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ABG on room air revealed a pH of 7.46, pCO2 37.2, pO2 68.2, bicarbonate

26.3, and oxygen saturation of 94% on room air with a s/l AA? gradient of

36. A chest x-ray revealed flattening of the diaphragm, moderate

hyperaeration with increased s/l AP?(EP?) diameter consistent with

emphysema. There was no evidence for any pleural effusion or pulmonary

infiltrates.

The patient had an acute episode of shortness of breath, decreased air

movement, s/l dekipnea? and wheezing after a cleaning solution was used

outside of the patient's room in order to clear the hospital floor.

------>I cannot document a " AA " gradient for ABG test, nor an " AP " or " EP "

diameter for a chest x-ray. I know I will kick myself when I get the answer

to " dekipnea " - this has got to be one of those basic words I know but just

can't come up with the right spelling to.

Bev W.

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