Question Answer
If you want medication to hit large airways, how do you breath? normal
If you want medication to hit small airways how do you breath? inhale slow and deep and large hold
Advantage of MDI portable, comact, easy to use, cost effective
Disadvantage of MDI Proper coordination, limited # of drugs availabe, propellent is damaging to atmosphere, Confused and young patients can’t use
Hazards of MDI increase HR (tremors) and if not used correctly can shoot into back of oropharynx
Advantages of using chamber or spacer reduce oropharyngeal deposition, reduce need for hand breath coordination, and on chamber you can breath in and out
Why do you rinse mouth after DPI and MDI thrush
For maximal deposition take a slow deep breath, inhale through open mouth, end inspiration, pause, and follow with a slow, complete exhalation
Goals for aerosol therapy and humidity therapy Bronchial hygiene (hydrate dried secretions, promote cough, restore mucous blanket Humidity inspired gas Induce sputum Deliver prescribed medication
Sidestream nebulizer delivers smaller, lgither droplets (2-4 microns) for medium to smaller larger airways
mainstream nebulizer delivers larger heavier droplets (5-10 microns) for upper and larger airways

Question Answer
rervoir organism resides in human
host receipient of mircrobe (mouth eye etc)
carrier individual who harbors or carries the organism
direct sufficient contact with infected person (blood sprays in eye) (touch)
indirect microorganism that has been passed to person to person through a article someone used (book, pencil-(fomite))
airborne transmission microorganism transmitted in the air by contaminated droplet nuclei or dust particles.
airborne precautions (cough) remain suspended in air for a long time HEPA mask, gloves, eye
Airborne diseases TB, chicken pox, measles
Contact precautions gowns if touching patient, mask, gloves
Contact diseases staph, scabies, ebola, colitis, RSV (C-DIFF)
Droplet transmission organisms transmitted by large particle droplets only for a short time
droplet diseases pneumonia, mumps, strep, rubella, flu
Why do noscomial infections occur 1. antibiotic resistant bacteria 2. patients with anatomic/debilitating weakness (lowers resistant) 3. procedures that bridge host defenses (IV)
8 procedures that control contamination good ventilation, sterile technique, handwashing, pulmonary care, early detection and treatment, resp therapy equipment, infectious disease consulation, isolation
incernation (sterilization) destroys objects