Correct!
2. Endotracheal intubation

The patient is severely ill. He is hypoxic despite his tachypnea and high inspired concentration of oxygen. The remaining choices might become necessary but the immediate concern is to control his airway and increase his PaO2. Intubation was accomplished uneventfully although his blood pressure did transiently decrease responding to a crystalloid fluid bolus. His urine output remained low. His SpO2 improved to 98% on an inspired oxygen concentration (FiO2) of 100%. A portable chest x-ray was performed for endotracheal tube placement (Figure 2).

Figure 2. Portable AP of chest after endotracheal intubation.

A hematology consult is ordered and they diagnose acute leukemia.

Which of the following is the best explanation for his lung findings?

  1. Alveolar hemorrhage
  2. Granulomatosis with polyangiitis
  3. Opportunistic infection
  4. Pulmonary edema secondary to fluid administration
  5. Pulmonary leukostasis

Home/Pulmonary