What is the primary cause of hypoxemia in a patient with a severe flail chest?

a. Myocardial contusion
b. Hemorrhage
c. Pulmonary edema
d. Alveolar atelectasis

D
Compression of the lung tissue occurs beneath the flail section and atelectasis results. The atelectasis then results in a decreased ventilation/perfusion ratio leading to increased venous admixture. Hypoxemia will occur.

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Drugs that may influence the progression of rheumatoid arthritis, and are therefore recommended to limit irreversible joint damage, are called:

A) NSAIDs B) glucocorticoids C) DMARDs D) COX-2 inhibitors

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Alternative venipuncture sites include_________, ____________, ____________ and ____________.

Fill in the blank(s) with the appropriate word(s).

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