Approach to postoperative respiratory distress Quiz: Ace Your Exams
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A 65-year-old woman is being evaluated in the postoperative recovery unit for acute shortness of breath after surgical debridement of a right foot abscess with cellulitis. The anesthesia record indicates that the intubation and extubation were uneventful. She has type 2 diabetes mellitus, peripheral neuropathy, and stage 3 chronic kidney disease. She takes lisinopril and insulin daily. She does not drink or smoke cigarettes. Temperature is 37.1°C (98.8°F), blood pressure is 157/94 mmHg, pulse is 95/min, and respirations are 35/min and labored, and oxygen saturation is 89% on 2 liters nasal cannula. Neck examination reveals no jugular vein distention, and tracheal deviation to the left. Cardiac examination reveals a fourth heart sound. Lung examination reveals decreased breath sounds on the right with hyperresonance to percussion. Which of the following most likely occurred during surgery or the postoperative period?
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