You assess a 55-year-old male patient who is a candidate for…

You assess a 55-year-old male patient who is a candidate for bariatric surgery. He is 175 cm, 120 kg and has arterial hypertension for which he takes ramipril. His wife tells you the patient snores during the night. His blood pressure (BP) is 125/75 mm Hg and pulse oximetry is 89% on room air. What is the MOST appropriate management of this patient?

Jasmine Smith, sales associate with Oak Ridge Realty, is con…

Jasmine Smith, sales associate with Oak Ridge Realty, is contacted by her college roommate, Chelsea Nguyen, whom she has not seen or spoken to in 12 years. Chelsea’s job has just relocated to town and she wants to purchase a condominium. If Jasmine acts as a subagent of the seller, which statement is true?

A 62-year-old male with past medical history significant for…

A 62-year-old male with past medical history significant for diabetes, hypertension, hyperlipidemia, and 60 pack year smoking history comes in with complaints of respiratory distress and flu-like symptoms for the past week. Vitals are HR 105 bpm, BP 170/91 mm Hg, SpO2 87% on 5 liters per minute of oxygen via nasal cannula. He is intermittently confused but is arousable and redirectable. His arterial blood gas shows pH of 7.26, PaO2 of 97 mm Hg, PaCO2 of 61 mm Hg and HCO3 of 30.Which is the appropriate next step in intervention?

A 65-year-old female is scheduled for spinal surgery. She ha…

A 65-year-old female is scheduled for spinal surgery. She has a past medical history of CAD and HTN, atrial fibrillation. Her pre-op CXR is shown below. CXR4.jpg Which of the following is most helpful in predicting her risk of postoperative of respiratory failure?