Low Oxygen Saturation Knowledge Base
Can low oxygen saturation be reversed? I've started using an oxygen concentrator during sleep. I'm only a few weeks into not smoking, and if I'm successful in never smoking again, can this low oxygen reverse itself? After 30 years of smoking I'm betting the damage is not reversible, but just checking anyway. The oxygen level drop was in the low 80s. Wondering if this problem has been going on for several years, could this be contributing to the worsening of my anger, edginess, short fuse, strange thinking, etc, over the years?
causes for low oxygen saturation level? What exactly cause low oxygen saturation? and why is surgery unable to continue until levels are back to normal? does having diabetes have anything to do with LOS levels?
low oxygen saturation levels? I just found out I have sleep apnea. I am fine with that but the doctors are concerned that my oxygen saturation levels dropped to 60 most of the night without the CPAP and 90 with it. Is it normal to have your oxygen levels down that low when you sleep?
How much does a low venous oxygen saturation affect judgement? When brought to the ER with liquid in her lungs (pleural effusion as a result of terminal metastatic breast cancer) my late wife's venous oxygen saturation was measured as 46% (as recorded on hospital file). Just then, in my absence, a relative got her to sign a will and now claims it's valid. Less than two days later she died, but had time to tell me that she shouldn't have signed anything when she was feeling so 'agitated'. I calmed her, telling her I would take care of it, and not to worry. Does anyone out there have the medical know-how to tell me whether I am well founded in contesting the will, and that its worthwhile (despite my state of bereavement) to start looking for lawyers and expert witnesses? A note for "biomed": You may have jumped to conclusions - as father of our infant daughter, I have to make sure that her mother's bequethment to her is protected. As much as I would just like to say 'to hell with this head-ache', I am motivated by parental responsiblity, rather than greed, to find a just solution.
Oxygen saturation low after bowel surgery? My dad had some of his bowel removed on Saturday due to a tear in it and now has a temp colsosc. bag. His oxygen sat level is really low and he is having troubles with the breathing. Any ideas what causes this?
Is low oxygen saturation causing this? I've been having alot of trouble with wheezing and a cough that won't go away for over 2 months now...i'm 21, and i went to the university doctor. They think its my asthma but my singular, advair and albuterol haven't really cleared it up. When i was at the doctors they checked my oxygen saturation and found it was only 85 percent...its not supposed to be lower than 95 percent, and for about a week now the top layer or two of skin has been peeling off my finger tips......is there anyyy chance this could be related to poor oxygen saturation over a prolonged period of time?.....I don't have really dry skin or anyting..and i've been using lotion too....
I have a very low oxygen saturation level. Lows around 70% to high of 88%. What are some possible causes? In the last four months, I've had a Ct scan, Hide-a-Scan, two heart studies, three halter monitors, sleep study,Sonogram, full body bone scan, endoscopy and complete blood work up. My cholesterol was slightly above normal. The sleep study showed I have sleep apnea. ( I now wear a C-Pap @ 17 psi w/ 5 lpm o2). The endoscopy showed some signs of mild damage due to aspirin and tylenol taken for the pain. The CT scan showed mild degeneration of L1 & L2 but otherwise nothing significant. (History of prostate cancer. Dr thought maybe the cancer had metastasized into the spine but bone scan showed no evidence of cancer) Moderate to severe pain in RUQ was diagnosed as costal condritis. Symptoms of this are improving. Bone chilling fatigue haunts me. I'm fairly certain that this is a direct result of the low o2 sats. Any ideas? So far, the doctors have not found out the problem. Thanks!
Ok. I am now using a oxygen machine for the first time due to low oxygen saturation? anyways, I usually have high blood pressure, and am tired and groggy all the time. Well today was daylight savings and I had to get up early for church and I have felt beautiful and awake all day. I went and checked my blood pressure at a pharmacy and it was 106/75, and my pulse was like 78, it's usually really high. My bp is usually at least 135/90 to 100, is this from one evening of having oxygen? I am just amazed if so. Let me know what you think.
Normal oxygen saturation level(s)? Hi, went to the ER because there was a spot on my tonsil that had looked like it may have been bleeding. I'm okay. We just went there because we it didn't look right, and we didn't really want to wait till later in the week (Which we would of had to) and thankfully went there. I was close to developing strep. But i just wanted to know, I saw that my Oxygen sat. was 96% at triage, and later when waiting I decided to put on the pulsox thing back on my finger and saw it go back between 97 and 98. But 96% would be considered normal right? Also what are some causes of lower oxygen saturation? I know I'm fine just wanting to know :) very interested in medical science. Can something as simple and insignificant as phlegm in the airways (from airborne seasonal allergies) cause a little bit of lowering? Thanks.
Can an infant suffer minor brain damage with low oxygen? My son got RSV at two months old. He almost died because he was not getting enough oxygen. When we arrived at the hospital, his oxygen saturation was very low and he had to have his lungs suctioned right away. Now he is 6 years old and we are seeing some delays in his learning abilities; especially language and comprehension. He has been in a Montessori school since he was 15 mths. old, so he has had a great educational foundation. The teachers and I have been doing all we can to help him to achieve and succeed, but we are failing. So my question is: do you think he could have suffered minimal damage due to the lack of oxygen or is something else causing these delays and if so, what. Thanks for any and all answers, advice and responses.
thinking of buying oxygen saturation monitor? I am thinking of buying an oxygen saturation monitor and wonderd if this is a good idea. I have asthma and respiratory failure caused by scoliosis. I use a ventilator at night. Sometimes when I go out I woudl like to know how low my oxygen has dropped or if I don't feel well would like to know if the oxygen saturation level dropping is the cause. There are some on Amazon ranging from £20 upwards, I don't want to pay too much, would these be OK, they do heart as well, some have instructions and cases.
What are the typical longterm effects of an O2 saturation of 40-50%? My 20-year-old son was recently hospitalized with an unknown infection. The doctors so far suspect "septic influenza". He had cpr 3 times and is currently on a ventilator. His oxygen saturation is now in the low 90s, but he spent about 14 hours with a saturation on 40-45%. Assuming he will recover, what long-term effects can we expect from this?
Asthma, oxygen saturation reading off? Also question about Xopenex (and nebulizer treatments in general).? Hi, I've been having some pretty bad asthma symptoms lately (bad enough where I went into the hospital last night). I was put on Prednisone 40 mg 2X daily. Anyway, my oxygen saturation was fine, and I'm wondering if my over-compensating breathing (i.e. I was trying to make up for my shallow breaths by taking more and taking them as deeply as possible, even though my chest was sore) would have highered it, when, if I had just let myself breathe without physically straining during the attack, it would have let my oxygen levels drop lower? There have also been times when I have a bad attack and my oxygen is close to normal, whereas a mild one is much lower. Could this be caused by my rapid breathing (in a desperate attempt to get more air in)? Lastly, can Xopenex nebulizer treatments cause high blood pressure temporarily (like 120/85)? I'm usually 90/60, but last night my BP was high. Thanks so much!
Oxygen saturation drops with exercise? I've been dealing with a lot of breathing problems for several years. In some recent tests we've found that my oxygen saturation levels are dropping from a resting level of 98%-99% to 85% or lower with exercise. What are some things that could cause this? I do not have asthma, allergies, sleep apnea, a cardiac shunt, blood clots, vocal chord dysfunction, or any pulmonary function problems. I am in great shape. I'm a runner and cross country ski racer, I train an average of 13 hours a week. My blood pressure is low and my resting heartrate is around 53bmp My hemoglobin and hematocrit levels are 17gm/dl and 46%47%. I DO have severe acid reflux and a torn esophageal sphincter.
Oxygen saturation of 81? we took some little test at school that clicks onto your finger and tells you oxygen saturation and heart rate. My heart rate came out normal- 72, but my o2 sat came out 81%, I looked it up and thats considered severly low. Is the test probably wrong? Because wouldn't I have symptoms if it was that low? My friend thinks it could be the cause of my chronic nausea, but I think the test is wrong.
How wil you prioritise your work and why? When you commence work as a Registered Nurse you will be faced with many decision making situations. Typically, you may be caring for four patients: •One patient’s oral medications are due •Another requires an indwelling catheter for urinary retention •The third patient has a low blood oxygen saturation •One patient is verbally abusive towards others in the ward
All of the sudden, last week, I had trouble breathing? I normally run about 7 miles a day and am in good health. However, I went to the doctor and they said I have low blood oxygen saturation(93-94%) for how active I am. They told me it was allergies, but allergy medication has not helped. I have anxiety, could this be the cause? Any other ideas?
My oxygen level was 83 when I got pneumonia after H1N1. I can't make sense of this number. How low can it go? When the doctor told me that I had 83% oxygen saturation level, I thought that sounded pretty good. He was alarmed and thought I should go to the hospital. He explained to me why 83 wasn't good and he arranged for oxygen to be delivered to my home. I followed all doctors' orders in regard to oxygen treatment and now I fully understand the difference between 83 and normal oxygen levels. What I don't understand is the extent to which I was ill, in other words, what is the range of bad oxygen levels when patients get pneumonia? I don't know whether patients can have oxygen levels in the 50's, 60's, 70's and an 83 is a decent number or whether the most ill patients only go down to 80. In other words, how sick was I? I do know that 88 is the lowest acceptable level and that 95 is a normal level.
THIS IS FOR A BOOK, HOW COULD SOMEONE FAKE AN ASTHMA ATTACK TO FOOL A DOCTOR, Read the description!? I am writing a story where a boy has to fool an evil doctor that he is to sick to operate on, like could he make himself get a lower oxygen saturation by breathing funny? The reason the doc is trying to operate on him is because he wants to put an alien slug into his brain, but the slug can't fit through his ear due to a past burn situation. Can he also make his lungs sound funny? Has anyone ever done this?
Hi guys, does anyone know what the blood oxygen saturation levels are supposed to be after tetralogy of fallot? corrective surgery? My 6 month old son has just been operated and still in ICU and his sats are at 82-89% with 70% oxygen on the ventilator. Is this normal, I thought it would be 95%+?? His sats before fluctuated between 70-85% when inactive and as low as 55% when crying. The pediatrician also told us yesterday that they discovered another hole in his heart so I don't know if this is the cause of the low current sats although they say it isn't, I'm very confused....
Can a person have normal to high O2 saturation, but low respiration 9-11 breaths per minute? I am getting frustrated with doctors. I have sleep apnea and hypersomnolence. I have been using a Bi-Pap for a month or so but, swallow so much air that I wake with cramps which seem to never go away throughout the day. Lots of belching, flatulance, just a full feeling, and long before all of these problems began I came down with a nasty case of hiccoughs, which I still have. Soxmetimes I just don't know what is going to come out. While awake I breathe 9-11 breaths a minute and my O2 levels are 96-98. My sleep doc said that I did not have bradypnea because saturation was so high, in an article describing bradypnea though it said nothing of O2 content. 15 years ago I dehydrated and most likely had accute kidney failure. I made a "full" recovery, although I have had the hiccoughs every day since. I most likely had the sleep problems before this occurance but, it was undiagnosed. 6 years ago someone suggested I get tested for Heavy Metals and I tested high in Mercury. At the time I did nothing about it because I could not afford to get my amalgam fillings replaced and did not know all of the illnesses associated with Mercury. I had been diagnosed with Bi-Polar disorder six months after dehydration and later with psychotic features. In my recent research I have read that Mercury can cause breathing problems, but they are unspecified, mental health problems, and also tics. Two months ago I had fillings replaced, I weaned off of all psychiatric medications while updating psychiatrist. I still take medication for Hypersomnolance, still have low energy, still have hiccoughs alot, they seem to worsen greatly with sugars and carbohydrates, still use Bi-Pap for as long as I can tolerate; 2-4 hours on a good night, and as previously stated feel sick alot with it. Three days ago I started a Homeopathic cleanse for Toxins and Metals, prescribed by Integrative Health Doc (doesn't accept insurance--big problem). The cleanse says that there can be several side effects, but, should not be long lasting, diahrea is among them. I do have diahrea, maybe some of the pain that I expiriencing is from that. I realize it has taken me long to get tho the point and I am still not sure that I am there yet, my apologies, thanks for reading. I am kind of wondering if the detox agent takes away the metals which can cause breathing problems, is it because I am learning to breathe properly that I am swallowing so much air, this happens while awake now also. I never actually caught myself taking a gulp of air, however, it seems all at once, that it is there. Or, is it that the Bi-Pap is forcing me to breathe more often than I would normally and therefore am swallowing it. I would think that I really do need to breathe more often, afterall isn't it lack of oxygen that causes hiccoughs? Docs won't answer. If someone out there can make sense of what I have written, please help.
Oxygen Therapy: How bad is this compared to how it could be? I have been prescribed oxygen therapy. I'm 21 year old female. I am 5'1 and obese (currently working toward gastric bypass). A few nights ago I had an overnight oximetry ans this is what I got back as results During the night my oxygen saturation went as low as 61%. I went below 88% saturation level 15 times during the night. The longest single time I spent below 88% was 8 minutes. (forgot total time, sorry) I'm now on 2 liters/minute of oxygen 12 hours a day via oxygen concentrator (when I'm sleeping and a few extra hours per day). Next month I'm having a sleep study done to learn more, but I was wondering from anyone who has dealt with oxygen therapy: How bad is this considering my age? If you have any of your own stories about oxygen therapy I would be glad to hear them. I'm a bit nervous and anxious about needing oxygen therapy...
Does a blocked heart artery lower O2 saturation..? Does a blocked or restricted artery from yor heart (pulmanary hypertension) cause a drop in oxygen saturation (the device they place on finger in hospital) I have been to emergency with Short of breath and chest discomfort..CT lungs -ok AND MY o2 SATURATION was good...?
AS biology - Haemoglobin affinity for oxygen? im confused. so it says for fetal hameoglobin, oxygen saturation has decreased in mothers haemoglobin so it doesn't offload that much oxygen to fetal. but then it says somewhere else that the lower the saturation in the haemoglobin the more oxygen is released.. ?? what ? :( please help me! thank you!! so i'll just forget that idea that the less saturated a heamoglobin is with oxygen the more it will unload... the less saturated it is with oxygen means it has a higher affinity.. ok :)
please help..Need a really smart MD. My father fell ill approx 3 weeks ago..? after consuming alcohol. He started to feel weak and began to vomit(not an isolated incident as this has happened before) along with the vomiting he has high pulse (120) and low oxygen saturation 84. His blood pressure was 148/84. While he was at the hospital he had a continuous fever of 101.5 and above. He also developed asites during his stay at the hospital. The ultimately diagnoised him with having pancreatitis. Although he was no longer vomiting his oxygen level was low and he still had a fever 5 days later...he was discharged home with levaquin and medications he takes for cholestoral, hypertension, and plavix for the stint that was done in 2008. I felt uneasy about him being discharge so we went to another hospital that took an x-ray based on my observations and temp checks over the last two days at home. The notice not only he had develped pneumonia but also and plerual effusion on the left side of his lung. This was drain and he is now feeling alot better, also the asites has almost dissappeared. MY QUESTION NOW IS WHY DOES MY FATHER CONTINUE TO HAVE A FEVER AND HAS HAD ONE FOR THE PAST 3 WEEKS. It flucuates but usually tends to go back up. He is still in the hospital but I want to do my own digging as it seems as family members tend to be the voice when a family member is ill. So here is the run down. diagnoised with pancreatitis asites fatty liver stint in heart high blood pressure that has normalize during stay in hospital oxygen is now in the 95 range heart rate is now 93 age of patient 68 years old Male 50 pounds overweight and no diabetes please help me find the culprit. I believe that many heads are better than one, and possibly the yahoo community may have some insight or has and have the same thing happen to them. I just want my dad back home and feeling back to normal thanks I will give the 10 points!
Oxygen of 81, is that even possible? we took a test at school where you put your finger in and it give your heart rate and oxygen saturation. My heart rate was normal but my O2 sats was 81? I looked up oxygen depravation and it said anything below 86 is considered severe. I do get dizzy from time to time and feel like throwing up all the time, but wouldn't I know if my oxygen was really that low?
Can someone please tell me what these sleep study results mean? Ok. Long story, I had a sleep study in November of Last year in which my doctor never talked to me about it. Well anyways I have the paperwork here with me and I have Mild Sleep Apnea, and it say's possibly hypoxemia. Let me tell u what my results say on my oxygen saturation: Initial oxygen saturation was 98% with the lowest saturation reached being 70%. The mean oxygen saturation during sleep study was 89.5%. During 38% study of the study, her oxygen saturation was greater than 90%, during 60.8% of the study her oxygen saturation varied between 80-89%, and during 1.2% of the study her oxygen saturation varied between 70-79%. Her sleep efficiency was severely reduced to 63.1% with a decrease in the amount of REM sleep to 11% of total sleep and no deep sleep was noted. Her sleep onset latency was prolonged to 127 minutes and her REM onset latency was prolonged to 210 minutes. Ambien 10 mg was taken. Her combined apneic and partial apneic index was very mildly elevated at 5.7 with an apneic index of 2.0 and partial index of 5.5 .The vast majority of the esisodes were obstructive in type with the longest partial apneic episode being 16 seconds and the mean length being 11 seconds. The total study time was 6.5 hours and the total sleep was 4 hours. No arrhythmias are noted, no periodic limb movements are present, and snoring was moderately loud, intermittent and present. His impression is Obstructive sleep apnea syndrome and Hypoxemia His recommendation for my doctor is this: (my doctor has never talked to me about this or done anything about it): I recommend supplemental oxygen for sleep at a flow rate of 2 liters per nasal cannula. I would recommend an overnight oximetry on supplemntal oxygen in two to three weeks and hopefully note normalization of her oxygen saturation. I also recommend weight loss of 25 pounds. Lastly I recommend an otolaryngology evaluation as in a 30 year old patient a possible surgical approach would be indicated. I will obtaining the home equipment and followup care to dr. phillips. I am not sure why her oxygen saturation remains low other than being overweight, but if appropriate, a cardiac and pulmonary evaluation would be in order. Note by me the patient: I am having trouble breathing all the time and can't sleep even on sleeping pills because I can't breathe even worse when I lay down. Please let me know why my doctor hasn't gotten in contact with me about these results. His nurses told me I'm fine, but I'm not so sure, This was the stupid nurse who doesn't care about anyone.
Please Help needed fast..? 1. predict the effect that increasing altitude would have on blood oxygen saturation 2. Arterial blood is about 98 percent saturated with oxygen. What are two conditions that could result in lower oxygen saturation? Please help.. Thank you so much
Why did my doctor have me do a sleep study and not follow up with it? I did a sleep study for my doctor because he thought I had sleep apnea. Well I did it, and the sleep apnea doctor called me back the same night after I did it, and told me I had Mild sleep apnea, but his concern was with my low oxygen levels. He said he wanted me to stay at my house and sleep with a cpap machine and check my oxygen levels for a night, and he said my doctor would call me back or the company that does the equipment, well low and behold noone calls me for over a month, so I called the office and they said they hadn't received the results yet. So anyway I had to take my daughter to the same doctor today and while I was there I asked him if he received the results yet, and he told me to ask the office girls? (what a doctor) so I go out there and ask the office workers if they received them, well low and behold they had received them the day after I had it done, and the doctor I guess just doesn't look at his patients info when it is faxed in. I guess the dumb office workers just glance at it and file. So anyways they gave me a copy of this fax and the sleep doctor has all this stuff he suggests that my doctor do like have done what he told me with the cpap machine, and also maybe look into surgury, and he suggested a pulmonary and cardiac evaluation since I'm only 30. I don't understand why my doctor just doesn't do anything about this, The sleep doctor said on this report my lowest saturation of sleep oxygen was reduced to 63.1%. I think that is pretty bad. I have trouble breathing when I try to go to sleep without taking something to sleep, because when I take something I don't have to think about it, I just get zonked out. What should I do? I want to defiantly change doctors, but can he get in trouble for this, or since this doctor just suggested it would it not matter. I feel so uncared for at this doctors office, why have me do a sleep study and not even look at my results. Someone please give me info and advice I need so badly. If I change doctors and give them these results will the insurance still go by them and let my new doctor help me?
Why did my doctor have me do a sleep study and not follow up with me? I did a sleep study for my doctor because he thought I had sleep apnea. Well I did it, and the sleep apnea doctor called me back the same night after I did it, and told me I had Mild sleep apnea, but his concern was with my low oxygen levels. He said he wanted me to stay at my house and sleep with a cpap machine and check my oxygen levels for a night, and he said my doctor would call me back or the company that does the equipment, well low and behold noone calls me for over a month, so I called the office and they said they hadn't received the results yet. So anyway I had to take my daughter to the same doctor today and while I was there I asked him if he received the results yet, and he told me to ask the office girls? (what a doctor) so I go out there and ask the office workers if they received them, well low and behold they had received them the day after I had it done, and the doctor I guess just doesn't look at his patients info when it is faxed in. I guess the dumb office workers just glance at it and file. So anyways they gave me a copy of this fax and the sleep doctor has all this stuff he suggests that my doctor do like have done what he told me with the cpap machine, and also maybe look into surgury, and he suggested a pulmonary and cardiac evaluation since I'm only 30. I don't understand why my doctor just doesn't do anything about this, The sleep doctor said on this report my lowest saturation of sleep oxygen was reduced to 63.1%. I think that is pretty bad. I have trouble breathing when I try to go to sleep without taking something to sleep, because when I take something I don't have to think about it, I just get zonked out. What should I do? I want to defiantly change doctors, but can he get in trouble for this, or since this doctor just suggested it would it not matter. I feel so uncared for at this doctors office, why have me do a sleep study and not even look at my results. Someone please give me info and advice I need so badly. If I change doctors and give them these results will the insurance still go by them and let my new doctor help me?
Infant Tylenol Recall, daughter was very sick, they want her medical records? My daughter was in the hospital back in the middle of February for RSV, pneumonia, an ear infection and bronchiolitis (all kind of went together,) for a week mainly because of low oxygen saturations (in the lower 80 percents.) Then a month later she was admitted again for everything except the RSV again and bronchitis because of low oxygen saturations, after a week of being hospitalized there, we were transferred to our state's children's hospital via ambulance. With that background, about a month later, Tylenol recalled all of its infant pain medicines, Tylenol and Motrin or most of it. 3 out of 4 bottles that I currently had been giving her during this whole time were recalled and who knows if any of the other 4 that had been gone already were recalled. Today I just got a envelope in the mail with forms asking for my permission/signature to release all of her medical records. I'm not convinced at all that they had anything to do with each other, but I feel like I maybe should talk to an attorney before signing anything? Whats your opinion? Yes, it is from Johnson&Johnson's benefit risk management. I already threw out the tylenols a while ago, but I did get my refund for them. She did have diarrhea and vomiting, but it was from all the medicine she was on.
Parents who have children ages 1-2 years old who have been on Albuterol and or Flovent? I would just like to know your experiences. My 15 month old daughter has been hospitalized twice, once at 12 months and another at 13 months. At 12 months she had RSV, pneumonia and bronchiolitis. She was hospitalized for a week. At 13 months, after everything had cleared up, she was hospitalized for another week, then transferred to our states children's hospital for pneumonia, bronchitis and bronchiolitis. Both times, she was mainly hospitalized for low oxygen saturations, especially when she was sleeping. She is never and hasn't ever been around smoke, and I still breastfeed her, so its odd to me that she has so many breathing issues, it isn't really in our background to much. She now has been sick with a cold for a couple weeks, and has been wheezing pretty bad at times. She is on Albuterol and Flovent again. This time, she is staying on Flovent even when she is over this. Any other experiences? Any knowledge on these two drugs? Any advice? Thank you! Thankfully I am a stay at home Mom currently, otherwise I can't imagine a job that would allow me to keep taking weeks off of work for hospitalization for her!
Reduced Blood Oxygen Levels after Exercise? Hi, all. Earlier this year, I had some pulmonary function tests performed. Overall, the results were normal. However, one of the results showed a decrease in my blood oxygen levels after doing a 6-minute brisk walk. My sitting blood oxygen level was measured at 98%. After exercise, the saturation was 94%. At the time, I hadn't done any regular exercise for a long time, so between that and my weight issues, the result is understandable. All my doctor said was to start exercising regularly and this should help. I've been doing daily cardio for a month now (30 minutes minimum) plus weight training and I don't feel like I'm making much, if any, headway. If I really exert myself, I feel like I can't catch my breath (I have a personal trainer who really pushes me...). I'm worried that this might not be a problem related to my lungs but rather my heart...that I've got blocked arteries and that's the reason why I have a low saturation level after exercising. I've had chest xrays done and they've come back normal. Does anyone have any suggestions or ideas as to (1) why this might be happening and (2) what I could do to improve my lung function?
Do I have lung cancer? I do not have insurance and medicaid dropped me. A year ago they found a nodule in my lung. I had a few more scans and to my surprise it had grown. It is very small at 7 cm a year ago. At the last appt. they also said there were lymphnodes that were apparent. Now today I go to the ER for vomiting and they run blood work. Doc comes back and tells me I have low white blood count around 3. I am guessing 3,000. I also have a low oxygen/blood saturation. It was suppose to be in the high 90's and mine was between 70-85. I remember when I was in the hospital for surgery if it had dropped the gave me oxygen. I just do not know whats wrong. I am at a loss. I should mention I am only 28 yrs old
Oxygen Levels? Is an oxygen saturation that reaches 80% in need of going to the hospital. My father has COPD and his O2 has been reading at 84 or lower. What does this mean?
Sleep apnea with SpO2 of 69%, supplemental oxygen? Had already posted a question, meant to ask this as well. I went for a polysomnograph (sleep study), and it showed I have obstructive sleep apnea as well as some central apneas. My doctor told me I stop breathing approximately 45 times an hour, and my pulse ox, at its lowest, was 69%. Question A) Is this critically low O2 saturation? Question B) Will CPAP or APAP keep my pulse ox up, or will I need supplemental oxygen as well at night? Question C) Have you ever seen someone's pulse ox drop this low with sleep apnea? Thanks so much, folks! I'm unsure what you are asking me this for. I am asking a legitimate question. I have a very minimal understanding of this subject, and have no idea about the scenario you presented...
As blood passes by active muscle, the percent saturation of hemoglobin is generally (more)? As blood passes by active muscle, the percent saturation of hemoglobin is generally _______________ because ____________________. A) high; hemoglobin has released all of its oxygen to the muscle for generation of needed ATP via the Citric Acid Cycle. B) low; hemoglobin has released all of its oxygen to the muscle for generation of needed ATP via the Citric Acid Cycle. C) high; hemoglobin has released all of its oxygen to the muscle for generation of needed ATP via the Electron Transport Chain. D) low; hemoglobin has released all of its oxygen to the muscle for generation of needed ATP via the Electron Transport Chain.
Can someone help me with these bilogy questions? Describe 3 real life of any situations where the parameters like Hb-Oxygen saturation, carbon dioxide levels, pH, and myoglobin levels in blood are measured Will hyperventilation raise or lower blood pO2? blood pCO2? blood pH? Why? Will emphysema raise or lower blood pO2? blood pCO2? blood pH? Why?
Do you really trust doctors? I'm not trying to generalize, some doctors really are very helpful and thank god for them, but many that I've dealt with have only been after money, in fact they could have cost me my life three times. Once was when I had an ear infection as when I was a kid, my ear drum broke, and I woke up to a pillow saturated in pus and blood. The doctor didn't give me strong enough antibiotics and I eventually got a fever of 107.3. No, Im not kidding, 107.3, it's kind of a miracle that I have absolutely no hearing loss from the ear drum, and no hearing/vision loss or brain damage from the fever. The chances of being untouched by that type of fever are actually very low. The second time, I had a very bad cough for three weeks and kept going to the doctor, but she kept telling me I didn't have pneumonia. It got to the point where I could hear and feel fluid bubbling when I took a breath. One morning I got out of bed so dizzy that I kept on bumping into walls so my mom took me to the ER and it turned out not only did I have pneumonia, but i was actually quite severe and my oxygen saturation was very low. I didn't have a fever or anything, it was a bizzare case, but the fact that the doctor assumed "no fever, no pneumonia" and barely took time to listen to my lungs was really upsetting. And just recently, I had a kidney infection that the doctor kept on insisting was a mild UTI. When I went in for a visit I was in severe pain, I was shaking, crying, and I had a very high fever. My vitals were also haywire. When the nurse checked my heartrate and blood pressure her eyes kind of popped and she told me my heart was racing and rushed for the doctor. The doctor told me it was all in my head (a fever of 104?) and sent me home. Long story short, when I got home I broke down on the floor, sobbing, and I then passed out. I woke up in the ER where I was being treated for septic shock. Yep, the heartrate and blood pressure were not signs of stress, they were the begining of septic shock. Each of these three doctors could have easilly had me killed, and it's actually sort of a miracle I have no effects from any of those illnesses. My kidneys, eyes, and ears function perfectly, but I was so close to losing my life three times thanks to careless lazy doctors. Do you really trust doctors?
HELP!! can I be discharged!? About 3 months ago I went to NTC for training, which lasted a month. Well, as most know, NTC is located in death vally. Well, about 3 weeks after we got back, I came down with a really bad cough. The day after I got the cough, I felt sicker than I had ever felt. I went to sick call, and they thought it was the common cold. Well, the next day I passed out in formation, and was rushed to the ER. When I got there the noticed that my oxygen saturation was in the low 80's (which is really bad), Well they put me on oxygen and transfered me to ICU. The next night I was transfered to another hospital, where one of the worlds most renowed pulmonary doctors could examin me, all the while I was getting worse and worse. On day 3 in the hospital I fell into a comma and came really close to dying three different times. I was in the comma for a week, and by a mirical came out of it. The doctors said it was nothing more than a miricale that saved me. Well I have been out for over a month now, and yet I have not got any of my strength back. I mean, I can not jog for more than two blocks without getting so winded that I pass out. I can not do anything that puts stain on my lungs whatsoever. I can't even climb two flights of stairs without taking a break in between. So, my question is, am I eligible for a medical discharge?
care to read my story? i really feel like s.h.i.t. right now. i had my last work in the nursing home last night from 11pm-7:30am and it got all messed up big time. residents or patients came up to me for their pain pills and i had to give it to them. write it on the narco book. and write it again on the MAR. then there were the phone calls from outside from a co worker asking for another co worker's number. and he called 3x. then there was the case of the missing linens in the 1st floor. i mean the clothe diapers, the wash cloths, gowns to be used for the graveyard shift is nowhere to be found. i had a hard time looking for the keys to the basement as well. apparently the previous shift placed it in its not usual place. and when i got to the basement and tried all doors we see no linens. and the door that we had a hunch where the linens are could not be open by all the set of keys that i was holding. i had to go back to the basement twice. first time was with a female CNA who has an attitude. she flat out told me she won't go with me to the basement coz she had gone there already. pissed me off inside my mind. good thing she did went with me to the basement but you could see she is irritated at me. then i worry that this other resident whose both siderails are up is gonna climb up from those rails and fall off again. he is a very slim man and has lots of bed sores from limbs to the back of his body. and he is blind. and we have 52 residents or patients in the 1st floor and only me as the nurse and two CNAs. plus there was this other resident whos oxygen saturation is getting lower and lower and you could see that she won't be living in this world for long. plus there was somebody calling from another nursing home claiming that their nursing home is the sister company of the nursing home that i work at who wants to borrow platic diapers because their stock room where their diapers are at have been locked and they do not have the key. and i had to consult the other nurse on the 3rd floor if it is alright to let them borrow. and he says in all my experience of working i have not once encountered a nursing home calling another nursing home be it a sister company to borrow some diapers just because their stock room is locked and could not get it. the protocol usually is to call their supervisor or nurse director and tell the guy who has the keys be it he in his own home sleeping to wake him up and go to the nursing home to unlock the stock room. and the nurse told me it is up to me what i decide because the caller could be legit and we would be a great help if it is really true but if it was fake then i would be in big trouble in the morning from my nurse director. and the resident who has dying was getting worse that i called all the nurses to come down to the first floor and we called 911. and after she was sent to the hospital's ER that is when i started reading her chart and it says there that she was DNR and on hospice. that means i should not have sent her out to the hospital and i should just have let her pass away in the nursing home. then there were the G-tube feeding got empty and another was making a sound because the tube flow was laid on by the resident. plus the CNA always bugging me to take care of it. and bragging to the other CNA that she lets the other nurse do it too and saying she does not know how to do it so she does not have to do it by herself. then my stomach was hurting. and i have to give morning meds for the residents. the list could go on and on. then i got the blow in my face when the nurse director who arrive that morning told me that she has never seen a nurse like me before and she was just shaking her head and i was just silent and the 2nd floor nurse telling the nurse director that she was innocent and all that and i know she is and it is my fault. and the nurse director told me that she has received a lot of complaints about me from residents. and i know in my mind that only one is irritated at me for turning on the light of the room while she is sleeping so i can get her blood sugar level. she told me face to face that am rude and arrogant. but before that, way way before when i give her her meds she always smirks her face around me. i think that she is the rude on in the first place. i was being rude about the light. but she was the really rude one all along those times. apparently she reported me to the nurse director. i dunno. my life sucks. and am about to start working in the hospital tomorrow. and am scared that i might do stupid stuffs again soon. if only i have the guts to kill myself
"Pulse-ox" reading inaccurate? Hi, I've been having some pretty bad asthma symptoms lately (bad enough where I went into the hospital last night). I was put on Prednisone 40 mg 2X daily. Anyway, my oxygen saturation was fine, and I'm wondering if my over-compensating breathing (i.e. I was trying to make up for my shallow breaths by taking more and taking them as deeply as possible, even though my chest was sore) would have highered it, when, if I had just let myself breathe without physically straining during the attack, would it have made my oxygen levels drop lower? There have also been times when I have a bad attack and my oxygen is close to normal, whereas with a mild one, the reading is much lower. Could this be caused by my rapid breathing (in a desperate attempt to get more air in)? Thanks! Would the nail polish, poor circulation, and cold hands cause a LOWER reading than normal, or a higher reading? (If you don't mind, can you hit the "edit" on your answer and add that in please? I don't think you can reply to a question twice. :) Thank you so much!) Oh my gosh! That could explain why it read normal ... I'm very anemic (Ferritin was 7 I believe). Thank you so much!
As a diabetic . . . is everything a no-no ? I'm a diabetic in very sad shape. I'm going downhill I know it. I have very poor eating habits & barely any self control. I am disabled due to a back injury. I am over weight by at least 100 lbs. I have cardiac artery disease & am awaiting a triple bypass surgery. The doctors want me to lose another 50 lbs before they do the surgery so my survival rate will be better when they have to put me on the heart lung machine for surgery. I have high blood pressure, low thyroid, asthmatic, quit smoking 7 months ago, on oxygen 24 hours a day at home & cannot exercise. My oxygen saturation drops just getting up to walk to the next room. One of the side effects of my asthma medication is weight gain. One of the side effects of my diabetic medication is weight gain. My low thyroid makes me battle with weight gain. I am not able to get up & prepare healthy meals for myself on a daily basis. I can only stand for about 5 minutes at a time. Like I said, I am in bad shape. I was drinking Coke Zero but my parents had a fit because Coke Zero is sweetened with aspartame & is known to cause brain cancer in lab rats. So I went back to regular coke. I thought I would try some Gatorade. Now I find out that stuff is no better for me than the colas. So I am SUPER discouraged. What the devil can diabetics drink besides water ??? I can't cook or eat 3 square meals a day so I have a lot of frozen foods which is also bad. Seems everything I touch is bad & I'm about to give up entirely. What can I eat & drink ? I have already had 2 heart attacks. I am under strict instructions NOT to exercise, yet they want me to lose weight. I can't walk into the next room without having my oxygen drop & be near another attack, sometimes having to use a nitro. I'm not wining because I'm in this shape. I'm wining because everything I try to do to get out of this shape is the wrong thing or not good for me or it's something I can't do. I have not been on insulin since being diagnosed except when I go into the hospital. But I am fixing to have to ask my doctor to put me on it & then fight to try to get help to pay for it because I have no insurance & get my medical care from the state. This is what poverty is like. I can't afford the type of foods from the grocery that I should be eating because low sugar foods are twice as expensive. I can barely afford the bad stuff. I am quite discouraged.
Father,74, admitted since 26.8.2010 after catheterization, is drowsy, on ventilator, no identified cause.? case of DM/HT/DYSLIPEDEMIApresented with complaints of fever since 9 days, urinary retention since 4 days and altered sensorium since 4 days. Patient was admitted in stroke ICU with these complaints and investigated. His blood and urine cultures were negative and he was showing pus cells in urine (sterile pyuria) his leucocyte counts were elevated and kidney function tests were deranged. Chest X-ray showed right basal haziness seen, opacity seen along the 5th rib in right? bony? parenchymal. CT head showed age related atrophic in brain. CT chest showed anterior mediastinal mass for which CT guided cytology was suggestive of spindle cell neoplasm. PET CT showed non-FDG avid enlarged prostrate gland with significant median lobe hypertrophy protruding into bladder lumen. The fat planes with the recto-sigmoid are obscured at places, non-FDG avid lesion in segment VIII of the liver, bulky faintly FDG left adrenal gland and non-FDG avid, well defined, oval shaped, hyperdense enhancing lesion, likely a lymph node, measuring approx. 5.9 x 3.5 cm in the prevascular region (? Metastases). On clinical examination prostate was found to be enlarged, smooth in consistency and serum PSA level on 30th August, 2010 were 8.0 units. 2 D ECHO showed no RWMA, global LVEF=55%. Ultrasound whole abdomen showed the liver with 4.3 x 3.4 cm hyperechoic lesion in right lobe, there is a well defined hypoechoic lesion measuring 4.8 x 4.3 cm along postero- lateral wall of urinary bladder. Fat planes with prostate are lost. The prostate is enlarged in size and measuring 54 gms. Ultrasound both limb venous Doppler showed patent deep venous system bilateral lower limbs. MRI brain showed small acute lacunar infarct in splenium of corpus callosum. MRI screening revealed degenerative marginal osteophytes involving the cervical, dorsal and lumber vertebral bodies, altered area of signal intensity is seen involving D7 and D9 vertebral body appearing hyperintense on T2 weighted images ? haemangioma. MRI spine cervical showed reversal of cervical curvature with OA changes and compression on thecal sac and cord at C4 – C6 level. Consultation was sought from Dr. Puneet Agarwal (Neurologist) and NCV study is done in both lower limbs and right upper limb with H reflex. MNCS is showing normal latency with reduced CMAP amplitude is seen in right median, bilateral CPN and PTN. Normal MNCS in right ulnar motor. RNS test is showing normal study with 3 Hz & 100 Hz. Patient was admitted in stroke ICU where his conscious level improved and hence extubated. He was shifted to the ward on 10.9.2010 but he remained persistently drowsy in the ward. His electrolyte study showed low sodium levels which was corrected but drowsiness persisted. Neurologist opinion were being sought. He remained drowsy, weak and was not able to communicate. Fibre optic laryngoscopy was planned for vocal cord assessment but relative refused. His leucocyte counts are within normal limits and kidney function tests were also normal. However his drowsiness did not improve. In the evening of 18th September, 2010 patient started developing dyspnea. His oxygen saturation level at room air was falling and hence continuous oxygen was started but the patient’s condition remained unstable and hence shifted to ICU for monitoring where he was intubated and put on ventilator. He developed haematuria on 20.9.2010 and had deranged coagulation profile (INR- 2.1) for which cystoscopy was done and clots were evacuated. Prostatic biopsy was planned at the same sitting but deferred due to deranged INR. Patient was tracheostomised on 23.9.2010 for his poor cough reflex. At present patient has been on tracheostomy tube (T- piece) with 5 litres of oxygen and is maintaining saturation levels of 96-97%. His other parameters are within normal limits. His coagulation profile has improved and his prostatic biopsy has been sent. Serum PSA levels are static (8.89 IU). His blood and urine cultures are sterile and counts are within normal limits. Presently being treated with Actamase, etc.
Shortness of breath with chest pain? Ok hi my name is ben im 18 years old have no history of any Health problems.. Ive had over 20/30 EKGS done .. ECG done no abnormality's.. but i have chest pain where the heart is located and have shoulder and arm pain once in a while.. I have Alot of gas in my stomach that makes me belch and i also have Chronic Anxiety I have an Anxiety attack just thinking about my health I've been to the ER rooms So many times they don't even check me anymore.. ive been to 3 different hospitals.. same thing.. Blood tests normal..my shortness of breath is not as bad as it was a few days ago but it comes and goes..comes and goes i have to take full breaths to get back to a normal breathing pattern.. if i get to worried my heart goes really high.. now is this a serious sign of Heart Failure Heart Congestion?... On the OXygen machine even though i feel short of breath i have 100 Precent Saturation but the chest pains are bothersome how worried should i be how serious is this.. this is not a Panic Attack... because it lasts with or with out anxiety at that moment.. i shake violently sometimes.. and have chest pain.. mostly on the left side BUT sometimes on the right side when i move my cholesterol level is low..158.. and going lower.. Im eating healthy.. sometimes i feel flushed in the face for no reason.. the breathing doesnt really get worse when walking but because Of the way im breathing it Seems to get worse but still 100 precent oxygen saturation on both fingers i can still hold my breath for a minute and half...but still feel short of breath... doctor says my X-rays are fine all the times i've been to the hospital..my chest pain how ever makes me think its something so serious its gonna kill me..I have been diagnosed by a physcologist with bi-polar panic disorder and Generlized anxiety disorder but it could be anxiety thats doing this this is what all the doctors are saying..it can cause unstable chest pain unstable breathing Constaly as i said earlier this is not A panic attack cause im not panicking at every second and I dont have weezing problems but i do spit flem once in a while
Shortness of breath ? Ok hi my name is ben im 18 years old have no history of any Health problems.. Ive had over 20/30 EKGS done .. ECG done no abnormality's.. but i have chest pain where the heart is located and have shoulder and arm pain once in a while.. I have Alot of gas in my stomach that makes me belch and i also have Chronic Anxiety I have an Anxiety attack just thinking about my health I've been to the ER rooms So many times they don't even check me anymore.. ive been to 3 different hospitals.. same thing.. Blood tests normal..my shortness of breath is not as bad as it was a few days ago but it comes and goes..comes and goes i have to take full breaths to get back to a normal breathing pattern.. if i get to worried my heart goes really high.. now is this a serious sign of Heart Failure Heart Congestion?... On the OXygen machine even though i feel short of breath i have 100 Precent Saturation but the chest pains are bothersome how worried should i be how serious is this.. this is not a Panic Attack... because it lasts with or with out anxiety at that moment.. i shake violently sometimes.. and have chest pain.. mostly on the left side BUT sometimes on the right side when i move my cholesterol level is low..158.. and going lower.. Im eating healthy.. sometimes i feel flushed in the face for no reason.. the breathing doesnt really get worse when walking but because Of the way im breathing it Seems to get worse but still 100 precent oxygen saturation on both fingers i can still hold my breath for a minute and half...but still feel short of breath... doctor says my X-rays are fine all the times i've been to the hospital..my chest pain how ever makes me think its something so serious its gonna kill me..I have been diagnosed by a physcologist with bi-polar panic disorder and Generlized anxiety disorder but it could be anxiety thats doing this this is what all the doctors are saying..it can cause unstable chest pain unstable breathing Constaly as i said earlier this is not A panic attack cause im not panicking at every second and I dont have weezing problems but i do spit flem once in a while Im getting an ECHo and stress test done whats the likleness that it will be SUPER severe heart diease at 18 i know its possible but How super severe is it probley gonna be after i get the results?
My baby has chylothorax - can you help? My son had a repair to his esophagus (atresia) when he was 5 days old. A chest tube with a suction bulb was placed after surgery. For perhaps a week there was little drainage and what was there was dark and appeared slightly bloody. After a week and a half or so the fluid became clear and yellow and increased to a fair degree. He began leaking from the hole where the tube entered his back, too. You'd go to move him and it would drip out very quickly. After another few days the fluid level increased dramatically, to about 5 ccs per hour. They switched to a gravity drain and that seemed to work just as well until the drain tube was left looped and higher than the surgery site and he started to have trouble breathing because fluid was accumulating in his chest. He was pulling very hard to breathe and his oxygen saturation went When the drain was put in proper position he drained copious amounts very quickly. They then switched to a pluerovac (drain with suction) because they thought he had air on his lung and for the first several hours there was NO drainage at all. The doctor then changed ot the chest tube for a different style (pigtail to straight) and he began draining fluid again, but not to a great degree. By morning he was in respiratory failure. They inserted a needle in his chest and drained 60 ccs in a matter of a few minutes. They replaced the drain with another pigtail drain and stopped the leak at the insertion point so it wouldn't leak out there anymore. For the past several days they've continued to get 5 ccs per hour. Yesterday they began octreotide and today they are starting him on a formula (via g-tube he already has due to a cleft between the esophagus and trachea he was scheduled to have repaired mid-july - he is also on reflux meds - his stomach is very small) that is supposed to be low protein and have a special type of fat and assist with the healing of the leak to the lymphatic channel. Overnight the fluid has increased to 11 ccs per hour. I am at my wit's end because I don't know how to help my baby and, although I trust that the doctors are doing everything they can to help him, it seems there is a lot of head scratching going on. I have questioned the use of a suction drain. It seems to me that if the drain were placed near the leak (and they haven't pinpointed the leak) the suction could inhibit closure or even irritate the leak site. I also have read so much about chyothorax and the use of fat restricted diets and they all mention the fluid being milky. This is NOT milky - it is the color of very yellow urine and very clear. I'm wondering why, if the duct was injured during surgery, why there was no chyle leaking t first and then it began and now it has increased. It is so frustrating to not know what is going on. I ask questions but just don't seem to get thorough answers. They've told me surgical repair for chylothorax is very difficlt and have le us to believe that it is a long shot that surgery COULD fix it. They've told us his best bet is to let some time go by use the medications and diet, and hopefully it will self-repair. We've been told that if it doesn't heal he cannot live with it and he will die. This is too serious a situation for me to have unanswered questions. PLEASE help me understand this better. I would appreciate any info you think could be helpful to us. When the surgeon came in this morning after being gone for the weekend he immediately cut the suction on the drain and left it to gravity.
Shortness of breath when exercising, could it be a panic attack? I'm not out of shape, just got done indoor track and cross country, and so this isn't an issue of being out of shape. I have some back pain that started low but now is all over, I've done x-rays, my dr. has watched me on the treadmill and done oxygen saturation content (96-98%) as well as peak flow (i think it was good) and watched my heart rate. I have a stress test scheduled for tomorrow, but my other dr. was wondering if perhaps I'm having anxiety attacks while running. I didn't know if anyone else had experienced this shortness of breath while running, but was also in shape. What would an anxiety attack be like?
How common is Deja Vu with dementia? My dad is in the early stages of dementia. Neither his doctors or us (his family) are sure which kind. It could be Alzheimer's, or it could be a slow dying-off of brain cells due to hypoxemia. That term basically means lower-than-ideal levels of oxygen are reaching the brain, due to a reduced oxygen saturation of the blood, which in my dad's case, is due to his very advanced COPD (emphysema & chronic bronchitis). At any rate, lately when we watch movie rentals, he comments that the movie looks extremely familiar (even when I *know* he's never watched it before). Sometimes he even picks out specific scenes, where he marvels at how familiar all the people, places and actions of the scene are! I did a tiny bit of online research and found one article (or study) that said something about damage to certain parts of the brain can lead to increased deja vu, but I'm not sure what I read. Can anyone shed some light on HOW and WHY certain forms of dementia could cause someone to have increased deja vu? (Also, do you think it will get worse?) Thanks!!
Biology essay on red blood cell graph? I'm supposed to answer the following questions on this graph/subject, (I typed out everything it says.) and I dont understand it.. I'm homeschooled so I just cant ask a teacher and no one I know knows anything about it.. and I'm just so confused and stressed out (I get easily stressed, and then never shut up..) Red blood cells are able to transport oxygen throughout the body because oxygen binds to hemoglobin molecules within the blood cells. To learn how the concentration of oxygen in tissues affects the binding of oxygen to the hemoglobin molecule, researchers devised the following study. Samples of human blood were taken from various tissues. In each sample, the researchers measured the amount of dissolved oxygen in the tissue and isolated the hemoglobin. The amount of isolated hemoglobin was measured and then separated to determine how much of the hemoglobin had all of its binding sites filled with oxygen. The amount of saturate hemoglobin was compared with the total amount of hemoglobin to yield the percentage of hemoglobin saturation. Some results of the study are shown in the graph. Use the graph to answer the questions that follow. a. If the concentration of oxygen in the lung tissues is about 9%, what is the hemoglobin saturation of the red blood cells in the lungs? b. If the concentration of oxygen in a sample of body tissue is 4%, what is the hemoglobin saturation of the red blood cells in the sample? c. What happens to the hemoglobin saturation of the red blood cells as the cells move to tissues that have lower oxygen concentrations? d. What must happen to the oxygen bound to the hemoglobin as the red blood cells move to tissues with lower oxygen concentration? Heres a pic of the graph:http://img508.imageshack.us/img508/8748/picture024jm7.jpg
Academic question part 2!!!!!!? BACKGROUND A 41-year-old man presents with fever, malaise, and a 20-lb weight loss over the past 3 months. The patient also has intermittent headaches, coughing with occasional hemoptysis, and multiple chronic skin lesions. The lesions initially appeared as hyperpigmented scaly plaques on his lower back (see Image 1). They have enlarged over the last year, spreading to his arms, nose (see Images 2-3), and penis (see Image 4). The lesions are not itchy or painful. Over the last few weeks, the lesions on the patient’s nose and penis have begun to ulcerate and produce a bloody, purulent discharge. The patient was diagnosed with HIV infection 13 years ago. He denies having any chest discomfort, shortness of breath, nausea, or diarrhea. He has not traveled recently and has not had any contact with people who were sick. He has not spent any time in environments where the risk of tuberculosis is high (eg, prison, shelters). On physical examination, the patient is afebrile with a blood pressure of 116/58 mm Hg and a heart rate of 92 bpm. His respiratory rate is 14 breaths/min, and his oxygen saturation while breathing room air is 96%. On his nose is a crusted, indurated plaque with irregular borders and central ulceration that produces thick, blood-tinged, suppurative discharge (see Image 3). A nontender oval-shaped crusted plaque with superficial ulceration is located on his penis at the base of the glans (see Image 4). Numerous skin-colored umbilicated papules, of about 3-6 mm and with central hemorrhagic crusts, are scattered irregularly on his arms and face (see Image 2). A diffuse, hyperpigmented lichenification of the skin is noted on his back, with many small areas of superficial ulceration (see Image 1). No retinal lesions are noted on funduscopic examination. No frank nuchal rigidity is present; however, the patient expresses moderate discomfort with neck flexion. The lungs are clear to auscultation with no rales, rhonchi, or wheezing; the cardiac examination is normal. The remainder of the physical examination yields unremarkable results. The patient is transferred to the adjoining emergency department (ED) and, because infectious meningitis is suspected, is placed in respiratory isolation. A lumbar puncture reveals an opening pressure of 22 cm H2O. A cerebrospinal fluid (CSF) sample is sent for laboratory evaluation and shows a WBC count of 450/mm33 (0.450 X 109/L) with a mononuclear predominance, a mildly elevated protein level, and a slightly decreased glucose concentration. India ink staining reveals the presence of fungi. What is the etiology of the patient’s symptoms? Are all of the lesions from the same disease process?
Am I remembering what I read or am I remembering an actual event? A little over 18 months ago, I got out of hospital where I was evidently taken due to a complication with Crohn's disease. I don't know all the details, but I know I had very low blood oxygen saturation. Anyway, I've recently been unable to remember anything prior to waking up in hospital except for my life up to and including my high school graduation. Thanks to my many diaries and my extensive use of social networking sites, the events and emotions of my past have been very well documented, and I've been reading it considerably in order to learn who I was during my missing years. It turns out that I had a very special friend with whom I spent much of my time over most of those years. A short time prior to my hospital visit, she died in a car accident. As a result of the untimeliness of her death, I've had no memory of her until today. My internet connection at home prevents me from being able to use video sites, but today, I'm house-sitting my sister's house while she's away on business. She lives in the city, so she has terrestrial broadband. I decided to use it to see what I've been missing on those video sites. In an effort to find out if I've been involved on any of those sites, I came across a video of my friend's memorial. Until now, reading about her was like reading about somebody I never knew, but suddenly this time, there's much more feeling than there was before, and now in my head I can hear her voice and the way she talked, the way she laughed! I know I have no recordings of her voice, but I feel like I actually know her, like she's a close member of my family I've known all my life. I donno how to explain this feeling. Have I been reading so much about her that my brain has somehow made up all these details, or do I really remember her?
WTF happened to me!!!? (brain damage)? friday night i popped 2 mg of diazepam, having a lower tolerance than i can remember, then saturday i got into the opiates. in the morning i drank two medium sized tasmanian pods, steeped into tea, to which i repeated around 6 that night. at 9pm i drank a tea spoon of codeine/promethazine, and at 10 i had two more. i was totally ****** in a good way. my friend was staying over and he had just got up a few hours before hand, and accepting that he wouldn't be able to fall asleep, kept an eye on me to make sure he didn't enter a coma. i woke up at 6, my friend said i was totally fine and we went out for coffee. i had not a hint of cyanosis at 1pm, and my breathing was pretty much back to normal. i had work at 3 so i hopped in a hot shower, hopping out into a steamy bathroom covered in mirrors. the firsti looked at shocked me, my lips had become a meager shade of pink/blue, and my fingers looked like clubs swung at the dawn of man!!!! the entire ******* night and day up until that point (7 hours awake llready) i was totally cool, only to take a shower and completely lose it upon finishing. i was soberng up when it happened, and not even nodding anymore. i live with my mom who agreed my nails looked blue, then i had to go to work (where more people agreed) where i felt as though a squirrel were stuck in his throat (couldn't breathe properly), so he left to go to the e.r. when i got to the emergency room they said my blood oxygen saturation level was 100 percent, and that a temp change may have been responsible?! bullshit. how the **** did this happen? my blue lips disappeared seconds after i got out of the shower but the fingers lingered. do you think this level of oxygen deprivation hurt my brain/killed brain cells??? i was definitely breathing in the shower ... i just took that shower and noticed the exfoliated broken skin around my lips after a hot shower resembles pictures of cerulean lips iv'e seen online... though again my fingernails were def turning an ice cold porsche blue. could i have had vasoconstriction without it affecting my head? i ask because my tips still looked a little purple after the nurse said my oxygen level was perfect? how long does that blue discoloration take to get rid of if one starts breathing heavily?
what the **** happened!!? friday night i popped 2 mg of diazepam, having a lower tolerance than i can remember, then saturday i got into the opiates. in the morning i drank two medium sized tasmanian pods, steeped into tea, to which i repeated around 6 that night. at 9pm i drank a tea spoon of codeine/promethazine, and at 10 i had two more. i was totally fucked in a good way. my friend was staying over and he had just got up a few hours before hand, and accepting that he wouldn't be able to fall asleep, kept an eye on me to make sure he didn't enter a coma. i woke up at 6, my friend said i was totally fine and we went out for coffee. i had not a hint of cyanosis at 1pm, and my breathing was pretty much back to normal. i had work at 3 so i hopped in a hot shower, hopping out into a steamy bathroom covered in mirrors. the firsti looked at shocked me, my lips had become a meager shade of pink/blue, and my fingers looked like clubs swung at the dawn of man!!!! the entire fucking night and day up until that point (7 hours awake llready) i was totally cool, only to take a shower and completely lose it upon finishing. i was soberng up when it happened, and not even nodding anymore. i live with my mom who agreed my nails looked blue, then i had to go to work (where more people agreed) where i felt as though a squirrel were stuck in his throat (couldn't breathe properly), so he left to go to the e.r. when i got to the emergency room they said my blood oxygen saturation level was 100 percent, and that a temp change may have been responsible?! bullshit. how the fuck did this happen? my blue lips disappeared seconds after i got out of the shower but the fingers lingered. do you think this level of oxygen deprivation hurt my brain/killed brain cells??? i was definitely breathing in the shower ... i just took that shower and noticed the exfoliated broken skin around my lips after a hot shower resembles pictures of cerulean lips iv'e seen online... though again my fingernails were def turning an ice cold porsche blue. could i have had vasoconstriction without it affecting my head? i ask because my tips still looked a little purple after the nurse said my oxygen level was perfect? how long does that blue discoloration take to get rid of if one starts breathing heavily?
█▓▓░█▓▓░ Chronic Anxiety (advise please)█▓▓░█▓▓░? Hi My names ben for the last 5 months ive stoped Cold turky eating Meats.. exept fat free ones that are processed.. which is not really good but ya.. ok well.. i started geting short of breath Severe chest pain that i kept thinking was heart related called EMS 324235238952710 times.. *47* to be exact.. Nothing wrong with heart.. went to hospital blood levels checked *basic* ENZYMES* for you know.. Fine.. then.. Finally went to PH doctor.. you know a physician.. and checked me out did EKG Fine.. but because my dad had a heart attack.. He decided to send me to a heart hospital here In San Antonio Texas.. They did ECHO and Stress. im waiting for ECHO results but stress test came back awesome.. as the doctor said.. *awesome* I have chronic Anxiety.. panic attacks etc.. about a month ago i devloped severe Shortness of breath *still had 100 % oxygen saturation from the finger thing* but i was feeling short of breath ALLLLLL DAY and night so i thought it would go away and it didnt then i devloped chest pains which are quite scary so here i am AGAIN calling ems.. they still hit me even today sometimes it feels exactually where the heart is at.. and sometimes in other places.. sometimes i feel a pulling sensation chest area.. but it goes away.. and mostly comes on when im VERY VERY NERVOUS!.. didn't think anxiety could cause that kinda closeness to major heart diease... so again...i searched and searched for any other suggestions.. looked and looked for hours on the PC HOURS! and days.. my exact symptoms.. and BAM Chest pain Shortness of breath *non cardiac* or lungs they did a lung test PERFECTLY FINE!!!!!!! Im 18 btw.. so i started and started and started and BAM ! when my dad had the heart attack i stoped eating all kinds of meats and dairy .. nothing but salads all day.. almost no SAT FAT IN ANYTHING... I kept looking and looking and looking AND BAM Vitamin B12 DEFIENCY symptoms EXACTUALY!!!!!! as said... on WEBMD and other medical websites.. so i took it apon my self to Get Some VitaminB12 Tabs from SamsClub MembersMark Vitamin B12 with high potency.. the one underthe tung thing WHICH TASTES AWESOME LIKE CANDY.. i just started taking them last night my symptoms are still there but NOT as bad? as they have been for the last 3 weeks..if it is Vitamin b12 definciny.. can it be possible that my fatigue is caused by that.. and my memory concentration really scrambled can that be because of vitamin b12 and can it cause shortness of breath? and chest pains? if so please explain to me if yall have it and what you have done to elievate it some what.. or all of it i get enough iron they checked for tapeworm non and liver kindney and everything else is fine.. could it be Vitamin b12 and Possibly Chronic Anxiety making me feel like im always dying and the Lorazapam calms me down when having chest pains... but they come and go and come and go sometimes on the right side sometimes on the left side I really hope yall took the time to read this and hopeffully will give me some experience yall may or may not have.. and if possible its vitamin b12 im also taking anothor vitamin supplement Centrum multimineral supplement Thanks for taking the time to read PLEASE READ THIS TO: yestarday i was feeling sucidale homocidale i went to the ER room and complained of chest pain to check me EKG fine.. White blood cell was a little high everyother test they did was fine.. so they made me wait in the Emergency room by the doors where they bring in patients and around 7pm I HAD THE WORST PANIC ATTACK IVE EVER EXPERIENCED IN MY LIFE!!!!!! I ALMOST FAINTED!!!!!! so many people hurt so many people screaming so many people in pain and BAM! ok.. so i feeling like im dying BEFORE I HAD THE PANIC ATTACK THEY TOOK THE BLOOD TESTS... ENZYMES IN HEART AND EKG. AFTER THE PANIC ATTACK SAME THING EKG NORMAL ENYMES NORMAL... NEGATIVE... WHITE BLOOD CELL ABOUT THE SAME A LITTLE LOWER... WHATS GOING ON!!!!!? OH AND THEY GAVE ME 5MB OF VALUM AND AND I FINALLY CALMED DOWN .. THEN IN THE UNIT I FELT BETTER.. BUT I STARTED GETTING ANXIETY CAUSE IT WAS LOCATED IN THE BASEMENT AND THERE WAS NO WINDOWS TO LOOK OUT OF... SO I TOLD THEM I NEEDED SOME MORE MEDICINE AND GAVE ME 1 MG of Atavan.. What does this sound like to yall If yall sufer from what im going threw tell me how you feel and what makes you feel that way and what triggers it
Chronic Anxiety (Advice Please)? Hi My names ben for the last 5 months ive stoped Cold turky eating Meats.. exept fat free ones that are processed.. which is not really good but ya.. ok well.. i started geting short of breath Severe chest pain that i kept thinking was heart related called EMS 324235238952710 times.. *47* to be exact.. Nothing wrong with heart.. went to hospital blood levels checked *basic* ENZYMES* for you know.. Fine.. then.. Finally went to PH doctor.. you know a physician.. and checked me out did EKG Fine.. but because my dad had a heart attack.. He decided to send me to a heart hospital here In San Antonio Texas.. They did ECHO and Stress. im waiting for ECHO results but stress test came back awesome.. as the doctor said.. *awesome* I have chronic Anxiety.. panic attacks etc.. about a month ago i devloped severe Shortness of breath *still had 100 % oxygen saturation from the finger thing* but i was feeling short of breath ALLLLLL DAY and night so i thought it would go away and it didnt then i devloped chest pains which are quite scary so here i am AGAIN calling ems.. they still hit me even today sometimes it feels exactually where the heart is at.. and sometimes in other places.. sometimes i feel a pulling sensation chest area.. but it goes away.. and mostly comes on when im VERY VERY NERVOUS!.. didn't think anxiety could cause that kinda closeness to major heart diease... so again...i searched and searched for any other suggestions.. looked and looked for hours on the PC HOURS! and days.. my exact symptoms.. and BAM Chest pain Shortness of breath *non cardiac* or lungs they did a lung test PERFECTLY FINE!!!!!!! Im 18 btw.. so i started and started and started and BAM ! when my dad had the heart attack i stoped eating all kinds of meats and dairy .. nothing but salads all day.. almost no SAT FAT IN ANYTHING... I kept looking and looking and looking AND BAM Vitamin B12 DEFIENCY symptoms EXACTUALY!!!!!! as said... on WEBMD and other medical websites.. so i took it apon my self to Get Some VitaminB12 Tabs from SamsClub MembersMark Vitamin B12 with high potency.. the one underthe tung thing WHICH TASTES AWESOME LIKE CANDY.. i just started taking them last night my symptoms are still there but NOT as bad? as they have been for the last 3 weeks..if it is Vitamin b12 definciny.. can it be possible that my fatigue is caused by that.. and my memory concentration really scrambled can that be because of vitamin b12 and can it cause shortness of breath? and chest pains? if so please explain to me if yall have it and what you have done to elievate it some what.. or all of it i get enough iron they checked for tapeworm non and liver kindney and everything else is fine.. could it be Vitamin b12 and Possibly Chronic Anxiety making me feel like im always dying and the Lorazapam calms me down when having chest pains... but they come and go and come and go sometimes on the right side sometimes on the left side I really hope yall took the time to read this and hopeffully will give me some experience yall may or may not have.. and if possible its vitamin b12 im also taking anothor vitamin supplement Centrum multimineral supplement Thanks for taking the time to read PLEASE READ THIS TO: yestarday i was feeling sucidale homocidale i went to the ER room and complained of chest pain to check me EKG fine.. White blood cell was a little high everyother test they did was fine.. so they made me wait in the Emergency room by the doors where they bring in patients and around 7pm I HAD THE WORST PANIC ATTACK IVE EVER EXPERIENCED IN MY LIFE!!!!!! I ALMOST FAINTED!!!!!! so many people hurt so many people screaming so many people in pain and BAM! ok.. so i feeling like im dying BEFORE I HAD THE PANIC ATTACK THEY TOOK THE BLOOD TESTS... ENZYMES IN HEART AND EKG. AFTER THE PANIC ATTACK SAME THING EKG NORMAL ENYMES NORMAL... NEGATIVE... WHITE BLOOD CELL ABOUT THE SAME A LITTLE LOWER... WHATS GOING ON!!!!!? OH AND THEY GAVE ME 5MB OF VALUM AND AND I FINALLY CALMED DOWN .. THEN IN THE UNIT I FELT BETTER.. BUT I STARTED GETTING ANXIETY CAUSE IT WAS LOCATED IN THE BASEMENT AND THERE WAS NO WINDOWS TO LOOK OUT OF... SO I TOLD THEM I NEEDED SOME MORE MEDICINE AND GAVE ME 1 MG of Atavan.. What does this sound like to yall
In metabolically active tissues you would expect? A) the % saturation of hemoglobin will be less than it is near the lungs. B) the partial pressure of oxygen will be higher than in the alveoli. C) The pH will be slightly higher than it is in the fluid close to the lungs. D) The partial pressure of carcon dioxide will be at its lowest level. E) All of the above
did i damage my brain? this morning i thought i may have stopped breathing because my fingernails took a grey blue appearance and i needed to "test" myself to see if oxygen was responsible, as brain damage rightly makes me paranoid. so i made my breathing very shallow, still getting a small breath or two every 6-10 seconds, but making sure to exhale completely for several minutes, and then was to check on my fingernails for cyanosis. when the first experiment yielded no conclusion, i repeated probably 3 more times, in shorter intervals. when i was marginally satisfied that my skin color had little to do with my air intake, i put my finger in an oximiter (measure blood air saturation to give my mind peace). i started to breathe as i had during the questioned period (and how i breathed thereafter) for a few minutes and saw my oxygen level go from 99% to 98%, on a constant staircase downward. i continued this for a few minutes, managing to spike my o2 levels to 94% or possibly lower for a few infinite seconds, to realize my brain may have been sufficiently deprived of oxygen for some time. i panicked and to make sure my oximiter wasn't buggy, retested myself 3 or 4 more times, bringing my blood sat levels to 95 and 94 percent, still now believing each of these tests on the validity of the oximiter caused more brain cells o die, even if i was only that low for no more than 5 seconds. in total i spent a fair amount of time not breathing today, and by textbook definition a fair amount of time hypoxic, with apnea. do you think i lost brain cells or caused brain damage from my neurotic worsening of the scenario which initiated today's events? thank you okay, do you think i lost enough brain cells to ever realize it?
Can someone please tell me what these sleep study results mean? Ok. Long story, I had a sleep study in November of Last year in which my doctor never talked to me about it. Well anyways I have the paperwork here with me and I have Mild Sleep Apnea, and it say's possibly hypoxemia. Let me tell u what my results say on my oxygen saturation: Initial oxygen saturation was 98% with the lowest saturation reached being 70%. The mean oxygen saturation during sleep study was 89.5%. During 38% study of the study, her oxygen saturation was greater than 90%, during 60.8% of the study her oxygen saturation varied between 80-89%, and during 1.2% of the study her oxygen saturation varied between 70-79%. Her sleep efficiency was severely reduced to 63.1% with a decrease in the amount of REM sleep to 11% of total sleep and no deep sleep was noted. Her sleep onset latency was prolonged to 127 minutes and her REM onset latency was prolonged to 210 minutes. Ambien 10 mg was taken. Her combined apneic and partial apneic index was very mildly elevated at 5.7 with an apneic index of 2.0 and partial index of 5.5 .The vast majority of the esisodes were obstructive in type with the longest partial apneic episode being 16 seconds and the mean length being 11 seconds. The total study time was 6.5 hours and the total sleep was 4 hours. No arrhythmias are noted, no periodic limb movements are present, and snoring was moderately loud, intermittent and present. His impression is Obstructive sleep apnea syndrome and Hypoxemia His recommendation for my doctor is this: (my doctor has never talked to me about this or done anything about it): I recommend supplemental oxygen for sleep at a flow rate of 2 liters per nasal cannula. I would recommend an overnight oximetry on supplemntal oxygen in two to three weeks and hopefully note normalization of her oxygen saturation. I also recommend weight loss of 25 pounds. Lastly I recommend an otolaryngology evaluation as in a 30 year old patient a possible surgical approach would be indicated. I will obtaining the home equipment and followup care to dr. phillips. I am not sure why her oxygen saturation remains low other than being overweight, but if appropriate, a cardiac and pulmonary evaluation would be in order. Note by me the patient: I am having trouble breathing all the time and can't sleep even on sleeping pills because I can't breathe even worse when I lay down. Please let me know why my doctor hasn't gotten in contact with me about these results. His nurses told me I'm fine, but I'm not so sure, This was the stupid nurse who doesn't care about anyone.
Why did my doctor have me do a sleep study and not follow up with it? I did a sleep study for my doctor because he thought I had sleep apnea. Well I did it, and the sleep apnea doctor called me back the same night after I did it, and told me I had Mild sleep apnea, but his concern was with my low oxygen levels. He said he wanted me to stay at my house and sleep with a cpap machine and check my oxygen levels for a night, and he said my doctor would call me back or the company that does the equipment, well low and behold noone calls me for over a month, so I called the office and they said they hadn't received the results yet. So anyway I had to take my daughter to the same doctor today and while I was there I asked him if he received the results yet, and he told me to ask the office girls? (what a doctor) so I go out there and ask the office workers if they received them, well low and behold they had received them the day after I had it done, and the doctor I guess just doesn't look at his patients info when it is faxed in. I guess the dumb office workers just glance at it and file. So anyways they gave me a copy of this fax and the sleep doctor has all this stuff he suggests that my doctor do like have done what he told me with the cpap machine, and also maybe look into surgury, and he suggested a pulmonary and cardiac evaluation since I'm only 30. I don't understand why my doctor just doesn't do anything about this, The sleep doctor said on this report my lowest saturation of sleep oxygen was reduced to 63.1%. I think that is pretty bad. I have trouble breathing when I try to go to sleep without taking something to sleep, because when I take something I don't have to think about it, I just get zonked out. What should I do? I want to defiantly change doctors, but can he get in trouble for this, or since this doctor just suggested it would it not matter. I feel so uncared for at this doctors office, why have me do a sleep study and not even look at my results. Someone please give me info and advice I need so badly. If I change doctors and give them these results will the insurance still go by them and let my new doctor help me?
what the **** happened!!? friday night i popped 2 mg of diazepam, having a lower tolerance than i can remember, then saturday i got into the opiates. in the morning i drank two medium sized tasmanian pods, steeped into tea, to which i repeated around 6 that night. at 9pm i drank a tea spoon of codeine/promethazine, and at 10 i had two more. i was totally f'ed in a good way. my friend was staying over and he had just got up a few hours before hand, and accepting that he wouldn't be able to fall asleep, kept an eye on me to make sure he didn't enter a coma. i woke up at 6, my friend said i was totally fine and we went out for coffee. i had not a hint of cyanosis at 1pm, and my breathing was pretty much back to normal. i had work at 3 so i hopped in a hot shower, hopping out into a steamy bathroom covered in mirrors. the firsti looked at shocked me, my lips had become a meager shade of pink/blue, and my fingers looked like clubs swung at the dawn of man!!!! the entire fucking night and day up until that point (7 hours awake llready) i was totally cool, only to take a shower and completely lose it upon finishing. i was soberng up when it happened, and not even nodding anymore. i live with my mom who agreed my nails looked blue, then i had to go to work (where more people agreed) where i felt as though a squirrel were stuck in his throat (couldn't breathe properly), so he left to go to the e.r. when i got to the emergency room they said my blood oxygen saturation level was 100 percent, and that a temp change may have been responsible?! bullshit. how the fuck did this happen? my blue lips disappeared seconds after i got out of the shower but the fingers lingered. do you think this level of oxygen deprivation hurt my brain/killed brain cells??? i was definitely breathing in the shower ... i just took that shower and noticed the exfoliated broken skin around my lips after a hot shower resembles pictures of cerulean lips iv'e seen online... though again my fingernails were def turning an ice cold porsche blue. could i have had vasoconstriction without it affecting my head? i ask because my tips still looked a little purple after the nurse said my oxygen level was perfect? how long does that blue discoloration take to get rid of if one starts breathing heavily?
how much brain damage did i suffer? this morning i thought i may have stopped breathing because my fingernails took a grey blue appearance and i needed to "test" myself to see if oxygen was responsible, as brain damage rightly makes me paranoid. so i made my breathing very shallow, still getting a small breath or two every 6-10 seconds, but making sure to exhale completely for several minutes, and then was to check on my fingernails for cyanosis. when the first experiment yielded no conclusion, i repeated probably 3 more times, in shorter intervals. when i was marginally satisfied that my skin color had little to do with my air intake, i put my finger in an oximiter (measure blood air saturation to give my mind peace). i started to breathe as i had during the questioned period (and how i breathed thereafter) for a few minutes and saw my oxygen level go from 99% to 98%, on a constant staircase downward. i continued this for a few minutes, managing to spike my o2 levels to 94% or possibly lower for a few infinite seconds, to realize my brain may have been sufficiently deprived of oxygen for some time. i panicked and to make sure my oximiter wasn't buggy, retested myself 3 or 4 more times, bringing my blood sat levels to 95 and 94 percent, still now believing each of these tests on the validity of the oximiter caused more brain cells o die, even if i was only that low for no more than 5 seconds. in total i spent a fair amount of time not breathing today, and by textbook definition a fair amount of time hypoxic, with apnea. do you think i lost brain cells or caused brain damage from my neurotic worsening of the scenario which initiated today's events? thank you
I REALLY need help...Earth and Space science/meteorology/weather patterns stuff!? i have a take home test my teacher assigned and he made it 54390098 times harder than usual since its a take home. i cant find any of these answers anywhere!! :( please help? ill list them as they are on the test. if you know it, please answer with the number of the question, followed by the answer. PLEASE HELP! :) 3. Which statement describes rising air in relation to surrounding air? a. the rising air is more dense b. the rising air is cooler c. the rising air is thicker d. the rising air is less dense. 4. the ___ are responsible for the movement of much of the weather across the united states a. previaling westerlies b. polar easterlies c. trade winds d. doldrums 5. which of the following is NOT true about the ozone? a. it absorbs UV radiation b. it is concentrated in the upper regions of the troposhpere c. its concentration is descreasing or thinning d. it is a gas formed by the addition of one oxygen atom to a pre-existing oxygen molecule. 7. the ___ is caused by earth's rotation: a. specific humidity b. land breeze c. sea breeze d. coriolis effect 8. which way will air in a southern hemisphere rotate? a. south b. north c. clockwise d. counter clockwise 9. a ____ forms when 2 air masses come together: a. hurricane b. front c. sea breeze d. jet stream Vocabulary: 48. process by which cold clouds produce precipitation 49. the temperature at which saturation occurs 50. the atmosphere is divided into layers due to changes in ______ 51. compares the actual amount of water vapor in the air to the capacity of the air at the present temperature. 52. process by which warm clouds produce precipitation 53. part of a hurricane that produces the most violent wind and precipitation 54. the tendency for global winds to bend to the left or the right due to rotation of the earth. 55. amount of moisture that can be held by the air at a given temperature 56.device used to measure air pressure (barometer i think? idk) 57. name of the winds bringing US the majority of its weather 58. the weight of the atmosphere per unit 59. the low pressure belt known as the doldrums is found at this worldly location 60. moving air. (wind?) THANK YOU SO MUCH, PLEASE ANSWER AS MANY AS POSSIBLE <3<3<3<3<3 a few more.. 10.a gas that increases the greenhouse effect is ____ a.methane b.nitrous oxide c.carbon dioxide d.ozone 11.the amount of moisture in the air compared to the amount that could possibly be held. a.relative humidity b.partial humidity c.specific humidity d.actual humidity 13.the temperature at which water condenses a.30 degrees b.capacity level c.dew point d.boiling point 14.sea and land breezes occur because.. a.the land heats and cools more slowly than the water b.the land heats and cools more quickly than the water c.air moves more easily over the water d.air moves more easily over the land 15.global wind cells and patterns are created by global.. a.differences in heating b.ozone c.magnetic fields d.jet streams 16.thunderstorms/squall lines will generally form a long a _ front a.occluded b.warm front c.stationary front d.cold front (keep reading i ran out of characters, lol) 18.water can form on surfaces at night when the sky is clear because.... a. the air near the ground cools to the dewpoint b. the air is not saturated c. the air near the ground is colder than the ground d. the relative humidity decreases 20. airplanes traveling from New York to London are probably spending the majority of their flight flying low in the.... a. thermosphere b. troposphere c. stratosphere d. deltasphere thankssssssssssssssss <3<3<3<3<3
Chemistry practice quiz HELP? Hello, If anyone is kind enough to help me answer these questions I would be very greatful. Thank You So much, You are a life saver!!! Providing a brief explanation for the answers, I am reading the text book, but It just doesn't seem to go through my head. Practice Quiz 3A Fall 1 2004 1. Important functional groups of organic compounds include: a. –COOH. b. –NH2. c. –OH. d. -PO4. e. All of the above. 2. Triglycerides belong to which group? a. Nucleic acids. b. Lipids. c. Proteins. d. Carbohydrates. e. Steroids. 3. One major difference that distinguishes a fat from a carbohydrate is: a. Covalent bonds. b. Carbon, hydrogen and oxygen. c. A Carboxylic acid group. d. Ionic bonds. e. Nitrogen atoms. 4. The chemical reaction of glycogen into glucose is an example of: a. Hydrolysis. b. Dehydration synthesis. c. Synthesis. d. Steroids. e. Fatty acids. 5. Lauric acid has the chemical formula C12H24O2 and has saturated carbon bonds. Lauric acid is then a: a. Fatty acid with double bonds. b. Fatty acid with no double bonds. c. Carbohydrate with double bonds. d. Carbohydrate without double bonds. e. It cannot be determined based on the information. 6. Which of the following is true about Osmosis? a. It is the movement of water molecules across a membrane. b. It occurs across a selectively permeable membrane that is freely permeable to water, but not freely permeable to solutes. c. Water flows across a membrane toward the solution that has the higher concentration of solutes, because that is where the concentration of water is lower. d. a is the only true statement about osmosis. e. a, b and c are all true statements about osmosis. 7. Which of the following is false about DNA? a. It is double-stranded. b. It contains ribose sugar. c. It has 4 bases. d. It is found inside the nucleus. e. It forms an alpha helix. 8. The secondary structure of a protein results from: a. Complex coiling and folding producing its 3-dimensional shape. b. Its nucleic acid sequence. c. Its amino acid sequence d. Association with other proteins forming a complex. e. Bonds between amino acids. 9. A cell suddenly shrinks due to dehydration when placed in a new solution. Which of the following statements may account for this observation? a. A hypotonic solution producing lysis. b. A hypertonic solution producing crenation. c. A hypertonic solution producing lysis. d. A hypotonic solution producing crenation. e. An isotonic solution producing crenation. 10. Which of these is not a major functional category of proteins? a. Support. b. Buffering. c. Metabolic regulation. d. Energy supply. e. Defense (immune system). 11. Complementary base pairing in DNA include the pairs: a. Adenine-uracil and cytosine-guanine. b. Adenine-thymine and cytosine-guanine. c. Adenine-cytosine and thymine-guanine. d. Adenine-thymine and cytosine-uracil. e. Adenine-guanine and cytosine-thymine. 12. Which of these are characteristic of enzymes? a. They catalyze only one type of reaction- (specificity). b. The rate of an enzyme reaction is determined by the amount of the enzyme available (saturation). c. A variety of factors can turn enzymes on and off (regulation). d. a and b. e. a, b and c. 13. Complementary base pairs: a. Are found in RNA. b. Are found in DNA. c. Require peptide bonding. d. Are characteristic of single-strand DNA. e. Produce ATP. 14. The high energy bonds that are found in ATP require: a. Complementary base pairing. b. Peptide bonding. c. Phosphorylation. d. Denaturation. e. A quaternary structure. 15. The glycocalyx is found: a. In the nucleus. b. In the cytoplasm. c. On the inner surface of the cell membrane. d. On the outer surface of the cell membrane. e. On the endoplasmic reticulum. 16. The movement of large substances through the cell membrane involves: a. Carrier proteins b. Enzyme proteins c. Anchoring proteins d. Recognition proteins. e. Diffusion. 17. tRNA has a tight loop containing three nitrogenous bases that interacts with the mRNA. These three bases are known as the: a. Codon. b. rRNA. c. Anticodon. d. RNA polymerase. e. Promoter. 18. Which of the following are characteristics of mitochondria? a. It is membrane bound. b. It produces CO2 as one end product. c. It is the site for energy production through the TCA cycle. d. Has an inner membrane of called cristae increasing its surface area. e. All are characteristics of mitochondria. 19. The packaging center of the cell where newly synthesized materials are modified and distributed to the rest of the cell through vesicles is the: a. Nucleus. b. Rough Endoplasmic reticulum. c. Smooth Endoplasmic reticulum. d. Golgi Apparatus. e. Peroxisomes. 20. Which of the following is not one of the basic 20 amino acids: a. Methionine. b. Proline. c. Tyrosine. d. Thymine. e. Tryptophan. 21. Which of the following are true statements about nucleic acids: a. Large organic molecules com
Ok. I am now using a oxygen machine for the first time due to low oxygen saturation? anyways, I usually have high blood pressure, and am tired and groggy all the time. Well today was daylight savings and I had to get up early for church and I have felt beautiful and awake all day. I went and checked my blood pressure at a pharmacy and it was 106/75, and my pulse was like 78, it's usually really high. My bp is usually at least 135/90 to 100, is this from one evening of having oxygen? I am just amazed if so. Let me know what you think.
Can someone please tell me what these sleep study results mean? Ok. Long story, I had a sleep study in November of Last year in which my doctor never talked to me about it. Well anyways I have the paperwork here with me and I have Mild Sleep Apnea, and it say's possibly hypoxemia. Let me tell u what my results say on my oxygen saturation: Initial oxygen saturation was 98% with the lowest saturation reached being 70%. The mean oxygen saturation during sleep study was 89.5%. During 38% study of the study, her oxygen saturation was greater than 90%, during 60.8% of the study her oxygen saturation varied between 80-89%, and during 1.2% of the study her oxygen saturation varied between 70-79%. Her sleep efficiency was severely reduced to 63.1% with a decrease in the amount of REM sleep to 11% of total sleep and no deep sleep was noted. Her sleep onset latency was prolonged to 127 minutes and her REM onset latency was prolonged to 210 minutes. Ambien 10 mg was taken. Her combined apneic and partial apneic index was very mildly elevated at 5.7 with an apneic index of 2.0 and partial index of 5.5 .The vast majority of the esisodes were obstructive in type with the longest partial apneic episode being 16 seconds and the mean length being 11 seconds. The total study time was 6.5 hours and the total sleep was 4 hours. No arrhythmias are noted, no periodic limb movements are present, and snoring was moderately loud, intermittent and present. His impression is Obstructive sleep apnea syndrome and Hypoxemia His recommendation for my doctor is this: (my doctor has never talked to me about this or done anything about it): I recommend supplemental oxygen for sleep at a flow rate of 2 liters per nasal cannula. I would recommend an overnight oximetry on supplemntal oxygen in two to three weeks and hopefully note normalization of her oxygen saturation. I also recommend weight loss of 25 pounds. Lastly I recommend an otolaryngology evaluation as in a 30 year old patient a possible surgical approach would be indicated. I will obtaining the home equipment and followup care to dr. phillips. I am not sure why her oxygen saturation remains low other than being overweight, but if appropriate, a cardiac and pulmonary evaluation would be in order. Note by me the patient: I am having trouble breathing all the time and can't sleep even on sleeping pills because I can't breathe even worse when I lay down. Please let me know why my doctor hasn't gotten in contact with me about these results. His nurses told me I'm fine, but I'm not so sure, This was the stupid nurse who doesn't care about anyone.
I believe my fathers death was a product of involuntary euthanasia need advice? My father was very ill. He had chronic pancreatitis, copd, diabetes, and has been living with these conditions for the last 8 years with it starting from the pancreatitis. He has been married to my stepmom for only 10 of these 8 years and it is very obvious that he has been a burden for her. He has been in and out of the hospital for the last couple of weeks but my main concern is the events that happened 3 days before his death (my father was only 47). My stepmother kept making comments about how she wanted them to just stop treating his diabetes and remove his oxygen help (he'd been living with for 4 years). I explained to her that that would be murder it is the hospitals obligation to continue to treat what they had been treating before. My father was still eating on his own, going to the bathroom, and drinking on his own but, was heavily sedated. In his last day of life in the hospital there was talk of my step mom wanting to set him up with hospice and was asking questions about what she could do (take him off oxygen,stop checking his sugar etc). Before she left for the night she requested they give my father something for the pain (pancreatitis) and they gave him a dose of morphine. As soon as she left his stats started dropping quickly. His o2 saturation was at 33 and pulse had dropped to 67. The nurse came in checked on him and was going to clean him up cause he had soiled himself. I accepted as did my sister that it was close (not realizing the morphine could be the cause) and when they moved him around it woke him up enough to pick up all his sats. I called my step mom and told her what happened and she came back to the hospital. We waited a whole 7 hours with no change he was very sedated and non responsive from the drugs but stats were fine and showing no signs of discomfort or pain. The nurse had told me too that she thought it was the morphine that sent him over the edge. So after 7 hours of nothing...my step mom talked to the nurse even though my dad was having no pain and asked for more morphine. She also told the nurse not to treat his sugar that was getting dangerously low. She didn't even let the nurse take it but, when the nurse left she took it and it was 68. I explained how I was very uncomfortable with giving him more pain meds and not treating the sugar but was ignored. She started talking about taking him off his regular oxygen mask too and I was very much against it so she did not. This was about 2am when the first dose of pain meds was given (with no sign of pain) somehow an hour later when more family arrived he woke up and started talking to everyone and was awake and alert for about 10 min and my step mom after that ordered MORE morphine "for pain" that he wasn't having (he also had just had a dose an hour before) that was about 4am his breathing started to get slower after that but he was relaxed. The nurse kept coming in and asking my step mom if she was ready for "that" twice...finally about 530 am my step mom said yes. I immediatley said WHAT IS THAT! and she said oh, your dad is getting a little anxious so its some anti anxitey meds. ( still he was not moving, moaning, his stats were not showing a sign of pain, he was not gasping for air just breathing very slow) he passed an hour later. I need answers! I truly feel that this was not ethical nor legal. She was ofcourse being his wife his medical power of attorney. However I didn't think it gave her the right to play GOD so to speak. Morphine is very risky for copd patients from what i've read and apparently she was "friends" or the nurse was "a customer" of hers and even joked so are you going to let me cut in line now? I believe she came in and did say I got a doctors ok to give pain meds every 30 min. as needed which i thought was weird cause my father was not in pain?? And, if the doctor knew the effects of the pain meds on a copd paitient why would he allow such a high dosage to be given so frequently? I mentioned today I wanted a copy of his medical records and she got very defensive and said "what do you want those for"? and I said I just strongly feel like something is wrong and she said well "i don't want to talk about this right now!" 4 doses of a powerful narcotic and a dose of a sedative/"anti anxiety" to be administered within 3 hours seems excessive for someone sleeping?
need help on science homework? All matter is composed of atoms or molecules that have energy of motion, also known as ____. Choose one answer. a. kinetic energy b. solar energy c. potential energy d. radiation 47 Marks: 1 When air transfers energy to a cooler object, what happens to the air temperature? Choose one answer. a. It increases b. It decreases c. It fluctuates d. It stays the same 48 Marks: 1 What causes heat, or the transfer of energy from one object to another? Choose one answer. a. differences in temperature b. low albedos c. differences in pressure d. high albedos 49 Marks: 1 A metal spoon becomes hot after being left in a pan of boiling water. This is an example of ____. Choose one answer. a. radiation b. reflection c. convection d. conduction 50 Marks: 1 Earth receives energy from the sun through what method of heat transfer? Choose one answer. a. none of these b. convection c. radiation d. conduction 51 Marks: 1 What is NOT true about radiation? Choose one answer. a. It needs a medium through which to travel. b. It can travel through a vacuum. c. It is one of three methods of heat transfer. d. It travels out in all directions from its source. 52 Marks: 1 Why are annual temperature ranges in the Southern Hemisphere generally smaller than those in the Northern Hemisphere? Choose one answer. a. Earth is closest to the sun during the Southern Hemisphere summer. b. There is greater proportion of mountainous land in the Southern Hemisphere. c. There is a greater percentage of water surface in the Southern Hemisphere. d. Less area is covered by desert in the Southern Hemisphere. 53 Marks: 1 Which of the following best describes temperature variations? Choose one answer. a. Variations are greater over water than over land. b. Variations are greater over land than over water. c. Variations are the same over water and land. d. Variations over water cannot be determined. 54 Marks: 1 Rain, snow, sleet, and hail are all examples of ____. Choose one answer. a. condensation b. precipitation c. evaporation d. deposition 55 Marks: 1 Which of the following can change from one state of matter to another at the temperatures and pressures experienced at Earth's surface? Choose one answer. a. oxygen b. water c. carbon dioxide d. nitrogen 56 Marks: 1 The process of converting a liquid to a gas is known as ____. Choose one answer. a. condensation b. deposition c. evaporation d. sublimation 57 Marks: 1 What is true about warm, saturated air? Choose one answer. a. It does not contain any water vapor. b. It contains more water vapor than cold air. c. It contains the same amount of water vapor as cold air. d. It contains less water vapor than cold air. 58 Marks: 1 What is true about relative humidity? Choose one answer. a. It is the general term used to describe the amount of water vapor in air. b. It indicates how near the air is to saturation. c. It is the temperature to which a parcel of air would need to be cooled to reach saturation. d. It indicates the actual quantity of wter vapor in the air. 59 Marks: 1 What is true about stable air? Choose one answer. a. It is associated with sever storms. b. It is never associated with precipitation. c. It tends to resist rising. d. It tends to rise. 60 Marks: 1 An immense body of air characterized by similar properties at any given altitude is known as a/an ____. Choose one answer. a. cycolne b. anticyclone c. front d. air mass
some how I can't understand these.? -Chlorine, which is used in swimming pools to kill bacteria, is a(n) a.colloid. b.solute. c.solvent. d.emulsion. -Pennies minted after 1984 contain 97.5% zinc and 2.5% copper. These coins are examples of a.suspensions. b.emulsions. c.alloys. d.colloids -Two liquids that form a heterogeneous mixture are said to be a.solutes. b.miscible. c.colloids. d.immiscible. -The electrons in a water molecule are gathered nearest to a.the one oxygen atom. b.the two hydrogen atoms. c.the four hydrogen atoms. d.None of the above -Dissolving sodium chloride in water will a.raise the freezing point of the solution. b.raise the freezing point of the sodium chloride. c.lower the freezing point of the solution. d.lower the freezing point of the sodium chloride. -The ability of a substance to dissolve in another at a given temperature and pressure is a.molarity. b.concentration c.solubility. d.saturation.
Can someone please tell me what these sleep study results mean? Ok. Long story, I had a sleep study in November of Last year in which my doctor never talked to me about it. Well anyways I have the paperwork here with me and I have Mild Sleep Apnea, and it say's possibly hypoxemia. Let me tell u what my results say on my oxygen saturation: Initial oxygen saturation was 98% with the lowest saturation reached being 70%. The mean oxygen saturation during sleep study was 89.5%. During 38% study of the study, her oxygen saturation was greater than 90%, during 60.8% of the study her oxygen saturation varied between 80-89%, and during 1.2% of the study her oxygen saturation varied between 70-79%. Her sleep efficiency was severely reduced to 63.1% with a decrease in the amount of REM sleep to 11% of total sleep and no deep sleep was noted. Her sleep onset latency was prolonged to 127 minutes and her REM onset latency was prolonged to 210 minutes. Ambien 10 mg was taken. Her combined apneic and partial apneic index was very mildly elevated at 5.7 with an apneic index of 2.0 and partial index of 5.5 .The vast majority of the esisodes were obstructive in type with the longest partial apneic episode being 16 seconds and the mean length being 11 seconds. The total study time was 6.5 hours and the total sleep was 4 hours. No arrhythmias are noted, no periodic limb movements are present, and snoring was moderately loud, intermittent and present. His impression is Obstructive sleep apnea syndrome and Hypoxemia His recommendation for my doctor is this: (my doctor has never talked to me about this or done anything about it): I recommend supplemental oxygen for sleep at a flow rate of 2 liters per nasal cannula. I would recommend an overnight oximetry on supplemntal oxygen in two to three weeks and hopefully note normalization of her oxygen saturation. I also recommend weight loss of 25 pounds. Lastly I recommend an otolaryngology evaluation as in a 30 year old patient a possible surgical approach would be indicated. I will obtaining the home equipment and followup care to dr. phillips. I am not sure why her oxygen saturation remains low other than being overweight, but if appropriate, a cardiac and pulmonary evaluation would be in order. Note by me the patient: I am having trouble breathing all the time and can't sleep even on sleeping pills because I can't breathe even worse when I lay down. Please let me know why my doctor hasn't gotten in contact with me about these results. His nurses told me I'm fine, but I'm not so sure, This was the stupid nurse who doesn't care about anyone.
Can Pectus Carinatun in kids post-op cause heart arrythmias if the chest shifts during growth? My son acquired Pectus Carinatum (pigeon chested) after open heart surgery at 1 y/o. It was due to how he was sewn up. He is now 7. It has always been symmetrical (protruding straight in the middle) up until these past 5 months. Now it has shifted to the right about an inch. And seems to be continuing to do so. Lately he has been having terrible trouble getting over the simplest of colds and having much wheezing from them for up to a minth afterwards. He recently had a episode where his heart rate increased, 130s, and his oxygen saturation dropped to the low 90s. His pediatrician doesn't seem to think that it should be affecting anything internally. I feel that itis strange that hhis problems have occured after his chest has moved. Thanks.
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