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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