The nurse is teaching the client how to use a metered-dose inhaler (MDI) to administer a Corticosteroid drug. Which of the following client actions indicates that he is using the MDI correctly? Select all that apply.
A. The inhaler is held upright.
B. Head is tilted down while inhaling the medication.
C. Client waits 5 minutes between puffs.
D. Mouth is rinsed with water following administration.
E. Client lies supine for 15 minutes following administration.
Correct Answers: A & D.
Inhaled respiratory medications are often taken by using a device called a metered-dose inhaler, or MDI. The MDI is a pressurized canister of medicine in a plastic holder with a mouthpiece. When sprayed, it gives a reliable, consistent dose of medication.
Option A: Remove the cap and hold the inhaler upright. Each inhaler consists of a small canister of medicine connected to a mouthpiece. The canister is pressurized. As the client presses down on the inhaler, it releases a mist of medicine. The client breathes that mist into the lungs. It’s important to use the inhaler correctly.
Option B: Tilt the head back slightly and breathe out all the way. Keep the chin up and the inhaler upright (not aimed at the roof of the mouth or the tongue).
Option C: Repeat puffs as directed by the doctor. Wait 1 minute before taking the second puff. A delay of 10–20 minutes between successive doses of the bronchodilator drug has been suggested in order to let the first act to improve the penetration and effect of the second dose, but again the evidence that this works is inconclusive. Many patients may forget to take a second dose with such a long interval.
Option D: Some inhalers (steroid) also recommend rinsing the mouth out with water and gargling with water (spit out the water) after use. If using this inhaler for a corticosteroid preventer medication, with or without a spacer, rinse the mouth with water and spit after inhaling the last dose to reduce the risk of side-effects
Option E: The client does not have to be in the supine position after administration. Proper instruction by a trained person with a placebo aerosol is essential to teach the correct inhaler technique. This should be followed subsequently by regular checks to locate any faults that may develop. Inevitably, some patients will be unable to use an MDI, and for them, spacer attachments, or dry powder inhalers are preferable since they place fewer demands on patients’ skill. Even these devices, however, must be used properly to achieve a satisfactory effect.
No comments:
Post a Comment