Patient Rod Nordland is a 64 year old caucasian male with COPD. He get 2.5 mg Albuterol, 0.5 mg Atrovent, and 1.0 mg Beclomethasone with via SVN for maintance of his COPD. He is currently on 2 L/min NC with an order to keep SpO2 between 88-92% because of his hypoxemia and suppress ventilator drive.
1. What order will you give the respiratory medications? Can you mixed any of the drugs together?
2. What is the prefer interface to run a small volume nebulizer ( Facemask, Trachcollar, T-piece, Mouthpiece, etc...) and how will you run the SVN (air, oxygen, etc...) so your patient doesn't become hypoxemic nor overly oxygenated suppressing his ventilator drive? Please explain in detail.
3. How do you know that your setup is appropriate in preventing hypoxemic and or not suppressing his ventilator drive? What will you be looking for and how to make sure to prevent any adverse reaction from the treatments?
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