A 68-year-old patient who is post-triple A repair was extuba…

A 68-year-old patient who is post-triple A repair was extubated 4 hours ago and complains of increasing shortness of breath.  Breath sounds are decreased over the right lung field.  The following data are available while the patient receives 4-L oxygen by nasal cannula: HR            103/minRR              27/minBP           155/90 mm HgSpO2             90%  Which of the following is the most likely explanation?  

A respiratory therapist is caring for a patient who had abdo…

A respiratory therapist is caring for a patient who had abdominal surgery.  Patient is beginning to wake up and follow commands.  The patient is receiving A/C, V/C ventilation with the following settings:   vent settings FIO2      30%  VT   508 RR   12 PEEP    4 cm H2O    ABG analysis shows the following:   ABG pH       7.39  PCO2     41 mm Hg  PO2     90 mm Hg  HCO3-     25 mEq/L  BE      -1 mEq/L  SO2 (calc)     82%    Which of the following should the therapist do?

Agent Stephen Walker presents to your pulmonary clinic with…

Agent Stephen Walker presents to your pulmonary clinic with the following vital signs: HR 115;  RR 20;  BP 155/85 Bronchial breath sounds with fine crackles Nonproductive cough and distended jugular veins A PFT was requested considering the patient’s condition PFT results: FVC -decreased,  FEV1/FVC ratio- normal   FEF25%-75%- normal,  MVV- decreased,  TLC- decreased,  RV- decreased    What is your diagnosis?