Assisting a Patient With a Metered-Dose Inhaler

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Step 1: MDI Preparation

Make sure you have the correct medication for the correct patient. Check the expiration date. Ensure the inhaler is at room temperature or warmer.

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Step 2: MDI Administration Instructions

Remove the patient’s oxygen mask. Hand the inhaler to the patient. Provide instructions about breathing and maintaining a lip seal.

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Step 3: MDI Activation and Inhalation

Instruct the patient to press the inhaler and inhale one puff. Also provide instructions about breath holding after inhalation.

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Step 4: MDI Post-Administration

Reapply the patient’s oxygen. After a few breaths, have the patient repeat the dose if the order or protocol allows.