On admission,a patient presents as follows: pH,7.38; respiratory rate,24 breaths/min,regular,pursed-lip breathing; PaO2,66 mm Hg; heart rate,112 beats/min,sinus tachycardia; PaCO2,52 mm Hg; blood pressure,110/68 mm Hg; HCO3-,24 mEq/L; and SpO2,90% on O2 2 L/min nasal cannula.Which of the following diagnoses would be most consistent with the above arterial blood gas values?
A) Acute pulmonary embolism
B) Acute myocardial infarction
C) Congestive heart failure
D) Chronic obstructive pulmonary disease
Correct Answer:
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