How do you use the metered dose inhaler (MDI) with a spacer?
With a spacer:
1. Remove caps from inhaler and spacer
2. Insert mouth piece of the inhaler into the non-mouthpiece end of the spacer
3. Shake vigorously 3-4 times
4. Place mouthpiece into your mouth, over your tongue, and seal lips tightly around it.
5. Press down firmly on canister to release one dose of medication into the spacer
6. Breathe in slowly and deeply. If the spacer makes a whistling sound you are breathing in too rapidly
7. Remove mouthpiece from mouth, and keep lips closed, hold breath for at least 10 seconds and then breathe out slowly
8. Wait 1 minute between puffs
9. Clean caps once a day with warm water. Clean spacer once a week with warm water.
How do you use the metered dose inhaler (MDI) without a spacer?
2. Tilt head back slightly and breathe out fully
3. Open mouth and place mouthpiece 1-2 inches away (preferred way) or in mouth over tongue with sealed lips (alternative way)
4. As you begin to breathe in deeply press down canister once to admin 1 dose
5. Breathe in slowly and deeply for 3-5 seconds
6. Hold breath for 10 seconds
7. Wait 1 minute between puffs
8. Clean canister and cap with warm water every day
How to use a dry powder inhaler (DPI)?
- May or may not need to load dose (may be inhaler, capsule, disk or compartment)
- Doctor orders how fast you should breathe for particular inhaler. Place lips over mouthpiece and inhale. There is no propellant, only your breath pulls the drug in. This may cause there to be no feel, smell, or taste as you inhale.
-Remove inhaler from mouth as soon as you have inhaled
– NEVER exhale into inhaler
- Never shake and never place or wash in water
increase bronchiolar smooth muscle relaxation. No effect on inflammatory processes.
SABA- RESCUE DRUG
LABA- use daily as prescribed
Cholinergics- atrovent most common. used for those who cannot tolerate LABA
Methylxanthines- when others are ineffective
What two types of drugs are used to treat asthma?
Help improve airflow by decreasing the inflammatory response of the mucous membranes in the airways. Does not cause bronchodilation.