Author Question: An obese patient had upper abdominal surgery 2 days earlier. He has a weak nonproductive cough and a ... (Read 58 times)

itsmyluck · **on:** Jul 16, 2018

An obese patient had upper abdominal surgery 2 days earlier. He has a weak nonproductive cough and a pulse oximeter (SpO2) reading of 84 on room air. Which therapist-driven protocol(s) should be implemented?

1. Bronchopulmonary hygiene therapy
2. Lung expansion
3. Oxygen therapy
4. Aerosolized medication therapy
a. 1
b. 3, 4
c. 2, 3
d. 1, 3, 4

Question 2

According to the aerosolized medication therapy protocol, the respiratory therapist may select medications from all of the following categories EXCEPT _____ agents.

a. antiinflammatory
b. sympathomimetic
c. parasympatholytic
d. antimicrobial

tanna.moeller · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

C
Upper abdominal surgery is specified as one of the clinical indications for implementation of the lung expansion protocol. The oxygen therapy protocol would be indicated since the SpO2 is less than 90 on room air.

Answer to Question 2

D
Antimicrobial agents are not among the medication selections on the aerosolized medication therapy protocol. When warranted, antimicrobial agents would be prescribed by a physician.