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BOF: 131

A 61 year old male who is known to have COPD is admitted with an exacerbation of symptoms. On examination he appears drowsy and is in respiratory distress

Chest X-ray shows collapse consolidation of his right lower lobe

Blood gases show pH 7.24 pCO₂ 8.5 kPa

In this patient which one of the following management steps would you undertake?

a)    BiPAP

b)    CPAP

c)     Doxapram infusion

d)    28% oxygen by mask

e)    Intubation and ventilation

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