A Patient with Amyotrophic Lateral Sclerosis Has a Tracheostomy Tube

question 20

Multiple Choice

A patient with amyotrophic lateral sclerosis has a tracheostomy tube in place.He has been unable to perform an SBT successfully and has been receiving mechanical ventilation for 4 months.An appropriate recommendation for this patient might be which of the following?
1) Transfer to a long-term care facility
2) Evaluation for the use of noninvasive ventilation (NIV)
3) Termination of ventilation
4) Waiting until the primary cause of respiratory failure has been resolved

• A) 1 and 2 only
• B) 2 and 3 only
• C) 1, 2, and 3 only
• D) 1, 2, and 4 only

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