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Re: pickwickian patient


Posted by Ron A. on February 13, 2002 at 05:17:17:

In Reply to: pickwickian patient posted by steve on February 13, 2002 at 02:44:09:

Good morning, sir.
My guess is that this patient has a degree of congestive heart failure, causing V/Q imbalances and shunting.
In other words, no matter what you do, this patient probably needs at least a diuretic to get rid of some fluid in his lungs. You, sir, have done about all you can do with PAP and supplemental oxygen.

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