20th February 2025

A 75-year-old patient with known IPF presents to the emergency department with worsening dyspnoea and cough.

A 75-year-old patient with known IPF presents to the emergency department with worsening dyspnoea and cough.

On examination, there are clear signs of respiratory distress. He is hypoxic on 60% of inhaled oxygen therapy and there are widespread crackles on chest examination. His chest X-ray shows widespread bilateral interstitial shadowing. 

You suspect an acute exacerbation of IPF.

What would be the most appropriate management to initiate for this patient in the acute phase?

Select the SINGLE most appropriate option from the list below. Select ONE option only.