Inline Nebulizer

Question 1

Indications 1

Answer 1

Moderate to severe respiratory distress involving COPD, Bronchospasm (IE Asthma)

Question 2

Indications 2

Answer 2

Breathing is so rapid that it affects overall minute volume

Question 3

Contraindications

Answer 3

Patients in Cardiac Arrest

Question 4

Procedure 1

Answer 4

Standard precautions

Question 5

Procedure 2

Answer 5

Confirm protocol, (or orders for medication), and the 6 rights of medication administration (PMRDTD)

Question 6

Procedure 3

Answer 6

Inspect the medication packaging sterility, date, color, clarity as applicable

Question 7

Procedure 4 BVM

Answer 7

Oxygen must be connected to Nebulizer at 6 lpm

Question 8

Procedure 5 BVM

Answer 8

Attach BVM to an Oxygen source at 15 lpm

Question 9

Procedure 6 BVM

Answer 9

The nebulizer should be attached to the T PIECE and placed between the BVM and the face mask

Question 10

Procedure 7 BVM

Answer 10

Monitor the patients respiratory status, including rate and accessory muscle use.

Question 11

Procedure 8 BVM

Answer 11

Deliver ventilations in sync with the patients respirations ( squeeze bag w/ inspiration and relax bag during exhalation) The patient should never be ventilated during the exhalation phase of respirations.

Question 12

Procedure 9 BVM

Answer 12

Monitor patient and document (DART) and patient response

Question 13

Contraindications CPAP 1

Answer 13

Patients unable to protect their own airway

Question 14

Contraindications CPAP 2

Answer 14

Patients who are unresponsive and cannot follow verbal commands

Question 15

Contraindications CPAP 3

Answer 15

Hypotension (systolic or 90 mmhg or less)

Question 16

Contraindications CPAP 4

Answer 16

Signs and symptoms of chest trauma or pneumothorax

Question 17

Procedure CPAP 1

Answer 17

Oxygen must be connected to nebulizer at 6 lpm

Question 18

Procedure CPAP 2

Answer 18

Attach CPAP to oxygen and make sure O2 is flowing, and properly attach PEEP valve (set at 10 cm h2o for Pulmonary Edema and 5 cm h2o for bronchospasm)

Question 19

Procedure CPAP 3

Answer 19

Make sure the patient is in upright fowlers position and is conscious

Question 20

Procedure CPAP 4

Answer 20

The nebulizer should be attached to the T-PIECE between the peep valve and CPAP face mask at the blue adapter

Question 21

Procedure CPAP 5

Answer 21

CPAP should then be applied to the patients face using the two person technique

Question 22

Procedure CPAP 6

Answer 22

After the mask has been fitted, reassess for proper seal

Question 23

Procedure CPAP 7

Answer 23

Monitor the patient for respiratory status and accessory muscle use

Question 24

Procedure CPAP 8

Answer 24

Monitor patient and document DART and patient response