frank100
Forum Guru
Topics: 48
Posts: 586
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48 HOURS AFTER SURGICAL REAPAIR OF A LACERATION OF THE LIVER AND SPLENECTOMY FOR INJURIES SUSTAINED IN A MOTORCYCLE COLLITION. A 27 Y/O MAN DEVLOPS SEVERE SHORTNESS OF BREATH.ON ADMISION, TRACTION WAS APPLIED FOR MANAGEMENT OF FRACTURES OF THE LEFT FEMUR AND LEFT HUMERUS. HE RECEIVED 8 UNITS OF PACKED RED BLOOD CELLS DURING THE FIRST 24 HOURS. T: 37.8, BP: 90/60, PULSE: 120, AND RESP: 28. EXAMINATION SHOWS NO UGULAR VENOUS DISTENTION. DIFUSE CRACKLES ARE HEARD AN ALL LUNG FIELDS. ABDOMINAL EXAMINATION SHOWS NO ABNORMALITIES EXCEPT FOR A MIDLINE OPERATIVE INCITION. THERE IS NO EDEMA OR CORDS OF THE LEFT LOWER EXTREMITY. LABORATORY STUDIES SHOWS
HB 9
LEUCOS 16,500
PLATELETS 250.000
SERUM
Na 140
Cl 108
K 4
HCO3 24
BUN 15
CREATININE 1
ARTERIAL BLOOD GAS ON 60% OXIGEN
ph 7.48
pco2 35mmhg
po2 48
AN X-RAY OF THE CHEST SHOWS DIFFUSE EXTENSIVE BILATERAL INTERSTICIEL AND ALVEOLAR INFILTRATES INVOLVING ALL LOBES. AN EKG SHOWS SINUS TACHICARDIA, HE IS UNABLE TO PRODUCE A SPUTUM SPECIMEN. WHICH OF TH FOLLOWING IS THE MOST LIKELY CAUSE OF THIS PATIENTīS RESPIRATORY FAILURE
A) ARDS
B) ASPIRATION PNEUMONIA
C) BACTERIAL PNEUMONIA
D) CHF
E) pulmonary embiolism.
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| mazinger
Forum Guru
Topics: 46
Posts: 918
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a
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original mazinger z
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| drk1980
Forum Guru
Topics: 147
Posts: 1,038
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A....diffuse B/L interstitial and alveolar infiltrates occuring on 2nd post-op day...
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