All of the following indicate that a patient is stable enough to be considered for home ventilatory support except:
a. pH = 7.34; PCO2 = 48; HCO3– = 27
b. FiO2 = 35%
c. 15 cm H2O positive end expiratory pres-sure (PEEP)
d. Absence of cardiac arrhythmias
ANS: C
Good candidates for home mechanical ventilation include (1) patients unable to maintain ade-quate ventilation over prolonged periods (noninvasive nocturnal or intermittent use in particular), (2) patients requiring continuous mechanical ventilation for long-term survival, and (3) patients who are terminally ill with short life expectancies. Table 56-5 provides more detailed profiles of these patient groups.
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Which of the following provides the BEST definition for a "beneficiary"?
A. An individual who receives the benefit of a service or program; most commonly used in reference to private, state, and federal health and/or medical insurance policies B. The physician responsible for completion of documentation specific to the hospital inpatient setting, including documentation intended to facilitate coordination of care with other physicians, nurses, and any other clinical staff who will provide care and treatment for the patient C. Specific physician who may not be the only clinician involved in the observation of this patient, but who is responsible for the observation service provided for the patient D. The term used to identify the physician who has provided no consultation services for a specific patient, and accepts primary responsibility for some or all of this specific patient's care from another physician who had previously provided primary care for a specific presenting problem or the patient's entire care