A 70-year-old patient with chronic obstructive lung disease requires 2 L of nasal O2 to treat his hypoxia, which is sometimes associated with angina. While receiving nasal O2, the patient develops pleuritic chest pain, fever, and purulent sputum. He becomes stuporous and develops a respiratory acidosis with CO2 retention and worsening hypoxia. The treatment of choice is a. Stop oxygen b. Begin medroxyprogesterone c. Intubate the trachea and begin mechanical ventilation d. Observe patient 24 hours before changing therapy e. Begin sodium bicarbonate
Posted on: Fri, 17 Oct 2014 15:15:08 +0000
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