Could you please help me with my compare and contrast essay. Please see attached the 2 photos. Compare and contrast the Two Different AEROSOL THERAPY PROTOCOL.    Thank you.

Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter8: Hcpcs Level Ii Coding
Section: Chapter Questions
Problem 30R
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Could you please help me with my compare and contrast essay. Please see attached the 2 photos.

Compare and contrast the Two Different AEROSOL THERAPY PROTOCOL. 

 

Thank you. 

Fig. 1.
Respiratory therapist evaluation tool to adjudicate levels of
severity.
Directions for use of this preprinted order set:
1. A numbered order indicates a decision or choice for ordering and will NOT be carried out unless it is selected.
2. A date and time along with Signature is required at the bottom of the order sheet.
1.
2
1.
2.
10:13 TM & D
3.
Directions for use of this preprinted order set:
1. A numbered order indicates a decision or choice for ordering and will NOT be carried out unless it is selected.
2. A date and time along with Signature is required at the bottom of the order sheet.
4.
5.
Level 1
albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 2 hours
discontinue previous albuterol orders
Level 2
albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 4 hours
RESPIRATORY THERAPY CONSULT SERVICE
Bronchodilator Order Set
Albuterol Inhaled/Nebulized Therapy
Date:
Level 1*
albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 2 hours
discontinue previous albuterol orders
Level 2*
albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 4 hours
discontinue previous albuterol orders
RESPIRATORY THERAPY CONSULT SERVICE
Bronchodilator Order Set
Albuterol Inhaled/Nebulized Therapy
Level 3*
albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 6 hours
albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 4 hours at night as needed for SOB/wheezing
discontinue previous albuterol orders
Level 4*
albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 8 hours
albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 4 hours at night as needed for SOB/Wheezing
discontinue previous albuterol orders
Level 5*
albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 6 hours, as needed
albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 4 hours at night as needed for SOB/Wheezing
discontinue previous albuterol orders
Tables
| 60% الله
Time: Per Protocol and with the approval of Pharmacy & Therapeutics Committee and Medical Executive
Committee* Respiratory Therapist signature
Figures
2 of 2
|||
Download powerpoint
Fig. 2.
Form utilized at Creighton University Medical Center to
administer bronchodilator treatments according to levels of
severity. SOB = shortness of breath.
PDF
Help
Transcribed Image Text:Fig. 1. Respiratory therapist evaluation tool to adjudicate levels of severity. Directions for use of this preprinted order set: 1. A numbered order indicates a decision or choice for ordering and will NOT be carried out unless it is selected. 2. A date and time along with Signature is required at the bottom of the order sheet. 1. 2 1. 2. 10:13 TM & D 3. Directions for use of this preprinted order set: 1. A numbered order indicates a decision or choice for ordering and will NOT be carried out unless it is selected. 2. A date and time along with Signature is required at the bottom of the order sheet. 4. 5. Level 1 albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 2 hours discontinue previous albuterol orders Level 2 albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 4 hours RESPIRATORY THERAPY CONSULT SERVICE Bronchodilator Order Set Albuterol Inhaled/Nebulized Therapy Date: Level 1* albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 2 hours discontinue previous albuterol orders Level 2* albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 4 hours discontinue previous albuterol orders RESPIRATORY THERAPY CONSULT SERVICE Bronchodilator Order Set Albuterol Inhaled/Nebulized Therapy Level 3* albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 6 hours albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 4 hours at night as needed for SOB/wheezing discontinue previous albuterol orders Level 4* albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 8 hours albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 4 hours at night as needed for SOB/Wheezing discontinue previous albuterol orders Level 5* albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 6 hours, as needed albuterol 2 puffs inhaled or 2.5 mg solution nebulized every 4 hours at night as needed for SOB/Wheezing discontinue previous albuterol orders Tables | 60% الله Time: Per Protocol and with the approval of Pharmacy & Therapeutics Committee and Medical Executive Committee* Respiratory Therapist signature Figures 2 of 2 ||| Download powerpoint Fig. 2. Form utilized at Creighton University Medical Center to administer bronchodilator treatments according to levels of severity. SOB = shortness of breath. PDF Help
✓
AEROSOL THERAPY PROTOCOL
Evaluate Indications:
The primary general indication for aerosolized BD therapy is reversable reactive aiway disease. This
condition is detected through the following symptoms:
C/O dyspnea
Wheezing
Hyperinflation
Reduction in airflow (peak flow, FEV1, FVC, prolonged expiration)
Yes
MD order for Aerosol Therapy Protocol
Respond to immediate need and
contact MD/RN
Does contraindication or potential hazard exist?
Select aerosols for bronchospasm:
Sympathomimetic agent
Combine with anti-inflamatory if history of COPD (if used on a daily
basis)
✓
No
✓
Anticholinergics
Select device: (CPG Device Selection 8.0)
MDI with accessory device is the preferred delivery method, unless the
medication is not available in MDI, or the patient is unable to use the device
with proper coaching and instruction. In which case a small volume
nebulizer with equivalent dose may be used.
Adminster therapy no less than Q4 and PRN
*Note that MDI dose may be titrated upward to a total of 16 puffs (with 1
minute between activations) if the patient continues to be symptomatic
without dose limiting side effects.
Re-evaluate patient every 24 hours, and 24 hours after discontinued
Assess Outcomes: Goals Achieved?
(CPG Assessing BD response 11.2)
Diminished wheezing and the volume of air moved is increased
Improvement in airflow (peak flow, PFT)
Imroved vital signes and measures of gas exchange
Improved patient appearence with decrease use of accessory
muscles
Care Plan Considerations:
Discontinue therapy if improvement is observed and sustained over a 24
hour period.
Patients with COPD or asthma who maintain aerosol bronchodilators in
their home environment should remain on treatment no less than their
home regimen.
*Note that this protocol is for simple BD administration for non-ventilated patients. There are a variety of other
options such as continuous BD administration, acute maximum titration of dose, and multiple delivery devices
that can be incorporated within this protocol or as a separate protocol depending on site-specific preference.
5/5/03 (Jan Phillips-Clar, Rick Ford, Judy Tietsort, Jay Peters, David Vines)
Transcribed Image Text:✓ AEROSOL THERAPY PROTOCOL Evaluate Indications: The primary general indication for aerosolized BD therapy is reversable reactive aiway disease. This condition is detected through the following symptoms: C/O dyspnea Wheezing Hyperinflation Reduction in airflow (peak flow, FEV1, FVC, prolonged expiration) Yes MD order for Aerosol Therapy Protocol Respond to immediate need and contact MD/RN Does contraindication or potential hazard exist? Select aerosols for bronchospasm: Sympathomimetic agent Combine with anti-inflamatory if history of COPD (if used on a daily basis) ✓ No ✓ Anticholinergics Select device: (CPG Device Selection 8.0) MDI with accessory device is the preferred delivery method, unless the medication is not available in MDI, or the patient is unable to use the device with proper coaching and instruction. In which case a small volume nebulizer with equivalent dose may be used. Adminster therapy no less than Q4 and PRN *Note that MDI dose may be titrated upward to a total of 16 puffs (with 1 minute between activations) if the patient continues to be symptomatic without dose limiting side effects. Re-evaluate patient every 24 hours, and 24 hours after discontinued Assess Outcomes: Goals Achieved? (CPG Assessing BD response 11.2) Diminished wheezing and the volume of air moved is increased Improvement in airflow (peak flow, PFT) Imroved vital signes and measures of gas exchange Improved patient appearence with decrease use of accessory muscles Care Plan Considerations: Discontinue therapy if improvement is observed and sustained over a 24 hour period. Patients with COPD or asthma who maintain aerosol bronchodilators in their home environment should remain on treatment no less than their home regimen. *Note that this protocol is for simple BD administration for non-ventilated patients. There are a variety of other options such as continuous BD administration, acute maximum titration of dose, and multiple delivery devices that can be incorporated within this protocol or as a separate protocol depending on site-specific preference. 5/5/03 (Jan Phillips-Clar, Rick Ford, Judy Tietsort, Jay Peters, David Vines)
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