Question

A 62-year-old with obesity hypoventilation syndrome and COPD presents with acute exacerbation. After initial therapy, ABG shows pH 7.30, PaCO₂ 62 mm Hg. He remains tachypneic. Next step?

Accepted Answer

Noninvasive ventilation (NIV)

Answer

Immediate intubation for all hypercapnia

Answer

High-flow oxygen only

Answer

No ventilatory support

Answer

Sedatives to reduce respiratory drive

Practice question

A 62-year-old with obesity hypoventilation syndrome and COPD presents with acute exacerbation. After initial therapy, ABG shows pH 7.30, PaCO₂ 62 mm Hg. He remains tachypneic. Next step?