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单词 aerosol therapy
释义 DictionarySeeaerosol

Aerosol Therapy


Aerosol Therapy

 

a therapeutic application of dispersed systems of aerosols. The use of aerosols for therapeutic, prophylactic, diagnostic, and narcotic prescription is based on the possibility of rapid, painless application of necessary medications to wound surfaces, mucous membranes, and respiratory passages of the lungs, from which these substances enter the blood. There is a distinction made between natural and artificial aerosol therapy.

Natural aerosol therapy is defined as the inhalation under natural conditions of pure air which contains beneficial additives in the form of ions of seawater elements, therapeutic mineral water, substances produced by plants (conifers, camphor trees, lindens, laurels, various herbs), and phyton-cids.

Artificial aerosol therapy may be administered by the fumigation of open wounds and sections of diseased skin, the inhalation of smoke from medicinal herbs, and the inhalation of hot steam, which may be pure or mixed with medication. Aerosol therapy has become widespread with the use of various kinds of spray apparatus. Dry, moist, and oily aerosols of either local or general effect are used in aerosol therapy. It is possible to atomize sea and mineral water, various salt solutions, infusions of medications, herbs, phytoncids, enzymes, hormones, vitamins, antiseptics, many antibiotics, and other substances. Aerosol therapy by means of inhalation is administered in diseases of the respiratory passages and lungs and in certain other illnesses. Prophylactic inhalation of aerosols is prescribed for bacillus carriers and for the prevention of surgical complications; it is also used to dissolve harmful industrial aerosols or to facilitate their expulsion from the lungs.

One kind of artificial aerosol therapy is electroaerosol therapy, which consists of imparting a positive or negative electrical charge to the aerosols. Special apparatus, known as electroaerosol generators, are used for electroaerosol therapy.

REFERENCE

Eidel’shtein, S. I. Osnory aerozol’terapii. Moscow, 1967.

N. M. VORONIN

aerosol therapy


aerosol

 [ār´o-sol″] a colloid system in which solid or liquid particles are suspended in a gas, especially a suspension of a drug or other substance to be dispensed in a cloud or mist. See also aerosol therapy.aerosol clearance removal of particles that have been deposited in the respiratory tissues. Clearance may occur by ciliary transport, by phagocytosis, by encapsulation and immobilization in a deposit of fibrous tissue (in which case the particles remain in the body), and by dissolving in tissue fluid and subsequently diffusing into the general circulation where the particles are metabolized.aerosol deposition the depositing of aerosol particles onto a nearby surface, especially deposition or retention of the particles within the respiratory system. Closely related to aerosol penetration and affected by the same factors.aerosol penetration the maximum distance aerosol particles can be carried into the respiratory tract by inhaled air. Depth of penetration increases as particle size decreases. Factors affecting where aerosol particles will be deposited and how deeply they can penetrate are: gravity, kinetic activity of gas molecules, inertial impaction, physical nature of the particle, and the ventilatory pattern.aerosol therapy use of an aerosol for respiratory care in the treatment of bronchopulmonary disease. The major purpose of this is the delivery of medications or humidity or both to the mucosa of the respiratory tract and pulmonary alveoli. Agents delivered by aerosol therapy may act in a number of ways: (1) to relieve spasm of the bronchial muscles and reduce edema of the mucous membranes, (2) to render bronchial secretions more liquid so that they are more easily removed, (3) to humidify the respiratory tract, and (4) to administer antibiotics locally by depositing them in the respiratory tract.
Physical and chemical substances used as medical aerosols include drugs that act as bronchodilators and decongestants, such as epinephrine, ephedrine, isoproterenol, atropine, and the steroids. Wetting agents administered as aerosols to render the bronchial secretions more liquid include tyloxapol and acetylcysteine. The choice of antibiotics to be given as aerosol therapy is determined by the patient's specific condition and the preference of the health care provider. Most standard antibiotic drugs are available in aerosol form.
In general, the respiratory therapist is concerned with factors that affect how deeply aerosol particles can penetrate into the bronchial tract and the locations at which these particles are deposited on the bronchial mucosa and alveolar tissues. Depth of penetration is affected by particle size. Particles as large as 100 μm and as small as 5 μm are trapped in the nose. Those 2 to 5 μm in size are deposited somewhere in the respiratory tract proximal to the alveoli. Deposition in the alveoli is 90 to 100 per cent for particles 1 to 2 μm in size.
Because aerosol particles are so small, they present the phenomenon of movement" >brownian movement as they are bombarded by the molecules of the gas in which they are carried. The velocity with which these particles move about directly affects their diffusion and deposition onto nearby surfaces. Thus the type of aerosol generator used in aerosol therapy is of primary importance.
Another factor affecting penetration and deposition of aerosol particles that should be of concern to respiratory therapists and other members of the health team who are teaching patients the techniques of effective aerosol therapy is that of ventilatory pattern. The ideal pattern of breathing for optimum delivery of aerosol particles is that of slow, moderate deep breathing with breath holding at the end of each inhalation.

therapy

 [ther´ah-pe] treatment.activity therapy in the nursing interventions classification, a intervention" >nursing intervention defined as the prescription of and assistance with specific physical, cognitive, social, and spiritual activities to increase the range, frequency, or duration of an individual's (or group's) activity.aerosol therapy see aerosol therapy.animal-assisted therapy in the nursing interventions classification, a intervention" >nursing intervention defined as the purposeful use of animals to provide affection, attention, diversion, and relaxation.anticoagulant therapy see anticoagulant therapy" >anticoagulant therapy.antineoplastic therapy see antineoplastic therapy.antiplatelet therapy the use of inhibitors" >platelet inhibitors such as aspirin, dipyridamole, or sulfinpyrazone, to inhibit platelet adhesion or aggregation and so prevent thrombosis, alter the course of atherosclerosis, or prolong vascular graft patency.art therapy in the nursing interventions classification, a intervention" >nursing intervention defined as facilitation of communication through drawings or other art forms.aversion therapy (aversive therapy) a form of behavior therapy" >behavior therapy that uses aversive conditioning, pairing undesirable behavior or symptoms with unpleasant stimulation in order to reduce or eliminate the behavior of symptoms. The term is sometimes used synonymously with conditioning" >aversive conditioning.behavior therapy see behavior therapy.carbon dioxide–oxygen therapy see carbon dioxide–oxygen therapy.chest physical therapy see under physical therapy.client-centered therapy a form of psychotherapy in which the emphasis is on the patient's self-discovery, interpretation, conflict resolution, and reorganization of values and life approach, which are enabled by the warm, nondirective, unconditionally accepting support of the therapist, who reflects and clarifies the patient's discoveries.cognitive therapy (cognitive-behavioral therapy) a directive form of psychotherapy based on the theory that emotional problems result from distorted attitudes and ways of thinking that can be corrected. Using techniques drawn in part from behavior therapy, the therapist actively seeks to guide the patient in altering or revising negative or erroneous perceptions and attitudes.collapse therapy a formerly common treatment for pulmonary tuberculosis in which the diseased lung was collapsed in order to immobilize it and allow it to rest. pneumonolysis and thoracoplasty are methods still sometimes used to collapse a lung and allow access during thoracic surgery.combined modality therapy treatment of cancer using two or more types of therapy, such as with chemoradiotherapy. Called also multimodality therapy.compression therapy treatment of insufficiency" >venous insufficiency, varicose veins" >varicose veins, or venous ulceration of the lower limbs by having the patient wear compressing garments such as support hose.continuous renal replacement therapy hemodialysis or hemofiltration done 24 hours a day for an extended period, usually in a critically ill patient.convulsive therapy treatment of mental disorders, primarily depression, by induction of convulsions" >convulsions. The type almost universally used now is electroconvulsive therapy" >electroconvulsive therapy (ECT), in which the convulsions are induced by electric current. In the past, drugs were sometimes used.couples therapy marital t.diet therapy treatment of disease by regulation of the diet" >diet.electroconvulsive therapy (ECT) (electroshock therapy) see electroconvulsive therapy.endocrine therapy treatment of disease by means of hormones; called also hormonal or hormone therapy.estrogen replacement therapy administration of an estrogen to treat estrogen deficiency, such as that occurring after menopause; there are a number of indications, including the prevention of postmenopausal osteoporosis and coronary artery disease, and the prevention and treatment of vasomotor symptoms such as hot flashes and of thinning of the skin and vaginal epithelium, atrophic vaginitis, and vulvar atrophy. In women with a uterus, a progestational agent is usually included to prevent endometrial hyperplasia. Called also hormone replacement therapy.exercise therapy: ambulation in the nursing interventions classification, a intervention" >nursing intervention defined as promotion of and assistance with walking to maintain or restore autonomic and voluntary body functions during treatment and recovery from illness or injury.exercise therapy: balance in the nursing interventions classification, a intervention" >nursing intervention defined as use of specific activities, postures, and movements to maintain, enhance, or restore balance.exercise therapy: joint mobility in the nursing interventions classification, a intervention" >nursing intervention defined as the use of active or passive body movement to maintain or restore joint flexibility.exercise therapy: muscle control in the nursing interventions classification, a intervention" >nursing intervention defined as the use of specific activity or exercise protocols to enhance or restore controlled body movement.family therapy 1. group therapy of the members of a family, exploring and improving family relationships and processes, understanding and modifying home influences that contribute to mental disorder in one or more family members, and improving communication and collective, constructive methods of problem-solving.2. in the nursing interventions classification, a intervention" >nursing intervention defined as assisting family members to move their family toward a more productive way of living.gold therapy chrysotherapy.group therapy see group therapy.helium-oxygen therapy see helium-oxygen therapy" >helium-oxygen therapy.hemodialysis therapy in the nursing interventions classification, a intervention" >nursing intervention defined as management of extracorporeal passage of the patient's blood through a hemodialyzer. See also hemodialysis.hemofiltration therapy in the nursing interventions classification, a intervention" >nursing intervention defined as cleansing of acutely ill patient's blood via a hemofilter controlled by the patient's hydrostatic pressure. See also hemofiltration.highly active antiretroviral therapy (HAART) the aggressive use of extremely potent antiretroviral agents in the treatment of human immunodeficiency virus infection.hormonal therapy (hormone therapy) endocrine therapy.hormone replacement therapy the administration of hormones to correct a deficiency; usually used to denote therapy" >estrogen replacement therapy occurring after menopause.host modulating therapy efforts to control periodontal disease by directly targeting the host response; an example is the use of drugs that do this, such as sub-antimicrobial doses of doxycycline, nonsteroidal antiinflammatory drugs, or bisphosphonates.humidification therapy (humidity therapy) the therapeutic use of air supersaturated with water to prevent or correct a moisture deficit in the respiratory tract; see also humidity therapy.immunosuppressive therapy therapeutic immunosuppression. inhalation therapy the term formerly used for respiratory care (def. 3).intravenous therapy (IV therapy) in the nursing interventions classification, a intervention" >nursing intervention defined as administration and monitoring of intravenous infusions" >intravenous infusions of fluids and medications.leech therapy in the nursing interventions classification, a intervention" >nursing intervention defined as the application of medicinal leeches" >leeches to help drain replanted or transplanted tissue engorged with venous blood.marital therapy a type of family therapy aimed at understanding and treating one or both members of a couple in the context of a distressed relationship, but not necessarily addressing the discordant relationship itself. In the past, the term has also been used in a narrower sense to mean what is defined as marriage therapy, but that is increasingly considered a subset of marital therapy. Called also couples therapy.marriage therapy a subset of marital therapy that focuses specifically on the bond of marriage between two people, enhancing and preserving it.milieu therapy 1. treatment, usually in a psychiatric treatment center, that emphasizes the provision of an environment and activities appropriate to the patient's emotional and interpersonal needs.2. in the nursing interventions classification, a intervention" >nursing intervention defined as the use of people, resources, and events in the patient's immediate environment to promote optimal psychosocial functioning.multimodality therapy combined modality therapy.music therapy 1. the use of music to effect positive changes in the psychological, physical, cognitive, or social functioning of individuals with health or educational problems. Music therapy is used for a wide variety of conditions, including mental disorders, developmental and learning disabilities, Alzheimer's disease and other conditions related to aging, brain injury, substance abuse, and physical disability. It is also used for the management of acute and chronic pain and for the reduction of stress.2. in the nursing interventions classification, a intervention" >nursing intervention defined as using music to help achieve a specific change in behavior or feeling.neoadjuvant therapy in single-agent therapy or combined modality therapy for cancer, initial use of one modality, such as chemotherapy or radiotherapy, to decrease tumor burden prior to use of another modality, usually surgery.nutrition therapy in the nursing interventions classification, a intervention" >nursing intervention defined as administration of food and fluids to support metabolic processes of a patient who is malnourished or at high risk for becoming malnourished. See also nutrition.occupational therapy see occupational therapy.optometric vision therapy a treatment plan prescribed to correct or improve specific dysfunctions of the vision system; it includes, but is not limited to, the treatment of strabismus (turned eye), other dysfunctions of binocularity (eye teaming), amblyopia (lazy eye), accommodation (eye focusing), ocular motor function (general eye movement ability), and visual-motor and visual-perceptual abilities.oral rehydration therapy (ORT) oral administration of a solution of electrolytes and carbohydrates in the treatment of dehydration.oxygen therapy see oxygen therapy.peritoneal dialysis therapy in the nursing interventions classification, a intervention" >nursing intervention defined as administration and monitoring of dialysis solution into and out of the peritoneal cavity. See also peritoneal dialysis.physical therapy see physical therapy.play therapy see play therapy.pulp canal therapy root canal therapy.PUVA therapy [psoralen + ultraviolet A], a form of photochemotherapy for skin disorders such as psoriasis and vitiligo; oral psoralen administration is followed two hours later by exposure to ultraviolet a radiation.radiation therapy see radiation therapy.recreation therapy in the nursing interventions classification, a intervention" >nursing intervention defined as the purposeful use of recreation to promote relaxation and enhancement of social skills.reminiscence therapy in the nursing interventions classification, a intervention" >nursing intervention defined as using the recall of past events, feelings, and thoughts to facilitate pleasure, quality of life, or adaptation to present circumstances.renal replacement therapy therapy such as hemodialysis or transplantation that takes the place of nonfunctioning kidneys. See also therapy" >continuous renal replacement therapy.replacement therapy treatment to replace deficient formation or loss of body products by administration of the natural body products or synthetic substitutes. See also replacement" >replacement. Called also substitution therapy.respiratory therapy respiratory care.root canal therapy that aspect of endodontics dealing with the treatment of diseases of the dental pulp, consisting of partial (pulpotomy) or complete (pulpectomy) extirpation of the diseased pulp, cleaning and sterilization of the empty root canal, enlarging and shaping the canal to receive sealing material, and obturation of the canal with a nonirritating hermetic sealing agent. Called also pulp canal therapy.shock therapy obsolete term for convulsive therapy.simple relaxation therapy in the nursing interventions classification, a intervention" >nursing intervention defined as the use of techniques to encourage and elicit relaxation for the purpose of decreasing undesirable signs and symptoms such as pain, muscle tension, or anxiety.speech therapy the use of special techniques for correction of speech disorders" >speech disorders.substitution therapy replacement therapy.swallowing therapy in the nursing interventions classification, a intervention" >nursing intervention defined as facilitating swallowing" >swallowing and preventing complications of impaired swallowing.thrombolytic therapy the administration of drugs for thrombolysis (dissolution of a thrombus in an artery), to reduce the size of occlusion and thereby reduce damage to muscular tissue; the coronary artery is a commonly used site. Agents commonly used are streptokinase" >streptokinase and tissue plasminogen activator (t-PA).thyroid replacement therapy treatment of hypothyroidism" >hypothyroidism by administration of thyroxine" >thyroxine, usually in the form of levothyroxine" >levothyroxine sodium. Called also thyrotherapy.ultraviolet therapy see ultraviolet therapy.

aerosol therapy

The use of medicated mists, such as bronchodilators, antivirals, corticosteroids, or mucolytic agents, to treat lung or bronchial diseases. See: inhalation therapy
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