Medications
What is the other name for salmeterol?
Dosage:
Serevent Diskus
Dosage: 50 mcg
What is the other name for flovent?
MDI Dosages:
Diskus Dosages:
Fluticasone propionate
MDI dosages: 44,110,200
Diskus: 50,100,250
What are some limitations for interfaces?
What position do you put a patient for the pneumatic percussor and what is the purpose of this position?
Turn pt to the side with the feet on the end of the bed (if walking and talking) tripod position or hug a pillow.
The purpose is to move the scapulas.
Contraindications?
nausea, tension pneumothorax, hemoptysis.
ICS- What is the other name for Asmanex HFA?
Dosage?
Mometasone Furoate
Dosage: 50,100, 200 mcg
What is the primary function of the upper respiratory tract?
Humidification and Heat
What are some hazards?
aspiration of condensation and contamination.
Where do you do the CPT for the pneumatic percussor?
where you listen to breath sounds. Along the side of the spine. Where the bra line normally is, thats where the middle would be.
What do we do airway clearance?
mobilize secretions and ineffective cough.
ICS- Asmanex Twist Haler (MF) dosages?
110,220 mcg
What is the importance of the monitor and maintaining humidification or using aerosolized blend?
mucus, physiologically affects mucociliary function.
Improved movement of secretions.
Contraindications?
NONE
Pneumatic percussor:
Where do you start, what 2 shapes do you make, and what do you tell them to do while doing this?
Start from the top of the back and go down.
J and L shape.
ask them to cough.
Oxygen Therapy-
Indications:
SPO2 less than 90 room air.
hypoxemia PaO2 less than 60
MI, Stroke, Pulmonary Embolism, Trauma to avoid Respiratory arrest, hemorrhage, Surgical intervention
ICS - what is the other name for pulmicort flexhaler?
Dosage?
Budesonide
90,180 mcg
what are the interfaces for humidity and aerosol therapy?
Aerosolized mask (short-term)
Face tent (indication is burn of face trauma)
Trach collar/ T-Tube (long-term)
Indications?
increased WOB, infection, exacerbation, thick or dry secretions, symptoms, liter flow.
Pneumatic percussor:
Does it use a 50 psi and does it have a constant flow?
yes it uses a 50 psi and it has a constant flow because of the 50 psi.
Contraindications:
NONE
What are the doages for pulmicort respules?
0.5 mg and 2 ml
What is the diameter of the large bore tubing and what is it used to prevent?
22 mm in diameter
condensation and minimize flow resistance.
Symptoms or signs of inadequate humidification?
Could be too dry of secretions, bleeding, increased WOB, thick secretions, pain, dry nose.
Is the manuel percussor dependent on you?
yes
Hazards:
COPD (high CO2) causes V/Q mismatch to worsen because you're washing out their CO2. Reduces ventilatory drive.
Oxygen toxicity (absorption atelectasis, can cause lung collapse)