Given Patient Situations Question & Answer Guide (With Explanation)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to given patient situations and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves given patient situations. A strong answer should include explanation, application, and examples.

Original Question

Given the patient situations below(1-9), state which type of aerosol drug delivery system you feel would be most appropriate to deliver the ordered therapy. Be specific and include: type of aerosol delivery device you recommend any patient interface(if required) you would suggest for each) 1) 40 year old comatose male who is ordered on 2.5 mg Duoneb/NS 2) 5 month old toddler who requires B2 therapy every two to four hours 3) A 66 year patient with a tracheostomy requiring aerosolized corticosteroids and B2 every 6 hours 4) A 48 yr old patient ordered on Corticosteroid nebulizers every 12 hours-no physical restrictions 5) 30 yr old asthmatic with pneumonia. The patient has received one SVN tx with Albuterol but has repeated spasmodic coughing episodes which wastes medication. 6. A 70 yr old patient who requires corticosteroid therapy at home. Late stage lung disease with end-stage lung disease causing a major decrease in inspiratory and expiratory flowrates 7. Intubated and mechanically ventilated 35 yr old patient requiring long acting bronchodilator 2x/day 9. 39 yr old newly diagnosed COPD patient who owns a busy coffee shop. Ordered on 1x/day inhaled steroid as a maintenance drug and a PRN B2 10. You receive an order for the following treatments: Ventolin 4 puffs/four x day and every 4 hours as needed, 2 puffs Symbicort, 2x/day, Tobi unit dose every 8 hours , Spiriva 1x/day. Explain in what order you would administer the therapy (and why) when seeing the patient first thing in the morning.

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