Removing “Another Brick in the Wall”: Pulmonary Rehabilitation of a Patient with Very Severe COPD during Hospitalization
Remoção de Obstáculos: Reabilitação Respiratória de um Doente com DPOC Muito Severa durante o Internamento
DOI:
https://doi.org/10.60591/crspmi.235Palavras-chave:
Doença Pulmonar Obstrutiva Crónica/reabilitação, HospitalizaçãoResumo
A reabilitação respiratória é fundamental na doença pulmonar obstrutiva crónica. Contudo, poucos doentes realizam, pelo que deve ser considerado o início em internamento.
Descrevemos o caso de um doente do sexo masculino,
72 anos, com doença pulmonar obstrutiva crónica muito severa, apresentou agravamento de dispneia, astenia, hemoptises e arrepios. A radiografia torácica revelou uma opacidade redonda, com nível hidroaéreo, sugestiva de abcesso pulmonar.O doente foi internado e iniciou oxigenoterapia e piperacilina-tazobactan. Por ausência de resposta, foi escalado para meropenem e linezolide. O doente demonstrou uma evolução favorável e iniciou um programa de reabilitação respiratória. À data de alta, após 7 semanas de internamento, apresentava resolução do abcesso, melhoria da dispneia, ansiedade, depressão,
autonomia e necessidade de oxigenoterapia, comparativamente ao estado basal.
Neste trabalho, os autores apresentam os benefícios
significativos de implementar um programa de reabilitação
respiratória durante o internamento.
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Referências
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Direitos de Autor (c) 2024 Bruno Cabrita, Cláudia Santos, Sónia Silva, Eva Gonçalves, Raquel Oliveira
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.
