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MED_SURG FINAL STUDY GUIDE MADE SIMPLE

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STUDY GUIDE FOR FINAL EXAM: PART 2 SUMMER 2017 RESPIRATORY: 26 questions ⦁ Medication modalities: nebulizers/inhalers, etc. to include teaching & purpose ⦁ Nebulizers: wet nebulizers are nebu ... lized medications. Used for pts who cannot use an MDI inhaler properly or prefer this method of administration. ⦁ Optimal technique: slow tidal breathing with occasional deep breaths. Tightly fitting facemask for those unable to use mouthpiece. ⦁ Small-Volume Nebulizer (Mini-Nebulizer): handheld apparatus that disperses a moisturizing agent or medication, such as a bronchodilator or mucolytic agent, into microscopic particles and delivers it to the lungs as the pt inhales. ⦁ Indications: difficulty clearing respiratory secretions, reduced vital capacity, with ineffective deep breathing and coughing, and unsuccessful trials of simpler and less costly methods for clearing secretions. ⦁ MDI: metered dose inhaler. Pressurized device that contains an aerosolized powder of medication. A precise amount is released with activation. A spacer may be used to enhance deposition of med to the lung and help pt coordinate activation with inspiration. ⦁ To administer medication: ⦁ Remove cap and hold inhaler upright. ⦁ Shake the inhaler. ⦁ Tilt head back slightly and breathe out slowly and all the way. ⦁ Position inhaler approximately 1-2 inches away from the open mouth, or use a spacer/holding chamber. When using a medicine chamber, place the lips around the mouthpiece. ⦁ Start breathing in slowly through your mouth, and press down on the inhaler one time. If using a chamber, first press down on the inhaler and within 5 seconds begin to breathe in slowly. ⦁ Breathe in slowly and deeply for as long as possible. ⦁ Hold your breath as you count to 10 slowly (10 sec.) to allow medication to reach down into your airways. ⦁ Repeat puffs as directed, allowing 15-30 secs. between puffs for quick-acting medications. No need to wait for other types of medications. ⦁ Apply the cap to the MDI for storage. ⦁ After inhalation, rinse mouth with water when using a corticosteroid-containing MDI. [Show More]

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