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Which one of the following best describes these blood gases?
pH 7.18
pO2 12 kPa
pCO2 9.5 kPa
BXS -4
Bicarb 20
Lactate 3.0
You decide that due to her coexisting COPD she is CO2 retaining and you change her O2 mask to decrease her FiO2 gradually aiming for saturations of 92%.
This lady could benefit from non-invasive ventilation – true or false?
A CXR is performed and is shown below. Click the image to see a larger version. What is the diagnosis?