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Case ReportTeaching Case of the Month

Dyspnea in a Lung Transplant Recipient

Don Hayes, Kateri M Roessler-Henderson, Sara M Davenport, Paul Bryan Collins and Hubert O Ballard
Respiratory Care May 2010, 55 (5) 626-629;
Don Hayes Jr
Departments of Pediatrics and Internal Medicine
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  • For correspondence: [email protected]
Kateri M Roessler-Henderson
College of Medicine
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Sara M Davenport
College of Medicine
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Paul Bryan Collins
Pulmonary Function Laboratory
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Hubert O Ballard
Department of Pediatrics, University of Kentucky, Lexington, Kentucky.
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    Fig. 1.

    Metabolic pathways for the reduction of methemoglobin. The major pathway for methemoglobin reduction is cytochrome b5 reductase. An alternative pathway that requires an exogenous electron acceptor (ie, methylene blue) is nicotinamide adenine dinucleotide phosphate (NADPH) methemoglobin reductase. A small amount of methemoglobin is reduced through a nonenzymatic pathway (dashed line).

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    Fig. 2.

    Extinction curves of 3 hemoglobin species. Oxyhemoglobin and reduced hemoglobin have different absorptions of 660-nm and 940-nm light waves. Methemoglobin has a similar absorption at the 2 wavelengths. The extinction coefficient is shown with a logarithmic scale.

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Respiratory Care: 55 (5)
Respiratory Care
Vol. 55, Issue 5
1 May 2010
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Dyspnea in a Lung Transplant Recipient
Don Hayes, Kateri M Roessler-Henderson, Sara M Davenport, Paul Bryan Collins, Hubert O Ballard
Respiratory Care May 2010, 55 (5) 626-629;

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Dyspnea in a Lung Transplant Recipient
Don Hayes, Kateri M Roessler-Henderson, Sara M Davenport, Paul Bryan Collins, Hubert O Ballard
Respiratory Care May 2010, 55 (5) 626-629;
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