Patient Education on using inhalers - For any patient prescribed an inhaler, the RN
should ensure the client can self administer the medication.
Teach back needed
The patient should wait 1-2 minutes between puffs
The patient should wait 5 minutes between 2 different inhalers
The patient should take a bronchodilator before a corticosteroid medication (B before C)
The patient must keep track of doses on their inhaler
If opening a new inhaler, the patient should shake it and test before use.
If dexterity is limited, a spacer can be used to get more medication in the airway.
If the patient uses a steroid, they must wash their mouth out after use.
If not, fungal infection may occur
The patient should hold breath 10 seconds after receiving a puff.
short-term asthma treatment - Bronchodilator: albuterol
Acts as a rescue inhaler during asthma attacks.
Onset is in 5 minutes and will last longer.
Xanthine Derivatives: theophylline
Dilates airways
Can have high drug interactions in the body
IV/ inhaled glucocorticoids.
long term asthma treatment - Bronchodilator: salmeterol.
Used to control symptoms of asthma
Never is used alone (often with steroid)
Anticholinergics: ipratropium bromide
For long term asthma prevention
Works very slowly.
Corticosteroids: fluticasone
Non bronchodilation
Can take several weeks to show
COPD treatment - Bronchodilator- short acting albuterol
Steroid
Must keep o2 saturation between 88-92%
Most asthma treatments require what? - Combination of medications- most medications
cannot be used alone (need bronchodilator plus steroid)
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