Difficulty: Medium
Average Score: 84%
Simulated
A client with chronic obstructive pulmonary disease (COPD) presented with shortness of breath. Oxygen therapy was started at 2 liters/minute via nasal cannula. The arterial blood gas (ABG) after the treatment was a pH of 7.36, PaCOÔéé 59 mm Hg, HCOÔéâÔü╗ 33 mEq/L, and a PaOÔéé 62 mm Hg. Which statement describes the most likely cause of the simultaneous increase in both the PaCOÔéé and the PaOÔéé?
Correct answer
B
Rationale
In COPD, chronic hypercapnia leads to reliance on hypoxic drive for ventilation. Supplemental oxygen can suppress this drive, reducing respiratory rate and causing COÔéé retention (rising PaCOÔéé) even as PaOÔéé improves. This is oxygen-induced hypercapnia-classic in COPwith hypoxic drive dependency.