Oxygen saturation is the extent to which hemoglobin is saturated with oxygen. Normal oxygen saturation is between 96 to 98 %. Arterial blood gases and pulse oximetry are used to measure oxygen saturation.
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How to manage COVID-19 patients with pneumonia?
Query: Hello doctor, Can you examine the reports for pneumonia associated with COVID-19? Read Full »
Answer: Hi, Welcome to icliniq.com. According to your CT (Computed Tomography) chest report (attachment removed to protect the patient's identity), multiple areas of ground-glass opacities are seen in the lobes of both lungs, suggestive of a severe form of COVID-19 (Coronavirus disease - 2019) and pneumon... Read Full »
Why does my father keep having unconcious episodes?
Query: Hi doctor, My father is 55 years old. He is good in terms of his health and weight. He recently had a large AVM (Arteriovenous Malformation) rupture and he was flown to the nearest hospital. He had a craniotomy to remove AVM and the ICH (Intracerebral brain hemorrhage) caused a large stroke. He was ... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. When the cortical damage is widespread, the consciousness is impaired. Your father has come out from the deep unconsciousness, he is recovering now. During recovery, this sort of episodes are common and gradually the frequency of this episode would come down. Other factor... Read Full »
Can you go through the reports of my relative's daughter and suggest a treatment plan?
Query: Hello doctor, My relative's daughter, who is 16 years old, met with a car accident. She is admitted to the hospital. Please give your suggestions on her case. She is currently undergoing surgery. The below extract was of her case study. The doctors say that the body below her neck is not moving. Can... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I understand the case scenario. The reason behind her low blood pressure and inability to move all four limbs is actually the cervical spinal cord injury. Surgery is risky because of low blood pressure, but it is possible to operate if the anesthetic team is able to manag... Read Full »
What does decreased oxygen saturation level suggest?
Query: Hello doctor, I am looking for a second opinion regarding oxygen charts. Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your investigation reports, the mean oxygen saturation (SpO2) is 97.2%, normal SpO2 is usually 95%. Some patients with chronic lung disease or sleep apnea can have normal levels of around 90%. According to the reports, there ma... Read Full »
Query: Hello doctor, I measured my mother's oxygen via a finger oximeter. It fluctuates from the high 80s to mid-90s though the shortness of breath is not readily evident. I will have a telephone consultation with the doctor next week, but I think her heart is weakening. The other issue I noticed this last... Read Full »
Answer: Hello, Welcome to icliniq.com. Low SpO2 (saturation of peripheral oxygen) without apparent shortness of breath suggests the possibility of OSA (obstructive sleep apnea) or hypoventilation rather than the cardiac cause. Such patients tend to have chronic hypoventilation and low SpO2, so they tolera... Read Full »
Query: Hello doctor, I was diagnosed with COVID-19 two days ago. I have a cough and fever between 37.5 degrees Fahrenheit to 38.5 degrees Fahrenheit. My oxygen saturation (SpO2) is 97 to 99 % when I am sitting or standing. However, it reduces to 93 to 95 % when I am lying down. Are my lungs affected? Shoul... Read Full »
Answer: Hello, Welcome to icliniq.com. Are you having any difficulty in breathing? I suggest you walk continuously for six minutes and then check the saturation at the end of six minutes. If it is less than 95% or you have difficulty breathing, consult a nearby doctor immediately. Cough and tiredness are e... Read Full »
Below which percentage of oxygen saturation is oxygen support needed?
Query: Hello doctor, My mother was affected with COVID-19 around nine days ago. She experienced fever (only for a couple of days), cough is present still, and there is so much weakness. Today, her pulse oximeter dropped to 93%, and we had a CT Scan. She is currently on an oxygen bed under doctor care. Can ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Do not worry. Oxygen saturation of 93% is acceptable. Oxygen is needed when the SpO2 drops less than 90%. Your mother will be fine. 1) Please ask your mother to do breathing exercises with a respirometer. 2) Do not do any strenuous work. ... Read Full »
What are the possible causes for persistent fever for more than three days?
Query: Hello doctor, My father is a 61-year-old, and he started having symptoms of COVID-19 before nine days. His blood reports and HRCT report (4/25) before three days came normal. The only major problem is that he is having fever for the past five days (average 101 degrees Fahrenheit), his oxygen level i... Read Full »
Answer: Hello, Welcome to icliniq.com. Before proceeding to the treatment, I would like to know few details: Is the oxygen saturation dropping from 98 or 99 to 96? Is he having any other symptoms like loss of smell or taste, cough, or breathlessness? Kindly get back to me with the above-asked detai... Read Full »
Why is my 28-year-old wife not able to breathe off the ventilator?
Query: Hi doctor, My query is regarding a female patient aged 28 years. She has been on a ventilator through a tracheostomy for 50 days. She has been on continuous positive airway pressure (CPAP) mode for two weeks but is unable to sustain respiration off the ventilator. Please help. Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. A young female on a prolonged ventilator through tracheostomy and having difficulty in weaning is considered to be a very bad prognosis. You have not mentioned proper medical history, indications for ventilation, and under which medications she is. There are many thin... Read Full »
My mother's oxygen level is 70 % even after treatment. What to do?
Query: Hello doctor, My mother is 63 years old. She is having severe cough from more than a year, and last year, she was admitted to the hospital. The doctors gave oxygen O2 therapy and bilevel positive airway pressure (BiPAP) for four months, and she was fine for few months. Again, the severe cough along ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen all her reports (attachment removed to protect patient identity). Her diagnosis is COPD (chronic obstructive pulmonary disease) with cor pulmonale and PAH (pulmonary arterial hypertension). If her SpO2 is 70 % by a pulse oximeter, then she should be admitted ... Read Full »