A patient on mechanical ventilation was given 4 puffs of albuterol 5 min ago through a metered dose inhaler (MDI) and holding chamber placed 18 in from the circuit's airway connector
The patient continues to exhibit clinical signs of increased airway resistance but has demonstrated no apparent side effects from the drug. Which of the following would you recommend at this time?
a. Discontinue the albuterol and switch to a systemic bronchodilator.
b. Repeat administration until the desired response is achieved.
c. Remove the circuit-holding chamber and repeat MDI actuation.
d. Move the MDI closer to the patient's air-way and repeat use.
ANS: B
Box 39-9 outlines the optimal technique for drug delivery by pressurized MDI to intubated pa-tients undergoing mechanical ventilation.
You might also like to view...
Plain x-ray is used for baseline assessment or for simple fractures. However, extensive tissue swelling may obscure complex anatomical features and injuries. ____________ is therefore performed for complex facial fractures and reconstruction procedures
A. MRI C. CT scanning B. Visual assessment D. Ultrasound scanning
Significant risk of malignant transformation is associated with which of the following?
a. Papillary hyperplasia b. Peripheral ossifying fibroma c. Squamous papilloma d. Focal epithelial hyperplasia (Heck's dis-ease) e. None of the above
When performing the eccentric scar tissue alignment, the therapist should say which of the following to the client?
A) "Barely resist, but let me win." B) "Relax your muscle and let me win." C) "Resist as hard as you can; try to win." D) "Resist until you feel pain; then, let me win."
A microbiologist grows and observes a culture for the ultimate purpose of ________.
A. growing a colony of microorganisms B. observing microorganisms using a microscope C. identification and diagnosis D. inoculation