You enter the room of a 15-month-old patient with respiratory syncytial virus (RSV) infection to deliver racemic epinephrine via small volume nebulizer (SVN). His mother asks you if it is okay for her to give her child the breathing treatment
Because your hospital policy allows this, you agree. During the treatment you notice that the patient's mother is holding the aerosol mask about 4 cm off of his face. You tell her
a. "Good idea … he seems much calmer this way."
b. "Maybe we should try blow-by instead."
c. "I'll be back later … it's my lunchtime."
d. "We need to hold the mask as close to his face as we possibly can to make sure he gets his medicine."
ANS: D
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