Using Devices For Inhaled Medications

Question 1

Introduction

Answer 1

Introduce self
Check patient ID, DOB
Confirm that procedure is required
Gain consent
PPE
Ensure confidentiality

Question 2

What steps would you need to take when checking the inhaler

Answer 2

Clean hands
Check if the correct medication is in the inhaler
Check EXP
Shake inhaler/look at no of doses remaining on meter

Explain when you would use it and why

• preventer = daily, BD (morning, evening) to prevent onset of symptoms
• reliever = when needed

Question 3

What would you mention when demonstrating the correct technique

Answer 3

Stand/sit up straight
Hold inhaler in dominant hand
Removes lid from inhaler, shake if a metered dose inhaler and not used for 5+ days (mix up propellant and medication)

Take a deep breath out
Form a tight seal with your lips around the mouthpiece
Inhale as much as you canand press down on the inhaler to release dose
Remove inhaler, hold your breath for 10s

Question 4

What would you ask the patient after your demonstration

Answer 4

Ask them to demonstrate technique while they observe

Identify areas of improvement and review

Question 5

How would you close the consultation

Answer 5

ICE
Safetynet:
-questions - GP, practice nurse
-symptoms are not being relieved by blue inhaler,
-symptoms not being relieved by blue inhaler, getting worse => A&E

WASH HANDS