A 71-year-old man with asthma and dementia presents to the emergency department in acute respiratory

A 71-year-old man with asthma and dementia presents to the emergency department in acute respiratory distress. His home care nurse explains that the patient has been hiding his inhalers for the past 3 days; she has been unable to find them and is waiting for the pharmacy to refill them. The patient is in respiratory distress, struggling to speak, and using accessory muscles. He is treated with nebulized albuterol and intravenous methylprednisolone. The arterial blood gas shows a pH of 7.20, he is intubated and admitted to the ICU. Which of the following is a risk factor for ventilator-associated pneumonia? A. Sucralfate B. Chronic lung disease C. Lack of recent antibiotic use OD. Recent orthopedic surgery O E. Stress ulcers

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