How to treat broncho spam in case of PE with hypoxia causing wheezing..
Bronchospasm in PE - will be relieved once PE itself is treated with 1.Diuretics 2.Warfarin or LMWH or fondaparinux 3.Thrombolyric therapy 4.Oxygen support Bronchdilators may have some supportive role in addition to above main treatment
PE if pulmonary edema, diuretics with nebulized ICS LABA combination is helpful. If pulmonary embolism, no role of bronchodilators as pathology is intravascular.
I am agree with@Dr. Sandeep Ghodekar Sir.
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56 y Male K/c/o DM on OHA Brought to Er with c/o breathing difficulty since one week. No other comorbidites . On arrival spo2-32% RA / bp - 198/110 / p - 136 / T - 100 F Kindly suggest further line of management and DDs !!
Dr. Neeraj Mangla5 Likes25 Answers - Login to View the image
33 y/o female with chest pain, difficulty on breathing, and heart palpitation. diagnosis???
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A case of APH with haemorrhagic shock presents with difficulty in breathing and falling Spo2 at the end of LSCS . Photos shows monitoring , X-ray and Venti parameters .
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sudden onset of breathless ness in a45 yrs old male patient, Known case of diabetes on irregular treatment diagnosis?
Dr. Chapparam Srinivasarao5 Likes23 Answers - Login to View the image
76 years old male - k/c/o CAD -HTN- DM Operated for right lower limb both bone # . Nine days back - all measures were taken post surgery and diabetes was controlled - clexane stopped after five days due to rectal bleed . yesterday night patient c/o breathlessness - Spo2 - 80% RA - B/l crepts present - patient started on CPAP - patient stabilised - today morning around 7 am patient arrested abg showed mixed acidosis - patient reverted and intubated - started on inotropes still BP is 95/66 mm hg - Cbg- 346 mg Dl - spo2 - 97 on 60 Fio2 - ? Differential diagnosis ? Further management ?
Dr. Neeraj Mangla7 Likes21 Answers