A physician orders bronchodilator drug therapy in combination with positive expiratory pressure (PEP). Which of the following methods could you use to provide this combined therapy?
I. Attach a dry powder inhaler in-line with the PEP apparatus.
II. Attach a metered-dose inhaler to the system’s one-way valve inlet.
III. Place a small-volume nebulizer in-line with the PEP apparatus.

Question

A physician orders bronchodilator drug therapy in combination with positive expiratory pressure (PEP). Which of the following methods could you use to provide this combined therapy?
I.	Attach a dry powder inhaler in-line with the PEP apparatus.
II.	Attach a metered-dose inhaler to the system’s one-way valve inlet.
III.	Place a small-volume nebulizer in-line with the PEP apparatus.

Quizplus · Accepted Answer

II and III are correct methods for combining bronchodilator drug therapy with positive expiratory pressure (PEP). Attaching a metered-dose inhaler to the system’s one-way valve inlet and placing a small-volume nebulizer in-line with the PEP apparatus are both feasible methods. Dry powder inhalers, however, are not designed to be used in-line with PEP devices due to their need for a rapid and forceful inhalation directly from the device, which is not compatible with the PEP therapy's method of operation.

A Physician Orders Bronchodilator Drug Therapy in Combination with Positive