Tidal Volume question

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Sludge
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Re: Tidal Volume question

Post by Sludge » Thu Apr 10, 2014 3:17 am

nmbugs wrote:https://www.flickr.com/photos/8506937@N ... 1918136237 Just in case you don't like spiders I linked you to a cute insect
Generally, I consider bugs to be in one of two categories:
  • Bait; or
  • Sole Decorations
However, this one has some potential:

https://www.flickr.com/photos/8506937@N ... otostream/
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nmbugs
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Re: Tidal Volume question

Post by nmbugs » Sat Apr 12, 2014 12:56 am

Sludge wrote: Generally, I consider bugs to be in one of two categories:
  • Bait; or
  • Sole Decorations
However, this one has some potential:

https://www.flickr.com/photos/8506937@N ... otostream/
I had just opened my studio about 6 months before I started to get really sick. I could only handle one session (my glamour sessions ran 3 hrs) then the next 2 days I would be completely worn out. After my lease was up, I decided to close down, it broke my heart. I miss showing women how beautiful they can be, how the right makeup and lighting can make anyone beautiful. They got to see how Hollywood women look just like them in real life. It did wonders for the self esteem of young and old. People just don't realize how average stars really look.

I must say though I don't miss working with "wanna-be models" who were giant pains in the butt. At least insects and spiders don't complain or jerk your chain. That dragonfly pic is probably my most cherished since I had to commune with them for so long before they would let me get that close to them, about 3 weeks. That lens is basically a microscope on a camera, meaning you have to be within an 1 1/2" to take your shot. There is no zoom, if you are too far away all you see is blur. Tracking insects, oh my, that take time to master with that lens. Forget about breathing, you breathe and you have lost your shot (damn maybe that is where I learned to stop breathing....hmmmm). It took me almost a year to get a decent shot with that lens. So that dragonfly allowing me to get that close and allow me to take several pics was an amazing feeling. And I know you won't believe me, but after that one trusted me, it was like all of them (in my yard) started trusting me to get close. The only problem with macro photography it is physically demanding. Not only to you spend a lot of time on the ground (boy the looks I used to get ) but the lens weighs a ton as well as my camera (plus the huge flash), which is why I cannot do it right now.

Okay back to my medical, you are going to be mad at me. I don't think I can do the blood gases. I went in today for my blood work and went to cardiopulm to ask questions (after 2 "friends" had to share blood gas horror stories with me). I wanted to see if they numbed the wrist first. Well the tech couldn't talk because she had a patient waiting. While she was getting ready for this patient, she shared how here previous ABG tests were in other states (she just moved here- poor thing!!) and how they numbed the wrist and it hurt a little but not too bad. Then she went back with the tech to have hers done here. Well apparently they don't numb here and the way that poor woman screamed and the fact the tech didn't get it in the first and second try, well I didn't wait to ask any questions, I about ran out of there. Plus my doctor didn't write on the order whether I had to be on room air or oxygen. Even though she already told me while on oxygen it had to be on the order, so that saved me too . I am thinking since it hasn't been done yet, what is the problem waiting til I get to Denver, right , knowing my luck they would just screw it up here anyways.

I did get signed up with the patient portal while at the hospital and I noticed there was blood work in my record that wasn't in my doctors record packet for Denver. It was the blood work that I had for my heart cath and I noticed something that seemed odd. My INR was 0.8 and according to this lab normal is 2.0-3.5. My PT time was 9.5 sec. Does this mean anything? Just wondering with the whole right leg edema thing. Maybe the labs normal ranges are just off. I will let you know as soon as the new results get posted, they hold them for 72 hours so the doctor can view them first then release them on the portal.

Thanks again for everything.

_________________
Mask: Amara View Full Face CPAP Mask with Headgear
Additional Comments: SleepyHead Software and CMS50F pulse Ox
Since my machine doesn't appear to be listed in the selection:
Resmed Aircurve 10 ASV w/ humidifier and climate line tubing w/ 2L O2. Just restarted therapy after stopping bipap for 1 yr due to complications w/ increased centrals

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Sludge
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Re: Tidal Volume question

Post by Sludge » Sat Apr 12, 2014 2:49 am

nmbugs wrote:...you are going to be mad at me...
Well, "IMHO", ABG is the most important test you need right now because your pCO2 looks to be significantly elevated (although admittedly, that's a "calculated" value).

However, several minutes of screaming could have a significant effect on ABG results (but we could account for that by seeing what the pH does).
nmbugs wrote:... noticed something that seemed odd. My INR was 0.8 and according to this lab normal is 2.0-3.5. My PT time was 9.5 sec. Does this mean anything? Just wondering with the whole right leg edema thing.
Normal INR, by definition, is 1.0, so I think that "normal" relates to anticoagulation therapy:

Image

If what you're wondering is whether or not you have a DVT, I think when one has unilateral leg edema, that consideration always tops the list.
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nmbugs
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Re: Tidal Volume question

Post by nmbugs » Mon Apr 14, 2014 7:37 am

CO2 was 32. Which is down from the 34 it was the last time but up from the 30 it was prior to oxygen therapy.

Since they have done several dopplers and found nothing (hopefully there is no way to miss this, you wouldn't think there could be but all scans have been done same place) I doubt there is a DVT. Plus with a DVT swelling wouldn't go down at night then blow up again once you start moving around, right? That has to be pointing to something else.

So what other places typically do ABGs?

_________________
Mask: Amara View Full Face CPAP Mask with Headgear
Additional Comments: SleepyHead Software and CMS50F pulse Ox
Since my machine doesn't appear to be listed in the selection:
Resmed Aircurve 10 ASV w/ humidifier and climate line tubing w/ 2L O2. Just restarted therapy after stopping bipap for 1 yr due to complications w/ increased centrals

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Sludge
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Joined: Wed Dec 04, 2013 4:36 am

Re: Tidal Volume question

Post by Sludge » Tue Apr 15, 2014 3:28 am

nmbugs wrote:So what other places typically do ABGs?
Hospitals.
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nmbugs
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Re: Tidal Volume question

Post by nmbugs » Fri Apr 25, 2014 5:55 pm

Sorry I haven't been around, been really under the weather with chest and leg pain. I went back to the ER for fear of a blood clot and my D-dimer was elevated but they couldn't find a clot in my lungs or leg. In this CT it states "Peripheral atelectasis and or scarring is seen" whatever the heck that means, nothing like that has ever been mentioned on the other CTs. It's an Emergency CT reading so there is no mention of the pulm artery, I am curious if it has enlarged any more since Dec.

Anyways my flight is booked and my hotel reservation made for Denver. I can't wait to get there. I am so sick and tired of being sick and tired all the time.

I hope all is well with you.

PS. My CO2 in the ER was 29 and no I still haven't gone for my ABG. I figured since they are repeating almost all the tests in Denver I might as well only be tormented once with that test!

_________________
Mask: Amara View Full Face CPAP Mask with Headgear
Additional Comments: SleepyHead Software and CMS50F pulse Ox
Since my machine doesn't appear to be listed in the selection:
Resmed Aircurve 10 ASV w/ humidifier and climate line tubing w/ 2L O2. Just restarted therapy after stopping bipap for 1 yr due to complications w/ increased centrals

User avatar
nmbugs
Posts: 53
Joined: Mon Mar 24, 2014 10:12 am
Location: NM

Re: Tidal Volume question

Post by nmbugs » Sat Apr 26, 2014 7:50 pm

I uploaded the reports. My husband noticed that my chest xray was different this time too, although nobody mentioned it.

https://drive.google.com/file/d/0B-ELU_ ... sp=sharing

Not sure what enlarged cardiac silhouette or course bibasilar bronchovascular markings mean. The same radiologist read all my chest xrays and never made these notes before.

I hope all is well with you.

_________________
Mask: Amara View Full Face CPAP Mask with Headgear
Additional Comments: SleepyHead Software and CMS50F pulse Ox
Since my machine doesn't appear to be listed in the selection:
Resmed Aircurve 10 ASV w/ humidifier and climate line tubing w/ 2L O2. Just restarted therapy after stopping bipap for 1 yr due to complications w/ increased centrals