lecture 33 (respiratory devices) Flashcards
exam 3
1
Q
comprehensive patient counseling includes these 6 categories
A
steps for use
cleaning
storage
orientation to device
frequency
daily use tipe
2
Q
SABA available devices
A
ProAir Respiclick
Proventil, Ventolin, ProAirHFA
Xopenex HFA
3
Q
LABA available devices
A
Serevent Diskus
Striverdi Respimat
4
Q
SAMA available devices
A
Atrovent HFA
5
Q
LAMA available devices
A
Incruse Ellipta
Spiriva Handihaler
Spiriva Respimat
6
Q
ICS available devices
A
Alvesco HFA
Arnuity Ellipta
Asmanex HFA
Asmanex Twisthaler
Flovent Diskus
Flovent HFA
Pulmicort Flexhaler
QVAR Redihaler
7
Q
metered dose inhaler (MDI)
A
- pressured device that delivers medication via aerosol
- example: HFA products
- generally contains a propellant that pushes the medication into the lungs when activated
- often will instruct the patients to take a SLOW and DEEP breath
- requires hand-breath coordination from the patient
- does NOT require breath to activate the medicine
- priming usually required prior to first use and if not used over x number of days
- requires to be shaken prior to use
8
Q
spacers for MDIs
A
- slows the medication down
- eliminates the heavy emphasis on hand-breath coordination
- when used correctly, should increase the concentration of medication actually inhaled
- for pediatrics, can include a face mask to allow for patient to take normal breaths (5-6 normal breaths after puffs) instead of slow/deep breaths
- can be reused but need to be cleaned
- may or may not be covered by pharmacy insurance, can get from a medical supply store
9
Q
dry powder inhaler (DPI)
A
- ex: diskus, ellipta, handihaler, respiclick, flexhaler
- generally no propellant in the device
- fast and deep breaths upon administration, hold ~10 seconds (may be difficult for some patients)
- too slow of a breath could result in a sub-therapeutic dose
- breath required to activate the medication
- does not require hand-breath coordination
- priming not required
- shaking prior to use not required
