Which is the most appropriate first step in the management

Assignment Help Other Subject

Reference no: EM133845025

Problem

A 63-year-old man presents to the emergency department because of progressively worsening dyspnea over the past week. He states that he is now having difficulty doing basic chores around the house, and has to stop frequently in order to catch his breath and cough. He reports that he has also had an increase in sputum production. His past medical history is significant for diabetes, hypertension, and chronic bronchitis; he is compliant with all medication that has been prescribed. He has a 40-pack-year smoking history. On physical exam, he is in moderate to severe respiratory distress, using his accessory muscles to breathe. His temperature is 38.6.C (101.5.F), blood pressure is 120/85 mm Hg, pulse is 100/min, and respiratory rate is 26/min. His oxygen saturation by pulse oximetry is 83% on room air. Get the instant assignment help. A decrease in breath sounds with expiratory wheezes is heard bilaterally on auscultation of his lungs. His heart sounds are normal, and there is no peripheral edema. The arterial blood gas (ABG) analysis shows: Pac 60 mm Hg O2 PaO 47 mm Hg 2 PH 7.3 HC 25 mEq/L. Which is the most appropriate first step in the management of this man's current condition?

Reference no: EM133845025

Questions Cloud

Which tests reveal most likely source of patients stroke : A 59-year-old man presents to the emergency department with right-sided weakness. Which tests will reveal the most likely source of this patient's stroke?

How educators should incorporate ai ethics into curriculum : How caneducators should incorporate AI ethics into the curriculum and emphasize responsible technology use Support your writing with the correct citations.

Which is the most likely diagnosis : A 57-year-old man presents with 2 days of severe, generalized, abdominal pain that is worse after meals. Which is the most likely diagnosis?

What changes should be made to his current regimen : His physical exam reveals mild bilateral wheezes and normal heart sounds. What changes should be made to his current regimen?

Which is the most appropriate first step in the management : A 63-year-old man presents to the emergency department. Which is the most appropriate first step in the management of this man's current condition?

Critically evaluate the effectiveness of the approach : Case Study Analysis - Assignment Identify and evaluate 2-3 techniques from the approach used in the case study - Critically evaluate the effectiveness

Which disorders is most likely in this patient : A 72-year-old man presents with shortness of breath and right-sided chest pain. Which disorders is most likely in this patient?

What is the most likely cause of her fever : Her surgical wound appears to be healing well, and her abdomen is soft and nontender. What is the most likely cause of her fever?

Identify all the different counseling skills you observed : Motivational Interviewing Demonstration by MerloLab, Identify all the different counseling skills you observed the counselor use during the session.

User Account

All Pages