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Doctor insights on: Flow Copd Patient

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Asthma attack. Will peak flow reduce if the person has pulmonary fibrosis?

Asthma attack. Will peak flow reduce if the person has pulmonary fibrosis?

Usually: If there is reversible air flow blockage, that would show as a decrease in peak flow that reverses when the attack is cleared. The difference between a usual and reduced peak flow will be lower in pulmonary fibrosis since the volumes of air are decreased overall. ...Read more

Dr. Dariush Saghafi
1 doctor shared a insight

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


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Why oxygen supplementation contraindicated with obstructive lung disease?

Why oxygen supplementation contraindicated with obstructive lung disease?

Not usually: COPD is a problem with the ability of the lungs to expel air, which causes poor oxygenation. People with COPD are often treated with oxygen; however, if supplemental oxygen levels are too high it can cut off a person's ability to trigger their own breathing mechanism. If the disease is severe you actually may not be able to survive without the use of oxygen. ...Read more

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Why would patients with COPD be given low flow concentration (1-2l/min) supplemental oxygen?

Why would patients with COPD be given low flow concentration (1-2l/min) supplemental oxygen?

Low blood oxygen: At the advanced stages of copd, the lungs do not perform their function well, oxygen has a harder time crossing into the blood stream. At this point, the body is not getting enough energy, the blood oxygen level is low. Raising the amount of inhaled oxygen offsets the problem, and prolongs life. Oxygen is used at the lowest amount that would achieve the goal. ...Read more

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Spirometry results essentially normal spirometry. Hyperinflation questionable the single breath diffusing capacity is moderately impaired. COPD?

Spirometry results essentially normal spirometry. Hyperinflation questionable   the single breath diffusing capacity is moderately impaired. COPD?

Possible: A reduced DLCO/Va points to damage or scarring in the lung tissue and emphysema (especially if you have been a smoker) or other interstitial lung diseases may be the cause. The normal lung function however is not compatible with COPD but then I don't understand what you meant by hyperinflation in the presence of normal lung function test. See a pulmonologist. ...Read more

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Can mechanical ventilation aid lung cancer patients?

Can mechanical ventilation aid lung cancer patients?

No: It is not a cancer treatment. Occasionally it may be needed during lung cancer treatment (as in some cases after lung resection) but it is a supportive treatment. ...Read more

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70 % lung function - will this patient require oxygen?

70 % lung function - will this patient require oxygen?

Not really: Pt should have abg done and if oxygen level is less than 55, pt will need oxygen, ( or o2 sat <88%). ...Read more

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Why should patients with COPD be given low flow concentration supplemental oxygen?

Why should patients with COPD be given low flow concentration supplemental oxygen?

Helps: if a patient has a saturation less than 88 they qualify for supplemental oxygen. oxygen is the only therapy proven to prolong life in advanced copd ...Read more

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What renal dialysis effect while patients on post obstructive diressis?

What renal dialysis effect while patients on   post obstructive diressis?

P-obstruct. diuresis: In majority, functional recovery in usually seen in the first week to ten days after obstruction is relieved. If severe renal failure is present, dialysis may be indicated, even after complete resolution of the obstruction. Dialysis may be required for a few weeks. In these cases complete functional improvement may not take place. ...Read more

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Prognosis for untreated stage 3b non small cell lung cancer with low oxygen sats, diabetes, heart disease, high blood pressure, and emphysema.

Prognosis for untreated stage 3b non small cell lung cancer with low oxygen sats, diabetes, heart disease, high blood pressure, and emphysema.

Very Poor.: Small Cell Lung Cancer is very hard to treat successfully. Spreads very early in its course. If one is lucky enough to be diagnosis before spread cure is possible. ...Read more

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For what reason should patients with COPD be given low flow concentration (1-2l/min) supplemental oxygen?

Low oxygen...: People with COPD can develop low oxygen levels due to their lung disease. Oxygen therapy is then administered in the lowest amount needed to treat their hypoxia. Too much oxygen can actually cause lung toxicity which worsens lung function. ...Read more

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With congestive heart failure or coronary ischemia would the oxygen saturation shown on the monitor at hospitals drop?

With congestive heart failure or coronary ischemia would the oxygen saturation shown on the monitor at hospitals drop?

Possibly: With severe or "decompensated" congestive heart failure, the oxygen saturation is frequently low due to the pint of water in the lungs. As this condition is treated, the oxygen level will improve. For ischemia, it would be very unc. ...Read more

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What is hypoxemic respiratory failure chronic and restrictive lung disease?

What is hypoxemic respiratory failure chronic and restrictive lung disease?

Poor lung function: Basically the lungs are not expanding like they should be as such they are not working well and not oxygenating the blood. ...Read more

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My spirometry:slight restrictive shape of curve.Moderate expiratory limitation.Examination for extrathoracic obstruction & expiratory trachealstenosis?

My spirometry:slight restrictive shape of curve.Moderate expiratory limitation.Examination for extrathoracic obstruction & expiratory trachealstenosis?

HRCT: Extrathoracic obstruction may result in changes in airflow both on inspiration and expiration depending on where the obstruction is located. If your physician is investigating an extrathoracic cause, an HRCT is indicated. Sometimes enlarged lymph nodes may impinge on the airway as one possible cause. The restriction is mild and may be due to a number of causes such as fibrosis or scarring. ...Read more

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Copd patient aged 71. Triple bypass 4 years ago in inhalers .moderate copd stage . What is prognosis like?

Copd patient aged 71. Triple bypass 4 years ago in inhalers .moderate copd stage . What is prognosis like?

Multiple factors: are at play. Optimize cardiac and respiratory treatments , especially preventive measures. Genetics , diet and environment are important factors. By experience, you could have a very good qulaity of life. ...Read more

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Mother aged 80 patient copd. Ventilator once. Inhaler asthalin, neubulising asthaline and budecort. Deriphyllyne, prbpm90-100, spo2p. Advice?

Mother aged 80 patient copd. Ventilator once. Inhaler asthalin, neubulising asthaline and budecort. Deriphyllyne, prbpm90-100, spo2p. Advice?

Difficult situation: COPD at advanced age is difficult. You are probably looking at longterm oxygen which has been showing to decrease mortality in the disease. Make sure your mother's medications are maximized. Also consider physical therapy or pulmonary rehab to help her physically deal with her illness. ...Read more

Dr. Sue Ferranti
975 doctors shared insights

Chronic Obstructive Pulmonary Disease (Copd) (Definition)

Also known as COPD, may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. ...Read more