this case, the urologist performs a surgical shunt. The simplest type of shunt involves cutting a small hole in the head of the penis, then opening oval windows in the tips of the cavernosa. When the surface incision is closed, the blood trapped in the erectile tissue drains out through the unaffected penile veins. A more involved shunt procedure involves cutting a nearby but unrelated vein and attaching one end of it to the base of the penis.

I hope this was informative.  Do have a lovely day!

X

2 comments:

Aisha Buhari urges doctors to check abuses, exorbitant charges

A post shared by HealthThenMore (HTM) Lifestyle (@htm_lifestyle) on Apr 17, 2018 at 12:12am PDT The wife of the President, Mrs...