You have been asked to assess Mavis, an 81 year-old patient currently in the respiratory ward. Mavis has been diagnosed with an acute infection of streptococcus pneumonia. She was admitted c/o SOB and a productive, persistent cough. Mavis is coughing up a moderate amount of white/yellow sputum. Upon mobilisation, she can walk approximately 100m before SOBOE and fatigue stops her. Findings:
CXR: L(LL) patchy opacity
Auscultation: L(LL) crackles
ABGs:
pH: 7.33
PaCO2: 26mmHg // 3.5 kPa
PaO2: 103 mmHg // 13.7 kPa
HCO3: 17
BE: -8
Quizzes
