Doctor insights on:
Why Are Patients With Copd Given Oxygen Supplement In Low Amounts Of 2lmin
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
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
For what reason should patients with COPD be given low flow concentration (1-2l/min) supplemental oxygen?
COPD: COPD patients have a persistent state of low oxygen. They need to be monitored with yearly Pulmonary Function Tests with DLCO. Medical management with inhalers like combivent and dulera (formoterol and mometasone). Self management with home pulse OX. Also therapy for nicotine addiction if present. The stress of surgery often flares COPD depending how long and what anesthesia was used. You must be careful with giving O2 ...Read more
I am COPD patient last 3 years. Now my spo2 has dropped to < 70 w/o external oxygen. Please advice?
How can I improve my breathing so I can get off supplemental oxygen? I do not have COPD or other. I live in high altitude state.
Depends...: Oxygen is only prescribed when the oxygen level in the body is low and only in the lowest amount needed to maintain the oxygen level at an acceptable level. Oxygen must be carefully prescribed by a doctor with monitoring of the patient's oxygen levels because giving too much oxygen is harmful as is not giving enough! See your doctor if you think your oxygen level is low! ...Read more
If your oxygen level drops too low, could that cause a non epileptic seizure. Also, if you have severe COPD would exercise lower your oxygen level.
Yes and yes: A very low oxygen tension can make people have seizure like activity or unconsciousness depending on the response of the cells of circuitry in your brain. The cells can become irritable and have more discharges. People with COPD are exercised to see if they need o2 as oxygenation can drop with activity depending on the severity of disease. ...Read more
Sometimes: COPD may cause low grade fever if inflammation in the airway is present. The lung is responsible for eliminating carbon dioxide produced by the body. If carbon dioxide is high then the oxygen level will be lower. An arterial blood gas can determine if hypercarbia is present. Therapy includes bronchodilators and possible low flow oxygen. ...Read more
I have copd, was put on oxygen due to a bad cold and low oxygen levels. Why am I short of breath while on this oxygen? It's set at 2.
Your shortness of breath can be due to inadequate oxygen getting into your blood. This is a function of gas exchange.
It might be manageable by increasing your oxygen, but you should check with your doctor first. Sometimes increasing the oxygen can actually make you breathe in and out less, resulting in the retention of carbon dioxide - which is bad.
Good luck and feel free to ask more. ...Read more
I am 71, have copd, on oxygen, taking lisinopril and coreg (carvedilol). Pulse was erratic for 1 hour. High 139 low 59. Bp was fine. Why?
My mom is being hospitalized for pneumonia and a possible blood clot or COPD I'm very worried could it be deadly her oxygen and blood pressure is low?
Unanswerable: There are just too many unknowns here. I am very sorry to hear of your mother's troubles, but it sounds like she is in the right place and getting the right attention. In these scary scenarios this kind of answer must come from the medical team working with her in person. ...Read more
Another illness: Anemia of chronic disease does not occur as a result of common emphysema / chronic bronchitis (the usual copd). If such a person is also anemia, another cause should be sought. Anything from being an vegetarian who doesn't know how to supplement to losing blood from an undiagnosed stomach cancer can be the cause. COPD is hard enough with an undiagnosed cause of anemia. Thanks for writing. ...Read more
Should COPD patients eat low/ high protein, carbs, fat diets? And why for each? Also, what nutrients are beneficial to them? Thanks dr.!
Patient 89yr old on Dopermine and Tramadol for low blood pressure in hospital a good with COPD And adding a third thinner Coagulation forAfib ok?
Use HealthTap Prime: We won't be able to get to an answer on this complicated case in 400 characters. In general, dopamine is used to temporarily increase blood pressure when it becomes too low. The pain medication Tramadol, to my understanding, lowers blood pressure (does not raise it) - that may be the cause of the low BP. I'm not sure why 3 anticoagulants are needed for Afib (usually 1 suffices). Use HealthTap Prim ...Read more
Warafin clopidogrel aspirin given Hospital patient 89yrs has COPD stroke and heart attack will need limit Vegetables high chance of bleed? Correct?
Yes: We have to weigh the risk and benefit. It seems like the risk of recurrrnt stroke is high here. Suggest to stop Aspirin. This definitely needs a consultant for decision making ...Read more
Always: There are numerous studies going on for copd. Newer medications come out every few years and advances over the past 10 years have dramatically improved COPD management. Unfortunately there hasn't been many breakthroughs yet in repairing the damage, only preventing worsening. Don't smoke, continue to get regular check-ups (including breathing tests - pfts), and keep your fingers crossed. ...Read more
Is a 70 year old woman with mild COPD and asthsma likely to need oxygen full time in the near future?
Not Necessarily: Asthma is reversible. COPD is not reversible. Most pts requiring oxygen is because they have chronic hypoxemia. It is common for COPD to turn into chronic hypoxemia requiring constant oxygen but much less for asthmatic pts unless they are in constant "status asmarhicus" or develope cor pulmonale with cardiac insufficiency. ...Read more
My father is on oxygen all the time for copd. Is it normal that he is seeing things, especially at night?
Never normal: It's never normal to "see things". There are several possible explanations: medical disease, medicine or drug side-effect, brain injury, etc. The situation should be evaluated by your father's physician. Nighttime visual hallucinations are often have a medical cause. Usually there is effective treatment available to stop these misperceptions. ...Read more
Complicated dyspnea: Shortness of breath relates to the work of breathing as well as oxygenation. COPD when severe enough to need oxygen likely is associated with significant increase in the work of moving air into and out of the lungs. If still short of breath on oxygen there may still low oxygen in the blood stream or the work of getting enough into the blood stream may be causing the shortness of breath. ...Read more
Aerophagia: If I am understanding it right you meant bloated. There are several causes as in dyspepsia, gallstone, and other abdominal problems. It is common in people with COPD to breath fast and swallow air, and can cause a sense of bloating in the abdomen. If different, go see your md and may clarify it. ...Read more
Delivery: Perspective is that 21% is the concentration from the air we breath. 2-3% increase in concentration is from each liter of oxygen added. So 1 liter is about 24% and this can go through a nasal canula tube. Over 4-5 liters, you cannot get this from a canula and need continuous flow to maintain the concentration. This would be considered "high" in my book. Not sure if this answers your question. ...Read more
A dietary supplement, also known as food supplement or nutritional supplement, is a preparation intended to supplement the diet and provide nutrients, such as vitamins, minerals, fiber, fatty acids, or amino acids, that may be missing or may not be consumed in sufficient quantities in a person's diet. Some countries define dietary supplements as foods, while ...Read more
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