Ms. GMs. G 25 yobf Height 5’4” Weight 272 lbs.
25 yobf Height 5’4” Weight 272 lbs.
Chief ComplaintChief Complaint EDS - Epworth of 15/24 Nocturnal sleep disruption Shift worker (doesn’t like it) Snoring
EDS - Epworth of 15/24 Nocturnal sleep disruption Shift worker (doesn’t like it) Snoring
Family HistoryFamily History Maternal HTN Mother has had a stroke
Maternal HTN Mother has had a stroke
Obesity Hypoventilation and OSAObesity Hypoventilation and OSA
Excessive weight pushes against diaphragm causing shallow breathing
Baseline SaO2 <88% Low Vt - high respiratory
rate (attempt to maintain normal minute ventilation)
Excessive weight pushes against diaphragm causing shallow breathing
Baseline SaO2 <88% Low Vt - high respiratory
rate (attempt to maintain normal minute ventilation)
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
10 20 30 40 50 60 70 80 90 10010 20 30 40 50 60 70 80 90 100
Oxyhemoglobin Dissociation CurveOxyhemoglobin Dissociation Curve
SaO
2SaO
2
PO2 mm HgPO2 mm Hg
Oximetry Strip Chart TrendingOximetry Strip Chart Trending
ConclusionConclusion
Severe OSA - Controlled with CPAP 13 cm H20 Patient referred to Pulmonary Department for work-
up Patient referred to ENT specialist
Severe OSA - Controlled with CPAP 13 cm H20 Patient referred to Pulmonary Department for work-
up Patient referred to ENT specialist