Claire Dearing and her husband farm hay and sugarcane on the…

Claire Dearing and her husband farm hay and sugarcane on their 100 acre farm. They have 2 teenage children that live at home. They have multiple pets inside and outside the home. Claire presents to the ED with increased HR, RR, decreased SpO2, crackles, non productive cough, digital clubbing and an enlarged liver. She denies the use of tobacco, drugs or alcohol. Which of the following is the best diagnosis?

A 56-year-old male with a recent diagnosis of OSA presents f…

A 56-year-old male with a recent diagnosis of OSA presents for CPAP titration.  CPAP of 5 cm H2O is initiated with a nasal mask.  Fifteen minutes after the patient falls asleep, a respiratory therapist observes the patient snoring, decreased inspiratory flow measurement, and an AHI of 15.  Which of the following should the therapist do NEXT?

A 70-year-old male with a recent diagnosis of OSA presents f…

A 70-year-old male with a recent diagnosis of OSA presents for CPAP titration.  CPAP of 10 cm H2O is initiated with a full face mask.  Fifteen minutes after the patient falls asleep, a respiratory therapist observes an AHI of 4.  Which of the following should the therapist do NEXT?