Time to answer the question of the week! Question: Your patient was admitted with acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD). She is complaining of shortness of breath and exhaustion. You notice that she is sitting forward with her hands resting on her thighs and she is using her accessory muscles. The following ABG results are available on 8L/min high-flow nasal cannula: • pH 7.29 • PaCO2 75 • HCO3 32 • PaO2 54 What would the nurse anticipate needs to occur with this patient? a. Rapid sequence intubation b. Non-invasive ventilation with BiPAP c. Increase high-flow to 10 L d. Wait another 30 minutes and then repeat ABG ANSWER: B BiPAP is an appropriate next treatment for this patient as long as the PaCO2 is
Posted on: Fri, 25 Apr 2014 21:31:01 +0000
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