Q. How can hypercapnia be prevented in a TB patient under oxygenation?
Hello doctor,
I have TB disease, type1 respiratory failure. Oxygen was given, oxygenation improves but falls to LVL on presentation. What support should be given before the onset of hypercapnia? I have dry cough for two weeks, blood in sputum, fever, sweating and weight loss.
Hello,
Welcome to icliniq.com.
As you said, the patient has TB, hypoxia is more common which leads to type 1 respiratory failure. So only supplemental oxygen is not enough. We should start noninvasive ventilation as early as possible before hypercarbia sets in. So the possible options for NIV are CPAP or BIPAP depending on availability. The IPAP and EPAP pressures can be set up according to blood oxygen levels and oxygen saturation to be aimed to keep above 95 %. Minimal sedation will keep the patient calm and also help to reduce further hemoptysis.
Supportive measures like good nutrition and good nursing care should help to recover faster. Frequently keep a watch on blood gases. If NIV is not helping to keep oxygen above 95 % or hypercarbia sets in, mechanical ventilation may be needed. Ultimately we have to titrate depending on the blood oxygen levels. Antitubercular treatment must be continued simultaneously. Antibiotics according to infection markers.
The Probable causes:
TB.
Investigations to be done:Arterial blood gas.
Differential diagnosis:Pneumonia.
Treatment plan:NIV and anti TB treatment.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
How can hypercapnia be prevented in a TB patient under oxygenation?
I have dry cough for two weeks, blood in sputum, fever, sweating and weight loss ... The IPAP and EPAP pressures can be set up according to blood oxygen levels and oxygen saturation to be aimed t... Read full
My asthmatic mother's X-ray is negative for TB. What else this could be?.. checked the attached report, along with the data you provided (attachment removed to protect patient identity). Your mother has COPD which is a chronic obstructive lung disease due to changes in the lung with age and due to smoking. In COPD the ai... Read full
I have suffered with tuberculosis(Koch's disease)last year. Now I am getting the same disease back.I switched from Safyral birth control to Ocella and had weird mood swings and depression. Is this normal even though they're supposedly the same? Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
Also Read
Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ... Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also... Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte... Read more»
Ask your health query to a doctor online?
Ask a Pulmonologist Now* guaranteed answer within 4 hours.
