You are working in the ER and a patient arrives with increas…

You are working in the ER and a patient arrives with increased work of breathing, fine crackles, and pink, frothy secretion. You place the patient on a high flow nasal cannula, 40L 75%.30 mins later you obtain the following ABG.pH        7.37PaCO2   42PaO2      52HCO3     24What would you recommend next?

A 60 kg, 70 year old patient with COPD does not wish to be i…

A 60 kg, 70 year old patient with COPD does not wish to be intubated and has an advance directive supporting his wishes.  The patient is admitted to the medical ICU in respiratory failure.  ABGs reveal pH 7.25, PaCO2 66 mmHg, and PaO2 50 mmHg. What mode of therapy would the respiratory therapist recommend in this situation?