Correct!
5. All of the above

She has a rapid, irregular pulse with a history of atrial fibrillation. An electrocardiogram showed she was in again in atrial fibrillation with a rapid ventricular response. Her ABGs showed a PaO2 of 68 mm Hg, PaCO2 of 36 mm Hg, and a pH of 7.46. Chest x-ray is shown in Figure 1.

Figure 1. Admission portable chest x-ray.

Additional laboratory obtained showed a hemoglobin of 4.1 g/dL, hematocrit 13%, white blood cell count 10,500 cells/mcL with a left shift, platelets. 200,000 cells/mcL.

Which of the following should be done at this time? (Click on the correct answer to proceed to the third of six pages)

  1. Anticoagulation for atrial fibrillation
  2. Bronchoscopy
  3. Thoracic CT scan
  4. 1 and 3
  5. All of the above

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