Procedures

Question 1

Tympanic Temperature

Answer 1

• Wash hands
• Explanation, Pain & Consent
• Inspect for wax
• Turn on thermometer (check Celsius and ORL)
• Press and twist on tip
• Place in ear
• Press button and wait for beep
• Remove and check temp
• Click tip into orange bag

Question 2

Non-contact Temperature

Answer 2

• Wash Hands
• Explanation & Consent
• Turn on thermometer (Check celsius & BODY)
• hold 5-8 cm from forehead
• Press button
• Record Temperature

Question 3

Using a Peak Flow Meter:

Answer 3

Wash Hands

• Zero the meter
• Stand where possible
• Hold horizontally so finger don’t touch meter
• Maximum Inspiration
• Airtight seal with lips (holding horizontal)
• Exhale as hard as possible
• Do 3 times and record the best of 3 on chart
• Dispose of mouthpiece

Question 4

What to tell a patient regarding peak flow:

Answer 4

How to use:
How to estimate their expected peak flow
To record best of 3, 2 or 3 times a day

Question 5

Pressurized Metered Dose Inhaler (pMDI)

Answer 5

Sit Straight or stand
Lift chain to open airway
REmove cap & Shake inhaler
Breath out gently
Place teeth around mouthpiece
Start breathing in and press the inhaler once as you do
Hold breath for 10 seconds or until faillure
then wait 3-60 secs if needing a 2nd dose

Question 6

Large Volume Spacer

Answer 6

Remove Cap & Shake Inhaler
Insert into spacer
Put mouthpiece in mouth
Breath to check valve (click)
Press the inhaler
Take a slow deep breath
Hold for 10 seconds or until failure
Then you can remove the space from your mouth and wait 30-60 secs if needing a 2nd dose

If one deep breath isnt possible can do normal breathing for ~5 breaths

Question 7

Spacer Cleaning

Answer 7

Clean monthly in warm soapy water
Don’t rinse or towel dry

Wipe the mouthpiece free of detergent before use

Replace every 12 months

Question 8

Breath-Actuated Pressurized Metered Dose Inhaler

Answer 8

No coordination issues
Fewer Steps
Pocket Size

Requires slow breath
Limited drug range
No spacer use
Unsuitable for <5yrs

Question 9

Accuhaler (Round ones)

Answer 9

Check the dose counter
Open with the thumb grip
Hold horizontally and slide lever till it clicks (this loads the dose and moves on the counter)
Breath out gently away from the inhaler
Place in mouth and seal lips
Breath in steadily and deeply
Hold breath for 10 seconds or until failure
Breath out gently away from inhaler

Can repeat if needed