Question

A 65-year-old man presents with acute dyspnea and wheeze; known COPD. ABG shows pH 7.28, PaCO₂ 62 mm Hg, PaO₂ 60 on supplemental oxygen. Best immediate intervention?

Accepted Answer

Initiate noninvasive ventilation

Answer

Increase oxygen to target SpO₂ 99-100%

Answer

Start theophylline infusion

Answer

Immediate intubation for all hypercapnic COPD

Answer

Start chronic home oxygen prior to discharge

Practice question

A 65-year-old man presents with acute dyspnea and wheeze; known COPD. ABG shows pH 7.28, PaCO₂ 62 mm Hg, PaO₂ 60 on supplemental oxygen. Best immediate intervention?