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Patient Case Summary

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The patient is a 65-year-old female who presents to the ED complaining of increasing shortness of breath. The patient presents with increasing shortness of breath for the past few days. She has been exposed to chemicals at home, roach spray and subsequently developed this increasing shortness of breath. She has a history of sleep apnea, heart failure and COPD. She denies any chest pain, fever, chills, nausea, vomiting or diarrhea. She has a cough which is minimal and nonproductive. Yje patient history is pertinent for hypertension and atrial fibrillation. She is a former smoker and quit approximately 2 years ago. It is to be noted she was hypoxic in the ED with a pulse oximetry anemia of 89%. She is described by the pulmonologist as

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