A 67-year-old with recurrent severe COPD exacerbations presents with pH 7.28, PaCO2 68 mm Hg, increased work of breathing. Next step?...

Question

A 67-year-old with recurrent severe COPD exacerbations presents with pH 7.28, PaCO2 68 mm Hg, increased work of breathing. Next step?

Accepted Answer

Noninvasive ventilation (BiPAP)

Answer

High-flow nasal cannula only

Answer

Immediate intubation for all COPD exacerbations

Answer

Heliox therapy only

Answer

Acetazolamide to stimulate respiration

us-abem MCQ (SBA): COPD Exacerbation