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 BOF 48

 

   

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BOF: 48

A 24-year-old male who is a known asthmatic is admitted with severe breathlessness.

His PEFR is 200 l/min

Blood gases on air show pH 7.5, pO2 9kPa, pCO2 3.3 kPa and bicarbonate 11 mmol/L

The patient is treated with steroids, oxygen and inhaled bronchodilators.

He is reassessed a short while later and his blood gases show pH 7.27, pO2 8kPa, pCO2 6.4 kPa, bicarbonate 16 mmol/L

In this patient which of the following investigations would you arrange next?

a)      Chest X-ray

b)      PEFR

c)      Urine toxicology screen

d)      Venous bicarbonate

e)      ECG

 

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