Aerosol Medication Delivery in Children (TMC Practice Question)

3 years ago
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This video breaks down a sample TMC Practice Question about Aerosol Medication Delivery in Children.
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➡️ Question:
A 2-year-old patient is showing signs of a severe asthma attack. The physician orders a bronchodilator that is available in both MDI and SVN doses. Which of the following would be the best delivery system for this patient?
A. An SVN using the “blow-by” technique
B. An MDI with a holding chamber and mask
C. A small volume nebulizer with a mouthpiece
D. A breath-actuated MDI with mask

➡️ Rationale Explanation:
In general, most infants and small children should receive aerosolized drugs via an MDI with a valved holding chamber and a mask. This usually is a more effective delivery method compared to a small volume nebulizer. You should avoid using the “blow-by” technique with an SVN because too much of the medication is wasted when using this delivery method. An SVN with a mask could be considered but, oftentimes with small children, they will not tolerate the mask very well. Also, note that children generally will not be able to use an SVN with a mouthpiece either because it's unreasonable to expect a young child to use a nebulizer with a mouthpiece for an entire treatment.

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🚑MEDICAL DISCLAIMER
Medicine and Respiratory Therapy are continuously changing practices. The information in this video is for educational and entertainment purposes only. For medical advice, please consult with a physician or qualified medical professional.

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This description contains affiliate links. If you decide to purchase a product through one of them, we receive a small commission at no cost to you.

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⏰TIMESTAMPS
0:00 - Intro
0:35 - Practice Question
1:10 - Explanation
2:03 - Correct Answer

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