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71-årig kvinna på återbesök på lungmottagningen pga KOL. Tidigare rökare. varit relativt välmående med behandling inhalation långverkan antikolivergika och en kombination av långverkan beta-agonister och glukokortikoider. Nu problem med dyspné som inte förbättrats. Sjukhusvårdad för två månader sedan pga KOL-exacerbation men inga övriga exacerbationer föregående år. Sjuksköterskan har tagit en arteriell blodgas. pH 7,33, PCO2 6,1, pO2 6,9, BE 4, St Bik 29, sat 87%. Vilken behandling vill du erbjuda patienten nu? Endast ett svar ska markeras. - Antibiotikakur- Daxas (PDE4-hämmare (fosfodiesteras-4-hämmare)- NIV i hemmet- LTOT (långtidsoxygenterapi)- peroral steroidkur1 p

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