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Exam questionKROK 2Medicine ยท 2021

In a postoperative patient who underwent removal of the lower lobe 6 days ago left lung due to bacterial destruction and the development of pneumothorax, increased shortness of breath to 48/min., PaO2 decreased to 50 mm Hg. Art., PaCO2 increased to 65 mm Hg. Art., there was a cough, excretion of large amounts of sputum, general cyanosis of the skin, hypotension - 60/20 mm Hg. Art. During auscultation of the right and left lungs, a large number of different calibers are heard wheezing, sharply weakened breathing. What emergency care should be given to the patient to to eliminate respiratory failure?

Answer options

  1. The position is orthopedic
  2. Puncture of the pleural cavity
  3. Carry out lavage of the tracheobronchial tree
  4. Intubate the trachea with mechanical ventilation
  5. Hyperbaric oxygenation through a mask with a tank
Correct answer

Intubate the trachea with mechanical ventilation

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