1
This is when a continuous neb would be indicated.
Acute asthma exacerbation that is refractory to standard tx
A one-way valve is what makes the difference between these two devices.
spacer and holding chamber
Treatment time, particle size, and output are affected by this.
Flow (increase flow = decreased time & particle size and increased output, vice versa)
This is the meaning of the sputter made by a neb.
It's the indication that the neb is finished.
Pts (patients) in acute distress, infants, elderly pts, and those cognitively or physically impaired may have difficulty using this device.
MDI or DPI
Aerosol deposition is increased by this maneuver.
10 second breath hold
Requirement of a flow 60 L/min or higher is a disadvantage of this aerosol delivery device.
DPI
This is the best method of ensuring pt understanding.
Return demonstration
MDI tx (treatment) is the preferred method for these types of pts (patients).
Spontaneously breathing and intubated
Potassium level and ECG should be monitoring during this type of treatment.
Continuous albuterol
Pts (patients) requiring maintenance tx (therapy) are likely to use this delivery device.
DPI
This is how the effectiveness of an aerosol can be determined.
Pt technique, response to tx, changes in peak flow
This is the mass of drug leaving the mouthpiece.
Emitted dose
Effective self-administration is required at this point in the pt's care.
At discharge when the pt is going home with the med.
This is the proper positioning of a pt (patient) receiving tx (treatment) via SVN.
upright or Fowler's (60 degree angle)
This is the most effective factor to ensure patient understanding.
Proper pt education
Particles of the 1-3 micron size typically settle in this area.
The is the action you take when performing dose-response assessment if the PEFR improves less than 10-15%, tachycardia occurs, or pt presents tremors.
Stop increasing the dose.
These two accessory pieces can be added to an MDI to provide better tx (treatment) to a child.
holding chamber and mask
Particles of this size tend to be cleared during exhalation.
0.5-1 microns
This amount of drug is lost to impaction in the mouth using a MDI without a spacer.
80%
The best dose given via MDI is described as this.
Max subjective relief and highest PEFR without side effects.
Diluting a medication will result in this change in the amount of drug being delivered to the pt via neb.
Increase
Using a spacer/holding chamber and rinsing the mouth after administration helps reduce the risk of this infection when using steroids.
Yeast or fungal
Negative pressure rooms and HEPA filtered booths & masks minimize potential harm caused by these two aerosolized medications.
ribavirin and pentamidine