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The process of inhalation and exhalation. Two important structures for breathing are the diaphragm and intercostal muscles. The diaphragm is a sheet of muscle that separates the chest (or...
- Opening The Consultation
- Explanation
- Demonstrate Effective Inhaler Technique
- Assess The Patient’S Inhaler Technique
- Spacer Devices
- Closing The Consultation
- References
Wash your hands and don PPEif appropriate. Introduce yourself to the patient including your name and role. Confirm the patient’s name and date of birth. Check the patient’s current understandingof inhaler technique, allowing you to better tailor your explanation. Positionthe patient so that they are sitting comfortably. Ask the patient if they have...
Overview
Provide a general overview of the patient’s inhaler: 1. “You have been started on ….(name of inhaler)…for your asthma.” 2. “This is what the inhaler looks like.” 3. “This is the mouthpiece, this is the canister containing the medication and this is the dose counter.”
Check the patient’s understanding
Ask the patient to summarise the key points back to you to check their understanding: 1. “To make sure you’ve understood everything I’ve said could you tell me what type of inhaler you have and when it should be used? Don’t worry if you can’t remember everything right away, we can always go back over the important information.”
The guide below focuses on correct inhaler technique using apressurised metered-dose inhaler (pMDI), which is most commonly used in OSCE scenarios. 2 Ensure you clearly explain and demonstrateeach of the following steps to the patient using a dummy inhaler.
Ask the patient to use their own inhaler as demonstrated and observetheir technique. Provide feedback based on what you observe to allow the patient to refine their technique. Point out the positives…“You are doing X&Y very well”… then introduce room for improvement …“but doing A&B may help your inhalers work more effectively for you.” Continue to ...
Spacersare used to improve drug deposition in the lungs. They are also useful for reducing the side effects of high dose inhaled corticosteroids by decreasing the amount of drug deposited in the mouth. Commonly used spacers include Volumatic and AeroChamber. Ensure you clearly explain and demonstrateeach of the following steps for effectively using...
Check if the patient has any questions regarding inhaler technique. Advise the patient to use their inhalers as directed. Explain the potential side effectsthey may experience when using their inhalers: 1. Palpitations and tremor:salbutamol can cause tachycardia and tremor, particularly at higher doses. 2. Oral thrush:steroid inhalers can cause can...
James Heilman, MD. Adapted by Geeky Medics. Oral candidiasis. Licence: CC BY-SA. Available from [LINK].Asthma UK. How to use a pMDI inhaler. Accessed on 12th June 2020. Available from: [LINK].Tradimus. Adapted by Geeky Medics. Spacer device. Licence: CC BY-SA. Available from: [LINK].When you inhale, your diaphragm muscle contracts and moves downwards, and the intercostal muscles contract and move the ribs upwards and outwards. This increases the volume of the lungs, which...
Sep 14, 2009 · It is essential that patients’ technique is checked as objectively as possible. There are several aids that can be used to check and improve inhaler technique and increase the delivery of drugs to the lungs. Use of these devices should result in better control and minimise the amounts of medication used.
Jun 18, 2023 · Alveoli are lined by a fluid (surfactant) that maintains the shape of each air sac and helps keep it open so oxygen and CO 2 can pass through. Your diaphragm is the muscle that controls your breathing. When you breathe in, your diaphragm contracts and creates negative pressure in your chest. When this happens, the alveoli expand and pull in air.
Nov 5, 2012 · Ever wonder if you're using your asthma inhaler properly? Confused about what a spacer is or how to use it? Cindy Brosnan, respiratory therapist and pulmonary function coordinator at the Women's...
- 2 min
- 1.2M
- Brown University Health
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What is the process of inhalation and exhalation?
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The lung model shows inhalation: When the diaphragm (rubber sheet) moves down, the volume inside the glass jar (thorax) increases. This increase in volume causes a decrease in pressure.
