Asthma Inhaler Technique

Asthma Inhaler TechniqueCreated OnApril 14, 2020Last Updated OnApril 14, 2020byadmin You are here: Main OSCE common in exam Asthma Inhaler Technique < All Topics Table of Contents Pressurized Metered-Dose Inhaler Ask the patient to show you how they use their inhaler. Use these checklists to teach, check and/or confirm the way your patients with asthma use their inhalers. Assess inhaler technique at every opportunity. Pressurized Metered-Dose Inhaler Step/Task Pass Borderline Fail 1. Remove cap       2. Check dose counter (if applicable)       3. Hold inhaler upright and shake well       4. Tilt the head slightly back       5. Breathe out gently, away from the inhaler       6. Put mouthpiece between teeth without biting and close lips to form good seal       7. Start to breathe in slowly through mouth and, at the same time, press down firmly on canister       8. Continue to breathe in slowly and deeply       9. Hold breath for about 5 seconds or as long as comfortable       10. While holding breath, remove inhaler from mouth       11. Breathe out gently, away from the inhaler       12. If an extra dose is needed, repeat steps 2 to 10       13. Replace cap       14. If the inhaler contains corticosteroid, rinse mouth         Turbuhaler Step/Task Pass Borderline Fail Unscrew and remove cover       Check dose counter       Keep inhaler upright while twisting grip       Twist around and then back until click is heard       Breathe out gently, away from the inhaler       Place mouthpiece between teeth without biting and close lips to form a good seal. Do not cover the air vents       Breathe in strongly and deeply       Hold breath for about 5 seconds or as long as comfortable       Remove inhaler from mouth       Breathe out gently away from the inhaler       If an extra dose is needed, repeat steps 2 to 10       Replace cover       If the inhaler contains corticosteroid, rinse mouth                 Accuhaler Step/Task Pass Borderline Fail 1. Check dose counter       2. Open cover using thumb grip       3. Holding horizontally, load dose by sliding lever until it clicks       4. Breathe out gently, away from the inhaler       5. Place mouthpiece in mouth and close lips to form a good seal, keep inhaler horizontal       6. Breathe in steadily and deeply       7. Hold breath for about 5 seconds or as long as comfortable       8. While holding breath, remove inhaler from mouth       9. Breathe out gently, away from the inhaler       10. If an extra dose is prescribed (not generally recommended), repeat steps 3 to 9       11. Close cover to click shut       12. If the diskus contains corticosteroid, rinse mouth        

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