3.Shake the inhaler well.4.Breathe out as completely as possible through your mouth.5.Hold the canister with the mouthpiece on the bottom, facing you and the canister pointingupward. Place the open end of the mouthpiece into your mouth. Close your lips tightly around the mouthpiece.6.Breathe in slowly and deeply through the mouthpiece.At the same time, press down once on the container to spray the medication into your mouth.7.Try to hold your breath for 10 seconds. remove the inhaler, and breathe out slowly.Spiriva® handiHalerPull open the dust cap and mouthpiece of the HandiHaler.Remove one SPIRIVA capsule from its package immediately before use. Separate the blister strip. Peel back the foil to the STOP line. If any other capsules are exposed to air by mistake, throw them out. Do not save exposed capsules for later use.PLACE the capsule in the center chamber.CLOSE the mouthpiece firmly until you hear a click.3
Keep the mouthpiece pointing up. PRESS the green button once. This pierces the capsule and releases the medicine.BREATHE OUT all the way. Do not breathe into the mouthpiece at any time.Keep your head upright. Close your lips tightly around the mouthpiece. BREATHE IN slowly and deeply, but strongly enough to make the capsule inside the HandiHaler vibrate. You will hear the vibrations.When your lungs are full, hold your breath.Exhale and breathe normally again.REPEAT steps 6 to 9 to be sure you get the full dose.Open the mouthpiece. Tip the HandiHaler so the used capsule falls out and into the garbage.Close the HandiHaler. Store it with your SPIRIVA capsules.10. Counsel your SIMULATED patient on the use of the prescribed inhaler(s).Ms Barbs is taking Flovent diskus and Proair. I would counsel her on how to take each drug as well as inform her the difference between the two medications.11. What are some nonpharmacologic methods asthmatic patients may do to reduce exacerbations? Maintain healthy weight. Moderate exercise can help with alleviate asthma symptoms. Clean damp areas to prevent mold from developing.12. How do you counsel patients regarding thrush?Always check the expiration date before use. Shake the medication well before each use. Gargle with water to remove any excess medication in the mouth and tongue after taking medication. Properly clean dentures and use a soft brush to avoid damaging the lesions. Use a spacer or a chamber to slow down the release of medication.13. What should you counsel patients to do before administering any topical medication?The patient should wash the affected area and pat until the area is dry. The patient should then apply the topical medication thinly and evenly to the affected area. Lastly, the patient to wash their hands thoroughly.14. A person who needs multiple topical medications needs you to tell him the order of how he should use his medications. List which formulation should be applied first, second, etc.
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- Fall '19