Inhaled medications/Devices

Question 1

Is there a benefit to using a nebuliser over an inhaler?

Answer 1

no evidence to suggest a nebuliser compressor works better than inhalers when taken correctly

Question 2

why should we never give oxygen to acute exacerbation COPD patients?

Answer 2

b/c risk of decreasing their hypoxic drive = they’ll stop breathing

Question 3

why are ‘spacer’ devices used?

Answer 3

to reduce the deposition in the mouth and throat and reduce the need for precise synchronization of the start of inhalation

Question 4

Describe which medications you would perscribe at each stage of asthma?

Answer 4

• STEP 1 = SABA as needed
• STEP 2= ICS and SABA as needed
• STEP 3= ICS and LABA and SABA as needed
  *

Question 5

what inhaled medications do we use for COPD?

Answer 5

LABAs (long acting beta 2 agonist) and LAMAs (long acting muscarinic antagonist)

= allow for maintenance of bronchodilation