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A Guide to Aerosol Delivery Devices for Respiratory Therapists- 5th Edition

Aerosol therapy is a cornerstone of respiratory therapy that exemplifies the nuances of both the art and science of 21st century medicine. As respiratory therapists are the only health care providers who receive extensive formal education and who are tested for competency in aerosol therapy, their ability to manage patients with both acute and chronic respiratory disease as the experts in aerosol therapy allows the concept of “art” and “science” to take on a practical reality.

The fifth 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 course is sponsored by an unrestricted education grant from Monaghan Medical Corporation.
**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.


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


A Guide to Aerosol Delivery Devices for Respiratory Therapists- 5th Edition

Speaker Information

Douglas S. Gardenhire, EdD, RRT, RRT-NPS, FAARC
Linda Nozart, MPH, RRT, AE-C
Sandra T. Hinski, PhD, RRT, RRT-NPS

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