Question

A 68-year-old man with COPD is admitted with an acute exacerbation and type 2 respiratory failure. After initial bronchodilators and controlled oxygen, his pH is 7.27 and PaCO2 is 8.5 kPa. According to respiratory guidelines, what is the most appropriate next step?

Accepted Answer

Start non-invasive ventilation (BiPAP)

Answer

Increase oxygen to maintain saturations at 100%

Answer

Intubate immediately without trial of NIV

Answer

Stop oxygen therapy

Answer

Give only diuretics

Practice question

A 68-year-old man with COPD is admitted with an acute exacerbation and type 2 respiratory failure. After initial bronchodilators and controlled oxygen, his pH is 7.27 and PaCO2 is 8.5 kPa. According to respiratory guidelines, what is the most appropriate next step?