use of peak expiratory flow rate meters

Question 1

what are the 4 types of inhalers

Answer 1

conventional pressurised metred dose inhalers (pMDIs)

pMDIs with spacer

breath actuated pMDIs

dry powder inhalers

Question 2

what should a patient do if they are recording themselves with a peak flow meter at home `

Answer 2

take the best result out of 3 attempts

Question 3

how do you use a peak flow meter

Answer 3

wash hands 
zero the device 
maximal air inspiration 
airtight seal 
forcefully inhale into the meter 
recorded result

Question 4

what position should the patient be in when using the peak flow meter

Answer 4

standing if possible

Question 5

what should be done with the moth piece

Answer 5

dispose of it

Question 6

what are some common errors when using the peak flow meter

Answer 6

not holding it level

not holding it at the sides as to not get your finger in the way

Question 7

how is peak expiratory flow rate calculated

Answer 7

using height, gender, and your peak flow

Question 8

what is the technique for using a pMDIs

Answer 8

remove inhaler cap and shake inhaler
gently breath out
place teeth around it
breath slowly and deeply as you press down the canister
hold breath for 10secs/ long as possible
breath out
replace cap

Question 9

what is the posture for using a pMDI

Answer 9

sight up straight and lift chin to open airways

Question 10

what is the technique for a large volume spacer device

Answer 10

same as for a pMDI but click spacer on and spray into spacer

Question 11

what is the procedure for turbohaler (Dry powder inhaler)

Answer 11

set it up - remove lid
and screw/rotate till you hear a click (the powder)

breath out gently
put mouth over mouth piece
breath in sharply

hold breath 10seconds
breath out gently