Acute respiratory distress syndrome Quiz: Ace Your Exams
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A 45-year-old man with a history of alcohol abuse is admitted for acute pancreatitis, and he becomes acutely short of breath on day two of his hospitalization. His temperature is 37°C (98.6°F), pulse is 108/min, respirations are 26/min, blood pressure is 110/94 mmHg, and oxygen saturation is 87% on room air. He is given supplemental O2 via non-invasive ventilation, but he later requires intubation due to persistent hypoxemia and concern for airway compromise. Chest x-ray demonstrates new bilateral opacities. His arterial blood gas on 100% FiO2 shows the following:
Which of the following physiologic parameters best confirms the diagnosis in this patient?
| Laboratory value | Result |
| Blood Gases, Serum | |
| pH | 7.51 |
| PCO2 | 23 mmHg |
| PO2 | 54 mm Hg |
| Cardiac Enzymes, Serum | |
| Brain Natriuretic Peptide (BNP) | <100 ng/dL (N = <100) |
| Troponin | <.03 ng/dL |
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