Aortic Stenosis is more common in elderly eliciting these sounds
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As his respiration became shallow, it means that he is going to have difficulty in breathing, so it is best to have a device or assistance to be placed on him, in order to assist his breathing and ventilation. It is best to insert an airway adjuct to him, in order for his breath to widen and to insert a bag mask device, to assist his ventilations.