Respiratory Exam 1 - INHALER TECHNIQUE

Question 1

Metered-dose Inhaler (MDI) - POPULATION

Answer 1

> /= 5yo

<5yo with spacer or valved holding chamber

Question 2

Metered-dose Inhaler (MDI) - TECHNIQUE

Answer 2

Actuation during a SLOW (3-5 second) deep inhalation

Followed by a 10s breathhold

Question 3

Breath-actuated MDI - POPULATION

Answer 3

> /= 5yo

Question 4

Breath-actuated MDI - TECHNIQUE

Answer 4

Tight seal around mouthpiece
Slightly more rapid inhalation than standard MDI
10s breathhold

Question 5

Dry Powder Inhaler (DPI) - POPULATION

Answer 5

> /= 4yo

Question 6

Dry Powder Inhaler (DPI) - TECHNIQUE

Answer 6

Rapid, deep inhalation

Question 7

Spacer or Valved Holding Chamber (VHC) - POPULATION

Answer 7

> /= 4yo

<4yo IF with face mask

Question 8

Spacer or Valved Holding Chamber (VHC) - TECHNIQUE

Answer 8

Slow, deep inhalation
10s breathhold
Actuate only once per inhalation

WIth face mask:
Allow 3-5 inhalations/actuation

Question 9

Nebulizer - POPULATION

Answer 9

Any age that cannot use MDI with VHC and Face mask

Question 10

Nebulizer - TECHNIQUE

Answer 10

Slow tidal breathing with occasional deep breaths