A patient with pancreatitis and pulmonary edema is placed on…
A patient with pancreatitis and pulmonary edema is placed on a mechanical ventilator. The initial ABG results on 100% oxygen are: pH 7.36, PaCO2 42 mmHg, PaO2 173 mmHg, HCO3 23 mEq/L with a calculated A-a gradient of 438 mmHg. Based on the A-a gradient, what pathophysiology is most likely?
Read DetailsYou are called to attend to an ER patient complaining of sho…
You are called to attend to an ER patient complaining of shortness of breath and severe dyspnea on exertion. Patient history is significant for a 30 year-pack smoking history, dry non-productive cough and occasional pedal edema. CXR findings are not remarkable except for mild cardiomegaly. You want to rule out ILD vs. obstructive lung disease. Which of the following tests may help you to differentiate the diagnosis on this patient?I. sputum culture and sensitivityII. high resolution CTIII. pulmonary function testingIV. arterial blood gas analysisV. PET scan
Read DetailsMs. Queen is a 45 year old female patient admitted with fung…
Ms. Queen is a 45 year old female patient admitted with fungal pneumonia. She weighs 65 kg, is otherwise healthy and is alert and oriented, but anxious. Her HR is 124 bpm. CXR reveals “diffuse, bilateral infiltrates without cavitation” unresolved after 4 days of treatment. Her ABGs reveal: pH 7.33, PaCO2 49 mmHg, PaO2 78 mmHg, HCO3 23 mEq/L on 0.35 AEM. Her RR = 32 bpm. She is diaphoretic with accessory muscle use and bilateral inspiratory crackles. Which of the following would you recommend?
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