OSCE inhaler and nebuliser protocol
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The document discusses inhalers and nebulizers. It states that inhalers are used to deliver medication into the lungs for conditions like asthma and COPD. Nebulizers are devices that use oxygen, compressed air, or ultrasonic power to break medications into mist that can be inhaled. They require an external gas source while inhalers are self-contained. The document provides instructions for administering medications via both inhalers and nebulizers.
OSCE inhaler and nebuliser protocol
- 1. C. Riedinger 1 Inhaler and nebuliser notes Inhaler An inhaler or puffer is a medical device used for delivering medication into the body via the lungs. It is mainly used in the treatment of asthma and Chronic Obstructive Pulmonary Disease (COPD). Zanamivir (Relenza), used to treat influenza, must be administered via inhaler. To reduce deposition in the mouth and throat, and to reduce the need for precise synchronization of the start of inhalation with actuation of the device, MDIs are sometimes used with a complementary spacer or holding chamber device.Blue = reliever, brown = preventer Picture credit: http://www.dietsinreview.com/diet_column/07/study-soy-reduces-risk-of-copd/ • ID self and patient, grain consent and co-operation • Perform hand hygiene bla bla • Check prescription vs name • Ask for allergies • Ask patient to sit up with lifted chin • Take wipe and clean inhaler if previously used • Remove cap from mouthpiece and shake inhaler • Explain to patient that if inhaler has not (ever) been used, you need to test- spray into the air to check if it is working. Spray away from patient’s face! • Number on some inhalers shows how many doses left • Explain to patient to keep breathing, place inhaler mouthpiece in their mouth and put their teeth around it (not biting it!) and seal their lips around the mouthpiece. The patient can now take a few practise-breaths in and out through the inhaler while you explain to them what to do. • Ask them to keep breathing through the mouthpiece and when they are ready press on the inhaler as they breathe in deeply to release the medicine. Instruct the patient to hold their breath for 10 seconds or as long as they can, then breathe out slowly. • The patient may have to take more than one puff, in which case shake the inhaler again and repeat procedure after 30 seconds. • Replace the cap on the inhaler mouthpiece. • Sign the drug chart to say that the required dose has been administered.
- 2. C. Riedinger 2 Inhaler and nebuliser notes Nebuliser In medicine, a nebuliser is a device used to administer medication in the form of a mist inhaled into the lungs. Nebulisers are commonly used for the treatment of cystic fibrosis, asthma, COPD and other respiratory diseases. Nebulisers use oxygen, compressed air or ultrasonic power to break up medical solutions and suspensions into small aerosol droplets that can be directly inhaled from the mouthpiece of the device. They therefore quire a gas supply such as an air compressor or oxygen tank. “All patients with a chronic respiratory condition who require nebuliser therapy receive their nebulisers through compressed air. If supplementary oxygen is needed during this therapy, it can be administered via nasal specs. Only patients suffering an acute asthma attack should receive nebulised Picture credit: http://csc.madonna.edu/~mbowles/Portfolio/HSP.html • ID self and patient, grain consent and co-operation • Perform hand hygiene bla bla • Check prescription vs name • Ask for allergies • Drop in capsule with medication into the nebuliser • Attach mask to nebuliser • Connect mask to machine • Switch on machine • Assist patient to put on the mask by placing the retaining straps over the ears and back of the head • Be aware that the solution may take up the 10 minutes to vaporise • Leave machine running • Ask patient to inhale medicine until the mist is gone • Sign drug chart • Some meds require pre/post peak flow measurements (more likely for asthma patient than COPD) • Post nebuliser, make sure that the mask is left clean and dry for future use • Leave clinical area tidy • Perform hand hygiene