A patient with a tracheostomy tube (TT) is being discharged…

A patient with a tracheostomy tube (TT) is being discharged home with a ventilator, which he uses only during the night, without supplemental oxygen. During the day he uses a speaking valve. Which of the following equipment must he have in his home?1. Suctioning equipment2. Oxygen concentrator3. Second mechanical ventilator4. Manual resuscitator bag

A 48-year-old male patient with stable amyotrophic lateral s…

A 48-year-old male patient with stable amyotrophic lateral sclerosis (requiring nocturnal ventilation only) develops chest pain and is taken to the emergency department by his family. An electrocardiogram reveals an anterior myocardial infarction. The patient is intubated with a 7.5-Fr endotracheal tube and placed on appropriate ventilatory support.The patient is stabilized, and, after 2 days on ventilation, a spontaneous breathing trial (SBT) is attempted. The patient fails the SBT. He also fails SBTs evaluated over the next week. A tracheostomy is placed.After 4 weeks in an acute care setting, the patient is medically stable but requires continuous ventilation. Why has it become so difficult to wean this patient? Would you recommend transferring this patient to another facility?

The respiratory therapist enters the room of an intubated an…

The respiratory therapist enters the room of an intubated and mechanically ventilated patient to find the low pressure, low exhaled volume, and low VE alarms active. The ventilator circuit is connected to the patient’s endotracheal tube. This situation could be caused by which of the following?