Nebulizer

The mother was unsure of what daily medications he takes at home, and says he lost his rescue inhaler, which he normally takes multiple times a day. On Thursday, February 25th the patient 's breathing had normalized and he was no longer having retractions. His breath sounds were clear but diminished in his lower left lung. the patients HFNC was weaned to 10 liters per minute with an FiO2 of 30% and his SpO2 after the wean was 94%. He appeared to be resting comfortably and his vitals were: temperature 98.8 degrees Fahrenheit, 110/44 blood pressure, 115 heart rate, 23 respiratory rate, and SpO2 of 94% on HFNC. No new labs were taken this day. On Friday, February 26th I first saw this patient. As I entered to give him his 7am albuterol nebulizer treatment he was sleeping comfortable with no signs of accessory muscle use. His respiratory rate pre treatment was 25bpm, and his lungs were clear, but slightly diminished in the lower left lung. His HFNC was now weaned to 10 lpm with a 21% FiO2, SpO2 was 95%. His vitals were within normal limits with a temperature of 98, HR 100, RR 16 and BP of 114/46. Lab results showed: increase creatine 0.82 (normal 0.39-0.73) due to methylprednisolone and beta 2 antagonist medication and increased glucose of 214 (normal 70-99) due to stress. When I met with him for his second albuterol treatment he had been weaned to room air, with sats 96% and clear breath sounds bilaterally. He stated that he felt fine and was not having any difficulty…

“I don’t want you to know anything about my illness. I don’t talk openly about it.” These were the first words I heard – from one of the closest people in my life – as he began to discuss his experience living with asthma. He prefers to conceal his illness as much as possible. He views himself as having a weakness and wants to hide it, and it was clear throughout the entire interview. We are extremely close, but I have rarely seen him use his asthma inhaler in the six years we have known each…

Nebulizer: the amount of drug is 2.5mg for every 6-8hrs as required. For chronic obstructive pulmonary disease: Metered inhaler: 2 puffs for every 6hrs based on requirement. Capsules to be inhaled: 200mcg of drug can inhale at every 4-6hrs, it may increase to 400mcg can be inhaled for every 4-6hrs based on requirement. Nebulizer: the amount of drug is 2.5mg for every 6-8hrs as required For bronchospasm and prophylaxis: Metered inhaler: two puffs of drug should be inhaled before exercise.…

The recommendations for my child were to continue with nebulizer treatments and allow him prolonged opportunities without his inhaler. His primary care pediatrician, Dr. Gonzales, advised me to monitor the allergy charts reported on the local news and proceed accordingly. The allergy medication, Singular decreases the effects of the outdoors. Evan has been prescribed Singular 10mg to be taken daily. He uses a nebulizer with Levalbuterol HCl, and Budesonide Inhalation Suspension to be taken as…

II and Aerotech II nebulizers have been verified as effective delivery devices. It is important that the nebulizer has one-way valves to protect the delivery device and a filter to protect the therapist. It is also a good idea to have the patient in a negative pressure room. According to the Morbidity and Mortality Weekly Report (2009) published by the CDC the recommended treatment for PCP is TMP-SMX (trimethoprim/sulfamethoxazole) taken orally in the form of a tablet. The report suggests…

I. PURPOSE This procedure outlines the administration of aerosolized Pentamidine. II. INDICATION Aerosolized Pentamidine is used prophylactically to reduce the incidence of infection Pneumocystis Carinii Pneumonia (PCP) among patients that are immunocompromised. III. CONTRAINDICATION Patients with known allergies to Pentamidine and other ingredients found in the solution. IV. PRECAUTIONS A. Premedication: A bronchodilator, such as Albuterol, must be given 15 minutes prior to…

His supervision was changed to medical one to one to keep the oxygen saturations above 90% with 3L oxygen. The DNR status from hospital was transferred to Kiley on 3/18/17 and remained on DNR at Kiley too. At Kiley Center, he was continued Duo Nebulizer treatments four times per day, oxygen 3L by nasal cannula all the time for chronic respiratory failure and maintained on medical one to one supervision. He was unable to walk or stand due to respiratory distress and was getting short of breath…

patient has poor food intake as well as low hemoglobin and hematocrit. It is needed by the body to produce red blood cells. vi. Lansoprazole 6 mg, Route: PO, once daily (QD)  It was prescribed to the patient to prevent gastroesophageal reflux, stomach pain and treat conditions that cause excess stomach acid. vii. Methadone 0.3 mg, Route: PO, every six hours (Q6H)  It was prescribed to the patient to treat moderate to severe pain and reduces the withdrawal symptoms of Ativan as the patient was…

This week I was able to observe how the clinic handles inbox telephone messages received from patients and inbox referrals for new patients when they need to be seen by Becky Godby. Chuck asked me to assist him with a vaginal cyst examination. Dr. Rosengren allowed me to draw up an injection with lidocaine and triamcinolone acetonide (Kenalog), which was performed under his direct supervision. I observed a Papanicolaou (PAP) smear procedure, setup, and collection with theThinPrep Pap test. Under…

In the premature stages, my son’s asthma diagnosis was similar to a foreign land. I was unsure of what all this actually meant for us. I was instructed by a nurse on how to administer his medication. My son was given the standard medication after his first asthma attack. Albuterol and prednisone are medications used to treat asthma symptoms. Albuterol is an oral inhalant that is used alone or in combination with an oral steroid to improve lung function. Prednisone is another oral inhalant;…