oxygenation Flashcards
What percentage of the drug reaches the lung when an MDI is used?
What device can improve this?
What percentage of the drug reaches the lung when using that device?
- 10% with MDI alone
- spacer : no longer need hand breath coordination
- 21% with spacer
What device delivered a fine mist with no propellants that has increased drug deposits in the lung?
Respimat
What device delivers a dry micronized powder?
Does it require hand breath coordination?
Can it be used with a spacer?
What percentage of the drug reaches the lung?
- dry powder inhaler
- breath activated - no hand breath coordination
- not used with spacer
- 20% of drug to lung
What device deliver aerosolized droplets to the lungs?
nebulizer
How long should you wait between puffs of a bronchodilator?
How long should you wait between puffs of a bronchodilator+steroid?
How long should you wait between a puff of a bronchodilator and a bronchodilator+steroid?
- 1 min
- 5 min
- 5 min
How can you tell how long an inhaler is good for?
the number of actuations will be listed on the packaging
How should you clean an inhaler?
- remove the med cartridge
- use soap and water
- should replace if hospitalized with respiratory infection / problem
What is the DOC for acute bronchoconstriction?
SABA : albuterol
What type of drug cannot be use as a mono therapy as it will increase the risk of death in asthma pts?
LABA : salmeterol
What education should you give a pt who is concerned about an oral candidiasis infection from their inhaled glucocorticoid?
- make sure that this is the last inhaler used in drug regimen
- rinse and spit after use
Anti-inflammatory medications are used for ___ ? (prevention / tx)
prevention
How to administer a nasal spray?
- toes to nose
- occlude other nostril
- opposite hand to nare (keep tip away from septum)
- sniff slowly (not snort)
Nasal congestion is caused by vast____?
dilation
