Which among the following represent the changes in pulmonary respiratory parameters with aging?A 62-year-old male with past medical history significant for diabetes, hypertension, hyperlipidemia, and 60 pack year smoking history comes in with complaints of respiratory distress and flu-like symptoms for the past week. Vitals are HR 105 bpm, BP 170/91 mm Hg, SpO2 87% on 5 liters per minute of oxygen via nasal cannula. He is intermittently confused but is arousable and redirectable. His arterial blood gas shows pH of 7.26, PaO2 of 97 mm Hg, PaCO2 of 61 mm Hg and HCO3 of 30. Which is the
Which among the following represent the changes in pulmonary respiratory parameters with aging?A 62-year-old male with past medical history significant for diabetes, hypertension, hyperlipidemia, and 60 pack year smoking history comes in with complaints of respiratory distress and flu-like symptoms for the past week. Vitals are HR 105 bpm, BP 170/91 mm Hg, SpO2 87% on 5 liters per minute of oxygen via nasal cannula. He is intermittently confused but is arousable and redirectable. His arterial blood gas shows pH of 7.26, PaO2 of 97 mm Hg, PaCO2 of 61 mm Hg and HCO3 of 30. Which is the appropriate next step in intervention? A. Obtain sputum culture, start broad spectrum antibiotics, and highdose steroids B. Emergently intubate the patient C. Initiate high flow nasal cannula at 50 L flow, 50% FiO2 D. Initiate Bi level Positive Pressure Ventilation F. Initiate heliox
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