Question

A 65-year-old man with COPD exacerbation presents with pH 7.28, PaCO2 9.0 kPa, and PaO2 6.8 kPa. He is on maximal medical therapy including controlled oxygen. According to NICE, what is the next best step?

Accepted Answer

Non-invasive ventilation (BiPAP)

Answer

Immediate intubation and ventilation

Answer

High-flow nasal oxygen

Answer

IV sodium bicarbonate

Answer

Home oxygen therapy

Practice question

A 65-year-old man with COPD exacerbation presents with pH 7.28, PaCO2 9.0 kPa, and PaO2 6.8 kPa. He is on maximal medical therapy including controlled oxygen. According to NICE, what is the next best step?