Aerosol Therapy Terminology Quiz
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Questions and Answers

What is the process by which aerosol particles deposit on absorbing surfaces referred to as?

  • Aerosol deposition (correct)
  • Aerosol therapy
  • Inhalation mechanics
  • Aerosol generation
  • What type of inhaler uses a liquefied gas propellant that is more environmentally friendly than CFCs?

  • Dry-powder inhaler (DPI)
  • Pressurized metered-dose inhaler (pMDI) (correct)
  • Small-volume nebulizer (SVN)
  • Nebulizer
  • Which medication class is primarily known for its use in treating acute asthma attacks by relaxing airway muscles?

  • Corticosteroids
  • Racemic agonists
  • Anticholinergic agents
  • Beta-agonists (correct)
  • What term describes the phenomenon where aerosol particles larger than 5 μm deposit in the upper airway due to their size?

    <p>Inertial impaction</p> Signup and view all the answers

    Which mechanism is responsible for the deposition of small aerosol particles less than 3 μm?

    <p>Diffusion</p> Signup and view all the answers

    What is meant by the term 'dead volume' in aerosol therapy?

    <p>The residual medication remaining in the nebulizer after treatment</p> Signup and view all the answers

    Which of the following aerosol therapy devices delivers medication in powdered form and is breath-actuated?

    <p>Dry-powder inhaler (DPI)</p> Signup and view all the answers

    What is the primary purpose of a spacer in aerosol therapy?

    <p>To improve drug deposition by reducing oropharyngeal deposition</p> Signup and view all the answers

    What is one potential hazard associated with aerosol therapy that can be mitigated by administering a bronchodilator?

    <p>Bronchospasm</p> Signup and view all the answers

    What is the primary function of a baffle in a nebulizer?

    <p>To break up aerosol particles into smaller, uniform sizes</p> Signup and view all the answers

    Which of the following describes diffusion in relation to aerosol therapy?

    <p>It occurs with particles smaller than 1 μm.</p> Signup and view all the answers

    What type of nebulizer is typically used to deliver medications directly to a patient?

    <p>Small volume nebulizer</p> Signup and view all the answers

    Which of the following conditions can be a result of overhydration during aerosol therapy?

    <p>Pulmonary edema</p> Signup and view all the answers

    What is a recommended technique for effective nebulizer administration in patients unable to use a mouthpiece?

    <p>Using a tightly fitting face mask</p> Signup and view all the answers

    Which of the following medications may be administered through a nebulizer as a bronchodilator?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of managing tubing condensation during aerosol therapy?

    <p>To prevent airway contamination</p> Signup and view all the answers

    What is the primary concern regarding heated nebulizers in aerosol therapy?

    <p>They are prone to contamination with Pseudomonas species.</p> Signup and view all the answers

    What is a crucial maintenance step to ensure effective performance of a nebulizer?

    <p>Clean jets and capillary tubes after each use.</p> Signup and view all the answers

    What effect does water accumulation in aerosol tubing have on gas flow?

    <p>Decreases the percentage of oxygen delivered.</p> Signup and view all the answers

    What role do β2-agonists play in respiratory medication?

    <p>They act as bronchodilators for asthma and COPD.</p> Signup and view all the answers

    Which of the following is an approved anticholinergic agent for COPD?

    <p>Ipratropium (Atrovent)</p> Signup and view all the answers

    What is one characteristic of aerosolized epinephrine in respiratory treatment?

    <p>It is effective in treating stridor.</p> Signup and view all the answers

    What defines a 'short-acting β2-agonist' in respiratory therapy?

    <p>They provide quick relief of acute asthma symptoms.</p> Signup and view all the answers

    What mechanism does a baffle perform in aerosol therapy devices?

    <p>It helps to create smaller aerosol particles for better deposition.</p> Signup and view all the answers

    What is the role of a baffle in a nebulizer?

    <p>To enhance particle size uniformity</p> Signup and view all the answers

    Which mechanism determines the settling rate of aerosol particles?

    <p>Particle mass and time</p> Signup and view all the answers

    Which condition can result from the overhydration during aerosol therapy?

    <p>Pulmonary edema</p> Signup and view all the answers

    What primarily distinguishes a small-volume nebulizer from other types?

    <p>It typically holds 3 to 6 mL of liquid medications.</p> Signup and view all the answers

    Which of these agents is primarily utilized as an anticholinergic in respiratory treatment?

    <p>Ipratropium</p> Signup and view all the answers

    Which of the following particles would primarily undergo diffusion in the lungs?

    <p>Particles smaller than 1 μm</p> Signup and view all the answers

    What could indicate that a nebulizer's baffle is malfunctioning?

    <p>Delivery of large water droplets</p> Signup and view all the answers

    What is a characteristic feature of racemic epinephrine in treating airway conditions?

    <p>It is primarily effective in bronchodilation.</p> Signup and view all the answers

    What defines the mass median aerodynamic diameter (MMAD) in aerosol therapy?

    <p>The average size of aerosol particles as measured by a cascade impactor</p> Signup and view all the answers

    Which statement accurately describes inertial impaction in aerosol delivery?

    <p>It occurs with larger, fast-moving particles impacting against surfaces.</p> Signup and view all the answers

    Which term best describes the process by which aerosol medication is typically administered through a nebulizer?

    <p>Aerosolization</p> Signup and view all the answers

    What characterizes a racemic agonist in the context of aerosolized medication?

    <p>It contains equal amounts of both left and right-handed enantiomers.</p> Signup and view all the answers

    How does diffusion contribute to aerosol particle deposition in the lungs?

    <p>It allows for smaller particles to randomly collide and adhere to surfaces.</p> Signup and view all the answers

    What role does a baffle play in aerosol generation and delivery?

    <p>It helps in reducing particle size for optimal deposition.</p> Signup and view all the answers

    Which of the following correctly identifies a function of anticholinergic agents in aerosol therapy?

    <p>They decrease the production of mucus in the airways.</p> Signup and view all the answers

    In the context of aerosol therapy, which condition would most likely be addressed by the use of epinephrine?

    <p>Acute asthma exacerbation</p> Signup and view all the answers

    What main contaminant is commonly associated with heated nebulizers?

    <p>Pseudomonas species</p> Signup and view all the answers

    What is the primary consequence of having water in the aerosol tubing of a nebulizer?

    <p>Decreases percentage of oxygen delivered</p> Signup and view all the answers

    What is the role of α-receptors when using aerosolized epinephrine in respiratory treatment?

    <p>Constrict blood vessels</p> Signup and view all the answers

    How frequently should heated nebulizers be replaced to maintain efficacy?

    <p>Every 12 to 24 hours</p> Signup and view all the answers

    What characterizes Ipratropium (Atrovent) as an anticholinergic agent?

    <p>It is classified as a SAMA.</p> Signup and view all the answers

    What impact does a clogged capillary tube in a nebulizer most likely have?

    <p>It reduces medication efficacy</p> Signup and view all the answers

    Which best defines a short-acting β2-agonist (SABA) in respiratory therapy?

    <p>Induces rapid but short-term bronchodilation</p> Signup and view all the answers

    What is the effect of increasing back pressure in a nebulizer?

    <p>Decreases total flow to the patient</p> Signup and view all the answers

    Study Notes

    Terminology

    • Aerosol: Suspension of liquid and solid particles produced by devices like small-volume nebulizers (SVN), pressurized metered-dose inhalers (pMDI), and dry-powder inhalers (DPI).
    • Aerosol Therapy: Delivery of aerosol particles to the respiratory tract for therapeutic benefits.
    • Dead Volume: Amount of medication remaining in the nebulizer after treatment completion.
    • Diffusion: Mechanism for aerosol deposition of particles smaller than 3 μm, also known as Brownian motion.
    • Dry-Powder Inhaler (DPI): Delivers powdered drug form, typically with breath-actuated dosing.
    • Fine-Particle Fraction (FPF): Percentage of aerosol particles sized 1–5 μm that deposit in the lungs.
    • Hydrofluoroalkane (HFA): Environmentally friendly propellant used in pMDIs, replacing CFCs.
    • Inertial Impaction: Deposition mechanism for particles larger than 5 μm.
    • Mass Median Aerodynamic Diameter (MMAD): Average size of aerosol particles measured using a cascade impactor.
    • Nebulizer: Device that generates aerosol from liquid formulations.
    • Spacer: Valveless extension between pMDI and mouth, improving medication delivery.

    Aerosol Deposition

    • Inertial impaction affects delivery of larger, fast-moving particles (>3 μm).
    • Heated nebulizers are primary sources of contaminated moisture; replace every 12-24 hours to minimize risks.
    • Clear jets and capillary tubes after each use to prevent inadequate mist production.
    • Keep water drained from aerosol tubing to maintain oxygen delivery efficiency; trapped water can obstruct gas flow.

    Medication Delivery via Inhalation

    • Inhalation appeals for delivering drugs targeting the lungs and other organ systems due to rapid absorption and localized effects.
    • Commonly used medications for respiratory diseases include corticosteroids, β-agonists, anticholinergics, and antimicrobials.

    Key Medication Types

    • Epinephrine: Acts on α and β receptors; used for anaphylaxis via injection and for stridor when aerosolized.
    • Short-Acting β2-Agonists (SABA) and Long-Acting β2-Agonists (LABA): Essential for bronchodilation.
    • Ipratropium (Atrovent) and Revefenacin (Yupelri): Anticholinergic agents used in respiratory treatments; effective for COPD.

    Nebulizers

    • Types: Large volume nebulizers for bland aerosol; small volume nebulizers for medication delivery; vibrating mesh; ultrasonic nebulizers.
    • Usage Tips: Slow tidal breathing, tightly fitting masks for infants, avoid "blow by" technique to maximize drug delivery.
    • A baffle in nebulizers breaks aerosol particles into smaller, uniform sizes; replacement is necessary if large droplets are delivered.

    Hazards of Aerosol Therapy

    • Risks include bronchospasm (managed with bronchodilators), overhydration, overheating of inspired gas, tubing condensation, and contaminated aerosol delivery.

    Important Points on Nebulizer Management

    • Regular maintenance of nebulizers is crucial; check for baffle presence, ensure clean jets, and monitor water levels to ensure effective drug delivery.

    Terminology

    • Aerosol: Suspension of liquid and solid particles produced by devices like small-volume nebulizers (SVN), pressurized metered-dose inhalers (pMDI), and dry-powder inhalers (DPI).
    • Aerosol Therapy: Delivery of aerosol particles to the respiratory tract for therapeutic benefits.
    • Dead Volume: Amount of medication remaining in the nebulizer after treatment completion.
    • Diffusion: Mechanism for aerosol deposition of particles smaller than 3 μm, also known as Brownian motion.
    • Dry-Powder Inhaler (DPI): Delivers powdered drug form, typically with breath-actuated dosing.
    • Fine-Particle Fraction (FPF): Percentage of aerosol particles sized 1–5 μm that deposit in the lungs.
    • Hydrofluoroalkane (HFA): Environmentally friendly propellant used in pMDIs, replacing CFCs.
    • Inertial Impaction: Deposition mechanism for particles larger than 5 μm.
    • Mass Median Aerodynamic Diameter (MMAD): Average size of aerosol particles measured using a cascade impactor.
    • Nebulizer: Device that generates aerosol from liquid formulations.
    • Spacer: Valveless extension between pMDI and mouth, improving medication delivery.

    Aerosol Deposition

    • Inertial impaction affects delivery of larger, fast-moving particles (>3 μm).
    • Heated nebulizers are primary sources of contaminated moisture; replace every 12-24 hours to minimize risks.
    • Clear jets and capillary tubes after each use to prevent inadequate mist production.
    • Keep water drained from aerosol tubing to maintain oxygen delivery efficiency; trapped water can obstruct gas flow.

    Medication Delivery via Inhalation

    • Inhalation appeals for delivering drugs targeting the lungs and other organ systems due to rapid absorption and localized effects.
    • Commonly used medications for respiratory diseases include corticosteroids, β-agonists, anticholinergics, and antimicrobials.

    Key Medication Types

    • Epinephrine: Acts on α and β receptors; used for anaphylaxis via injection and for stridor when aerosolized.
    • Short-Acting β2-Agonists (SABA) and Long-Acting β2-Agonists (LABA): Essential for bronchodilation.
    • Ipratropium (Atrovent) and Revefenacin (Yupelri): Anticholinergic agents used in respiratory treatments; effective for COPD.

    Nebulizers

    • Types: Large volume nebulizers for bland aerosol; small volume nebulizers for medication delivery; vibrating mesh; ultrasonic nebulizers.
    • Usage Tips: Slow tidal breathing, tightly fitting masks for infants, avoid "blow by" technique to maximize drug delivery.
    • A baffle in nebulizers breaks aerosol particles into smaller, uniform sizes; replacement is necessary if large droplets are delivered.

    Hazards of Aerosol Therapy

    • Risks include bronchospasm (managed with bronchodilators), overhydration, overheating of inspired gas, tubing condensation, and contaminated aerosol delivery.

    Important Points on Nebulizer Management

    • Regular maintenance of nebulizers is crucial; check for baffle presence, ensure clean jets, and monitor water levels to ensure effective drug delivery.

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    Description

    Test your knowledge on the key terms and concepts related to aerosol therapy, including mechanisms of aerosol deposition and device types. This quiz covers essential definitions and their applications in respiratory care.

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