Read the case study. Then answer the questions typed
at the end of the case study.
The patient is a 60-year-old Caucasian female
presenting to the emergency department with acute onset shortness
of breath. Symptoms began approximately 2 days before and had
progressively worsened with no associated, aggravating, or
relieving factors noted. She had similar symptoms approximately 1
year ago requiring hospitalization. She uses BiPAP ventilatory
support at night when sleeping.
She denies fever, chills, cough, wheezing, and sputum
production but does get short of breath easily.
There are no known ill contacts at home. Her family
history includes significant heart disease and prostate malignancy
in her father. Social history is positive for smoking tobacco use
at 30 pack years. She quit smoking 2 years ago due to increasing
shortness of breath. She denies all alcohol and illegal drug use.
There are no known foods, drugs, or environmental
allergies.
Physical Exam
Initial physical exam reveals temperature 97.3 F,
heart rate 74 bpm, respiratory rate 24, BP 104/54, BMI 40.2, and O2
saturation 90% on room air.
Pulmonary/Chest: No respiratory
status distress at this time, tachypnea present, (+) wheezing
noted, bilateral rhonchi, decreased air movement bilaterally.
Patient barely able to finish a full sentence due to shortness of
breath.
ABG: Initial arterial blood gas with pH 7.491, PCO2
27.6, PO2 53.6, HCO3 20.6, and oxygen saturation 90% on room
air.
What is your interpretation of the ABG
results?
Based on the findings, what is the clinical
diagnosis?
What medication would you anticipate the health care
provider ordering?
What is the difference between Bipap and
CPAP?
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Read the case study. Then answer the questions typed at the end of the case study....
Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...
Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...
Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...
Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...
Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...
Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...
Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...
Read the case study. Then answer the questions at the end of the case study. The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but...
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts at home. Her...
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping. She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily. There are no known ill contacts at home. Her...