SAQ 1183 – COPD exacerbation with planned non-invasive ventilation

A 65-year-old current smoker with COPD presents with acute shortness of breath after an upper respiratory tract infection. He weighs 70 kg. His arterial blood gas is shown below.

After discussion with the respiratory team, non-invasive ventilation is planned.

Test	Result
pH	7.30
pO2	57 mmHg
pCO2	64 mmHg
HCO3	30 mmol/L
Base excess	+3
Oxygen saturation	87%
Lactate	1.2 mmol/L

Interpret the arterial blood gas.

(Marked out of 2.0)

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State two (2) modes of non-invasive ventilation, their indications and ED examples.

(Marked out of 6.0)
Mode | Indication | Example<br /> 1. | |<br /> 2. | |

/ 6

State the preferred ventilation mode and initial settings for this patient.

(Marked out of 1.0)

/ 1

State two (2) factors shown to decrease long-term mortality in COPD.

(Marked out of 2.0)

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List three (3) relative contraindications to non-invasive ventilation.

(Marked out of 3.0)

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Total Score: 0 / 14

Percentage: 0%