Which of the following would indicate that a patient is not sufficiently stable for home mechan-ical ventilation?
1. Severe dyspnea while breathing on the ventilator
2. Airway secretions cleared only by suctioning
3. Frequent premature ventricular contractions
4. Use of a cuffed oral endotracheal tube
a. 2 and 4 only
b. 1, 2, and 3 only
c. 3 and 4 only
d. 1, 3, and 4 only
ANS: D
In regard to assessing patient stability, Box 56-6 outlines the criteria developed by the American College of Chest Physicians (ACCP).
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Which of the following would cause the EMT to immediately reassess for proper placement of the endotracheal tube?
A) Equal breath sounds to both lungs B) Condensation in the tube with each exhalation C) Absent breath sounds in the left lung D) Observation that the pilot balloon contains air
What is the term for abnormal gas movement from one lung to the other?
a. Paradoxical movement b. Pendelluft c. Palindromic breathing d. Pneumatic shift