Pulmonary Problem Solving II


Scenario Seven


Patient Chart
JB is a 32-year-old female who presents to the emergency department complaining of slight confusion and shortness of breath. She has a history of asthma and diabetes. She has a respiratory rate 36, temperature 97.8o F. SpO2 is 99% on room air. She appears to be slightly confused and has rapid and deep respirations. She is not coughing.

Use the Auscultation and Blood Pressure tabs to capture heart rate, blood pressure and lung sounds.


The patient is placed on a nonrebreathing mask and arterial blood gases are drawn with the following results:

pH 6.91
PaCO2 18 mmHg
HCO3 4 mEq
PaO2 290 mmHg
SaO2 100%
Hgb 13.4 gms

In addition, other lab values include:

Na+ 131 mEq
Cl- 103 mEq
K+ 3.9 mEq
Glucose 456 mg/dL

Heart Rate:
Blood Pressure: /

Auscultation:




Diagnosis
Which of the following is the patient’s most likely diagnosis?