Respiratory Teaching

Question 1

Diaphragmatic breathing

Answer 1

Take a deep breath from the diaphragm

Lie on back with knees bent

Rest a hand over the abdomen to create resistance

If the client’s hand rises and lowers upon inhalation/exhalation the breathing is being performed correctly

Question 2

Pursed Lip Breathing

Answer 2

Form mouth as if trying to whistle

In through the nose

Out through the mouth

Deep, slow breaths

Do not puff cheeks

Question 3

Managing acute symptoms of SOB

Answer 3

Semi Fowler’s

Focused respiratory assessment

Deep breathing, use supplemental oxygen as prescribed

Stay with client

Encourage airway clearance through coughing

oral/oropharyngeal suctioning

Question 4

Use of spacer devices

Answer 4

Purpose: keeps the medication in the device longer, thereby delivering more medication to the lungs.

1. Remove covers from the mouthpiece of the inhaler and the spacer
2. Insert the spacer into the MDI
3. Shake the inhaler 5-6 times
4. Exhale completely, close the mouth around the spacer. Continue with use of a MDI.

Question 5

Use of an inhaler

Answer 5

1. Remove the cap of the inhaler (apply a spacer and continue steps)
2. Shake the inhaler 5-6 times
3. Exhale completely
4. Tilt head back, put teeth on mouthpiece, close mouth, press down while slow inhalation (3-5 seconds)
5. Keep medication in mouth for 3-10 seconds
6. Exhale through pursed lip breathing