inhaler tips 1 Flashcards
1
Q
• Turbuhalers, Respimat and
pMDI devices
A
should be
primed before they are used
for the first time.
2
Q
For inhalers with a dose
counter,
A
it is important to
check there are sufficient
doses remaining in the inhaler
before each use
3
Q
For the Respimat inhaler,
ensure
A
the cartridge has been
loaded into the device before
using the inhaler for the first
time
4
Q
All pMDIs should be shaken
A
before each dose. Do not
shake dry powder
5
Q
For inhalers containing
corticosteroids,
A
it is important to rinse the mouth out with water after using the inhaler to remove any residual medicine. This will reduce the likelihood of voice changes and oral thrush
6
Q
Pressurised metered-dose
inhaler (pMDI)
A
- Remove inhaler cap
- Hold inhaler upright and shake
well - Breathe out gently, away from
the inhaler - Put mouthpiece between teeth
without biting and close lips to
form a good seal - Breathe in slowly through the
mouth and, at the same time,
press down firmly on canister - Keep breathing in slowly and
deeply and hold breath for
about 5 seconds or as long as
comfortable - While holding breath, remove
inhaler from mouth - Breathe out gently, away from
the inhaler - If an extra dose is needed, repeat
steps 2 to 8 - Replace cap
7
Q
pMDI & spacer
A
- Prepare the spacer*
- Remove inhaler cap
- Hold inhaler upright and shake
well before inserting into spacer - Put mouthpiece between teeth
without biting and close lips to
form a good seal - Breathe out gently, into the
spacer - Hold spacer level and press down
firmly on inhaler canister once - Single breath: Breathe in slowly
and deeply and hold breath for
around 5 seconds or as long as
comfortable. Take spacer out of
mouth while holding breath
OR
Tidal breath:** Breathe in and
out normally for 3 or 4 breaths
before removing spacer from
the mouth - Breathe out gently
- Remove inhaler from spacer
- If an extra dose is needed, repeat
steps 3 to 9 - Replace cap on inhaler
8
Q
Accuhaler
A
- Open cover using thumb grip
- Hold horizontally, load dose by
sliding lever until it clicks - Breathe out gently, away from
the inhaler - Place mouthpiece in mouth and
close lips to form a good seal,
keep inhaler horizontal - Breathe in steadily and deeply
- Hold breath for about 5 seconds
or as long as comfortable - While holding breath, remove
inhaler from mouth - Breathe out gently, away from
the inhaler - If an extra dose is needed¶
repeat
steps 2 to 8 - Close cover to click shu
9
Q
Autohaler
A
- Remove cap
- Hold inhaler upright and shake
well - Push lever up
- Breathe out gently, away from
the inhaler - Put mouthpiece between teeth
without biting and close lips to
form good seal - Breathe in slowly and deeply.
Keep breathing in after hearing
click - Hold breath for about 5 seconds
or as long as comfortable - While holding breath, remove
inhaler from mouth - Breathe out gently, away from
the inhaler - Push lever down
- If an extra dose is needed,
repeat steps 2 to 10 - Replace cap
10
Q
Breezhaler
A
- Remove cap
- Flip mouthpiece to open
- Remove capsule from blister and
place in chamber - Close mouthpiece until it clicks
- Press side buttons in once and
release (do not shake) - Breathe out gently, away from
inhaler - Put mouthpiece between teeth
without biting and close lips to
form good seal - Breathe in quickly and steadily,
so capsule vibrates - Hold breath for about 5 seconds,
or as long as comfortable - While holding breath, remove
inhaler from mouth - Breathe out gently, away from
inhaler - Open mouthpiece and remove
capsule - If more than one dose is needed,¶
repeat steps 3 to 12 - Close mouthpiece and cap
11
Q
Ellipta
A
1. Slide the cover down until you hear a click (do not shake) 2. Breathe out gently, away from the inhaler 3. Place mouthpiece in mouth and close lips to form a good seal. Do not cover air vent 4. Breathe in steadily and deeply 5. Hold breath for 5 seconds or as long as comfortable 6. While holding breath, remove inhaler from mouth 7. Breathe out gently, away from the inhaler 8. Slide the cover upwards as far as it will go, to cover the mouthpiece
12
Q
Genuair
A
1. Remove cap by squeezing arrows and pulling 2. Hold inhaler so large coloured button is facing straight up 3. Without tilting inhaler, press and release the button 4. Check control window has changed to green 5. Breathe out gently, away from inhaler 6. Place mouthpiece in mouth and close lips to form a good seal. Keep inhaler horizontal 7. Breathe in strongly and deeply. Keep breathing in after click is heard 8. Hold breath for about 5 seconds or as long as comfortable 9. While holding breath, remove inhaler from mouth. 10. Breathe out gently, away from inhaler. 11. Check control window has changed to red. 12. Replace cap
13
Q
Handihaler
A
- Open cap
- Flip open mouthpiece
- Remove capsule from blister and
place in chamber - Close mouthpiece until it clicks
- Press green piercing button in
once and release (do not shake) - Breathe out gently, away from
inhaler - Place mouthpiece between teeth
without biting and close lips to
form a good seal - Breathe in slowly and deeply, so
capsule vibrates - Keep breathing in as long
as comfortable - While holding breath, remove
inhaler from mouth - Breathe out gently, away from
inhaler - Repeat steps 7 to 11 to take
the full dose - Open mouthpiece and remove
capsule - Close mouthpiece and cap
14
Q
Respimat
A
1. Hold inhaler upright with the cap closed 2. Turn base in direction of arrows until it clicks (half a turn) 3. Open the cap until it snaps fully open 4. Breathe out gently, away from inhaler 5. Place mouthpiece in mouth and close lips to form a good seal. Do not cover air vents 6. Breathe in slowly and deeply through mouth and, at the same time, press down on the dose button 7. Keep breathing in slowly and deeply 8. Hold breath for 5 seconds or as long as comfortable 9. While holding breath, remove inhaler from mouth 10. Breathe out gently, away from inhaler 11. Click cap shut 12. Repeat from step 1 to get the full dose (as two inhalations is the usual dose for medicines used with Respimat)
15
Q
Spiromax
A
1. Hold inhaler upright with mouthpiece cover at the bottom 2. Open the mouthpiece cover downwards until it clicks 3. Breathe out gently, away from inhaler 4. Place mouthpiece between teeth without biting and close lips to form a good seal. Do not cover air vents 5. Breathe in strongly and deeply 6. While holding breath, remove inhaler from mouth 7. Hold breath for 5 seconds or as long as comfortable 8. Breathe out gently, away from inhaler 9. Close mouthpiece cover 10. If an extra dose is needed, repeat steps 1 to 9
