Pulmonary Problem Solving II

Scenario Seven - Diagnosis

Patient Chart
JB is a 32-year-old female who presents to the emergency department complaining of slight confusion and shortness of breath. She has a history of asthma and diabetes. She has a respiratory rate 36, temperature 97.8o F. SpO2 is 99% on room air. She appears to be slightly confused and has rapid and deep respirations. She is not coughing.


The patient is placed on a nonrebreathing mask and arterial blood gases are drawn with the following results:

pH 6.91
PaCO2 18 mmHg
HCO3 4 mEq
PaO2 290 mmHg
SaO2 100%
Hgb 13.4 gms

In addition, other lab values include:

Na+ 131 mEq
Cl- 103 mEq
K+ 3.9 mEq
Glucose 456 mg/dL

Heart Rate:
Blood Pressure: /


Which of the following is the patient’s most likely diagnosis?
