What percentage of the drug reaches the lung when an MDI is used?
What device can improve this?
What percentage of the drug reaches the lung when using that device?
- 10% with MDI alone
- spacer : no longer need hand breath coordination
- 21% with spacer
What device delivered a fine mist with no propellants that has increased drug deposits in the lung?
Respimat
What device delivers a dry micronized powder?
Does it require hand breath coordination?
Can it be used with a spacer?
What percentage of the drug reaches the lung?
- dry powder inhaler
- breath activated - no hand breath coordination
- not used with spacer
- 20% of drug to lung
What device deliver aerosolized droplets to the lungs?
nebulizer
How long should you wait between puffs of a bronchodilator?
How long should you wait between puffs of a bronchodilator+steroid?
How long should you wait between a puff of a bronchodilator and a bronchodilator+steroid?
- 1 min
- 5 min
- 5 min
How can you tell how long an inhaler is good for?
the number of actuations will be listed on the packaging
How should you clean an inhaler?
- remove the med cartridge
- use soap and water
- should replace if hospitalized with respiratory infection / problem
What is the DOC for acute bronchoconstriction?
SABA : albuterol
What type of drug cannot be use as a mono therapy as it will increase the risk of death in asthma pts?
LABA : salmeterol
What education should you give a pt who is concerned about an oral candidiasis infection from their inhaled glucocorticoid?
- make sure that this is the last inhaler used in drug regimen
- rinse and spit after use
Anti-inflammatory medications are used for ___ ? (prevention / tx)
prevention
How to administer a nasal spray?
- toes to nose
- occlude other nostril
- opposite hand to nare (keep tip away from septum)
- sniff slowly (not snort)
Nasal congestion is caused by vast____?
dilation
