A 22-year-old male is admitted wheezing with a respiratory rate of - TopicsExpress

A 22-year-old male is admitted wheezing with a respiratory rate of 35/min, a pulse of 120 beats per min, blood pressure 110/70 mmHG, Peak Expiratory Flow rate < 50% predicted. The Emergency Medical Services have administered salbutamol 5mg (twice), Ipratroprium 0.5mg and face mask oxygen. His arterial blood gas reveals: pH 7.42 (7.35-7.45) paCO2 5.0 kPa (4.5-5.9) paO2 22 kPa (10.5-13.2kPa) Base excess -2 SpO2 98 Which of the following is the most appropriate action for this man? 1- Chest X-ray 2- Intensive care referral 3- Ipratroprium 4- Magnesium 1-2 g 5- Oxygen 35 %

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