Chronic Obstructive Lung Disease

Coarse crackles in both lungs…increased hydrostatic pressure in pulmonary vessels due to left sided HF that results in fluid in the alveolar space. Rr/28-Labored resp effort…see above. 90% on RA…see above. Anxious likely related to hypoxia and resp. distress sue to acute pulmonary edema secondary to HF. Clinical Reasoning Begins… ................
................