Question

A 68-year-old with COPD exacerbation has pH 7.28, PaCO₂ 60 mm Hg, and increased work of breathing despite bronchodilators and steroids. What is the best next step?

Accepted Answer

Start noninvasive ventilation

Answer

Immediate endotracheal intubation

Answer

Trial of heliox only

Answer

IV theophylline infusion

Answer

High-flow nasal cannula alone

Practice question

A 68-year-old with COPD exacerbation has pH 7.28, PaCO₂ 60 mm Hg, and increased work of breathing despite bronchodilators and steroids. What is the best next step?