Just called in for an incarcerated umbilical hernia.
60yo female.
Asthma, COPD, smoker, CVA in 90's without residual, arthritis, anxiety, depression, chronic back pain.
Uses home O2 at 3lnc, xanax, norco, citalopram, paxil, inhalers, prednisone.
Surgical hx includes TKA, bronchs within last month, TAH, tracheal stent May 2014.
Labs unremarkable.
Upon arrival preop holding patient sitting upright receiving breathing treatment, SOB, audible rhonchi, crying with anxiety.