A 56-year-old female was admitted to the hospital with chief complain of SOB for 2 days. She also complained of cough with wheezing, and denied chest pain, fever or chills. PMH: HTN Hypothyroidism.
COPD/asthma Medications Furosemide Hydrocholorothiazide Albuterol Levothyroxine Aspirin Allergies Penicillin Social history (SH) Smoker Denied alcohol No drug usage Physical examination VS 36.3-22-60-118/86 Chest: decreased air movement (B) with wheezing CVS: Clear S1S2 Abdomen: Soft, NT Laboratory results ABG on 4 L/min: pH 7.39, pCO2 53, pO2 68, SpO2 89% CXR: Scoliosis, cardiomegaly, atelectasis, and pleural scarring EKG: NSR The patient was given breathing treatments with Albuterol and Ipratropium Inhalation, terbutaline 0.3 mg SQ x 2, Methylprednisolone 60 mg IV and magnesium 2 g in 100 ml of saline over one hour. After this treatment, the patient was saturating at 78% to 80% on RA. She…
