NEBULIZERS, METERED DOSE INHALERS, AND DRY POWDER INHALERS
|
|
- Stuart Ray
- 6 years ago
- Views:
Transcription
1 NEBULIZERS, METERED DOSE INHALERS, AND DRY POWDER INHALERS Douglas S. Gardenhire, Ed.D, RRT-NPS MODULE 1 Manipulate Small Volume Nebulizers by Order or Protocol 1
2 Objectives for Module 1 At the end of this module the student should be able to: Gather necessary equipment to deliver a small volume nebulizer treatment to a patient. Assemble small volume nebulizer and determine proper function. Assess function and troubleshoot small volume nebulizer as needed. Small Volume Nebulizer (SVN) Gather Equipment Typically disposable Pneumatically powered Oxygen Compressed air 4-8 LPM allows a treatment time of approximately 10 minutes depending on volume Typically delivers liquid medication of 3-5 ml Particle Size Choose a nebulizer that matches the therapeutic need for the patient Risks to practitioners SVNs usually allow nebulized liquid to escape into the atmosphere Transmittable diseases may also be allowed into the atmosphere Protect yourself by using universal precautions A SVN with one-way valves and filters can be used (i.e. Respirgard II) 2
3 Small Volume Nebulizer (SVN) Assemble SVN Consists of Medication cup or reservoir Manifold The manifold and medication cup may need to be screwed together Mouthpiece A mask may be substituted if necessary Reservoir or extension tube Depending on packaging this may be optional Small bore oxygen tubing Used to connect to flowmeter, adjust to manufacturer s directions (4-8/LPM) Check for leaks and nebulization of liquid Small Volume Nebulizers (SVN) Troubleshoot SVN If the SVN fails to create aerosol, check the following Is it assembled correctly? Check all fittings and make sure the manifold and medication cup are screwed together tightly Is the small bore tubing connected to the SVN and power source? Connect correctly and tightly If improper function is found after troubleshooting Change to a new nebulizer Consider changing to a different device MDI DPI 3
4 MODULE 2 Manipulate Metered Dose Inhaler by Order or Protocol Objectives for Module 2 At the end of this module the student should be able to: Gather necessary equipment to deliver a metered dose inhaler to a patient. Assemble metered dose inhaler and determine proper function. Assess function and troubleshoot metered dose inhaler as needed. 4
5 Metered Dose Inhaler (MDI) Gather Equipment Dispenses predetermined amount of medication Available in single and combination medications Simple operation Medication mixed with a propellant Depress canister to actuate a dose with the actuator Make sure that the canister and actuator are aligned Shake the canister Hold upright Priming the canister may be needed Metered Dose Inhaler (MDI) Assemble and check function Place canister into actuator Shake the canister Hold upright Depress canister to actuate a dose with the actuator Make sure that the canister and actuator are aligned Priming the canister may be needed Clean as needed 5
6 Metered Dose Inhaler (MDI) Troubleshoot Check proper placement of canister and actuator Determine medication is present If patient cannot properly use device, consider a spacer or breath-actuated MDI If use of a spacer device is unsuccessful, consider changing to SVN or DPI MODULE 3 Manipulate Dry Powder Inhaler by Order or Protocol 6
7 Objectives for Module 3 At the end of this module the student should be able to: Gather necessary equipment to deliver a dry powder inhaler to a patient. Assemble dry powder inhaler and determine proper function. Assess function and troubleshoot dry powder inhaler as needed. Dry Powder Inhaler (DPI) Gather Equipment Deliver medication via a dry powder into the lungs Can provide various classes of medication Single dose Spiriva (tiotropium) HandiHaler Foradil (formoterol) Aerolizer Multi-dose Pulmicort (budesonide) Flexhaler Serevent (salmeterol) Diskus Relenza (zanamivir) Diskhaler 7
8 Dry Powder Inhaler (DPI) Assemble and check function Single dose Open device Place medication in space provided in device Pierce or crush the capsule in the device Remove capsule before next dose Instruction and education is key for patients taking DPIs at home Multi-dose Since several different types of devices exist, check package insert for correct use A counter is included so continued monitoring will show when a new inhaler is needed Dry Powder Inhaler (DPI) Troubleshoot Proper education and practice by the patient is required for the unit to work effectively If a DPI unit fails a new unit is needed Keep DPIs out of high humidity areas as moisture and water can have an effect on how they perform A patient must be able to generate a flow of at least LPM Older patients and those under 5 may not be able to generate flows needed Patients using a single dose device should be instructed not to swallow capsule; it must be inhaled to work properly An alternate device such as a MDI or SVN may be needed 8
9 Example Question An 18 month-old child is seen in the emergency department of a local hospital, and croup is diagnosed. The physician orders a dose of racemic epinephrine via a small volume nebulizer to help reduce the subglottic swelling. What size aerosol particle is most likely to deposit in this region, providing the greatest therapeutic benefit to the patient? A Particles less than 10 µm B Particles 5 to 10 µm C Particles 2 to 5 µm D Particles 0.8 to 1.0 µm Answer: B The upper airway (nose and mouth) is efficient in filtering particulate matter, so generally there is 100% deposition in the nose and mouth of particles larger than 10 µm and 15 µm. Particle sizes 5 to 10 µm tend to deposit out in the upper airways and the early airway generations, whereas particles 1 to 5 µm have a greater probability of reaching the lower respiratory tract from the trachea to the lung periphery. Larger or coarser aerosol particles (>5 µm) may be useful for treating the upper airway (nasopharynx and oropharynx). 9
10 Example Question You are treating a patient who has a confirmed diagnosis of Pneumocystis pneumonia. Which type of delivery device should you choose to administer the dose of pentamidine ordered by the physician? A Respirgard II B MDI C Pari LC D DPI Answer: A Respirgard II is the only approved device to administer pentamidine. 10
11 Example Question A patient carries an albuterol metered dose inhaler (MDI), which she claims to use every few weeks. She complains that the first dose actuated from the device seems to have no effect on her bronchospasm. What suggestion would you make to correct the problem? A Discharge a waste dose before using the MDI B Replace the device C Administer three actuations instead of the two that her physician prescribed D Recommend use of a small volume nebulizer Answer: A Findings suggest discharging a waste dose if 4 hours have elapsed since the last use of an albuterol MDI (or if the device is stored in the valve-down position). The patient has not suggested that the device does not function, only that the initial dose seems to have no effect on her bronchospasm. A new device would likely produce the same result. Although the initial dose may have little or no effect, the practitioner should never change a patient s prescribed dosage without first consulting the physician (unless following a physician-prescribed protocol). A small volume nebulizer is not nearly as portable as an MDI and may cause compliance issues with the patient. Proper instruction would allow the MDI to be used with greater effectiveness. 11
12 References Gardenhire, D.S. Rau s Respiratory Care Pharmacology, ed. 8, St. Louis, 2012, Elsevier. 12
2008 IPAC-RS Conference Doing the Right Thing Science, Quality and Patient Focus
2008 IPAC-RS Conference Doing the Right Thing Science, Quality and Patient Focus Patient Perspective Alpha-1 1 Foundation John W. Walsh Patient Focus Personal perspective Challenges and lessons Importance
More informationInhalation devices, proper technique and cleaning
Preventing Your Symptoms and Taking Your Medications Inhalation devices, proper technique and cleaning Knowing how to use your medications properly is important because inhaled drugs are meant to get directly
More informationI. Subject: Medication Delivery by Metered Dose Inhaler (MDI)
I. Subject: Medication Delivery by Metered Dose Inhaler (MDI) II. Policy: Aerosol medication administration by metered dose inhaler will be performed upon a physician's order by Respiratory Therapy personnel.
More informationAppendix M: Device Technique
Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease (COPD) Appendix M: Device Technique Medications: Inhalation Devices Medications come in many forms.
More informationAerosol Delivery Devices
Aerosol Delivery Devices Judy Bielenda LRRT Respiratory Therapy Clinical Specialist Pediatric Asthma Education Coordinator University of Michigan C.S. Mott Children s and Von Voigtlander Women s Hospital
More informationUsing an Inhaler and Nebulizer
Using an Inhaler and Nebulizer Introduction An inhaler is a handheld device that is used to deliver medication directly to your airways. A nebulizer is an electric or battery powered machine that turns
More informationIt is recommended that a mask and protective eyewear be worn when providing care to a patient with a cough
UNIVERSITY HEALTH NETWORK POLICY #: PAGE 1 OF 7 POLICY AND PROCEDURE MANUAL: RESPIRATORY THERAPY DEPT PATIENT CARE SECTION ORIGINAL DATE: 04/03 ISSUED BY: SITE LEADER APPROVED BY: Infection Prevention
More informationWhat You Need to Know about Metered-Dose Inhalers and the HFA Propellant
What You Need to Know about Metered- Inhalers and the HFA Propellant There are a number ways to deliver inhaled medication. They include: Metered-dose inhaler () Metered-dose inhaler with spacer/holding
More informationYour Inhaler Devices & You
1 Your Inhaler Devices & You COUNSEL ON THE APPROPRIATE USE OF A: METERED DOSE INHALER (MDI) DRY POWDER INHALER (DPI) DISCUSS THE APPROPRIATE USAGE OF A PEAK FLOW METER AND SPACER/HOLDING CHAMBER DEVICE
More informationAppendix E: Device Technique
Adult Asthma Care Guidelines for Nurses: Promoting Control of Asthma Appendix E: Device Technique Medications: Inhalation Devices Adapted with permission from The Lung Association: www.lung.ca/asthma/manage/devices.html
More informationBreezhaler. Open to see clear capsule. How do I use my Breezhaler? Care of my Breezhaler
Breezhaler 3 Pull cap off Press buttons once and release Breathe in rapidly and steadily. Hold. Open. Place capsule in chamber. Close (click). Breathe out 4 Open to see clear capsule. If not all clear
More informationDelivering Aerosol Medication in ICU
Delivering Aerosol Medication in ICU 18th Aug 2017 Lau Chee Lan Pharmacist HCTM PPUKM ASMIC 2017 Aerosol Therapy Part of the treatment for a variety of respiratory disease * asthma and chronic obstructive
More informationGMMMG Asthma Formulary Inhaler Options August 2017
Regular Preventer Beclometasone Beclometasone Beclometasone Brand name Qvar Easi-Breathe Clenil Modulite Easyhaler Device MDI MDI DPI Strengths 50 microgram 100 microgram 200 microgram Adult asthma 2 inhalations
More informationHow can I benefit most from my COPD medications?
Fact Sheet: COPD Medications and Delivery Devices How can I benefit most from my COPD medications? COPD medications can improve your symptoms. By taking the right medication at the right time, you can
More informationPocket Guide to Inhaler Technique A Step-By-Step Guide for Healthcare Professionals
Pocket Guide to Inhaler Technique A Step-By-Step Guide for Healthcare Professionals Endorsed by NHSGGC Respiratory Managed Clinical Network; June 2016 Designed by Medical Illustration Services Contents
More informationCorrect Use of Inhaler Devices
PL Detail-Document #300206 This PL Detail-Document gives subscribers additional insight related to the Recommendations published in PHARMACIST S LETTER / PRESCRIBER S LETTER February 2014 Correct Use of
More informationHow to Use Inhaled Medications
How to Use Inhaled Medications FOR ASTHMA AND COPD introduction Inhaled medications are an important part of controlling and treating asthma and chronic obstructive pulmonary disease (COPD). The medication
More informationMetered Dose Inhalers with Valved Holding Chamber: A Pediatric Hospital Experience
Metered Dose Inhalers with Valved Holding Chamber: A Pediatric Hospital Experience 8th Annual North Regional Respiratory Care Conference Minnesota & Wisconsin Societies for Respiratory Care Mayo Civic
More informationHow to Use Inhaled Medications for Asthma and COPD
How to Use Inhaled Medications for Asthma and COPD This information is not intended to diagnose health problems or to take the place of medical advice or care you receive from your physician or other health
More informationGuide to Inhaled Treatment Choices
Guide to Inhaled Treatment Choices Note: this is guidance only, it is important to consider which device is best suited to the patient. This may NOT be the first line choice (but should be on the joint
More informationCommon Inhaled Asthma Medications Dose Comparison and Tips for Use
Detail-Document #210303 This Detail-Document accompanies the related article published in PHARMACIST S LETTER / PRESCRIBER S LETTER March 2005 ~ Volume 21 ~ Number 210303 Common Inhaled Asthma Medications
More informationGuide to Inhaled Treatment Choices
Guide to Inhaled Treatment Choices Note: this is guidance only, it is important to consider which device is best suited to the patient. This may NOT be the first line choice (but should be on the joint
More informationBREEZHALER. Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate)
Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate) BREEZHALER Please date initial after you have directly observed
More informationBREEZHALER. Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate)
Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate) BREEZHALER Please date initial after you have directly observed
More informationBREEZHALER. Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate)
Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate) BREEZHALER Please date initial after you have directly observed
More information10/18/2012. Penn State University Children s Hospital JODIE STABINSKI CRNP MSN AE-C
Penn State University Children s Hospital JODIE STABINSKI CRNP MSN AE-C Daily: Long-Term Control Corticosteroids (inhaled and systemic) Long-acting beta 2 -agonists (Serevent, Foradil) Methylxanthines
More informationHow to use your QVAR RediHaler (beclomethasone dipropionate)
(beclomethasone dipropionate) 40 mcg, 80 mcg What is my prescription? Special instructions Take every day to control your symptoms. Rinse mouth thoroughly with water and spit after each use. What can I
More informationInhalation Therapy. Inhalation Therapy
Matching Device and Patient Matching Patient to the Device Søren Pedersen University of Southern Denmark Kolding Hospital Anatomical factors (age) Training and education Delivered dose Psycomotor skills
More informationThe Medical Letter. on Drugs and Therapeutics
The Medical Letter publications are protected by US and international copyright laws. Forwarding, copying or any other distribution of this material is strictly prohibited. For further information call:
More informationMDI Bonanza. Dwayne Griffin, DO
MDI Bonanza Dwayne Griffin, DO Bonanza 3. A MDI costing $200 - $500 per month SISYPHUS MDI Griffin Mountain Evolution of Deliver Systems for COPD in the US 2003 2009 2011 2013 2004 2012 2014 Prescribing
More informationINHALERS for COPD INTRODUCTION. Types of inhalers. Inhaler technique. MDIs for COPD WET AEROSOLS. Dr Christopher Worsnop
INHALERS for COPD Dr Christopher Worsnop Department of Respiratory Medicine Austin Hospital INTRODUCTION Most drugs for COPD are given via inhalers. This reduces the dose that needs to be given and delivers
More informationTIP NO AEROSOLIZED DRUGS TECHNICAL INFORMATION PAPER NO PURPOSE.
AEROSOLIZED DRUGS TECHNICAL INFORMATION PAPER NO. 56-088-0618 PURPOSE. Healthcare workers risk exposure to exhaled aerosolized drugs along with infectious airborne pathogens during administration and routine
More informationPREMIXES FOR MEDICATED FEEDING STUFFS FOR VETERINARY USE. Praeadmixta ad alimenta medicata ad usum veterinarium. Effervescent powders
Preparations for inhalation administered in or with water or another suitable liquid. They may also be swallowed directly. They are presented as single-dose or multidose preparations. Where applicable,
More informationCOPD RESOURCE PACK Section 5. Drug Treatment & Inhalers in Stable COPD
COPD RESOURCE PACK Section 5 Drug Treatment & Inhalers in Stable COPD In this section: 1. Links to Fife Formulary 2. Pharmacological Management of Stable COPD 3. How to use a Metered Dose Inhaler 4. How
More informationDiagnosis and Management of Asthma
Supporting Evidence: Diagnosis and Management of Asthma The subdivision of this section is: Appendix B Tables Copyright 2016 by 1 Eleventh Edition/December 2016 Appendix B Asthma Summary Tables Class:
More informationEffective Date: August 31, 2006 SUBJECT: CARE AND USE OF NEBULIZER AND INTERMITTENT POSITIVE PRESSURE BREATHING DEVICE
COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION - Treatments POLICY NUMBER: 421 Effective Date: August 31, 2006 SUBJECT: CARE AND USE OF NEBULIZER AND INTERMITTENT POSITIVE PRESSURE
More informationprimer on inhalers and nebulizers
CREDIT: 2.0 Continuing Education EARN CE CREDIT FOR THIS ACTIVITY AT WWW.DRUGTOPICS.COM AN ONGOING CE PROGRAM OF THE UNIVERSITY OF CONNECTICUT SCHOOL OF PHARMACY AND DRUG TOPICS educational objectives
More informationNHS Northern, Eastern and Western Devon Clinical Commissioning Group NHS South Devon and Torbay Clinical Commissioning Group
NHS Northern, Eastern and Western Devon Clinical Commissioning Group NHS South Devon and Torbay Clinical Commissioning Group Inhaler technique and respiratory conditions Guidance Sheet 16 When diagnosed
More informationCARE AT HOME: ASTHMA. A guide for parents. childrensmn.org
CARE AT HOME: ASTHMA A guide for parents childrensmn.org Content Your child has asthma a chronic lung disease. To best control the symptoms of asthma, it is important that you learn all you can about asthma.
More informationA82-LIFE-Dog Nebulizer NBB02
A82-LIFE-Dog Nebulizer NBB02 פיית אוויר A82-LIFE-Dog Nebulizer NBB02 www.mfcl.co.il COMPRESSOR NEBULIZER USER S MANUAL A82-LIFE-Dog Nebulizer NBB02 ILLUSTRATION OF PARTS A. NEBULIZER COMPRESSOR
More informationFerris State University College of Pharmacy MPA CE Symposium 2016 Paul Thill, PharmD, BCPS
Ferris State University College of Pharmacy MPA CE Symposium 2016 Paul Thill, PharmD, BCPS Objectives Categorize the new asthma and COPD inhalers in to existing or newly created categories Discuss the
More informationQ. What are metered-dose inhalers? A. These are devices that dispense medicines directly into the lungs, in the form of a mist or aerosol in a
1 2 Q. What are metered-dose inhalers? A. These are devices that dispense medicines directly into the lungs, in the form of a mist or aerosol in a specific dosage. In an MDI, the medicine is suspended
More information8/13/11. RSPT 1410 Humidity & Aerosol Therapy Part 3. Humidification Equipment. Aerosol Therapy
1 RSPT 1410 Humidity & Aerosol Therapy Part 3 Wilkins: Chapter 35, p. 775-799 Cairo: Chapter 4, p. 88-143 2 Humidification Equipment A humidifier is a device that adds molecular liquid (e.g. water vapor)
More informationDivision 1 Introduction to Advanced Prehospital Care
Division 1 Introduction to Advanced Prehospital Care Chapter 7 Intravenous Access and Medication Administration Part 1 Principles and Routes of Medication Administration Topics Aseptic Technique Medication
More informationMedications for Managing COPD in Hospice Patients. Jim Joyner, PharmD, CGP Director of Clinical Operations Outcome Resources
Medications for Managing COPD in Hospice Patients Jim Joyner, PharmD, CGP Director of Clinical Operations Outcome Resources Goal of medications in COPD Decrease symptoms and/or complications Reduce frequency
More informationCOPD Medicine. No one ever showed me how to use this. Wendy Happel; RRT, COPD Educator Krystal Fedoris; RRT-NPS, BA, COPD Educator
Medicine. No one ever showed me how to use this. Wendy Happel; RRT, Educator Krystal Fedoris; RRT-NPS, BA, Educator 1 Taking prescriptions correctly Taking prescriptions can be a challenge Busy schedules
More informationMetered Dose Inhaler Technology
Metered Dose Inhaler Technology Edited by Tol S. Purewal and David J. W. Grant Interpharm Press, Inc. Buffalo Grove, Illinois Contents 1. INTRODUCTION 1 T. S. Purewal Definition of the Metered Dose Inhaler
More informationRespiratory Medications and Devices Update 2/15
Respiratory Medications and Devices Update 2/15 Dewey Hahlbohm, PA-C, AE-C Wendy Brown, Pharm.D., MPAS, PA-C, AE-C Objectives! Review mechanism of action for asthma pharmacologic agents! Describe key patient
More informationRespiratory Care 2. Clinical Skills School of Medicine 2015/16
Respiratory Care 2 Clinical Skills School of Medicine 2015/16 Learning Objectives Identify the different types of inhalers and demonstrate the correct inhaler techniques for the different inhalers. Demonstrate
More information4/8/2013. Chapter 9: Administration by the Parenteral Route. Any route other than the GI tract
Chapter 9: Administration by the Parenteral Route Drug is absorbed into circulation thru numerous blood vessels located in the mucosa of the area Buccal- medication placed between cheek and gum Sublingual-
More informationLatex Free. An affordable, easy to use, high density, small volume nebulizer with a breath enhanced design! Breath Enhanced High Density Jet Nebulizer
Latex Free Breath Enhanced High Density Jet Nebulizer The NebuTech HDN nebulizer, a breath enhanced design, by Salter Labs is quickly becoming the product of choice for caregivers and patients alike. This
More informationATI Skills Modules Checklist for Medication Administration 2
For faculty use only Educator s name Score Date ATI Skills Modules Checklist for Medication Administration 2 Student s name Date Verify order Patient record Assess for procedure need Identify, gather,
More informationPractical Problems With Aerosol Therapy in COPD. Joseph L Rau PhD RRT FAARC
Special Articles Practical Problems With Aerosol Therapy in COPD Joseph L Rau PhD RRT FAARC Introduction Problems With Use of MDIs Synchronizing Inhalation With MDI Actuation Lack of a Dose Counter Medical
More informationCare and Use of Nebulisers
For further information visit: www.nhsdirect.nhs.uk www.lhch.nhs.uk www.dipex.org If you require a copy of this leaflet in any other format or language please contact us quoting the leaflet code and the
More informationCombination DPI DEVICES TECHNIQUES,PRIMING & CARE
Combination DPI DEVICES TECHNIQUES,PRIMING & CARE Lisa Romard, MS, RN, CPNP, ANP, AE- C Disclosures: This presentation and clinical recommendations support best available evidence from medical literature.
More informationTOWN OF FAIRFIELD HEALTH DEPARTMENT PUBLIC HEALTH NURSING
TOWN OF FAIRFIELD HEALTH DEPARTMENT PUBLIC HEALTH NURSING PROGRAM: School Health APPROVED BY: Board of Health POLICY: Nebulizer Therapy DATE: 5-10-93 PROCEDURE: a) Nebulizer Therapy With Non-oxygenated
More informationA Guide to Aerosol Delivery Devices for Respiratory Therapists, 3rd Edition
A Guide to Aerosol Delivery Devices for Respiratory Therapists, 3rd Edition Douglas S. Gardenhire, EdD, RRT-NPS, FAARC Arzu Ari PhD, PT, RRT, CPFT, FAARC Dean Hess, PhD, RRT, FAARC Timothy R. Myers, MBA,
More informationINHALATION TECHNIQUES FOR CHILDREN AND Adolescents Oslo University Hospital, RIKSHOSPITALET
INHALATION TECHNIQUES FOR CHILDREN AND Adolescents Oslo University Hospital, RIKSHOSPITALET DIVISION OF PAEDIATRIC AND ADOLESCENT MEDICINE (BARNEKLINIKKEN) VOKSENTOPPEN The information contained in this
More informationTRELEGY ELLIPTA (fluticasone-umeclidinium-vilanterol) aerosol powder
TRELEGY ELLIPTA (fluticasone-umeclidinium-vilanterol) aerosol powder Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific
More informationIntroduc)on & Background
Doug Gardenhire, EdD RRT- NPS FAARC Georgia State University Atlanta, GA January 2013 Introduc)on & Background The standard Circulaire II high- efficiency aerosol drug delivery system has been shown to
More informationMetered Dose Inhaler (MDI)
Metered Dose Inhaler (MDI) If the inhaler has not been used before, a test dose should be fired into the air to prime the system. 1. Remove cap. 2. Shake well. 3. Breathe out fully. 4. Holding inhaler
More informationFAIRFIELD SCHOOL HEALTH PROGRAM. PROCEDURE: Administration of Oral, Topical or Inhalant Medications by Principals and Teachers
FAIRFIELD SCHOOL HEALTH PROGRAM PROCEDURE: Administration of Oral, Topical or Inhalant Medications by Principals and Teachers 1. Obtain key Access to all stored medications is limited to persons authorized
More informationSmall Volume Nebulizer Treatment (Hand-Held)
Small Volume Aerosol Treatment Page 1 of 6 Purpose Policy Physician's Order Small Volume Nebulizer Treatment To standardize the delivery of inhalation aerosol drug therapy via small volume (hand-held)
More informationCOMMITTEE FOR MEDICINAL PRODUCTS FOR HUMAN USE (CHMP) GUIDELINE ON THE PHARMACEUTICAL QUALITY OF INHALATION AND NASAL PRODUCTS
European Medicines Agency Inspections London, 16 February 2005 Doc Ref.: EMEA/CHMP/QWP/49313/2005 corr. COMMITTEE FOR MEDICINAL PRODUCTS FOR HUMAN USE (CHMP) GUIDELINE ON THE PHARMACEUTICAL QUALITY OF
More informationPortable Equine Nebuliser System. User Manual
Portable Equine Nebuliser System User Manual Table of Contents INTENDED USE... 3 SAFETY INFORMATION... 3 TECHNICAL SPECIFICATION... 4 INSTRUCTIONS FOR USE... 6 MAINTENANCE... 12 TROUBLESHOOTING... 13 WARRANTY...
More informationDisclosure. Case. Objectives. Case Continued. Inhalers. Asthma: A GINA Update to the NAEPP 2007 Guidelines 1/20/2015
Disclosure Asthma: A GINA Update to the NAEPP 2007 Guidelines Robert (RC) Hellinga, Pharm.D. PGY 1 Pharmacy Resident Wolfson Children s Hospital/Baptist Health I do not have a vested interest in or affiliation
More informationThis letter is to notify you of recent changes to the PULMOZYME product monograph. Please note, additions/changes have been highlighted in yellow.
April 9, 2015 Subject: Revised Product Monograph - PULMOZYME (dornase alfa) Dear Drug Information / Poison Control Centres, This letter is to notify you of recent changes to the PULMOZYME product monograph.
More informationAerospan (flunisolide)
STRENGTH DOSAGE FORM ROUTE GPID 80mcg/actuation HFA aerosol inhaler w/ Inhaled 35718 8.9 g/canister adapter MANUFACTURER Meda Pharmaceuticals INDICATION Aerospan Inhalation Aerosol is indicated for the
More informationINTRODUCTION. Asthma Drug Delivery - 1
Asthma Drug Delivery Laboratory Experiment Developed by: Alex Jannini, David Krause, Heather Malino and Kevin Sweeney, Rowan University, Department of Chemical Engineering Edited by: C. Stewart Slater
More informationInhaler technique reminder cards
Inhaler technique reminder cards Produced by the Medicines Optimisation Team NHS NEW Devon CCG For further information visit: www.newdevonccg.nhs.uk/information-for-patients/medicines-and-treatments/100073
More informationDiverse Inhaler Devices: A Big Challenge for Health-Care Professionals
Diverse Inhaler Devices: A Big Challenge for Health-Care Professionals Abdullah Alismail MSc RRT-NPS RRT-SDS, Cassaundra A Song MHID, Michael H Terry RRT, Noha Daher DrPH, Waleed A Almutairi RRT-NPS, and
More informationUnit 5 Humidity/Aerosol Generators
5-1 Unit 5 Humidity/Aerosol Generators GOAL On completion of this unit, the student should have an understanding of the principles of operation and proper use of different humidity/aerosol generators.
More informationCompressor Nebulizer System
MedPro The Professional Choice Le choix des professionnels MedProTM MC Compressor Nebulizer System 705-445 Instruction Manual Index 1. Introduction...2 2. Product Identification...2 3. Important Safeguards...3
More informationCOLLEGEWIDE COURSE OUTLINE OF RECORD
COLLEGEWIDE COURSE OUTLINE OF RECORD RESP 101, ASSESSMENT AND CARING FOR A RESPIRATORY PATIENT COURSE TITLE: Assessment and Caring for a Respiratory Patient COURSE NUMBER: RESP 101 PREREQUISITES: Program
More informationRDD Europe 2009 Workshop
RDD Europe 2009 Workshop 20 May 2009, Lisbon, Portugal This file is a redacted version of the presentation used during the Workshop and is suitable for electronic distribution. An Introduction to Differentiating
More informationA Patient s Guide to Aerosol Medication Delivery
A Patient s Guide to Aerosol Medication Delivery 3rd Edition Prepared by: Tim Op t Holt, EdD, RRT, AE-C, FAARC Kimberly Wiles, RRT, CPFT Ellen Becker, PhD, RRT, RRT-NPS, RPFT, AE-C, FAARC Edited by: Timothy
More informationNebuTech nebulizer from Salter. Striving to be #1 IN PATIENT SATISFACTION. To help you and your patients. easy. breathe
nebulizer from Salter To help you and your patients breathe easy Striving to be #1 IN PATIENT SATISFACTION nebulizer from Salter Let go to work for you and your patients today. Performance Versatility
More informationLatex Free. An affordable, easy to use, high density, small volume nebulizer with a revolutionary breath enhanced design!
Latex Free Breath Enhanced High Density Jet Nebulizer The NebuTech HDN nebulizer, a revolutionary breath enhanced design, by Salter Labs is quickly becoming the product of choice for caregivers and patients
More informationAnoro Ellipta Patient Handout
Anoro Ellipta Patient Handout 1. OPEN Slide the cover down to expose the mouthpiece. You should hear a click. The counter will count down by 1 number. Do not shake this kind of inhaler. Note: If you open
More informationMDI DEVICES & NEBULIZERS TECHNIQUES, PRIMING & CARE
Disclosures: MDI DEVICES & NEBULIZERS TECHNIQUES, PRIMING & CARE Lisa Romard, MS, RN, CPNP, ANP, AE-C This presentation and clinical recommendations support best available evidence from medical literature.
More informationSmart asthma therapy. Patient information Spacer inhaling aid for metered-dose aerosol inhalers
FF Smart asthma therapy Patient information Spacer inhaling aid for metered-dose aerosol inhalers :: Metered-dose inhalers coordination technique In the treatment of asthma and COPD the medications are
More informationDisclosures. Learning Objectives 3/25/2017. Novel Inhalers for COPD and Asthma
This activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc. Novel Inhalers for COPD and Asthma Dennis Williams, PharmD., BCPS. AE-C Associate Professor
More informationRedefining Continuous Aerosol Drug Delivery PM223
Redefining Continuous Aerosol Drug Delivery PM223 Explanation of Continuous via Traditional Small Volume (Jet) Nebulizer Traditional small volume (jet) nebulizers require compressed gas to aerosolize medication
More informationMANAGING COPD AT HOME. Karla Schlichtmann, RRT
MANAGING COPD AT HOME Karla Schlichtmann, RRT Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung disease. WHAT IS COPD? The airways in your lungs become inflamed and thickens. This results
More informationInhaled Drug Delivery Systems
Inhaled Drug Delivery Systems eve r y b r e a t h f o r yo u Millions of people suffer every day from chronic respiratory diseases and these constitute a large part of a physician s practice. According
More informationMedications Affecting The Respiratory System
Medications Affecting The Respiratory System Overview Asthma is a chronic inflammatory disorder of the airways. It is an intermittent and reversible airflow obstruction that affects the bronchioles. The
More informationA Visual Approach to Simplifying Respiratory Drug Regimens
Adverse Effects of Inhaled Medications A Visual Approach to Simplifying Respiratory Drug Regimens Stephanie Cheng, PharmD, MPH, BCGP June 28, 2017 Drug Category Beta 2 agonists antagonists Adverse Effects
More informationMedicines Improve your Understanding and your Health
Medicines Improve your Understanding and your Health Lung Health Patient Education Day 2015 Marina Lyne Pharmacist, Launceston General Hospital What we will discuss Medicines how they work Potential interactions
More informationPrescribing guidelines: Management of COPD in Primary Care
Prescribing guidelines: Management of COPD in Primary Care Establish diagnosis of COPD in patients 35 years with appropriate symptoms with history, examination and spirometry (FEV1/FVC ratio < 70%) Establish
More informationRedefining Continuous Aerosol Drug Delivery 2015 PM223
Redefining Continuous Aerosol Drug Delivery 2015 PM223 Explanation of Continuous via Traditional Small Volume (Jet) Nebulizer Traditional small volume (jet) nebulizers require compressed gas to aerosolize
More informationCredential Maintenance Program
First Quarter of the Calendar 5 I. INSTRUMENTATION / EQUIPMENT 1 4 5 A. Set Up, Maintain, Calibrate 1 2 3 1. Blood gas analyzers 2. CO-oximeters / hemoximeters 3. Spirometers (for example, diagnostic,
More informationI. Subject: Continuous Aerosolization of Bronchodilators
I. Subject: Continuous Aerosolization of Bronchodilators II. Indications: A. Acute airflow obstruction in which treatment with an aerosolized bronchodilator is desired for an extended period of time, i.e.
More informationA Visual Approach to Simplifying Respiratory Drug Regimens
A Visual Approach to Simplifying Respiratory Drug Regimens Stephanie Cheng, PharmD, MPH, BCGP October 23, 2017 Learning Objectives Be able to list at least 3 major adverse effects of inhaled medications
More informationMEDICATION GUIDE. ADVAIR [ad vair] HFA 45/21 (fluticasone propionate 45 mcg and salmeterol 21 mcg) Inhalation Aerosol
MEDICATION GUIDE ADVAIR [ad vair] HFA 45/21 (fluticasone propionate 45 mcg and salmeterol 21 mcg) Inhalation Aerosol ADVAIR HFA 115/21 (fluticasone propionate 115 mcg and salmeterol 21 mcg) Inhalation
More informationLABORATORY SYLLABUS and ACTIVITIES
JACKSON COLLEGE RESPIRATORY CARE PROGRAM RES 110 RESPIRATORY CARE TECHNIQUES II LABORATORY SYLLABUS and ACTIVITIES SPRING SEMESTER 2018 B. C. A. INSTRUCTOR: Ann Flint, EdD, RRT OFFICE: JW 245 OFFICE PHONE:
More informationPerforming a Methacholine Challenge Test
powder for solution, for inhalation Performing a Methacholine Challenge Test Provocholine is a registered trademark of Methapharm Inc. Copyright Methapharm Inc. 2016. All rights reserved. Healthcare professionals
More informationFirst to Market or 505 (b)2 CMC Considerations IPAC-RS/UF Orlando Inhalation Conference Orlando, Florida
First to Market or 505 (b)2 CMC Considerations IPAC-RS/UF Orlando Inhalation Conference Orlando, Florida Prasad Peri, Ph.D., Branch Chief, ONDQA, FDA March 19, 2014 1 Topics for discussion Introduction
More informationRespiratory Inhalers. Identification Guide Version 3
Respiratory Inhalers Identification Guide Version 3 This booklet has been prepared by NHSGGC Medicines Information. Endorsed by NHSGGC Respiratory Managed Clinical Network, February 2017. Designed by Medical
More informationProcedure/ Care Plan for Domiciliary Care Workers/ Support Workers - Assisting a Service User to use an Inhaler (Adult)
Procedure/ Care Plan for Domiciliary Care Workers/ Support Workers - Assisting a Service User to use an Inhaler (Adult) CLINICAL GUIDELINES ID TAG Medicines Management Specific Title: Procedure: Assisting
More information