A 36-year-old female patient with a history of asthma is adm…
A 36-year-old female patient with a history of asthma is admitted to the ICU from the emergency department and placed on nasal cannula 6 L/min. The patient is 5’5″ and weighs 135 lb. Respirations are 33 bpm, very labored, with accessory muscle use and bilateral inspiratory and expiratory wheezing. There is bilateral hyper resonance during chest percussion. after 1 hour of continuous aerosolized albuterol (15 mg) reveals: pH 7.32 (PaCO2) 45 mm Hg (PaO2) 53 mm Hg (SaO2) 88% (HCO3-) 25 mEq/L The most appropriate action at this time is which of the following?
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