- Jun 10, 2007
- Reaction score
50 something yo lady with h/o large renal pelvis stone, relatively healthy lady, active, normal size (amazing since most of the PUL's I do can't be under 325lbs). Pt does have NIDDM, on oral meds and under control. Pt is now s/p PUL (percutaneous urolithotomy), in the PACU with chest pain/shortness of breath. Sat's hanging around in the low 90's even with supplemental O2 and alot of it. The usual stuff was done. CXR, EKG, enzymes drawn, ABG, BMP. EKG with no acute changes, CXR read by radiology as "CHF" but pt with totally clear breath sounds and good air movement and it looks like an exhalation film. ABG pretty much normal PO2 200. BMP normal. What next?