Growing up, Bernardo would sometimes get headaches. Whenever…

Growing up, Bernardo would sometimes get headaches. Whenever he got a headache, his mother let him stay home from school. Now, as an adult, his headaches have become more frequent. His head pounds any time he is required to do something he would rather not do. Which kind of explanation for the headaches does this description suggest?

A 70-year-old male with end-stage COPD arrives in the emerge…

A 70-year-old male with end-stage COPD arrives in the emergency department with an acute exacerbation. His chart includes a DNI order. On examination, he is febrile, has a weak, non-productive cough, and auscultation reveals bilateral coarse crackles with scattered wheezes. He is started on bronchodilators and antibiotics. Serial arterial blood gases are obtained: 7 PM: pH: 7.30 PaCO₂: 72 mm Hg PaO₂: 47 mm Hg HCO₃⁻: 34 mEq/L SpO₂: 77% on room air 8 PM: pH: 7.22 PaCO₂: 81 mm Hg PaO₂: 56 mm Hg HCO₃⁻: 34 mEq/L SpO₂: 88% on 40% FiO₂ Given these results and the patient’s clinical status, what should the respiratory therapist recommend?