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Doctor insights on: Incentive Spirometer Directions

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Is this ok to use incentive spirometer exerciser?

Is this ok to use incentive spirometer exerciser?

Yes: No problems have been reported; nor could one anticipate one with the 'essence of life'. I hope you dont have severe COPD and blebs, that may rupture, in rare conditions. ...Read more

Dr. Bernard Seif
1 doctor shared a insight

Spirometry (Definition)

A spirometry is a measurement of velocity (speed) of air coming in & out of the lungs which equals the diameter of the airways. This an indirect measument of the lung function diffeent patterns are posible & direct us as specialist to diagnosed ...Read more


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Is an incentive spirometer effective?

Yes: To keep your lung from collapsing due to shallow breathing after surgery. It is very but not always effective. Despite the pain, you must do it to prevent atelectasis of the lung tissue. ...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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Can I use both an albuterol nebulizer and albuterol rescue inhaler at the same time?

Can I use both an albuterol nebulizer and albuterol rescue inhaler at the same time?

No: You should not do this without express direction from your doctor.These medicines have side effects that are potentially dangerous in overdoses.Can increase heart work, raise blood pressure for example. ...Read more

Dr. John Chiu Dr. Chiu
6 doctors agreed:
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Spirometry results essentially normal spirometry. Hyperinflation questionable the single breath diffusing capacity is moderately impaired. COPD?

Dr. John Chiu Dr. Chiu
6 doctors agreed:
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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Are little kids able to use albuterol inhalers?

Are little kids able to use albuterol inhalers?

Yes: It is actually more efficient for them to use an inhaler. Although, they should use an aerochamber, spacer, with the inhaler. ...Read more

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Take ventolin hfa for asthma. What does inhale 1 puff q4-6 hours prn wheezing mean?

Take ventolin hfa for asthma. What does inhale 1 puff q4-6 hours prn wheezing mean?

Sig: It means take 1 puff every 4 to 6 hours as needed for wheezing, (but it should be 1 to 2 puffs), . ...Read more

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How do atrovent (ipratropium) & albuterol act differently in the lungs? My 5yo seems to do better when we add atrovent (ipratropium) nebs between her albuterol & pulmicort.

How do atrovent (ipratropium) & albuterol act differently in the lungs? My 5yo seems to do better when we add atrovent (ipratropium) nebs between her albuterol & pulmicort.

Mutually complement: Good morning, airway spasm in asthma results from net reduction in adrenergic (dilating) effect, or increase in bronchospastic (vagal) force. Albutrol promotes dilating force , while atrovent (ipratropium) blocks the constricting force - thus complementing the net beneficial effect on bronchial tubes. In asthma the symptoms are caused by decreased diameter of bronchial tubes. ...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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How do you use the pocket chamber spacer for an asthma inhaler?

My method: The pocket chamber spacer has a lot going for it - small size, smaller price. Like all modern inhaler devices it has a one-way valve so your exhaled breath does not return to the holding chamber. (1) activate inhaler (2) begin inhaling within 1 second (3) inhale slowly to a count of 5 (1, one thousand, 2...) (4) hold breath to count of 10 (5) exhale (6) wait 30 seconds (7) repeat with 2nd dose. ...Read more

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How to move sputum from bottom of lungs if patient can't cough? Broncholoscopy lavage not worked.Suction & neb not working. Any suggestions appreciate

How to move sputum from bottom of lungs if patient can't cough? Broncholoscopy lavage not worked.Suction & neb not working. Any suggestions appreciate

More information : Human cough is the most powerful tool for maintaining adequate pulmonary hygiene. Everything else is inferior. However feeble cough due to severe neuromuscular disorders ( myopathhies, lou gehrig's disease) may need adjunct therapies such as vest( vibrating and percussion from a wrap around the chest to keep the mucus moving ). Once again only useful in the above conditions not in normal humans. ...Read more

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Age 33. Diagnosed with asthma / small airway disease. Prescribed advair diskus (salmeterol and fluticasone) 250/50 and proair hfa. Took a peak flow meter test and blew 350 l/min. Is that bad? Recommendations on how to improve?

Age 33. Diagnosed with asthma / small airway disease. Prescribed advair diskus (salmeterol and fluticasone) 250/50 and proair hfa. Took a peak flow meter test and blew 350 l/min. Is that bad? Recommendations on how to improve?

Don't look: The peak flow rate is based on your height and sex and thus can't tell whether yours is bad or not. The more important point is how much has it changed from your pfr when you not have breathing problem. As suggested by dr pizzo, you should consult an allergist to help manage your problem. There is a chance that the atenolol may adversely impact your asthma. Fev-1 is superior to pfr. ...Read more

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Portable hemoglobinometer (hemoglobin home testing device/kit), how to use this?

Manual for the kit: The device should have come with a user's manual and it would be prudent to consult that information. ...Read more

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Hbot: caretaker in chamber w/ pt breathes room air at 2.4 ata + pt exhaled pco2. No o2 mask provided for caretaker. What are risks to latter?

Hbot: caretaker in chamber w/ pt breathes room air at 2.4 ata + pt exhaled pco2.  No o2 mask provided for caretaker.  What are risks to latter?

Ear pain or popping: The care taker will experience similar feeling to being in an airplane. Since the caretaker is not using a mask he is not breathing 100% oxygen. Hence no risk of oxygen toxicity. ...Read more

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Silly question i'm sure, but does the use of a cpap machine help increase lung capacity? Endurance?

Silly question i'm sure, but does the use of a cpap machine help increase lung capacity? Endurance?

No: Logical question, but sorry - CPAP won't increase your lung capacity nor endurance, if it did every elite athlete would own one! ;-) exercise is the safest and healthiest. Talk with your sports medicine doctor to get an "exercise prescription". ...Read more

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How many doctors use electronic stethoscopes?

How many doctors use electronic stethoscopes?

Electronic Stethos: They are used in the same manner as regular stethoscopes. Electronic stethoscopes, besides being used as a traditional stethoscope, may include wifi technology and interacts with it own app. The doctor can download it easily on his Smartphone and Tablet. It may amplify the cardiac/respiratory sound, may apply filters to select the cardiac or pulmonary noise, record and display sounds, etc. ...Read more

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Why do copd/cold patients sometimes need to use pulmo aide nebulizer?

Why do copd/cold patients sometimes need to use pulmo aide nebulizer?

Medication delivery: Pulmo aide is one brand of nebulizer. There are many others. Patients with COPD benefit from medications delivered directly to the lung by an inhaler or a nebulizer. A nebulizer is useful for those who cannot use an inhaler effectively. ...Read more

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Spirometer (Definition)

This device measures a person's ability to breathe in and out -- how much air, how quickly, for how long, how much air is left behind, etc. This provides some information for diagnosis and determining severity of ...Read more