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Ms. G 25 yobf Height 5’4” Weight 272 lbs. Chief Complaint EDS - Epworth of 15/24 Nocturnal sleep disruption Shift worker (doesn’t like it) Snoring Family History Maternal HTN Mother has had a stroke Obesity Hypoventilation and OSA Oxyhemoglobin Dissociation Curve Excessive weight pushes against diaphragm causing shallow breathing Baseline SaO2 <88% Low Vt - high respiratory rate (attempt to maintain normal minute ventilation) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 10 20 30 40 50 60 70 80 90 100 PO2 mm Hg Oximetry Strip Chart Trending Conclusion Severe OSA - Controlled with CPAP 13 cm H20 Patient referred to Pulmonary Department for workup Patient referred to ENT specialist
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