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A member asked:
I have a patient with right sided pneumonia, placed patient on right side and the patient sao2 went from 95 to 83%. what would cause this? treatment
2 doctors weighed in across 2 answers
The other side?: Give oxygen, fluid, antibiotics. I wasn't aware of this as a key management of pneumonia (ensuring this is the diagnosis, excluding PE, sepsis, CCF etc), but I guess its worth trying them on the other side, and perhaps on their back ... oxygenation is a product of airflow and blood supply ... perhaps lying on that side reduces perfusion of the lungs and so reduces oxygenation?
Answered 1/11/2017
834 views
Mgt: Positioning is important since there is a gradient of dependent blood flow. The diseased lung has presumably less ventilation and any increase in blood flow to the affected lung can impact the oxygenation in the systemic circulation.
Answered 1/11/2017
834 views
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