You have been asked to review a patient on thr ward whose oxygen saturations hav

Question

You have been asked to review a patient on thr ward whose oxygen saturations have decrease to 73% despite administration of 40% oxygen via a face mask. her past medical history includes chronic cardiac failure with an ejection fraction of 20% and GOLD stage 2 chronic obstructive pulmonary disease (copd) with a large left upper lobe bullae.on exmination she is clammy heart rate 92, blood pressure 130/94 temperature 36.7 c on auscultation of her chest, crepitations are audible throughout both lung fields with a mosit cough . she has a third heart sound.what is the next best management step?

A. administer a diuretic

B. Commence non-invasive ventilation (CAPA) and administer a diuretic

C. increase the concentration of oxygen she id receiving

D. increase the concentration of oxygen she is receiving and administer a duretic

Explanation / Answer

Diuretics can worsen the case of chronic COPD.

So the answer is ( C) increase oxygen concentration

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