what is the reliever - explain
salbutamol inhaler - sudden asthma attack - works by relaxing ariway and makes it easier to breathe. you shouldnt need this more than three times per week if controlled
what is the preventer
beclomethasone inhaler
reduce swelling in the airways and stops them from tightening up. you use this to reduce risk of having asthma attacks
need to rinse mouth after use due to risk of oral candidiasis
preventer inhaler what do you need to warn them about
need to rinse mouth after use due to risk of oral candidiasis
what is SMART
single maintenance and reliever therapy regime eg - symbicort, fostair, duoresp, spiromax
twice a day
describe procedure of inhalation
Preparation
1. Hold the inhaler upright.
- Remove the cap from the inhaler and inspect to make sure there is nothing inside the inhaler mouthpiece.
- Shake the inhaler well.
Inhalation
4. Sit or stand up straight and slightly tilt your chin up. This position helps the medication to better reach the lungs.
- Breathe out gently and slowly away from the inhaler until your lungs feel empty.
- Put your lips around the mouthpiece of the inhaler to create a tight seal.
- Start to breathe in slowly and steadily whilst at the same time pressing the canister on the inhaler once.
- Continue to breathe in slowly until your lungs feel full.
- Remove the inhaler from your mouth and seal your lips.
- Hold your breath for 10 seconds, or as long as you are comfortably able to.
- Breathe out gently, away from your inhaler.
Final steps
12. Once you have finished using your inhaler, replace the cap. If you’ve used an inhaler that contains steroids, rinse your mouth with water to reduce the chance of side effects.
If you’ve been prescribed a second puff, wait 30 seconds to a minute for repeating steps 3-12
how do spacers reduce side effects
educing the side effects of high dose inhaled corticosteroids by decreasing the amount of drug deposited in the mouth.
Prepare the inhaler as previously explained.
- Attach the inhaler mouthpiece to the spacer device.
- Breathe out gently and slowly away from the spacer until your lungs feel empty.
- Place your lips around the spacer mouthpiece to create an effective seal.
- Release one dose of the inhaler into the spacer device.
- Breathe deeply, both in and out, through the spacer mouthpiece several times.
- Administer a second dose if required.
