system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 71-year-old man with asthma and dementia presents to the emergency department in acute respiratory distress. He is with his home care nurse who explains that he has been hiding his bronchodilators for the past 3 weeks, and she has had to dutifully look for them and help him administer them. Over the past 2 days, however, she has been completely unsuccessful in finding his medication and was in the process of contacting his primary care physician for a refill of his prescription when he suddenly had a ‘coughing fit’ and began wheezing uncontrollably. The patient is obviously uncomfortable and is using accessory muscles of respiration to catch his breath. He is struggling to speak and is immediately given multiple doses of nebulized albuterol and intravenous methylprednisolone; however, his condition does not improve. The arterial blood gas test result shows pH 7.20. He is subsequently intubated and sent to the intensive care unit (ICU). In patients who are intubated for mechanical ventilation, there is an increased risk for ventilator-associated pneumonia. Which of the following should be prophylactically given to this patient to lower his risk for pneumonia?
assistant
Sucralfate