An RT is assisting during a FB on a young female with suspected sarcoidosis. The patient is very…

An RT is assisting during a FB on a young female with
suspected sarcoidosis. The patient is very anxious and despite an adequate
amount of narcotics and anxiolytic agents, continues to cough violently. The
physician is performing TBBx under the fluoroscopic guidance from the left
lower lobe. In seven attempts, he manages to obtain three pieces of tissue
before giving up the procedure. During the last attempt, the patient winced
with mild pain. Soon after the last biopsy the patient became tachypnic
(respiration rate [RR] 30 breaths/ min), with heart rate of 110 beats/min, and
SpO2 dropped to 82% on O2 6 L/min via nasal cannula. Examination of the chest
showed that it was tympanic on percussion with reduced breath sounds on
auscultation. What condition should the RT consider in this situation?

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