Albuterol for Pulmonary Edema? (TMC Practice Question)

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2 years ago
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The video breaks down a sample TMC practice question about using albuterol to treat pulmonary edema. Is this possible?
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➡️ Question
A 57-year-old female patient with acute pulmonary edema is dyspneic and shows signs of wheezing. The resident physician has ordered an albuterol breathing treatment via SVN. Which of the following would you recommend?
A. Administer acetylcysteine instead of albuterol
B. Perform the therapy with supplemental oxygen
C. Perform the treatment as ordered
D. Administer a diuretic and oxygen therapy

Once you start your career and begin working as a respiratory therapist, this is something you will run into far too often. A nurse or new physician will hear wheezing while listening to breath sounds and automatically request you to administer an albuterol breathing treatment. This can be frustrating because wheezing in patients with CHF and pulmonary edema is usually due to fluid overload, not bronchospasm. Therefore, in general, acute pulmonary edema is best managed with a diuretic such as Lasix. Oxygen therapy is also usually indicated due to the presence of hypoxemia. And in general, NPPV (e.g., BiPAP) is typically indicated for these patients.

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This content is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please consult with a physician with any questions that you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you watch in this video. We strive for 100% accuracy, but errors may occur, and medications, protocols, and treatment methods may change over time.

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⏰TIMESTAMPS
0:00 - Intro
0:37 - Practice Question
1:13 - Explanation
2:03 - Correct Answer

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