Archive for September, 2007

Asthma - Testing Oxygen levels

Assessing enrichment of the blood with oxygen by the lung can be made by a noninvasive technique called oximetry, in which a sensor placed on the fingertip or earlobe can accurately measure oxygen saturation. Such a sensor is often immediately placed on an asthmatic patient who has been admitted to an emergency room. Oxygen saturation testing measures how much oxygen the blood has acquired in the air sacs of the lungs.

The oximeter transmits different wavelengths of light through small blood vessels called capillaries. The fingernail and earlobe are used since these small vessels are close to the surface of the skin. In these small blood vessels oxygen is carried by a protein called hemoglobin. As oxygen is used by the body, the hemoglobin undergoes a change that can be detected by a different absorption of light from the oximeter. This determine is made during each pulse beat and from the relative amounts of hemoglobin with and without oxygen, the saturation is determined. The patient’s pulse is also recorded.

This technique can be extremely helpful in evaluating bronchial asthma since oxygen levels will typically fall with significant degrees of airway obstruction. An asthma attack that reduces oxygen levels signifies a more severe episode and calls for aggressive medical treatment. Oximetry is painless and does not require blood sampling.


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How Do I Perform A Peak Flow Measurment?

It is extremely important that peak flows be obtained in the same manner each time so that they can be compared. The meter itself should first be inspected to see that the scale indicator has been returned to zero. The patient should either sit or stand with good posture, inhale as deeply as possible (maximal inspiration) and then place the meter in the mouth with lips closed around it and exhale fully and forcefully (maximal expiration). A scale records the result. I suggest performing the maneuver three times and recording the best result.

Obtaining Your Personal Best Value

Once the patient has obtained and begun to use a peak flow meter it is helpful to record his or her “personal best effort.” This result can be used as a reference value to determine if the patient’s asthma is stable, improving, or deteriorating.


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Fight Against Mesothelioma

Mesothelioma is a type of lung cancer wherein the cells in the lungs multiply to form a lump. This disease is particularly caused if a person is prone to the particles of asbestos. A few places in the United States of America are known to have a large number of houses where Asbestos is used to cover the roof of the house. This asbestos used may be of poor quality and the powdered form of asbestos might settle in the lungs during breathing this can create a lot of problems.

One can file a petition in the court against the builder of the house for using asbestos and can claim a reimbursement for getting the medical facility for its treatments. There are some dedicated law firms that are particularly working to help such people. The mesothelioma information is available online on a number of website in the form of articles and in the form of Usenet files. You can easily access these files and get to know the details of the disease. You may also come across a couple of websites that deal in arranging mesothelioma lawyers to help you put your case in the case to claim the reimbursement for getting this problem treated. There are a few mesothelioma centers that take care of such patients and provide with mesothelioma information. They are also working on educating people about this disease so that one can take preventions to avoid such a problem. Mesothelium cells are present in the lungs which multiply manifolds under the diseased condition due on inhaling the particles of asbestos for a long time. The main reason why asbestos was used earlier was due to its strength and the insulation to heat that it provides however this problem related to it was unknown else it would have never been used for the construction of houses.


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Allergy Treatment: Avoidance and Immunotherapy

Once specific allergens have been identified, the patient must attempt to avoid these substances and clear them from the home and workplace as much as possible. A natural extension of the identification of allergy is the consideration of desensitization or immunotherapy by an allergy specialist. Allergy “shots” are given after sensitivity to specific allergens has been identified. These injections contain extremely small amounts of the allergen which is slowly increased in amount. These injections produce a “blocking antibody” that interrupts the allergy reaction. Studies of immunotherapy in asthmatics have shown a reduction in symptoms and inhibition of the late asthmatic response. The administration of immunotherapy is a gradual process, often requiring weeks or months to achieve a response. In older subjects the response to treatment may not be as pronounced as in younger patients. Extremely sensitive patients may experience generalized allergic reactions to the administration of allergens.

Recent studies have focused on fatal reactions to allergy injections. The majority of these cases were patients with severe asthma who had histories of severe asthmatic attacks that required steroids and hospitalization. These patients also appeared to be highly sensitive individuals who may have had a previous reaction to allergen injection.

Who Should Be Treated?

In patients with mild or moderate asthma who are well controlled on medication, allergy injections or immunotherapy should not be necessary. Those patients who are unstable should be considered candidates for treatment. In those allergic patients whose symptoms are more severe or who require frequent or continuous administration of corticosteroids the potential benefits of immunotherapy should be weighed against the potential for severe reactions. Once a response to immunotherapy is obtained the patient may remain on maintenance therapy for several years.

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