A 72-year-old patient with COPD who has acute-on-chronic respiratory failure is supported with noninvasive ventilation. The patient is becoming more confused. Blood gas values are as follows: PaO₂ = 46 mm Hg, PaCO₂ = 57 mm Hg, pH = 7.22, and HCO₃⁻ = 22 mEq/L. Which of the following would be appropriate treatment for this patient?

Question

Quizplus · Accepted Answer

The patient's confusion and blood gas values indicate severe respiratory acidosis and hypoxemia, suggesting that noninvasive ventilation is failing. Intubation and invasive ventilation are necessary to manage the acute respiratory failure effectively.

A 72-Year-Old Patient with COPD Who Has Acute-On-Chronic Respiratory Failure