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Assignment Task

 

Hypertonic and normal saline
a. (Mon and Tues discussion) You have been referred an 18year old with CF. Part of her treatment regime is nebulised hypertonic saline.
How is this delivered ie. what device? When would you apply the hypertonic saline for this patient ie. in relation to traditional sputum clearance techniques? What are the downsides of this treatment for people with CF?
b. You have been referred a patient on the ward with thick, tenacious sputum. One of the staff suggest nebulising normal saline to help clear the secretions.
There are very few studies on normal saline nebulisation. What are the weaknesses within the attached study? Anecdotally nebulised saline appears to be effective in decreasing sputum viscosity, so clinicians will use this. When would you use it? Please consider what patient groups ie. acute inpatient vs chronic respiratory disease, as an adjunct to treatment vs. replacing treatment techniques with normal saline nebulisation etc.

 

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