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Neo-Ped Midterm
Pharmacology
| Question | Answer |
|---|---|
| Action an RT should take to the hearing of a sputtering sound origination from a nebulizer during a treatment | Terminate treatment at the time |
| Reason pass-over humidifiers are preferred over pneumatic nebulizer humidifiers | Pass-over humidifiers transmit fewer pathogens than pneumatic nebulizers |
| Most important consideration when using a LVN to provide oxygen and humidification to an infant in an incubator | Preventing a large noise level from developing |
| Most efficacious device to deliver bronchodilator to pediatric patient with an inspiratory flow of 20LPM. | SVN |
| Functions served by spacer and holding chambers in conjunction with pMDIs | Reduction in oropharyngeal deposition of drug, elimimation of the "cold Freon effect", and Improvement in lower respiratory tract deposition |
| Types of patients for whom DPI is contraindicated | A 4-year-old child, an 85-year- old patient with COPD, and a teenager with altered mental status |
| Medication with synergistic effect with beta-2 during asthma exacerbations | Ipratropium bromide (atrovent) |
| Possible condition present if acute asthma episode does not respond favorably to Beta-2 administration | Aspiration of a foreign object |
| Aerosol delivery devices to select in order to avoid increasing a patient's delivered tidal volume during the administration of bronchodilator to a mechanically ventilated patient | pMDI, vibrating mesh nebulizer, and ultrasonic nebulizer |
| Likely adverse effects of nonselective beta-adrenergic agonists | Tremor, tachycardia, and headaches |
| The brand name of Pirbuterol | Maxair |
| A long beta-agonist | Formoterol |
| Medication most suited for tx of postextubation edema | Racemic epinephrine |
| One of best Rx suited to relieve revresible airflow obstruction occurring in COPD patients | Ipratropium bromide |
| Proper dose of theophylline pediatric patient should take if theophylline was received within past 24 hours | 2.5 mg/kg |
| Medication that works to maintain integrity of mast cell | Cromolyn sodium |
| Reason DPIs are not recommended for children under the age of 5 | They cannot generate enough respiratory flow |
| Medication that is a recombinat humanized monoclona anti-IgE antibody | Omalizumab |
| Drug of choice for a 10 year old asthmatic who presents to ER with acute, extrinsically induced bronchospasm | Cromolyn sodium |
| Medication commonly used to increase mucociliary clearance in patients with cystic fibrosis and bronchiolitis | 3% hypertonic saline |
| Action to take if varying FiO2 is read for a neonate receiving oxygen by an oxyhood | Increase the oxygen flow |