A 55-year-old female presents with acute shortness of breath and a productive cough with green sputum. She reports feeling chills and has a fever of 101°F (38.3°C). On examination, you note rales (crackles) on auscultation, tachypnea, and increased tactile fremitus. What is the most likely diagnosis?
Read DetailsA 50-year-old female with a history of seasonal allergies presents to the clinic with a 2-week history of persistent cough, occasional wheezing, and clear sputum production. She denies fever, chest pain, or shortness of breath at rest. On physical examination, her vital signs are stable, and she appears otherwise well. On inspection you notice her breathing is shallow and tachypneic. Lung auscultation reveals expiratory wheezing and prolonged occasional crackles throughout both lung fields. which clear slightly with coughing. Percussion is resonance, and there is no egophony or tactile fremitus. Based on these findings, which of the following is the most likely diagnosis?
Read DetailsA 5′ 6″ female patient was admitted for exacerbation of her reactive airway disease. When the practitioner arrived to assess her and was found to be obtunded with slow shallow respirations. The following arterial blood gas was obtained on a 5L NC: pH – 7.22 PaCO2 – 68 torr PaO2 – 78 torr HCO3 – 25 mEq/L BE – +1 The physician decided to intubate. What initial vent settings should the patient be placed on?
Read DetailsA patient with ARDS is currently on the following ventilator settings: Mode – AC/VC Total Rate – 18 breaths/min Rate – 18 breaths/min Exhaled VT – 290 ml VT – 300 ml VE – 5.22 L/min PEEP – 10 cm H2O PIP – 40 cm H2O FIO2 – 1.0 Plateau – 35 cm H2O The patient’s physician wants to place the patient on A/C pressure control. What pressure settings should initially be selected for A/C pressure control?
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