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Bland and aerosol drug administration
N/a
30
Biology
Undergraduate 3
02/05/2012

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Cards

Term
Caregories of aerosol therapy
Definition
bland aerosol
Aerosol drug administration
Term
Bland aerosol
Definition
Sterile water
Hypertonic solution
Hypotonic solution
Cool
Warm
With or without oxygen
Term
Indications for bland aerosol
Definition
*presence of upper airway edema (cool bland aerosol) laryngotrancheobronchitis, subglottic edema, post-extubation edema, post op management of upper airway
*the presence of a bypassed upper airway
*need for sputum specimens or mobization of secretions
Term
Contraindications for bland aerosol
Definition
bronchoconstriction
History of airway hyperresponsiveness
Term
Hazards and complications of bland aerosol therapy
Definition
Wheezing or bronchospasm
Bronchoconstriction
Infection
Overhydration
Patient discomfort
Edema of airway wall
Edema associated with decreased compliance and gas
Sputum indution can cause bronhospasm in certain obstructive pts
Term
Large volume nebulizer
Definition
Long term
Cool
Term
Mist tent
Definition
bland aerosol
Pediatric aerosol therapy
Cool
40%-50% max
Term
Hood
Definition
bland aerosol
Infants
Air entrainment nebulizer
Flow 7-15lpm
Heated for premature babies
Term
Bland aerosol
Hyper or hypotonic saline
Definition
sputum induction
Mmad 1-5microns
Term
Bland aerosol
Heated aerosol
Definition
humidity deficit
Mmad 2-10microns
Term
Aerosol drug administration
Definition
meds to upper airway
upper airway edemz
upper airway inflammation
topical anethesia
rhinitis
Meds for lower airway
rapid onset
less toxic
fewer side effects
Term
Baffle
Definition
anything that a stream of aerosol particles encouter befofe they leave the nebulize
Causes paerticles to rain out
Creates a more uniform particle size
Term
Components of nebulizers
Definition
reservoir
Capillary tube
Jet
Baffle
Term
Small volume nebulizer
Definition
less than 50 ml
Total fluid output about. .1-.5 ml/min
Gas flow 6-8 lpm
Avg aerosol particle 1-5um
Term
Factors affecting svn performance
Definition
nebulizer design
Flow
Gas source
Density
Humidity and temperature
Characteristics of drug formulation
Technique
Term
Residual volume
Definition
meds left
Term
Svn advantages
Definition
less pt coordination
High doses possible
Non cfc releas
Term
Svn disadvantages
Definition
expensive
Wasteful
Drug preparation required
Contamination possible
Prssurized gas source needed
Long treatment times
Term
Intermittent svns
Definition
pt controlled
One way valve system
Term
Vented breath enhanced svns
Definition
adds flow
Increases drug delivery on inspiration
Term
Respirguard
Definition
filter
Pentamadine for pcp
Term
Spag
Definition
small particle aerosol generator
Ribavirin for rsv
Has drying chamber
Flow has to be at least 15lpm
Term
Mesh nebulizers
Definition
mostly svn
Vibrating mesh or vibrating horn
Term
Soft mist inhaler
Definition
metered dose of fine mist
Two jets of meds create aerosol
Equal bronchodilation at half the cummulative dose
Lung deposition is doubled
Term
Ultrasonic nebulizer
Definition
lvn
Frequency set by FAA
Electric charge applied to piezoelectric transducer
crystal that changes shape when electrical current passes through it
Cant change frequency but can change amplitude or output
Term
pMDI
Definition
pressurized metered dose inhaler
80-300 doses
Liquid or powder form
Term
Components of pMDI
Definition
drug
Propellant
Surfactant
Term
Successful delivery of mdi
Definition
coordination
Slow inspiratory gas flow 30lpm
Breath hold
Timing
Term
Spacers/holding chambers
Definition
Enhances delivery by decreasing velocity of particles
Reduce number of large particles
Holding chamber eliminates need for coordination
Term
Dpi
Definition
not reliever
Usually need to inhale fast (except for spiriva)
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