Medscape and Epocrates give you access to an astounding array of integrated medical formulas. They include detailed links and bibliographic references for each formula. The categories let you filter down to more specific respiratory calculations or to the topics that you are searching. This is a free resource with the basic services.
a) Upright posture with chin up.
b) Active oral rinse & spit after dose(s).
c) Correct inspiratory flow for the delivery device.
2) Three device options to consider*
a) Add a valved holding chamber to the pMDI if appropriate.
b) Consider a SMI (Soft Mist Inhaler, Respimat).
c) Replace a DPI with a pMDI/holding chamber or SMI or neb.
a) Alvesco pMDI
b) QVAR pMDI
c) Pulmicort & quality nebulizer
* Contact the ordering provider as appropriate.
ICS = Inhaled Corticosteroids
pMDI = Pressurized Metered Dose Inhaler
DPI = Dry Powder Inhaler
SMI = Soft Mist Inhaler
The classic "blue book" of respiratory therapy has come out with its 10th edition.
I agree with the publisher and this is the best edition to date.
The accuracy, professionalism, and affordability have made these pocket reference guides the standard in portable respiratory care texts for decades.
1) Airway patency
2) Density of underlying tissue
3) Adventitious lung sounds
4) Presence or absence of lung
5) Tracheal shift
