low oxygen level

[dazi]

My husband is 40 years old and asmatic ssince1998.His oxygen level dropped today to 81..he gets fever every day at 6.00pm ....what could it be ?

[dazi]

Thanks a lot Rambo ....he was taken to the hospital and they`ve checked his bp ,blood sample and chest xray ....the result was he had TB ...but not the contagious...
Thnx again

[Rambo14]

Hello,
I am a nurse who will try to assist you with some answers.
What does your husband take for asthma?
When his fever breaks out every day at 6pm,  what type of fever is it?  Low grade, meaning slightly elevated or does it reach a dangerous level over 101? what events surround that time. For instance, does he take medicine each day at that time?  Is he doing a particular activity each day at that time?  Does he eat a certain food at that time?  Does someone visit with pets at that time (any external pollutant to asmatic)?  What brings on his asmatic episodes with fever?

DOES HE HAVE A PRESCRIPTION FOR AN OXYGEN TANK AT HOME?  How are you testing his O2 Stats to see that it is 81?  What do you do to raise the O2 (Oxygen) levels?  How much time does it take before the levels rise to normal?

I suggest his blood gasses be checked to make sure his blood has the right percent of oxygen circulating the blood system.
We need the right mix of carbon dioxide and oxygen in our lungs to avoid an asthma attack. During an attack it is important to not breath faster, try deep, regular/slow breaths.  This helps balance the O2 and Co2.  Take the prescribed medication and try to relax.  100% is too much oxygen on the pulse oximeter.  An appropriate reading is 90% to 99% which is indicative of a good mixture of gasses in the lungs.
Make a visit to the MD office and check:
ABG = arterial blood gasses
CBC with Diff = complete blood count with differential (keeping an eye on the eosinophil count.
Chest x-ray = to show the affected areas or may be normal
Bronchial provocation studies = will purposly induce an attack to target the problem and reverse through drug administration.

Some drug administrations:
bronchodilator therapy = theophylline or aminophylline, beta 2 adrenergic agonist (albuterol or terbutaline). Corticosteroid therapy (hydrocortisone sodium succinate, prednisone, methylprednisolone and becvlomethasone) helps decrease inflammation. Anticolinergic bronchodilator therapy (ipratropium) blocks acetylcholine.  Low flow humidified oxygen (combination of gases determined by ABG).

The fever could be simple, meaning a compensation trying to regulate the body back to normal.  It could also be non-related to asthma.  Please re-visit the MD office.  
Hope this helped some.