LECTURE 31 - asthma & copd devices Flashcards
Describe a metered-dose inhaler (MDI)
- Pressurized device that delivers medication via aerosol
- Generally, contains a propellant that pushes the medication into the lungs when activated
- Often will instruct patients to take a slow and deep breath upon administration
- Requires hand-breath coordination from the patient; does NOT require breath to activate the medicine, inability to coordinate well could result in a sub-therapeutic dose
- Priming usually required prior to first use AND if not used over ‘x’ number of days
- Often requires to be shaken prior to use
- Could include a spacer
Describe a dry powder inhaler
- Breath-actuated device that delivers medication via powder
- Generally, no propellant in the device
- Often will instruct patients to take a fast & deep breath upon administration, too slow of a breath could result in a subtherapeutic dose
- Breath is activating the medication; does NOT require hand-breath coordination
- Priming NOT required
- Shaking prior to use NOT required
List SABA inhalers that could be used for monotherapy treatment of asthma or COPD
- ProAir Respiclick
- Proventil, Ventolin, ProAir HFA
- Xopenex HFA
List LABA inhalers that could be used for monotherapy treatment of asthma or COPD
- Serevent Diskus
- Striverdi Respimat
List SAMA inhalers that could be used for monotherapy treatment of asthma or COPD
Atrovent HFA
List LAMA inhalers that could be used for monotherapy treatment of asthma or COPD
- Incruse Ellipta
- Spiriva Handihaler
- Spiriva Respimat
List ICS inhalers that could be used for monotherapy treatment of asthma or COPD
- Alvesco HFA
- Arnuity Ellipta
- Asmanex HFA
- Asmanex Twisthaler
- Flovent Diskus
- Flovent HFA
- Pulmicort Flexhaler
- QVAR Redihaler
Which device requires a SLOW AND DEEP breath upon administration?
MDI (metered-dose inhaler)
Which device requires a FAST AND DEEP breath upon administration?
DPI (dry powder inhaler)
Which device is best for a patient who does not have hand-breath coordination?
DPI (dry powder inhaler)
Which device requires a breath to activate the medication?
DPI (dry powder inhaler)
Which device usually requires priming?
MDI (metered dose inhaler)
Which device does not require priming?
DPI (dry powder inhaler)
Which device generally contains a propellant?
Metered-dose inhaler (MDI)
Which device delivers medication via aerosol?
Metered-dose inhaler (MDI)
Which device is breath-activated & delivers medication via powder?
Dry powder inhaler (DPI)
Which device could contain a spacer?
Metered-dose inhaler (MDI)
Which device is often required to be shaken prior to use?
Metered-dose inhaler (MDI)
Which device does not require shaking prior to use?
Dry powder inhaler (DPI)
