RT Clinic: Tips for Setting up Continuous Nebulizers
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- čas přidán 25. 07. 2024
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Measuring medications for continuous nebulizers can cause confusion. Here is a quick and easy way to measure the medication and diluent.
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Mom was just told she’ll need this. We had no clue what it was. Thanks for this.
Great explanation on continuous nebs. I wish our ED docs would order these more. They like intermittent treatments like three treatments 30 minutes apart.
Why do they wait 30 mins!? I agree with you, these are great for acute exacerbations in the ED.
Jimmy McKanna - RT Clinic if it's a really serious exacerbation they will let me do back to back treatments. Otherwise the one doc really likes the q30 x 3. I try to explain the advantages of continuous but he just does get on board with it. I think there is a study out there comparing q30 treatments versus continuous and it favored the intermittent tx. So, that's his justification.
Jimmy McKanna - RT Clinic pls add videos on Nitric Oxide set up , monitoring,with high flow with vent etc. thanks
I love your videos. Can you do a video on the VDR? Thank you
I wish I had a VDR to demo. They look pretty cool!
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Would you just hook up the corrugated tubing to a T connector to nebulize through a CPAP/hiflow/ intubated patient --through the inspiratory limb. Have you ever set this up as a Y connector with a non-rebreather? If you want to give a patient supplemental O2 ontop of what they are getting through the aerosol---like a NC is that appropriate? or would you just adjust the flow and then switch the calculations of the drug.
Adding extra liters of flow for an extended period of time to a vent circuit will increase your airway pressure's ,Vt etc. I can hear the vent alarming now with high pressure alarms. It would be more beneficial to use a VM Nebulizer (vibrating mesh nebulizer) for the vent circuit.VM doesn't increase your pressures and also increases your lung deposition.
What medications all can go in a continuous nebulizer, anything that can go in a regular nebulizer or just albuterol?
You can nebulize other meds besides albuterol. Albuterol is most commonly used.
How many ml are in 20 mg of albuterol ? Do you then fill the neb up to 60 ml with sterile water or saline ?
2.5mg per 0.5ml. 20mg would be 4 ml
Then add 56 ml of saline.. this would depend on the output of the lvn