08-22-2014, 07:14 AM
2.) A 67 yr. old man with a hx of COPD is brought to the ER by his family. he is in mild respiratory distress with respirations 32/min and some accessory muscle use. On P/E he is alert and afebrile. Chest exam is significant for B/L lower lobe wheezing, loud upper airway sounds, and cough productive of thick, yellow sputm. In addition to administration of antibiotics, Which of the following is the most appropriate Tx at this time?
A. Immediate Intubation and mechanical ventilation
B. Initiation of bi-level positive airway pressure (BiPAP) ventilation and admission to medical ICU
C. Serial inhaled albuterol Tx
D. Serial inhaled salmeterol Tx
E. Suppliemental Oxygen via 40 % venture mask
A. Immediate Intubation and mechanical ventilation
B. Initiation of bi-level positive airway pressure (BiPAP) ventilation and admission to medical ICU
C. Serial inhaled albuterol Tx
D. Serial inhaled salmeterol Tx
E. Suppliemental Oxygen via 40 % venture mask