TASK
Jackson Smith, a 18 year-old male, was admitted to the Emergency Department at 9pm with severe breathlessness. His family informed you that the patient has a history of Asthma that had been diagnosed when he was two years old. On admission to the Emergency Department the clinical
manifestations were:
Severe dyspnoea, inability to speak sentences in one breath
– Respiratory rate of 32 breaths/minute
– SpO2 90%, on room air
– BP 150/85 mmHg – Pulse rate of 130 beats/minute.
– Auscultation of lungs identifies diminished breath sounds and widespread wheeze
A chest x-ray was performed and showed a clear and hyper-inflated lung fields. A blood gas was taken: pH : 7.35 PaO2: 60mmHg PaCO2: 50mmHg HCO3: 25mEq/L Lactate: 1 SaO2 90% A diagnosis of Acute Severe Asthma was made.
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