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Recovering from Pneumonia attack - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2570 Questions
User :   Hi,
User :   hello sir
Doctor :   Hi
User :   i want to ask medical advise of my mother in law
User :   staurday night she had major breathing problem in night
User :   we took her to hospital
Doctor :   ok
User :   on the way has voice started shivering....
Doctor :   ok
User :   when we reached hospital her bp was 210
User :   sugar was 444
User :   doctor took her to ventilator..
Doctor :   ok
User :   next morning CT scan was normal..and bp also came down..sugar also came down
User :   co2 level was also 122 at the time of admission.
Doctor :   ok
User :   which came down to 80 next day
Doctor :   ok
User :   now her condition is bp is normal. sugar is normal. no fever. co2 level which came down to 48 has gone to 61 today again
Doctor :   ok
Doctor :   does she had high BP , diabetes before?
User :   doctors are saying she has pneumonia..but no fever. no TLC ESR issue.. but co2 level is not coming down
User :   she had bp earlier...
User :   but no sugar
Doctor :   Ok
User :   sir may i knw what is her condition now
Doctor :   Did she had Ashthma bfore?
Doctor :   Ok
User :   no sir
Doctor :   Her vitals BP , heart rate, respirarory rate decides her status
Doctor :   Her BP is normal
Doctor :   that is good
Doctor :   But you say she is still on ventilator,
User :   yes sir,
Doctor :   The machine delivers breathings
Doctor :   so if she getting lesss help from machine day by day means she is getting better
Doctor :   so the ventilator settings will tell whether she getting better or worse
User :   sir since only two day has elapsed
Doctor :   BUt per ur info, she is stable on ventilotor
User :   since morning she was not on ventilator since i wnated to take her to new hospital..
User :   her co2 level has been increased from 56 to 61
Doctor :   why is she not on ventilator
Doctor :   did they take ou the ventilator becaue she no longer needed it
Doctor :   co2 fluctuates
User :   sir now she is on ventilator
Doctor :   acccordignly the parameters on the machine should be adjusted
User :   also is ther any danger..
Doctor :   is she breathing ok
User :   with this parameter..
Doctor :   hello.........
Doctor :   i am confused
Doctor :   u said she is not on ventilaor
Doctor :   i am asking is she breathing ok
User :   sir she was not ventilator till yesterday night..
Doctor :   ok
User :   today morning doc took chance and took her to pressure oxygen instead of ventilator.
Doctor :   ok
User :   but since co2 level increased hence again put on ventilator..
Doctor :   is she talking
User :   yes
Doctor :   she needs machine help
Doctor :   machine can many
Doctor :   they put tube in mouth and then to machine
User :   she is talking.. responding.having good memory
Doctor :   they just put machine on face
Doctor :   ok
User :   they have not put tube in mouth today but put machine on face
Doctor :   she needs BIPAP or CAPAP machine
Doctor :   she is out of danger
Doctor :   i dont think she needs tube in mouth
User :   sir what could be reason for this diseas
Doctor :   but if the conditions worsesn , they will intubate( put tube in mouth) and put on machine
Doctor :   that is also ok
Doctor :   they will take out when she no loger needs machine
Doctor :   it is bactrial infection
Doctor :   any one can get it
Doctor :   adult people usually get it
Doctor :   regarding prognosis
Doctor :   from the description u r giving
Doctor :   it is good
User :   also sir since her all test have come to normal except co2 level
Doctor :   ok
User :   how much time it will take to recover
Doctor :   Usually 1 wk
Doctor :   Did I answer ur queries
Doctor :   no need
Doctor :   critical care people will handle it
Doctor :   Usually General Medicine physicals are consulted
Doctor :   and ICU people manage
User :   sir specialist is somehow known to us also
Doctor :   chest specialist
User :   yes sir
User :   can i interpret in this way that no need to go very big shot hospital can be managed in knid of good hospital
Doctor :   i can not answer that Q
Doctor :   u need a Good hospital with better doctors
User :   thank you sir...
User :   i am somehow in confortable situation
Doctor :   She will come out of that state
Doctor :   from ur description
Doctor :   be responsible
User :   thank you very much
Doctor :   Bye
User :   bye
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