This is an (b)(6) woman with a history of essential hypertension, diabetes mellitus, coronary artery disease, congestive heart failure, gastroesophageal reflux disease, dementia, failure to thrive who had a peg and was originally on home hospice for metastatic breast cancer who presented to ed with shortness of breath and significantly altered mental status.She had been maintained continuously on bipap.During the transport of the patient from ed to intermediate care the bipap screen said "vent in-op" x 2 while in transport.Patient placed on nc for rest of transport.Patient tolerated well on 02 at 5l/m.(b)(4).
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