A Patient Is Experiencing an Exacerbation of COPD

question 53

Multiple Choice

A patient is experiencing an exacerbation of COPD. He is 65 years old, slim, and in notable distress with tachypnea, tachycardia, and an arterial blood pH of 7.29. Which of the following therapies would be most indicated?

• A) Intrapulmonary percussive ventilation
• B) Intubation and mechanical ventilation
• C) Nasal CPAP
• D) Noninvasive ventilation

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Definitions:

Hans Selye

A pioneering endocrinologist known for his research on the effects of stress on the human body and for defining the "General Adaptation Syndrome."

Parasympathetic Nervous System

Part of the autonomic nervous system that conserves energy by slowing the heart rate, increasing intestinal and gland activity, and relaxing sphincter muscles.

Stress

The body's response to any demand or challenge, which can be physical, mental, or emotional, and can have both positive and negative effects.

PTSD

Post-Traumatic Stress Disorder; a mental health condition triggered by experiencing or witnessing a terrifying event, characterized by flashbacks, nightmares, and severe anxiety.