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In Service Presentation

Morganne Phraner

on 8 April 2013

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Transcript of Asthma

Use of Spacers in Children and
Adults with Asthma Administration Patient Education Adult Patients Spacer Options and Locations Deep Breath Technique -There are minor differences between the use of spacers in adults and children - Add space with the use of a chamber between the canister of medication and patient's mouth
- Make it easier for medication to reach lungs
- Easier coordination between breathing and activating MDI
- Less medication gets deposited in the mouth and throat Different Types of Spacers Available - Different sizes, shapes, and colors available
- Two major differences:
Large volume (adult) and small volume (children) Where to find a spacer? - Available at any local pharmacy
- Cost around $12 or more
- Some insurance company plans may cover cost Common Inhaler Medications That Can Be Used With Spacers Spacers Who Should Use
an Inhaler? -Anyone using a metered-dose inhaler (MDI) By: Morganne Hockett
Suja Patel
Ashley Stovall
Zachariah Williams Spacers Patient Education Maintenance How To Clean The Inhaler
1. Shake inhaler 3-4 times before use.
2. Remove cap from inhaler, and from spacer if present.
3. Put the inhaler into the spacer.
4. Breathe out, away from the spacer. Administration 5. Bring the spacer to your mouth.
6. Put the mouthpiece between your teeth and close your lips around it.
7. Press the top of your inhaler once.
8. Breathe in slowly for one full breath.
9. Hold your breath for about 10 seconds, and then breathe out. Administration Pediatric Patients References Spacers. Asthma Foundation Web site. http://www.asthmafoundation.org.au/spacers.aspx# Why_should_I_use_a_spacer. Accessed January 21, 2013.

Fanta C. UpToDate [database online]. Waltham, MA. Wolters Kluwer Health; December 2012. http://www.uptodate.com/contents/asthma-in-adults-the-basics?source=search_result& search= asthma&selectedTitle=1%7E150. Accessed January 18, 2013.

Scarfone RJ. UpToDate [database online]. Waltham, MA. Wolters Kluwer Health; June 2012. http://www.uptodate.com/contents/asthma-in-children-the-basics?source=search_result&search= asthma&selectedTitle=2%7E150. Accessed January 18, 2013.

U.S. Department of Health and Human Services. 2007 Guidelines for the Diagnosis and Management of Asthma (EPR-3). National Heart, Lung, and Blood Institute Web site. http://www.nhlbi.nih.gov/ guidelines/asthma/. Updated 2007. Accessed January 18, 2013. Patient Education - Keep your spacer away from heat sources.
- If your spacer has a valve that is damaged, or if any other part is damaged, do not use it.
- Some spacers have a whistle.
-What should you do if you hear the whistle? Patient Education - Only use the spacer with a pressurized inhaler, not a dry-powder inhaler.
- Spray only one puff into a spacer at a time.
- Use your spacer as soon as you have sprayed a puff into it.
- Never let anyone else use your spacer. (Image Courtesy: http://accpstorage.org/newOrganization/patients/inhaledDevices/patientEducation9.pdf) -The deep breath technique is effective
-Adult spacers are usually available as two
halves that click together Image Courtesy: http://www.visualphotos.com/image/1x6033909/young_child_using_a_spacer_with_an_inhaler Maintenance -If you don't clean it regularly, then the spacer will not work properly.
-Wash spacer more frequently with Tilade or
Intal medications.
-Replace the spacer every 12 months (if it is used daily).
-If it cracks or breaks, then replace it immediately. Maintenance -Clean the spacer before first use and weekly thereafter.
-Take the spacer apart, and wash it in clean warm water with
dishwasher detergent.
-Don't rinse the bubbles or wipe the spacer. Administration Four Breath Technique 1. Shake the inhaler 3 to 4 times before each use.
2. Remove the cap from the inhaler, and from the spacer
if present.
3. Put the inhaler into the spacer.
4. Breathe out, away from the spacer.
5. Bring the spacer to your mouth. Administration Four Breath Technique Administration 6. Put the mouthpiece between your teeth and close your lips around it.
7. Press the top of your inhaler once.
8. Take a normal breath in.
9. Keeping your lips around the mouth piece, breathe out into the spacer.
10. Take another three breaths in the same way.
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