Raymond Harrison, a 64 year old male, was admitted to the hospital with fever (101.8 F), shaking chills, a nonproductive cough, and chest pains. A chest X-ray revealed extensive accumulation of fluid in both lungs. The patient had mild hypertension (high blood pressure) of 150/90 (normal would be 120/80) and a smoking history of 275 packs per year. The patient was cyanotic (looked blue) and in respiratory distress. The patient’s heart rate was elevated at 100 beats per min (normal would be 60-80 ppm).
An arterial blood gas test was performed, and the oxygen saturation of the atrial blood was 72% (normal would be 90-100%). The blood test also revealed an elevated white blood cell count. Initial treatment consisted of antibiotics and bronchodilators.
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