????Aerosol Therapy

1
????

• ??? ???

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????Aerosol Therapy

• ??(Aerosol)
• ????????????????
• ????
• ???????(?????????)
• ?? ???????(Berotec.Vventolin.Bricanyl)
• ?????????(Cromolyn sodium.Intal)
• ??????????(Acetylcysteine.????)
• ?????(Kanamycin.Neomycin)
• ???????????????

3
??????????????

• ???? -
• ????????????????,?????
• lt1 µm ?????????????
• 1-2 µm ??????
• 2-5 µm ??????????(???????)
• 6-10µm ???????

4
????????????

• All purpose
• ?????
• (Small volume nebulizer.SVN)
• ?????
• (Meter dose inhaler.MDI)
• ???????

5
All purpose

• ????????
• ???????
• ???????????????

6
?????(Small volume ebulizer.SVN)

• ??
• ?????????????,?????????,?????,???????????????,???
  ??????(???????)?????,?ICU???????
• ?????
• ????????????????,????????,???????????????Nebulize
  r??,????,??????????
• ?PS mode,??SIMV??,???????

7
?????(Meter dose inhaler.MDI)

• ??
• ?????
• ?????????
• ????,?????
• ??????,????,??????
• ?????,???????
• ?????,?????????
• ?????
• ????????
• ?puff??1??,????puff
• 1??,???????

8
(No Transcript)
9
????????(Dry powder inhaler.DPI)

• ?????Intal?????,???????(gt60LPM)??????????

10
???????
11
????????

• ?????
• ??????????????(Acetylcystenine. cromolyn sodium.
  hypertonic saline?antimicrobial
  agents),????????????
• ????
• ??-
• ??????????,??????? ???????????(psudomonus)
• ???????,????????, ??????,??????????
• ????????????(???)

12
???????????

• ???????????
• ???????????
• ???????,????

13
???????????

• ??????????,?????,???????????????,?????????,???????
  ?????????????

14
????????????????

• ????????,????????????????,??????,?????????1.??
  ????,???????2.??????,???????????(3/4?)?3.??????,
  ?????????(1/2?)?4.??????,???????????(1/4?)?5.???
  ???,??????(?)?

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(No Transcript)
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?????????
???? ???? ??? ??? ??? ??????
Bricanyl ßagonist 1 pc 5mg/2ml lt1y/o,1/2 pc gt1y/o,1 pc ????? ??,????,???? Tid
Atrovent Anticholinergic 1 pc 0.5mg/2ml lt1y/o,1/2 pc gt1y/o,1 pc ????? ???? ??????? ??,????? Tid
Jusomin 7 20ml 13/4cc (H/SJ) ???? ???,Hb RBC?? Tid
3 NaCl Hypertonic salone 3 500cc ???? ?????2min ?????? ????? ps.??????? partical size?? QD3?
Bosmin aßagonist 1mg/1ml lt1y/o,1/2 Amp gt1y/o,1 Amp ???????? Stridor ???? st. prn
Gentamycin Antinflammation 80mg/2ml ??40mg ????????? ??????? ??????,????? ??????? Tid
Aceetylycysteine (Mucdytic) 100mg/1ml ps.Flumucil lt1y/o,1/2 Amp gt1y/o,1 Amp ??????? (?????) ???????? ????? Tid
Pulmicort Inh steriod 1 pc 1mg/2ml lt1y/o,1/2 Amp gt1y/o,1 Amp ??????? ???stridorcroup ????? Bid