A patient with chronic obstructive pulmonary disease (COPD) is receiving heated water aerosol treatments through a jet nebulizer four times daily as a supplement to other bronchial hygiene measures designed to aid in mobilizing retained secretions
After each session, you notice the presence of moderate wheezing. Which of the following rec-ommendations would you make to the physician?
a. Discontinue the heated water aerosol treatments.
b. Consider prior treatment with a broncho-dilator.
c. Switch to a higher-density aerosol (e.g., ultrasonic).
d. Discontinue the other bronchial hygiene measures.
ANS: B
If the physician still requests bland aerosol therapy for such a patient, pretreatment with a bron-chodilator may be needed.
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