Continuous bland aerosol is being delivered to an intubated patient through a large-volume nebu-lizer and a Briggs adapter
A clinical assessment reveals bronchoconstriction. Which of the following is the most appropriate recommendation?
a. Switch to an ultrasonic nebulizer.
b. Change to a heated-wick humidifier.
c. Add a heater to the large-volume nebuliz-er.
d. Decrease the flow rate to the large-volume nebulizer.
ANS: B
Change to a heated-wick humidifier, which is a heated humidifier that is appropriate when air-ways are hyperreactive. Ultrasonic nebulizers and large-volume nebulizers will worsen bron-chospasms because they also create bland aerosol.
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