A 30-year-old patient was admitted to the emergency departme…
A 30-year-old patient was admitted to the emergency department complaining of shortness of breath, fatigue, and non-productive cough for the past 3 days. On admission the patient temperature was 38.6 degrees Celsius. Vital signs were remarkable for hypotension (100/72 mmHg), tachycardia (110 bpm), and a respiratory rate of 21. The pulse oximetry on room air revealed a SpO2 of 85%. The AGACNP assessing this patient is interested in knowing the possible etiology of the patient’s hypoxemia. An age adjusted A-a gradient will help in the process of evaluating the source. The AGACNP performs the calculation and finds the following value for age expected A-a ratio: