31. Your patient is a 84 year old with COPD presents with respiratory distress and diffuse expiratory wheezes. He has had 2 duoneb aerosols and solumedrol 125 mg IV. His current vital signs are HR 122, RR 28, BP 136/78, SaO2 of 95%. His ABG is as follows: pH 7.35, PaCO2 48, HCO3 31, and PaO2 of 74 and Sat 94%. Which of the following would be the best intervention in this situation?
A. Discharge Home
B. BiPAP
C. Intubation and place on mechanical ventilation
D. Start on theophylline drip
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