Recording-2025-02-05T13:42:00.649Z

Inhaler Usage Instructions

• Test Spray the Inhaler: Before first use or after 5 days of inactivity, perform a test spray to ensure it is functioning.

• Position: Sit or stand with an upright head position.

• Breath Technique:

  • Exhale gently, ensuring not to breathe out into the inhaler.

  • Place the mouthpiece securely in your mouth.

  • Inhale deeply and quickly while pressing down on the inhaler to dispense the medication.

  • Hold the breath for 10 seconds to allow medication to settle in the lungs, then exhale slowly away from the inhaler.

• Finishing: Close the inhaler after use to complete the dosage.

Types of Inhalers

• Metered-Dose Inhalers (MDIs):

  • Contain aerosolized medication.

  • Patients must coordinate breathing in while pressing down to release medication.

  • Requires shaking prior to use to redistribute medication.

• Dry Powder Inhalers (DPIs):

  • Medication is in powder form without a propellant.

  • Patient inhales forcefully to activate the inhaler, requiring no press down action.

Delivery Techniques

• Nebulizers: A device that turns medication into a fine mist, allowing patients to breathe it in without complex techniques.

• Particles from nebulizers are smaller and travel to the lungs more effectively.

Important Considerations

• Hand Hygiene: Wash hands thoroughly before handling inhalers to prevent contamination.

• Dosage: Ensure not to tilt or drop inhalers, as this can waste doses.

• Documentation of Instructions: When dispensing inhalers, provide full units (e.g., 100 puffs) as it cannot be packaged in smaller quantities like tablets.

Additional Notes on Medications

• Bronchodilators: Used to relax tightness in the lungs, especially after exercise or when the lungs are inflamed.

• Corticosteroids: Reduce inflammation to facilitate easier breathing.

• Auxiliary Labels: Important for reminders to the patient, such as rinsing mouth after using corticosteroids to prevent irritation.

• Always remember special instructions related to the inhaler type when giving directions, such as shaking an MDI before use.

Calculation of Supply and Doses

• Puffs and Doses: When prescribing inhalers, specify dosing clearly (e.g., "Inhale one puff twice daily").

• Day Supply Calculations: If a patient uses two puffs every four hours, calculation of days’ supply needs to consider daily usage and frequency:

  • Example: If a patient can take 2 puffs every 4 hours (6 times a day), a unit containing 120 puffs will last 20 days.

Case Study Work and Reflection

• Students are to analyze scenarios involving prescription errors, discussing potential patient impacts and resolutions collaboratively.

• Each scenario should encourage critical thinking about medication delivery and usage.

• Auxiliary labels and common errors in prescription must be addressed for full comprehension and safety.

Summary of Key Points

• Understand inhaler techniques (both MDIs and DPIs) for effective medication delivery.

• Proper administration is crucial for the medication's efficacy in treating respiratory conditions.

• Review auxiliary labels for additional guidance to patients, including mouth rinsing after corticosteroid use.

• Collaborate with peers on case studies to enhance understanding and application of pharmacy practices.