AnthonyM83 Posted May 3, 2009 Posted May 3, 2009 And since Vent Medic brought up the topic, I'll add that increasing the O2 LPM over 8 on a nebulizer (least the kind we use) actually decreases the amount of albuterol nebulized. I was sick at work once and given a little albuterol to help, so got to really mess around with the O2 flow rate from a patient's perspective.
mobey Posted May 3, 2009 Posted May 3, 2009 And since Vent Medic brought up the topic, I'll add that increasing the O2 LPM over 8 on a nebulizer (least the kind we use) actually decreases the amount of albuterol nebulized. I was sick at work once and given a little albuterol to help, so got to really mess around with the O2 flow rate from a patient's perspective. I read a reviewed study on this once at the University of Alberta library. They stated that starting at 8lt to start the neb, then move to 6lt once a mist starts gives the maximum delivery of medication.... there was a formula of % of medication lost for each additional litre. I am sure Squint or Vent can help us out with this.
CBEMT Posted May 4, 2009 Posted May 4, 2009 (edited) I didn't know there was a machine that would deliver albuterol constantly. My first guess was that the CNA started the treatment and then never came back, so in actuality the treatment ran out on schedule and the patient has been sitting on straight oxygen at 6-8 lpm (via neb) ever since. I could see it happening in some of the places I've been in. Edited May 4, 2009 by CBEMT
Jeepluv77 Posted May 4, 2009 Posted May 4, 2009 My first guess was that the CNA started the treatment and then never came back, so in actuality the treatment ran out on schedule and the patient has been sitting on straight oxygen at 6-8 lpm (via neb) ever since. I could see it happening in some of the places I've been in. I've seen this happen a lot, both on clinicals and when my son is being seen for an asthma attack. I don't know if they forget or do it intentionally. A friend of mine suggested it was to bring the blood o2 levels back up. I just turn it off if he's perfusing well, and if not I take off the mask(he's 2) so he's not rebreathing old air and let it just blow by his nose.
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