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Bland Aerosols

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Question
Answer
Which of the following best defines an aerosol?   show
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What devices generate therapeutic aerosols?   show
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The mass of aerosol particles produced by a nebulizer in a given unit time best describes which quality of the aerosol?   show
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Which of the following describes the mass of drug leaving the mouthpiece of a nebulizer as aerosol?   show
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show C. Cascade Impaction  
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What measure is used to identify the particle diameter, which corresponds to the most typical settling behavior of an aerosol?   show
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show D. Deposition  
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show A. Inertial Impaction  
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show A. II & III-Variable or irregular passages & turbulent gas flow  
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Where do most aerosol particles in the 5-10 um range deposit?   show
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Where do most aerol particles in the 1-5 um range deposit?   show
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show C. Brownian diffusion  
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show MMAD of 0.1 um  
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Where do most aerosol particles that are less than 3 um deposit?   show
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show C. Aging  
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show A. untoward drug reactions  
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show D. I, II, III-Sterilize nebs b/w pts, Frequently replace in use units, rinse nebs with sterile water  
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To monitor a pt for possibility of reactive bronchospasm during aerosol drug therapy what should u do?   show
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show C. Add coughing and postural drainage to the therapy  
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What is the preferred method for delivering bronchodilators to spntaneously breathing and intubated, ventialted pts?   show
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show D. 35 um  
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show B. Propellant  
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When fired inside the mouth what % of the drug dose delivered by a simple MDI deposits in the oropahrynx?   show
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show C. Functional residual capacity  
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To ensure delivery of proper drug dosage with an MDI, which of the following must be done first?   show
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What groups of pts are most likely to have difficulty using a simple MDI inhaler for aerosol drug therapy?   show
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What is a potential limitation of flow triggered MDI devices?   show
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For which pts would you recommend against using a flow triggered MDI as the sole bronchodilator delivery system?   show
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show B. One way inspiratory valve  
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What device would you select to deliver an aerolized bronchodilatoir to a young child?   show
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show A. Generate inspiratory flows of 60 l/min or higher  
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What device depends the pt's inspiratory effort to dispense the dose?   show
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For what pt groups is the DPI for bronchodilator administration NOT recommended?   show
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show C. Dry powder inhaler  
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show C. Reposition pt so that the SVN is more upright.  
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show D. I,II,III-Tx time becomes shorter, Patricle size becomes smaller, Aerosol output becomes greater.  
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Normally, when using a 50-psi flowmeter to drive a SVN, you set the flow at what?   show
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show A. Rinse the SVN with sterile water; air dry  
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Physician has ordered an anitviral agent ribavirin(Virazole) to be administered by aerosol to an infant with bronchiolitis. Use which device?   show
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When using a SPAG to administer Virazole to an infant which air flow settings would you use?   show
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What serious problems are associated with the delivery of Virazole using the SPAG?   show
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Virazole aerosol precipitation causing malfunction of vent circuits can be overcome by what?   show
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show D. Decreased Cost  
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For maintenance administration of bronchodilators to adult pt w/adequate inspiratory flow, which aersol devices would u recommend?   show
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show A. I&II- MDI & SVN  
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show B. 10%-20%  
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Possible complications associated w. the selection of an aerosol drug delivery device include all except:   show
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What would you recommend as initial therapy for pt admitted to ER w/ acute airway obstruction?   show
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Appropriate documentation when conducting point of care assessment of a pt's response to bronchodilator therapy includes all except:   show
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What is false about the use of PEFR in assessing pts response to bronchodilator therapy?   show
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show A. Increasing airway obstruction  
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show C. Decrease in airway obstruction  
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show B. Give 4 puffs 1-2 minutes apart; repeat up to 12 puffs w/continued improvement. Best dose provides max subjective relief and highest PEFR w/o side effects.  
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Ina dose response seessment of pt's response to MDI bronchodilator, you would stop increasing the dose when?   show
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Asthma pt in severe resp distress presents to ER and is started on albuterol by SVN. Approaches recommended to assess therapy to pt.?   show
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show A. The pt's symptoms are relieved pr PEFR/FEV1 in 1 second exceeds 70% of personal best.  
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What factor is most crucial in developing an effective program of aerosol drug self administration in an adult pt requiring maintenance bronchodilator therapy?   show
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show B. Have pt provide a repeat or return demo.  
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show C. 4 ml  
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show A. decreased consciousness  
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When using a chamber style adapter with an MDI to deliver a bronchodilator to a pt receiving mech ventilation, with what would you coordinate MDI firing?   show
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  show
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