Problem: Upon assessment, Mr. Gary appears dyspneic and uses accessory respiratory muscles. His respiratory rate is 28 breaths/minute, heart rate 110 beats/minute, blood pressure 150/90 mmHg, and oxygen saturation 86% on room air. Lung auscultation reveals diffuse expiratory wheezing and decreased breath sounds in the bases. Arterial blood gas analysis shows pH 7.35, PaCO2 60 mmHg, PaO2 55 mmHg, and HCO3 32 mEq/L. Need Assignment Help?