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학습 자료 둘러보기 →In acute COPD exacerbation with hypoxemia, the immediate priority is cautious low-flow oxygen at 1-2 L/min via nasal cannula. This targets a target SpO2 of 88-92% to correct life-threatening hypoxia without suppressing the hypoxic drive.
The ABG shows respiratory acidosis (pH 7.25, PaCO2 70 mmHg) with partial metabolic compensation (HCO3- 32 mEq/L). The PaO2 of 55 mmHg indicates severe hypoxemia requiring immediate intervention before bronchodilators or positioning.
Avoid high-flow oxygen. In chronic CO2 retainers, excessive O2 can cause respiratory depression. Continuously monitor level of consciousness and repeat ABGs to detect worsening hypercapnia.
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