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NSG6999 Wk6 D9 – Pediatric Asthma PICOT: In pediatric asthma patients experiencing an acute exacerbation (P), how does spacer delivered beta-agonist medication(I) compare with nebulizer delivered medication (C) affect forced expiratory volume (O) within 20 minutes (T) post medication administration?
The treatment of pediatric acute asthma exacerbations in the primary care and emergency department setting is one dominated by the nebulizer-administered beta-agonist medication due to perceived superiority of the nebulizer by a reported 80 percent of physicians surveyed (Cates, Rowe, & Welsh, 2014).
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Reference
Cates, C. & Rowe, B. (2014). Holding chambers (spacers) versus nebulisers for beta-agonist treatment of acute asthma. The Cochrane database of systematic reviews, 5(2), DOI: 10.1002/14651858.CD000052.pub3. Retrieved from https://eds-b-ebscohost-com.southuniversity.libproxy.edmc.edu/eds/detail/detail?vid=4&sid=04c03575-2145-46a3-8c96-7d84f9d7a886%40pdc-v-sessmgr02&bdata=JnNpdGU9ZWRzLWxpdmU%3d#AN=edschh.CD000052&db=edschh.
Hederos, C., Hedlin, G., & Mitselou, N. (2016). Spacers versus nebulizers in treatment of acute asthma – a prospective randomized study in preschool children. Journal of asthma, 53(10), 1059-62. Retrieved from https://www.tandfonline.com/doi/pdf/10.1080/02770903.2016.1185114?needAccess=true.
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