Harrison's PodClass: Internal Medicine Cases and Board Prep Ep 06: A 19-year-old with hemoptysis
Feb 20, 2019
AI Snips
Chapters
Transcript
Episode notes
CF and Massive Hemoptysis
- Cystic fibrosis causes abnormal chloride and sodium transport leading to respiratory infections and bronchiectasis.
- Massive hemoptysis in CF is often life-threatening due to bronchial artery bleeding causing hemorrhagic shock.
Urgent Management Steps
- Stabilize the patient urgently with two large-bore IV lines and fluid resuscitation.
- Intubate and mechanically ventilate if the patient is in respiratory distress and unable to protect airway.
Position Bad Lung Down
- Place the patient with the bleeding (bad) lung down to prevent blood from contaminating the good lung.
- Right lateral decubitus position is chosen here to protect the left lung and improve oxygenation.