A chronic lung patient is in the ER, suffering from severe S…
A chronic lung patient is in the ER, suffering from severe SOB. He is currently on a 1.0 Liter Nasal Cannula, is diaphoretic, using accessory muscles to breathe and is wheezing. The patient is very anxious and states that he can’t breathe and it has been two hours since he used his inhaler. Abg’s reveal: sp02 87%, pH 7.35, paC02 86torr, pa02 44, HC03 40 meq/L, Base Excess +13. What would you do for this patient? Recommend a diuretic be given Prepare for intubation with an 8.0 endotracheal tube and institute mechanical ventilation Begin BiPAP with an IPAP of 10 cmH20 and an EPAP of 4 cmH20 and keep sp02 88% – 90% Administer a nebulizer treatment with albuterol and atrovent using compressed air