Great explanation on continuous nebs. I wish our ED docs would order these more. They like intermittent treatments like three treatments 30 minutes apart.
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.
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.
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!
@@rtclinic
Thank you for responding!
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