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 BOF 131

 

   

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BOF: 131

A 61 year old male who is known to have COPD is admitted with an exacerbation of symptoms. On examination he appears drowsy and is in respiratory distress

Chest X-ray shows collapse consolidation of his right lower lobe

Blood gases show pH 7.24 pCO2 8.5 kPa

In this patient which one of the following management steps would you undertake?

a)    BiPAP

b)    CPAP

c)     Doxapram infusion

d)    28% oxygen by mask

e)    Intubation and ventilation

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