checked> 1 - Oxygen (intermittent or continuous) checked> 2 - Ventilator (continually or at night) checked> 3 - Continuous / Bi-level positive airway pressure checked> 4 - None of the above

checked/> Dyspnea, shortness of breath checked/> Breath sounds not clear checked/> Sputum not clear, scant, watery checked/> Dependent edema checked/> High blood pressure checked/> Abnormal lab results checked/> Palpitations, diaphoresis checked/> Dizziness, headaches checked/> Weakness/fatigue checked/> Nosebleeds checked/> Asymptomatic checked/> Other