Question

A 25-year-old male with a history of asthma bas been mechanically ventilated for 10 days. His secretions are thick, yellow, and difficult to suction. There is evidence of pulmonary infiltrates seen on a chest X-ray. To aid in the removal of the secretions, what suggestions should the CRT make to the physician? I Aerosolize 20%, Mucomyst. I. Lavage with normal saline. UI. Administer 20% Mucomyst with a bronchodilator via a micronebulizer. TV. Administer albuterol via a micronebulizer... V. Administer racemic epinephrine via a micronebu- lizer. A. I, V only B. I,II-only C. I,IV only D. II, V only

Answer 1

Mucocyst are generally used to treat emphysema ,cystic fibrosis and pneumonia

The normal saline helps to thin out the thick infiltrates in the lungs

The mucocyst has an action to remove the thick secretions very effectively compared to other drugs.

Albuterol can dilate the constricted bronchioles but does not aide in removing thick secretions

Epinephrine lead to decreased oxygen levels in the blood

Ans:Lavage with normal saline

Administer 20%mucocyst with a bronchodilator via micronebulizer

(II,III only)