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Respiratory Case #200: Scenario Two
History
Blood Pressure
Auscultation
Tests
Diagnosis
History
AG is a 60-year-old male who has presented to the ED with shortness of breath of recent onset. He has a six year history of COPD and is on oxygen at home. Physical assessment reveals the following:, respiratory rate 32, slightly labored, temperature 98.9F. His SpO2 90% on while receiving oxygen via nasal cannula at 2 Lpm.
To complete the physical exam, use the Blood Pressure tab above to simulate taking the patient blood pressure and pulse rate. Then use the Auscultation tab to assess the lung sounds.
Which of the following would be the best treatment to apply initially?
2.5 mg albuterol + 0.5 mg albuterol via small volume nebulizer
2 puffs of 250/50 Advair
40 mg furosemide via IV
0.5 mg ipratropium + 4 mL 20% acetylcysteine via small volume nebulizer
Table of Contents
Introduction
Scenario One
Scenario Two
Scenario Three
Scenario Four
Scenario Five
Scenario Six
Scenario Seven
Scenario Eight
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Pulmonary Problems - I
Pulmonary Problems - II
Pulmonary Problems - III
Respiratory Case #200