Authors: Mohomed Ashraf / Editor: Steve Corry-Bass / Reviewer: Ffyon Davies / Codes: RC3, RP2, SLO3 / Published: 10/12/2022
A 72-year-old gentleman who has not seen a doctor in decades, presents with worsening dyspnoea and a cough. He has recently found his trousers to be ‘tighter’ and has noticed his ankles swelling up. He has a history of smoking and gave up 5 years ago. He had an ABG taken and Chest X-Ray (CXR) done.
pH: 7.21 (7.35 – 7.45)
pCO2: 11 (4.5 – 6 kPa)
pO2: 7.0 (10 – 14 kPa)
HCO3- : 30 (22 – 26 mmol/l)
CXR showed chronic parenchymal changes with no bullous disease or pneumothoraces.
7 responses
Very useful revision of initial BIPAP settings and contraindications to NIV
Good resource on NIV in ED
Nice and useful
Nice Topic, Its important to remember absolute and relative contraindications for NIV, frequent (SBA question)
very relatable in clincal practice kudos
Surprised myself and did much better with these questions than I thought I would – very useful little exercise to undertake
Great Revision