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we have a patient here whos got no one flash pulmonary edema and what I actually want to do is demonstrate the treatment of this condition with both CPAP BiPAP and Heigls nitroglycerin and put a CPAP mask on him yeah hes head maam he colors the mask pretty yell I remember right this last time I talked I treated him the seem to tolerate it well so were tracking on the pulse ox up there yeah it was so I think every time he comes in though is hes very hypertensive right so were coming up on the SATs now is he got nitroglycerin yet okay so howd you set up your grill William what were we going to give them one sublingual just starting about 400 okay okay okay so 400 400 Mikes all right so Dylan thats an awful lot of nitroglycerin yeah all right are you breathing easier sir bidi okay still working hard though so whats his pressure doing something yeah and what was this max pressure 205 over 159 okay so hes up to 96% on his SATs now yeah hey Chris so whats happening now were go