A 40-year-old woman with a history of asthma was admitted to the hospital for gastrointestinal…

A 40-year-old woman with a history of asthma was admitted to
the hospital for gastrointestinal dysmotility with abdominal distention. Her chest
radiograph showed an elevated diaphragm with accompanying atelectasis in the
bases of the lung fields. Her laboratory test results were as follows: white
blood cell count 10,200 cells/mcl, hemoglobin 11.6 g/dl, and platelet count
260,000/mm3 . Her pulse oximetry reading was 96% on room air; no ABGs were
drawn. Her heart rate was 84 beats/min, blood pressure was 110/78 mm Hg,
respiratory rate was 20 breaths/min, and temperature was 36.8° C. She was alert
and oriented, and her vital capacity was 1.35 L. She is 5 feet 7 inches tall
and has a predicted minimal vital capacity of 0.927 L (15 ml/kg of ideal body
weight). On auscultation, her breath sounds were decreased bilaterally and she
had slight inspiratory wheezes in the apices of her lung fields. She had a
weak, nonproductive cough and was able to ambulate on her own. A respiratory
care evaluation should be performed for this patient.

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