A patient with chronic obstructive pulmonary disease (COPD) is ...

[renzo156]

A patient with chronic obstructive pulmonary disease (COPD) is receiving heated water aerosol treatments through a jet nebulizer four times daily as a supplement to other bronchial hygiene measures designed to aid in mobilizing retained secretions.
 
  After each session, you notice the presence of moderate wheezing. Which of the following rec-ommendations would you make to the physician?
  a. Discontinue the heated water aerosol treatments.
  b. Consider prior treatment with a broncho-dilator.
  c. Switch to a higher-density aerosol (e.g., ultrasonic).
  d. Discontinue the other bronchial hygiene measures.

Question 2

A neonatologist is concerned about the possibility of hearing damage occurring to a premature infant receiving bland water aerosol delivered via air-entrainment nebulizers inside an incubator or isolette.
 
  Which of the following would you recommend as the best way to overcome this problem?
  a. Use a heated passover humidifier instead.
  b. Use an ultrasonic nebulizer system instead.
  c. Place sound baffles in the aerosol tubing.
  d. Place earplugs in the infant's outer ears.

[Meganchabluk]

Answer to Question 1

ANS: B
If the physician still requests bland aerosol therapy for such a patient, pretreatment with a bron-chodilator may be needed.

Answer to Question 2

ANS: A
The best way to avoid this problem and further minimize infection risks is to use heated passover humidification instead of nebulization.

[renzo156]

Excellent

[Dominic]

Gracias!