A 55-year-old heavy smoker - doubleblessing

[ArchivalUser]

A 55-year-old heavy smoker undergoes surgery for bowel obstruction. In surgery he is found to have a cancer, which was causing obstruction of the right colon. The surgery is uneventful and the patient is extubated in the recovery room. He does fine on postoperative day 1 but on postoperative day 2 he develops a low-grade fever with tachypnea and tachycardia. His oxygen saturation on 4 liters nasal cannula is 90. His chest-x ray show whole left side white. Which of the following is the most appropriate next step in management of this patient?

A. Chest tube placement
B. Mechanical ventilation
C. Bronchoscopy
D. Inhaler treatment
E. Increase oxygen by face mask

[ArchivalUser]

B. Mechanical ventilation

heavy smoker , he will not able to run over chest tube. i think.

[ArchivalUser]

b,atelectasis.

[ArchivalUser]

the whole left side is white...so that means fluid or blood...

A

[ArchivalUser]

atelectasis also...so may be B....

[ArchivalUser]

if its atelectasis dont we do a bronchoscopy to remove the plugs

[ArchivalUser]

that's correct C

[ArchivalUser]

I think C
As sd said we need to remove the plug that caused lung to collapse.

Correct if wrong.

[ArchivalUser]

ccc