Which of the following would you recommend to optimize drug delivery with a small-volume jet nebulizer (SVN) to an intubated, mechanically ventilated patient?
1. Increase dose to compensate for decreased delivery.
2. Adjust ventilator volume or pressure limit for added flow.
3. Disconnect or bypass heated humidifier system.
4. Turn off flow-by or continuous-flow while nebulizing.
a. 1, 2, and 3 only
b. 2 and 4 only
c. 3 and 4 only
d. 1 and 2 only
ANS: A
Box 39-9 outlines the optimal technique for drug delivery by SVN to intubated patients under-going mechanical ventilation.
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