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Respiratory Therapist/Questions Answered by Expert Karel Sleis

SubjectDate Asked
Proper Nebulizer Use7/2/2011
  Q: My 63 year old husband has COPD & moderate Emphysema treated with Advair, Combivent and a Nebulizer ...
  A: Unless he uses it as directed its useless. if it calls for one vial every 6 hours thats what it ...
Breathing problems5/24/2011
  Q: I am a 35 year old female. I have always been a very active person and have been a runner for as far ...
  A: If you have mild asthma, you should take your inhaler or nebulizer treatments. also i you take ...
sarcoidosis5/1/2011
  Q: I am suffering from sarcoidosis from past 6 years , I have a Persian cat in my house , what do you ...
  A: The symptoms you describe can be from both asthma and sarcoiddosis. You should go to your pulmonary ...
post nasal drip4/13/2011
  Q: i have problem of post nasal drip, i have visited many ENT doctors who said is due to nasal ...
  A: It could be that the room you sleep in is too dry. You should buy a cold air humidifier. They sell ...
COPD4/5/2011
  Q: what would you consider to be the best home air purifyer? thanks
  A: Yes the best one is the vicks pediatric size cool mist humidifier. It sells for 39.99. The ...
Asthma?3/20/2011
  Q: I really hope you can help me, I am completely at a wits end with my health. Since the summer of ...
  A: First of all you are not crazy, but you need to get to a pulmonary doctor not a regular md. ...
Chronic Bronchitis3/7/2011
  Q: I was diagnosed about 20 years ago with Chronic Bronchitis I have 3 inhalers that I use on a regular ...
  A: You should get a cool mist humidifier machine put out by vicks or cvs. They sell also on ...
allergic rhinitis1/31/2011
  Q: Can asthma be diagnose with stethoscope. and second question that there are difficult in inhaling or ...
  A: Yes asthma can be diagnosed by hearing wheezing in the lung but to see how bad it is a pulmonary ...
allergic rhinitis and mucus1/10/2011
  Q: i am suffering from allergic rhinitis without sneezing and runny nose and post nasal drip from four ...
  A: If it feels like mucus in chest and you are spitting up yellow or green it could be bronchitis. If ...
vicks chest rub and oxygen1/2/2011
  Q: bad chest cold and on oxygen is it ok to vapor chest rub
  A: Vicks is not good for the chest as the smell of it can make it even harder to breathe. If a person ...
oxygen litre flow11/19/2010
  Q: Please explain how 40% oxygen delivered through hi flow nasal cannula in hospital translates to ...
  A: Nasal cannula the prongs in the nose deliver approximately from 28 to 44% 1-5 lpm. 5 liters per ...
I struggle breathing when lying down11/17/2010
  Q: I'm 14 years old, and I'm having trouble to breath when I'm lying down to go to sleep. I've only ...
  A: First of all you should show this to your parents. You need to go to a doctor to get cardiogram and ...
chest,cough and loss of voice7/31/2010
  Q: i'm suffering with a prob of having a cough coming almost all the time.my chest gets flamy and my ...
  A: If you are bringing up phlegm you could have bronchitis You need to go to md get chest xray and ...
oxygen level at night7/9/2010
  Q: My oxygen level drops to 88% at night so my doctor has put me on oxygen at night. It's fine during ...
  A: Oxygen level usually drop due to lung trouble mild emphysema or copd, which is chronic obstructive ...
Second hand smoke as a child7/7/2010
  Q: I was wondering if being exposed as a child to second-hand smoke ( less than a pack a day, so light ...
  A: Its hard to say we all have been around second hand smoke in our lives, its hard to stay away from a ...
Congestion Esophagus7/1/2010
  Q: Since last three months, I have been suffering from secretion of mucus in throat. It sticks in the ...
  A: You should see a pulmonary doctor if you didnt and get another pulmonary function test. A normal ...
second-hand smoke6/17/2010
  Q: Where I work, other employees smoke. In a shift,if I pass by them when they do smoke, I may inhale ...
  A: You have to be around them at least 5 days a week. lungs to not get rid of the toxic chemicals ...
oxygen levels in blood6/11/2010
  Q: I recently went to Winnemucca,Nevada(high altitude), I live in South Texas, where we are at or below ...
  A: Most probably yes, you should have taken your cpap machine or next time find a home care company ...
respiratory therapist4/30/2010
  Q: how can we see respiratory therapist in the future?
  A: Respiratory therapy was in my opinion a good field to go into, and very rewarding. Unfortunately ...
hi!3/7/2010
  Q: it z the end of winter here my friend has a bit serious problem with his respiratory system after an ...
  A: It sounds to me that he may have seasonal asthma. He needs to see a pulmonary doctor and have a ...
copd and retaining fluid and bloating1/31/2010
  Q: can you tell me what will help i seem to bloat after i take my duoneb and pulmacort
  A: If you are taking these pulmacort duoneb these have steroids however inhaled corticorsteroids ...
Health Hazards of burning garbage1/23/2010
  Q: 1. what are the health hazards of burning garbage? 2.what are the diseases people can get from ...
  A: Basically health hazards from burning garbage is the smoke it makes, its self explanatary the smoke ...
asthma and second-hand smoke1/8/2010
  Q: How important is it for the mother of a 7 y/o severe asthmatic to quit smoking, even outside the ...
  A: Yes the mother should stop smoking, as the smell even if outside carries on ones clothing. As far as ...
chronic cold1/3/2010
  Q: I'm a 5o yr.old female in almost perfect health. I've had a "cold" & cough for the past 6 weeks. ...
  A: You most probably still have an infection if yellow flegn is coming up. You should alert the md, ...
Oxygen via nasal cannula in infant12/10/2009
  Q: How to calculate the Fio2 when using nasal cannula for infant with flow is 0,25 L/min, 0,5 L/min, ...
  A: While i never worked with infants and now do home care you might try the link below ...
Oxygen Level12/3/2009
  Q: My Husband who is 52yrs old, Stays drained and keeps a headache all the time, his oxygen level stays ...
  A: Altitute affects people in different ways, but not just all of a sudden. An o2 level should be at ...
chest infection ten weeks11/28/2009
  Q: i am on my third bought of anti biotics and I am still coughing up green mucus. my nose has been ...
  A: I suggest you take another chest xray for pneumonia, try asking for antibiotic levaquin and ...
heliox11/25/2009
  Q: continuous aerosal with heliox. How would you calculate the fio2 using 100% O2 and 70/30 heliox. ...
  A: While Ive never worked with a blender I suggest you call the manufacturer of it and ask for customer ...
bronchiles11/15/2009
  Q: Do you what meds over and off the counter, home remedies to open up your bronchiles? ANSWER: ...
  A: Brownish /yellow flem is a sign of blood and infection . You need to go to the doctor for ...
bronchiles11/13/2009
  Q: Do you what meds over and off the counter, home remedies to open up your bronchiles?
  A: Basically there is a bronkaid mist. However the best thing is to purchase from your local drugstore ...
Allergy11/6/2009
  Q: I am living in kuwait.I have asthma problem. Whenever climate changes i am very much affected with ...
  A: When sputum is yellow its signs of infection, when its brown it could be a sign of bleeding ...
bronchitis11/5/2009
  Q: "Hello Dr. I suffering from bronchitis disease. doctor prescribed me medicines ...
  A: No these are all the right treatments. Especially if the bronchitis is chronic. If it does not go ...
Asthma11/2/2009
  Q: My mother has been suffering from asthma for the past 5 years. She has cough/cold most of the time ...
  A: What a respiratory therapist does is show the person how to properly use her inhaler. Some ...
asthma8/12/2009
  Q: Child weighing 20kg admitted with diagnosis of acute asthma. Orders as follows: Nebulizer-Albuterol ...
  A: Its hard to say it depends what his/her status was when bought in , if was turning blue then no.Go ...
phlegm7/31/2009
  Q: how can i cough up phlegm without gagging & throwing up, will my body get rid of it if i just caugh ...
  A: First of all you should try and not drink anything thick like milk, basic water is good also by an ...
Medical Oxygen7/17/2009
  Q: My wife has just been put on oxygen. Can you tell me what levels we should maintain and for how ...
  A: 98-100% is normal. If its in that range she doesnt need to wear the o2 . However if she is a severe ...
congestion in throat ,postnasal drip that seems to sit in bottom of esophagus7/15/2009
  Q: About 2 months ago i caught a terrible head cold that turned into sinus and blocked my ears causing ...
  A: You could havee allergies as well in which case you should see an allergist. You also can have ...
congestion in throat ,postnasal drip that seems to sit in bottom of esophagus7/14/2009
  Q: About 2 months ago i caught a terrible head cold that turned into sinus and blocked my ears causing ...
  A: I strongly suggest you get a pulmonary function test which is not just spirometry but other ...
Albuterol7/11/2009
  Q: I have been taking albuterol in 4 sprays every 4 hours (roughly) since at least 2004. My ...
  A: Have you tried singulair or advent or pulmicort along with the atrovent. also as long as the md ...
Albuterol7/9/2009
  Q: I have been taking albuterol in 4 sprays every 4 hours (roughly) since at least 2004. My ...
  A: As far as the drug not being covered you need to speak to your insurance company and ask them who do ...
Asthma7/2/2009
  Q: Can mold and/or radon levels affect asthma sufferers? Can asthma cause COPD?
  A: Yes, indoor outdoor mold can affect asthma, keep drip trays under fridge clean, close all dirty ...
cat allergy?6/24/2009
  Q: I have had a cat for 4 years and did not think I had any problem, but in recent days (weeks?) I am ...
  A: It sounds to me like you are developing an allergy to him. You might want to see an allergist who ...
house fire plastic smoke inhaltion clean up question1/2/2009
  Q: Please advise if you can. My house had a small fire Sunday nite. I suffered plastic smoke inhalation ...
  A: If you and your wife have any breathing problems and are under a doctors care have the md write on a ...
sats10/15/2008
  Q: I am an L.P.N.working on a prvate ped.'s case- it is a preemie with a trach- the parents were ...
  A: i WOULD THINKIFITS A PEDCASE AND CHANGES ARE SO FAST THAT IF IT WERE ME i WOULD ALSO CALIBRATE EACH ...
Lung Pain in Upper Right Side10/10/2008
  Q: I frequently get a pain on the upper right side of my lung just below to the clavicle. The pain ...
  A: clear fluid could be the start of asthma, emphysema, its when the sputum is yellow or green that ...
Lung Pain in Upper Right Side10/10/2008
  Q: I frequently get a pain on the upper right side of my lung just below to the clavicle. The pain ...
  A: any type of lung pain needs an xray, there is a possibility that your asthma is acting up or you ...
Blood Oxygen Level9/19/2008
  Q: My 80-yr old father is hospitalized with pneumonia and cannot eat. Yesterday is blood oxygen level ...
  A: 98-100% IS NORMAL , aNYTHING UNDER 90 can cause heart bre4athing problems. However my guess is that ...
breathing8/25/2008
  Q: would really appreciate some advice. Have had asthma since childhood and have the common allergies ...
  A: I have never heard about that breathing, basically with asthma you should try to breathe as normal ...
capnography7/18/2008
  Q: If I have to perform a capnography test and the patient's HR remains within normal limits but the RR ...
  A: Im sorry but I am in the home care field and am not up to par on my vents however if you go to the ...
Attacks where I cant breathe7/18/2008
  Q: The past two nights I've woken up in the night and not been able to breathe. I dont remember waking ...
  A: What comes to mind is 2 things. Perhaps what was a cough was an upper respiratory infection or post ...
COPD6/30/2008
  Q: I have end stage COPD, however, I still push to stay off the oxygen full time, I am on it at night. ...
  A: It could be however tingling may be a vascular problem, i would consult your md. You might want to ...
asthma and chest congestion6/6/2008
  Q: I have been prone to catching chest infections for the last two years (ie ...
  A: Yes you should see a pulmonologist or get a referral or paper to have a pulmonary function te4st ...
nite jumps6/1/2008
  Q: i have sleep apena for at least 9 years the last 6 months i have nite jerking where it wakes me up ...
  A: I suggest you speak to your physician .You may also along with the apnea have restless leg syndrome, ...

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Karel Sleis

Top Expert on this page

Expertise

Basic questions on coping and maintaining asthma, copd, emphysema.Basic questions on oxygen therapy at home, no ventilators.

Experience

I have been a Respiratory Therapist since 1989

Organizations
American Association of Respiratory Care

Education/Credentials
University of Mississippi Respiratory Care Program NYC Dept of Education Respiratory Therapist License

Past/Present Clients
Have been n expert on sleep disorders also on this website for years

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