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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29180
Experience:  MD
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My mother is 74, a smoker, with emphysema and copd. She was

Customer Question

My mother is 74, a smoker, with emphysema and copd. She was hospitalized last Thursday with oxygen level at 76% & co2 level in the 70s. Friday her o2 was 52 & co2 69. They put her on bipap for awhile then back on cpap. Sunday her o2 was 85 & co2 in the 80s. They are talking about sending her home tomorrow. Should I be concerned?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.

Hi there,

Your mother really had a ad flare up of COPD.

The drop in oxygen and relative rise in CO2 is consistent with respiratory acidosis --very typical with respiratory failure associated with COPD.

her respiratory muscles are weak and not able to get in enough oxygen resulting in this problem.

Bipap was a good decision and then switch to CPAD was even better.

CPAP allows to force in the oxygen against the airway resistance with little effort from the patient.

Hence, your mother has shown remarkable improvement in terms of blood gases.

She should be ok with hospital discharge as long as she is using CPAP daily at home without fail.

That will help her to recover over time.

Short hospital stay is favored to prevent contracting any resistant infection which in your mother's case can be more serious.

Best wishes,

It was my pleasure to help you today.

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