A patient with COPD presents to the emergency department in moderate respiratory distress. He is…

A patient with COPD presents to the emergency department in
moderate respiratory distress. He is alert and cooperative. Respiratory rate is
26 breaths/min. Lung examination shows poor air entry with expiratory wheezing.
Room air ABGs show pH 7.24, PaCO2 60 mm Hg, and PaO2 60
mm Hg.

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1. What type of respiratory failure is this?

2. How should the patient be managed?

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