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399222. What is the optimal position of the tip of the endotracheal tube? What are 3 procedures you could perform at the bedside immediately after intubation to evaluate tube position before the CXR?

3. Case Study

Sam brings a 71-year-old man to the emergency department. He claims that her father has experienced breathing problems for many years, but now he’s worse. The patient is alert and has trouble completing sentences because of apparent shortness of breath and pursed-lip breathing. His temperature is 100.8o F; his respiratory rate is 28 breaths per minute, with diminished breath sounds. Low-flow oxygen is administered, and the patient appears to be in less distress. A chest radiograph reveals diaphragms that are lowered and flattened with blunted costophrenic angles, and possible presence of bullae.
•What disease process do these radiographic findings suggest? Explain.

Submit your answers on a Word document. You must cite at least three references in APA format to defend and support your position.

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