How to use Med devices

Question 1

Turbhuhaler

Answer 1

1. Unscrew and lift off the cap.
2. Holding the Turbuhaler upright, twist the coloured
   based to the right as far as it will go and then turn it
   back. You should hear a click.
3. Breathe out gently away from the Turbuhaler. 4. Hold the coloured base and place the tip of the
   mouthpiece between your lips. (Twist three times if
   using an intercost Turbuhaler).
4. Breathe in deeply and forcefully. Need sufficient force
   to “suck up the drug”.
5. Repeat steps if a second dose is required.
6. A second dose will not be delivered if the Turbuhaler is
   has not dispensed the previous dose, however the counter will continue and therefore show empty before it really is.
7. Dose counter: red appears when 20 doses and shows fully red when empty.
   Cleaning:
   * Wipe down with a dry cloth. DO NOT immerse or wash with water.

Question 1

Accuhaler

Answer 1

1. Open the accuhalers by sliding the thumb, grip right around until it clicks. This will expose the mouthpiece.
2. Slide the lever on the top across to the right until it clicks. This makes the dose ready for inhalation and decreases the counter by one (DO NOT deliberately decrease the counters!!)
3. Breathe out as much as possible.
4. Put the mouthpiece to your lips and breathe in steadily (not through your nose).
5. Remove the accuhalers.
6. Hold your breath for 10 seconds.
7. Breathe out slowly.
8. Close the accuhalers by sliding the thumb grip back into place.
9. Repeat the dose as prescribed from the first step.
10. Rinse your mouth out with water.
    Cleaning: wipe with a dry cloth, do not immerse or wash with water.
    Dose counter: will count down from 60. The accuhalers is empty when it reads zero.

Question 2

Respimat

Answer 2

1. Open the safety cap, and then open the mouthpiece.
2. Remove the capsule from the blister and insert into the centre of the chamber.
3. Close the mouthpiece firmly until you hear a click.
4. Hold with the mouthpiece upwards and press the green button completely in once (pierces the capsule). Do not do it multiple times or capsule disintegrates.
5. Breathe out completely.
6. Seal lips around the mouthpiece. Hold head upright and breathe in slowly and deeply, at a rate enough to hear the capsule rattle.
7. Breath-hold of 2 – 3 sec as comfortable.
8. Breathe out completely and repeat the above two
   steps to ensure the capsule is empty.
   Cleaning:
   * Clean once a month.
   * Open all four compartments of the handler and rinse
   under warm water.
   * Shake gently to ensure no water in trapped in the
   device.
   * Dry with a paper towel and then leave for 24 hours to
   fully air dry - dry powder drug, if still wet capsule goes soggy and drug not received.