MRCP UK EXAMINATIONS

RESPIRATORY

PATIENT WITH PREVIOUS LUNG SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The management on hemoptysis
A
Monitor for respiratory distress.
B
Put patient complete rest in bed with supine position
C
.Positioning so that the bleeding lung independent.
D
Monitored for increased blood loss changes in blood pressure and pulse.
Explanation: 

Detailed explanation-1: -Initial management should focus on airway control, volume resuscitation (if needed), and correction of any bleeding disorder. Patients presenting with life-threatening hemoptysis should be managed in an intensive care setting.

Detailed explanation-2: -Conservative management includes strict bed rest, lateral decubitus toward the bleeding site if known and nasal oxygen inhalation. Pulmonary isolation with a double-lumen endobronchial tube was used in five patients (35.7%), as the last choice for refractory massive hemoptysis.

Detailed explanation-3: -Endovascular embolization is the safest and most effective method of managing bleeding in massive or recurrent hemoptysis. Embolization is indicated in all patients with life-threatening or recurrent hemoptysis in whom MDCT angiography shows artery disease.

Detailed explanation-4: -A tube that goes into your airways (intubation) Extra oxygen (ventilation and oxygenation) A body position in which the lung with possible bleeding is lower than the other lung. 19-Aug-2022

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