
69yo M, Dyspnea x2 days
HX of CKD with dialysis, last dialyzed two days ago, states he does not miss. Denies any other history.
Presented 70%RA, HR150, 190/110, RR26. 5 episodes of vomiting in front of us, notably was not nauseated, no warning.
Rales globally.
Nitro, BiPap after the puking was controlled with phenergan and zofran.
Improved to 90's on the Bipap.