Upon emergency department ( ED ) admission following a shallow water diving accident , a 42 - year - old male patient complains of numbness in his arms and weakness in his legs . The patient is lethargic , but awakens easily and is oriented to time and place . The cardiac monitor shows a normal sinus rhythm with a rate of 99 / min . Respirations are 32 / min and vital capacity is 10 mL / kg . ABG analysis results are : 7.34 47 torr pH PaCO₂ HCO₃ BE 110 torr 25 mEq / L -1 mEq / L Which of the following should an adult The RT recommend FIRST ?
1) intubation
2) NPPV
3) doxapram ( Dopram )
4) naloxone ( Narcan )