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A Guide to Aerosol Delivery Devices for Respiratory Therapists (4th edition)

Respiratory therapists are the only health care providers who receive extensive formal education and who are tested for competency in aerosol therapy. The RT's ability to serve patients with acute chronic respiratory disease as the expert in aerosol therapy allows the concept of "art" and "science" to take on a practical reality.

Mastery of both the art and science of aerosol delivery can have a profound impact on appropriately matching medications and delivery devices to optimize your patients' clinical outcomes. The fourth edition of this Aerosol Guide delivers detailed and comprehensive information that, when combined with your dedication and commitment to be the professional experts in this important area, will empower you to provide guidance to your physician, nurse, and pharmacist colleagues—but, most importantly, to your patients.

Successful completion of this course requires a score of 70% on the post-test.

This guide is supported with an educational grant from Philips.

**Please note that this program requires the participant to view the entire intro video prior to reading the course content, taking the final quiz, and obtaining a course certificate.**

Approved for 6.00 CRCE Hours.


Identify terminology used in aerosol medicine
State approximate amount of aerosol deposited in the lower respiratory tract for nebulizers, pressurized metered-dose inhalers (pMDIs), and dry-powder inhalers (DPIs)
List advantages and disadvantages of inhalation compared to other routes of drug administration
Identify hazards of aerosol therapy that can impact the patient receiving therapy as well as care providers and bystanders
List advantages and disadvantages of nebulizers for aerosol delivery
Identify special considerations for neonatal and pediatric drug delivery
List common problems and errors with each type of inhaler
Compare the principle of operation of a jet nebulizer, mesh nebulizer, and ultrasonic nebulizer
Describe types of pneumatic jet nebulizer designs and methods that are used to decrease aerosol loss from a jet nebulizer during exhalation
Learn steps for correct use of jet, ultrasonic, and mesh nebulizers
Describe the basic components of a metered-dose inhaler
List advantages and disadvantages of metered-dose inhalers
Compare and contrast performance of pMDIs with HFA and CFC propellants
Discuss factors affecting the pMDI performance and drug delivery
Explain the importance of priming and tracking the number of doses for a metered-dose inhaler
Compare and contrast the design of holding chambers and spacers
Identify factors that affect dose delivery from a holding chamber/spacer
List advantages and disadvantages of dry-powder inhalers
Describe the principle of operation of various commercially available dry-powder inhalers
Identify factors affecting the DPI performance and drug delivery
Explain how you know that each DPI is empty
List the correct steps for use of a nebulizer, metered-dose inhaler, metered-dose inhaler with holding chamber/spacer, and dry-powder inhaler
Describe causes and solutions of problems seen with nebulizers, pMDIs, and DPIs
Discuss criteria to assist clinicians in selecting an aerosol delivery device
Explain how to establish an infection control management system in aerosol drug delivery.
Describe how to instruct and evaluate patients in the use of inhaler devices
Describe the proper technique of cleaning aerosol delivery devices
Discuss the importance of occupational health and safety for respiratory therapists


A Guide to Aerosol Delivery Devices-4th ed.

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