A 65-year-old female is admitted to the ER with a 3-hour history of cyanosis, shortness of breath, and substernal chest pain. She had been discharged 5 days earlier after having a total hip replacement due to severe osteoarthritis. The hip surgery was uneventful. On examination, the patient is in obvious acute respiratory distress. Her respiratory rate is 40/min and her breathing is labored. The patient’s room air oxygen saturation level is 86%. Her blood pressure is 100/70 mm Hg. Cyanosis is present. Cardiac examination reveals increased pulmonic component of the second heart sound (S2). Abnormal lung sounds, including rales and wheezes, are present bilaterally. Based on the information provided, which of the following tests will be the preferred intervention to establish the diagnosis?
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A 42-year-old male with chronic complaints of heartburn and…
A 42-year-old male with chronic complaints of heartburn and regurgitation, presents for follow up after undergoing upper endoscopy which revealed Barrett’s esophagus. Which of the following is the most serious potential medical complication in this patient?
List the 4 consumer rights. Consumers have a right to….
List the 4 consumer rights. Consumers have a right to….
Just after intubating a patient, what must be checked immedi…
Just after intubating a patient, what must be checked immediately? I. Bilateral breathsounds II. Bilateral chest rise III. Chest radiograph IV. Colorimetric capnometer
What must be considered when a patient needs to be orally in…
What must be considered when a patient needs to be orally intubated with an endotracheal tube? I. Using a Magill forcep II. Securing the tube 20-25 cm at the oral III. Using a lubricating gel during intubation IV. Securing the tube > 25 cm at the oral
When delivering acetylcysteine (Mucomyst), what must accompa…
When delivering acetylcysteine (Mucomyst), what must accompany it?
Which of the following is an anti-inflammatory corticosteroi…
Which of the following is an anti-inflammatory corticosteroid?
Patient has bilateral wheezes and diminished with course cra…
Patient has bilateral wheezes and diminished with course crackles in the RLL Chest percussion is resonant with dullness in the RLL Patient has a strong productive cough with moderate amount of yellow thick secretions Patient has a temperature of 39oc Patient complains of chest pain Vitals : HR 120 bpm, Respiratory rate 25 breaths/min, BP 145/90 mmHg, SpO2 90% on 28% FIO2 VM at 8 LPM Based on all objective data gathered, the physician would like to know what other diagnostic information you would like to recommend? Select as MANY as indicated
ECG – Sinus Tachycardia ABG – pH 7.35, PaCO2 65 torr, PaO2 7…
ECG – Sinus Tachycardia ABG – pH 7.35, PaCO2 65 torr, PaO2 70 torr, HCO3 29 mEqL Sputum C&S – Positive for Streptococcus pneumoniae CXR – Opacification in the RLL Based on the above findings, what should you recommend now to resolve the problem? Choose only ONE
All of the following statements about male hypogonadism are…
All of the following statements about male hypogonadism are true EXCEPT: