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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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. ... Read Full »
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 ... Read Full »
Are the antibiotics prescribed to my dad correct?
Query: Hi doctor, My father is 76 years old. He has been in ICU for two days as he was diagnosed with LRTI (CAP - community acquired pneumonia). Four years back he had TB. His vitals such as BP, temperature, renal and heart tests are fine. He is not responding to antibiotics and his condition is deteriora... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. Your father is suffering from acute exacerbation of COPD (chronic obstructive pulmonary disease) with CAP (community acquired pneumonia) and sepsis. Currently he is on appropriate antibiotics. But, he needs systemic steroids to cope up the exacerbation along with inh... Read Full »
My 13-month-old daughter with CLD, mild PLA stenosis, and other issues, has fluctuations in her saturation levels. Can the stomach gas pressurize the lung to cause this?
Query: Hi doctor, I am writing regarding my daughter, who is 13 months. She has failed to thrive and has a few other issues, including CLD (no oxygen requirement), and mild LPA stenosis. We still have a monitor at home that we want to keep until she turns one year. Recently I noticed that her saturation is... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your history in detail. Here are the points I would like to bring to your notice: 1. Any saturation of 85 % and above is acceptable, and you need not worry if the saturation drops to up to 87 % and stays there for not even a second and then comes ba... Read Full »
My oxygen level is 88 percent, and my pulse rate is 70 bpm. Kindly help.
Query: Hello doctor, My oxygen level is 88 percent on an oximeter, and my pulse rate is 70 bpm. Should I be worried? Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I have read your query and understand your concern. Is your pulse oximeter working properly? Do you have symptoms like breathing difficulty, chest pain, or fever? Do you have any medical conditions? I suggest you to walk a few steps in the roo... Read Full »
Query: Hello doctor, Does this look like an early nail clubbing? I came across something on the internet and started looking at my nails. I did a Schamroth test and I have a very small window. I am a bit concerned. Read Full »
Answer: Hello, Welcome to icliniq.com. Nail clubbing is present if oxygen saturation is low or if there is an increase in reduced hemoglobin for a long time. All clinical tests like Schamroth have its own drawback. So do not rely on Schamroth. Clubbing can occur without any disease. You ne... Read Full »
Is it necessary to check oxygen saturation in a dyspnea patient?
Query: Hello doctor, Is it necessary to check oxygen saturation if the patient is on oxygen for shortness of breath? Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. As you said that patient needs oxygen for shortness of breath, it is absolutely not required to measure the oxygen saturation all the time. But, if dyspnea (shortness of breath) is due to COPD (Chronic Obstructive Pulmonary Disease) that is due to excessive smoking,... Read Full »
Why does my mother have fluctuations in the oxygen saturation levels?
Query: Hello doctor, My mother is 97 years old. She had a minor heart failure with a BNP of 110. Recently, she had a bad UTI and asthma. Up to that point, her O2 saturation levels without supplemental oxygen were 95 to 96. Now that she is recovering from UTI, her O2 levels are 97 to 98 with 2 liters of su... Read Full »
Answer: Hi, Welcome to icliniq.com. I do not understand the correlation between urinary tract infection (UTI) and low oxygen saturation. If the UTI has caused sepsis and multiorgan failure, then only it can affect lungs and saturation would drop. Asthma is a chronic disease and does not occur suddenly. She... 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 O2 therapy and BiPAP for four months, and she was fine for few months. Again, the severe cough along with sputum started. Recently, the doct... 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 admit... Read Full »
Why am I recovering very slowly from COVID-19?
Query: Hi doctor,I have mild asthma with a cough for two weeks. I am a COVID-19 patient. Currently, I am taking Benzo 200 mg, Famotidine 20 mg, and Albuterol as needed. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. According to your statement, you are suffering from a cough that is dry in nature and you are a COVID-19 (severe acute respiratory syndrome coronavirus 2) patient. You have a past history of mild asthma and anxiety. Your treatment depends on s... Read Full »
Is there a permanent cure for pulmonary hypertension?
Query: Hi doctor, I am suffering from rheumatoid arthritis for past 15 years, which has now affected my whole body. Since one and a half year, I am getting shortness of breath and cough. Last year, when I was admitted in the hospital to get this treated, my doctor advised me to use external oxygen for long... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hi, Welcome to icliniq.com. Both rheumatoid arthritis and pulmonary hypertension are chronic diseases. As there is no permanent cure for it, the aim of treatment in such case is control of symptoms only. Medicines help only to control the symptoms.You are a known rheumatoid arthritis patient and now... Read Full »