Showing posts with label Lungs. Show all posts

Friday, September 21, 2012

Avian Influenza

Avian Influenza Causes Symptoms Diagnosis Treatment
Definition

Avian influenza is a strain of influenza (sometimes called "the flu", "Bird Flu") that infects birds. In particular, ducks, geese, and chickens may become infected with avian influenza. In Asia, there have been cases of avian influenza that have infected humans.

To date there have been few cases of human illness; however, many infected patients have died because of the type of infection. In addition, there is concern in the medical profession that the virus could become more efficient at infecting humans. Some health experts are concerned that this could eventually cause a pandemic (massive worldwide outbreak) of this disease.

Causes

Viruses belonging to the “A” type of influenza viruses cause avian influenza. Usually, the avian influenza virus only infects birds. However, sometimes the virus can mutate (undergo some chemical and genetic changes). These mutations can allow it to infect pigs or humans. Humans who have close contact with infected birds or pigs can then contract the virus. There is also concern that the virus can mutate sufficiently to allow it to be passed between humans.

The virus is not contracted through eating poultry, eggs, or pork products. It is currently passed through contact with the saliva, nasal secretions, or droppings of infected animals.

Risk Factors

The following factors increase your chances of developing avian influenza. If you have any of these risk factors, tell your doctor:
  • Close contact with infected animals, such as:
    • Ducks
    • Geese
    • Chickens
    • Turkeys
    • Pigs
Symptoms

If you experience any of these symptoms, do not assume it is due to avian influenza. These symptoms may be caused by other, less serious health conditions. If you experience any one of them, see your physician. Symptoms may include:
  • Flu symptoms such as:
    • Fever
    • Chills
    • Cough
    • Sore throat
    • General aches
  • Eye infections
  • Pneumonia
  • Acute respiratory distress syndrome
  • Simultaneous failure of organs, such as kidney, liver, lungs, and heart
  • Problems with blood clotting

Diagnosis

Your doctor will ask about your symptoms and medical history, and perform a physical exam. The types of blood tests available at most clinics and hospitals will be able to identify the presence of an influenza virus, but most laboratories do not have the equipment necessary to specifically identify the virus that causes avian influenza. Samples are usually sent to the Centers for Disease Control in Atlanta, Georgia where the avian influenza virus can be identified.

Treatment

Talk with your doctor about the best treatment plan for you. Research is still being done to find an antiviral agent that works against the virus that causes avian influenza. Some antiviral agents (amantadine and rimantadine) are ineffective against the virus. Thus far, it appears that oseltamivir and zanamivir may work against the avian flu virus.

Prevention

To help reduce your chances of getting avian influenza, take the following steps:
  • Avoid traveling to areas where there are avian influenza outbreaks.
  • Avoid contact with potentially infected poultry or swine, such as at farms or open-air markets.
  • Because egg shells may be contaminated with bird droppings, avoid eating raw eggs.
  • Cooked poultry will not transmit the avian influenza virus, but raw poultry could be contaminated with bird droppings, saliva, or mucus. Cook poultry thoroughly, and carefully clean your hands and all cooking surfaces, utensils, and cutting boards.
  • Use excellent handwashing techniques if you might be in an area where exposure to the avian influenza virus is possible
  • Use a hand sanitizer if clean water is not available for washing.
read more

Friday, May 4, 2012

Acidosis - Respiratory


Acidosis - Respiratory

Definition

Respiratory acidosis is a condition that occurs when the lungs cannot remove all of the carbon dioxide the body produces. This disrupts the body's acid-base balance causing body fluids, especially the blood, to become too acidic.

Alternative Names

Ventilatory failure; Respiratory failure; Acidosis - respiratory

Causes

Causes of respiratory acidosis include:
  • Diseases of the airways (such as asthma and chronic obstructive lung disease), which send air into and out of the lungs
  • Diseases of the chest (such as scoliosis), which make the lungs less efficient at filling and emptying
  • Diseases affecting the nerves and muscles that "signal" the lungs to inflate or deflate
  • Drugs that suppress breathing (including powerful pain medicines, such as narcotics, and "downers," such as benzodiazepines), especially when combined with alcohol
  • Severe obesity, which restricts how much the lungs can expand
Chronic respiratory acidosis occurs over a long period of time. This leads to a stable situation, because the kidneys increase body chemicals, such as bicarbonate, that help restore the body's acid-base balance.
Acute respiratory acidosis is a severe condition in which carbon dioxide builds up very quickly and before the kidneys can return the body to a state of balance.

Symptoms

Symptoms may include:
  • Confusion
  • Easy fatigue
  • Lethargy
  • Shortness of breath
  • Sleepiness
Exams and Tests
  • Arterial blood gas (measures levels of oxygen and carbon dioxide in the blood; in respiratory acidosis, the level of carbon dioxide is too high)
  • Chest x-ray
  • Pulmonary function test
Treatment

Treatment is aimed at the underlying lung disease, and may include:
  • Bronchodilator drugs to reverse some types of airway obstruction
  • Noninvasive positive-pressure ventilation (sometimes called CPAP or BiPAP) or mechanical ventilation if needed
  • Oxygen if the blood oxygen level is low
  • Treatment to stop smoking
Outlook (Prognosis)

How well you do depends on the disease causing the respiratory acidosis.

Possible Complications
  • Poor organ function
  • Respiratory failure
  • Shock
When to Contact a Medical Professional

Severe respiratory acidosis is a medical emergency. Seek immediate medical help if you have symptoms of this condition.

Call your health care provider if you have symptoms of lung disease.

Prevention

Do not smoke. Smoking leads to the development of many severe lung diseases that can cause respiratory acidosis.

Losing weight may help prevent respiratory acidosis due to obesity (obesity-hypoventilation syndrome).

Be careful about taking sedating medicines, and never combine these medicines with alcohol.

References

Seifter, JL. Acid base disorders. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier. 2007: chap 119.
read more
Blogger Template by Clairvo