Which of the following is recommended when administering aerosols ...

[newyorker26]

Which of the following is recommended when administering aerosols to mechanically ventilated patients with a small-volume nebulizer?
 
  a. Make sure the flow-by is turned on during administration.
  b. Keep the HME in-line during the aerosol treatment.
  c. Use the ventilator nebulizer system when appropriate.
  d. Bypass the humidifier during the aerosol treatment.

Question 2

A mechanically ventilated patient continues to have rhonchi after deep suctioning. The respirato-ry therapist should recommend which of the following?
 
  a. Prone position
  b. Vest Airway Clearance System
  c. Prone position with the foot of the bed elevated 12 inches
  d. Supine position with the foot of the bed elevated 18 inches

[milbourne11]

Answer to Question 1

ANS: C
Use the ventilator nebulizer system if it meets the SVN flow needs and cycles on inspiration. Flow-by should be turned off, because it produces a continuous flow through the circuit during exhalation while nebulization is proceeding. Remove the HME from the circuit, because it will trap the aerosol particles. Do not disconnect the humidifier.

Answer to Question 2

ANS: B
The Vest Airway Clearance System creates vibrations around the entire thorax, which helps mo-bilize secretions from all areas of the lungs. The prone position is used for patients with ARDS to assist with oxygenation and perfusion of the good lung areas. The head-down position may cause an increase in ICP or BP or may increase the risk of vomiting.

[newyorker26]

Thank you

[milbourne11]

Happy to help you