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Doctor insights on: Copd And Pleural Effusion

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If an elderly person has renal impairment, CHF & hypernatremia (sodium presently 157 mmol/L) would it seem to be appropriate for him to be on a NORMAL SALINE IV fluid? Other conditions are COPD, pleural effusion, T2 diabetes, delirium, mild hepatic dysfun

If an elderly person has renal impairment, CHF & hypernatremia (sodium presently 157 mmol/L) would it seem to be appropriate for him to be on a NORMAL SALINE IV fluid? Other conditions are COPD, pleural effusion, T2 diabetes, delirium, mild hepatic dysfun

Multiple med problem: I would consider 1/4 N.S. a more appropriate fluid. Sounds multiple system are failing and he has a very high mortality. If one can correct the CHF and CRF then the other factors may correct themselves, but doubt that Hemodialysis is indicated in a 91 y/o ...Read more

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Dr. Sue Ferranti
819 doctors shared insights

Copd (Definition)

COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. ...Read more

Dr. Howard Jacobs
Board Certified, Pulmonology
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Does no focal consolidation and no pleural effusion in xray rule out copd?

Does no focal consolidation and no pleural effusion in xray rule out copd?

No not really: COPD is a functional diagnosis, meaning that it is diagnosed by doing a lung function test, also known as a pft. During this test, you do a serious of breathing maneuvers to determine if you have copd, which is basically inability to blow all the air out of your lungs. Having a chest xray with "no focal consolidation and no pleural effusion" means that it is clear. You could still have copd. ...Read more

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Dr. Howard Jacobs
Board Certified, Pulmonology
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Living with COPD (Checklist)

Quit smoking
once
Use inhaler as prescribed
once
Avoid exposure to smoke and other noxious fumes
once
Follow up with your doctor
once
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Are there official recommendations for treating pleural effusion?

Are there official recommendations for treating pleural effusion?

Drainage: Pleural effusions that cause symptoms can be drained either with needle aspiration (thoracentesis), with catheter drainage (pgitail), or with tube drainage (chest tube) ... Recurrent pleural effusions can be treated with indwelling pleurx catheter, especially if the lung is trapped and will not re-expand as in malignant effusion, or with thoracoscopic pleurodesis. ...Read more

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What are the causes of loculated pleural effusion?

What are the causes of loculated pleural effusion?

Several: The fluid, or initial bloody fluid, or pus settles to the bottom of the pleural space( between the lung and the chest wall) it clots or gets thick and sticks in the dependent area and the lung sticks around it. If there is a lot of bloody or fibrinous fluid it may get stuck in several places- collections called loculations. ...Read more

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Living with COPD (Checklist)

be consistent with your medications
once
get flu and pneumonia vaccinations
once
don't leave home without your rescue inhaler
once
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Anyone know what is a pleural effusion?

Fluid pleural space: The pleusa is a specialized tissue that lines the lung(visceral pleura) and the thorax(parietal pleura), every day it is estimated up to 9 liters of fluid could be exchanged in between the pleuras. This fluid traverses the pleural spaces and gets absorbed in the visceral pleuras. The process is seamless but conditions that affect the pleura or the lungs may result in fluid buildup in the space. ...Read more

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What should I do about pleural effusion?

What should I do about pleural effusion?

Determine cause: Pleural effusions, or fluid build-up around the lungs, is not normal. Pleural effusions can arise from infection, heart failure, liver failure, malignancies or trauma. The treatment will depend on the cause. Your doctor will need to run some tests and may need to sample some of the fluid to characterize it. If there is a lot of fluid and you are symptomatic, thoracentesis may be required. ...Read more

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Living with COPD (Checklist)

See primary care doctor regularly
3x year
See pulmonary specialist at least yearly
yearly
Use all inhaler as prescribed
daily
Notify doctor immediately for increased shortness of breath or wheezes
once
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I need information on pleural effusion causes?

Many: Cancer, pneumonia, trauma, liver disease, kidney disease, radiation, esophageal problem, other infection, pancreatitis, etc. ...Read more

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Dr. Sue Ferranti
571 doctors shared insights

Fluid In The Lungs (Definition)

Fluid around lungs has many causes. It can be exudate(thick i.E pus from infection, malignancy etc) or transudative(heart failure). It may be treated based on the problem found by sampling(thoracentesis). Labs on the fluid help the clinician determine the etiology. For recurring pleural fluid, sometime pleuradesis is necessary to hep prevent recurrance. Need ...Read more

Dr. David Cooke
605 doctors shared insights

Pleural Effusion (Definition)

Pleural effusion is a symptom in which a person has liquid in the chest between the lungs and the chest wall ribs. Since the liquid takes up space, the person will have less room for the lungs to expand into, and so the effusion may ...Read more

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Dr. Howard Jacobs
Board Certified, Pulmonology
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