A doctor orders a metered dose inhaler (MDI) bronchodilator for a patient receiving mechanical ventilation via a dual-limb breathing circuit. To maximize aerosol deposition, you would:
A. place the MDI directly in-line on the inspiratory side of the circuit
B. recommend that a small volume nebulizer be used instead of the MDI
C. place the MDI plus a spacer in-line on the inspiratory side of the circuit
D. place the MDI directly in-line on the expiratory side of the circuit
Ans: C. place the MDI plus a spacer in-line on the inspiratory side of the circuit
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