Doctor insights on:
Copd Pleural Effusion
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 moreGet help from a doctor now ›
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
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 moreGet help from a doctor now ›
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 moreGet help from a doctor now ›
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 moreGet help from a doctor now ›
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 moreGet help from a doctor now ›
Shortness of breath: It depends on what is causing it and how large it is. The more fluid the more it compresses and collapses the lung. The collapsed lung can not breathe for you. Effusions multifactorial, inflammation, heart failure, pneumonitis, cancer, post obstructive pneumonia, heart failure , kidney failure, hypoalbuminemia, granulomatosis etc. Shortness of breathatrestorexcertioninability to breathe laying flat. ...Read moreGet help from a doctor now ›
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 moreGet help from a doctor now ›
Fluid or not: A pleural effusion is a collection of fluid inside the chest, around the lung. A pleural based infiltrate implies a process within the lung itself, adjacent to the pleura - the lining on the inside of the chest wall and on the surface of the lung. The infiltrate could be a type of infection or possibly a cancer. ...Read moreGet help from a doctor now ›
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
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