|
|
||||||||||||
|
Go | New | Find | Notify | Tools | Reply |
Member |
I currently work at a hospital where an older pulmonary MD orders ultrasonic nebs in line with a small volume nebulizer/IPPB's. I find this practice(in my opinion) to be totally worthless. If it was on for a longer period maybe, but for 10"-15" every 4hrs+-. I've looked for studies on this practice and can't find anything. If anyone else has an opinion or information please pass let me know. GJ,RRT Chris Hanson RN, RRT-NPS, CPFT, AE-C ER Registered Nurse Grand Junction, Colorado | ||
|
Member |
Are you giving medications via small volume neb and also mixing this with USN humidity? If so.... I recall studies or abstracts showing that this actually will decrease the medication delivery. The particle size gets bumped up and deposition isn't as good. I remember a while back at an AARC conference a group of RT's from Vancouver showed how placing a neb inline with a cool mist (i.e. to trache collar) basically made it so you might as well just dump out the bronchodilator. I'm not sure if this was ever published. | |||
|
Member |
Jeff, The answer to your question is yes. If you know of any studies or abstracts i would be grateful. This also supports my statement with regards to residents/interns/attendings and pulmonary MD's under the ABG DRAWS topic. A good RT will make more appropriate decisions with regards to respiratory then any other discipline. Chris Hanson RN, RRT-NPS, CPFT, AE-C ER Registered Nurse Grand Junction, Colorado | |||
|
<Renton> |
JeffWhitnack wrote:
I am not familiar with the term: USN humidity ( could transalte it and after anser your question!! (I don't know if that is the anser, but we give most of our medication via Puffers with spacers...) | ||