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Doctor insights on: Why Is It More Difficult To Start An Iv On Chf And Copd Patient

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Why is it more difficult to start an IV on CHF and COPD patient?

Why is it more difficult to start an IV on CHF and COPD patient?

Not necessarily: In any one with poor veins it is difficult to access. People with low BP and collapsed veins, it is even more difficult. ...Read more

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Dr. Krishna Kumar
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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 would it be difficult to start an IV on a CHF and COPD patient?

Why would it be difficult to start an IV on a CHF and COPD patient?

Not related: Some people have good veins, some have very small and fragile veins, some have used up their veins. There is nothing particular to COPD and CHF to make difficult IV access. ...Read more

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Why might it be that it be difficult to start an IV on CHF and COPD patient?

Why might it be that it be difficult to start an IV on CHF and COPD patient?

Congestive failure: Usually it is easy to start ivs on CHF and cold patients. It may be difficult if the veins are scarred from prior ivs or if the patient is dehydrated. ...Read more

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Why would it be difficult to start an IV on a COPD patient?

Why would it be difficult to start an IV on a COPD patient?

Varies: If a COPD patient has had previous illnesses which required IV therapy, sometimes the veins are used up and can't be used again. Some individuals simply have a lack of adequate surface veins regardless of whether they have copd. ...Read more

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How much more difficult is it for doctors to perform a heart transplant if the patient has sinus inversus?

How much more difficult is it for doctors to perform a heart transplant if the patient has sinus inversus?

SITUS Inversus?: Situs inversus is a condition where the body's organs are backwards (heart on right, liver on left, etc). I'm not a cardiothoracic surgeon but i'm sure that this condition will make a heart transplant substantially more difficult. I did a quick search, and i can tell you that it has been performed, but it would be best to seek out a top notch transplant program. Good luck! ...Read more

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If a male patient is on an IV fluid and needs to have the fluid balance monitored then how is this done? Would it be particularly difficult to do if the patient is delirious?

If a male patient is on an IV fluid and needs to have the fluid balance monitored then how is this done? Would it be particularly difficult to do if the patient is delirious?

Fluid balance: A couple of different ways to follow a person's fluid balance:First, measure the actual fluid given (IVFs) and measure how much urine is made (easiest if they have a catheter, but can be done without).While there are other ways to "lose fluid", urine is by far the largest contributor. The other way to to monitor the patient's precise body weight every day (works well for patients with kidney issue ...Read more

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Why is state IV lung cancer so deadly and hard to treat?

Why is state IV lung cancer so deadly and hard to treat?

Damaged genes: Cancer that has gotten this far invariably has its genome so destabilized that it will mutate to resist any non-surgical treatment. Stage IV also indicates that surgery to remove it would be impossible because taking vital structures would be required. ...Read more

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What does it mean for a hyperaerated lung to press on the abdomen, is it dangerous for person to refuse an inhaler meant for an exercise induce asthma?

What does it mean for a hyperaerated lung to press on the abdomen, is it dangerous for person to refuse an inhaler meant for an exercise induce asthma?

Air can't get out: With asthma, patients get "hyperareated lungs", meaning there is much air trapped in the lungs because the patients cannot easily breathe out the air. It is dangerous when there is way too much air trapped in the lungs. It is not dangerous when the asthma is mild, but sometimes the mild asthma can turn into dangerous asthma over a few hours. We use the same inhalers for different types of asthma. ...Read more

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Is it a "must" to use coolant after heart stopped and resuscitated? What if the doctors have to maintain bloodpressure and heartbeat, still need it?

Is it a "must" to use coolant after heart stopped and resuscitated? What if the doctors have to maintain bloodpressure and heartbeat, still need it?

Highly recommended: The latest science is that in a cardiac arrest in which resuscitation is successful but there is impaired neurological function immediately afterwards (doesn't wake up), therapeutic hypothermia (cooling) is recommended. It has been shown to dramatically reduce the chance of permanent brain and cardiac damage. However, you need to discuss this with the doctor because each case is different. ...Read more

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If one has CHF is exercise to be encouraged, even if it makes them tired quickly and get short of breath? What is optimal amount of exercise for chf?

If one has CHF is exercise to be encouraged, even if it makes them tired quickly and get short of breath? What is optimal amount of exercise for chf?

Routine: talk to you doctor about your specific situation, but in general exercise is good. do what you can, then stop and rest, then go again. if you get lightheaded or chest pain - review with your doc. i'd strive for 30-60 minutes most days of the week of routine dedicated exercise. ...Read more

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Why is it that patients with kindey failure on dialysis have to take steroids?

Why is it that patients with kindey failure on dialysis have to take steroids?

Steroids: Patients on dialysis can have low testosterone, especially if they have diabetes. Those patients may be prescribed testosterone (an anabolic steroid) or even growth hormone to increase muscle mass or a sense of well-being. Other times patients on dialysis may have an inflammatory condition (asthma, inflammatory bowel disease, etc.) or a kidney transplant and require Prednisone (corticisteroid). ...Read more

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Is it helpful to perform cpr on a patient with an mi that is still breathing?

Is it helpful to perform cpr on a patient with an mi that is still breathing?

Probably not: A patient who is still breathing implies a functional heart rhythm, which is the primary reason to do mechanical cpr. So if one is still breathing, then supportive care to ensure a good, open airway, and calling for help asap, should be the priorities. If the patient stops breathing and no pulse is detected, and no AED device is readily available, then CPR needs to be instituted. ...Read more

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How would oxygen therapy help a patient who is having an asthma attack? What effect will it have on the patient?

How would oxygen therapy help a patient who is having an asthma attack? What effect will it have on the patient?

Prevention: The respiratory system has an important roll in both providing oxygen to tissues & helping acutely regulate the delicate acid base balance in the body. Bronchospasm reduces the easy transfer of oxygen in & co2 out of the body.Without adequate o2, the body reverts to a metabolism that creates more acid causing deterioration, supplemental o2 helps avoid the acid buildup & nourishes tissues. ...Read more

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What would keep a pulse ox low on a hospital patient with emphysema who is on all the necessary meds.?

What would keep a pulse ox low on a hospital patient with emphysema who is on all the necessary meds.?

Exacerbation: Even when a patient is on "all the right medications"; the underlying lung disease can cause inflammation and lower the pulse oximetry readings (known as a COPD exacerbation). Most of the time the exacerbation will resolve over the course of 5-7 days but sometimes more powerful medications given intravenously (like steroids & antibiotics) are necessary. ...Read more

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Patient has been on Coreg and was just prescribed ventolin hfa on an as needed basis. Is this combination okay? This is the only beta agonist the patient is on and I know that Coreg can cause shortness of breath and maybe even asthma, which is why I think

Patient has been on Coreg and was just prescribed ventolin hfa on an as needed basis. Is this combination okay? This is the only beta agonist the patient is on and I know that Coreg can cause shortness of breath and maybe even asthma, which is why I think

Complicated decision: Consider using HealthTap Prime to flesh out these answers. Coreg (carvedilol) can cause shortness of breath, but it is an important medication in the treatment of high blood pressure & heart failure. Ventolin can counteract some of its (side) effects. Coreg (carvedilol) generally spares the lungs, but that isn't true for all people (some react to it differently than expected). There may be alternatives - talk to a doctor. ...Read more

Dr. Joseph Shen
3,314 doctors shared insights

Heart Failure (Definition)

Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more


Dr. Bennett Werner
759 doctors shared insights

Congestive Heart Failure (Definition)

Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more