Respiratory Cases II


30 yo male, transient disorientation, dyspnea


Patient Chart
AG is a 30-year-old male who presents to the emergency department complaining of transient disorientation and dyspnea. He has a history of asthma and type 1 diabetes. In triage, he has a heart rate of 112, respiratory rate 34, temperature 97.9o F. SpO2 is 99% on room air. He appears to be slightly disoriented and rapid and deep respirations. He is not coughing.

Use the Auscultation and Blood Pressure tabs to capture heart rate, blood pressure and lung sounds.


The patient is placed on a nonrebreathing mask. Fifteen minutes later arterial blood gases are obtained with the following results:

pH 6.91
PaCO2 18 mmHg
HCO3 4 mEq
PaO2 290 mmHg
SaO2 100%
Hgb 13.4 gms

In addition, other lab values include:

Na+ 131 mEq
Cl- 103 mEq
K+ 3.9 mEq
Glucose 456 mg/dL

Heart Rate:
Blood Pressure: /

Auscultation:




Diagnosis
Which of the following is the patient’s most likely diagnosis?