A patient with which condition is a suitable candidate for home care ventilation?
a. Flail chest due to trauma
b. Amyotrophic lateral sclerosis
c. Severe exacerbation of asthma
d. Acute respiratory distress syndrome
ANS: B
A patient with ALS will become completely ventilator dependent and depend on life support from the ventilator. A patient with flail chest due to trauma is acutely ill and usually can be weaned in the intensive care unit. A patient with severe exacerbation of asthma requires ventila-tion only for a short time, until the exacerbation has resolved. Patients with ARDS require inten-sive care and usually are not sent home with ventilators.
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A patient with a medical history of sickle cell anemia is complaining of chest pain and shortness of breath. The patient is breathing 26 times a minute in short, shallow respirations. However, the patient's oxygen saturation via pulse oximetry is 100% on room air. The best approach regarding supplemental oxygen is to:
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