Pharmacology Reproductive & Maternity Meds #2

Question

The nurse is instructing a client on using a metered dose inhaler and will include which instructions? Select all that apply.

Answers

  1. Hold the metered dose inhaler 1-2 inches from mouth or use a spacer.
    • Rationale:

      This answer is correct because instructions for use of a metered dose inhaler include:

  2. After inhalation, close your mouth and hold your breath 5-10 seconds.
    • Rationale:

      This answer is correct because instructions for use of a metered dose inhaler include:

  3. Take short quick breaths with each inhalation.
    • Rationale:

      This answer is not correct because short breaths with each inhalation is not the proper way to use a metered dose inhaler. Breathing deeply through the mouth with each inhalation will more effectively administer the medication to the client.

  4. Exhale deeply after inhalation of medication.
    • Rationale:

      This answer is not correct because exhaling deeply after the inhalation will dispel the medication and will not allow the medication to work. Exhaling forcefully prior to actually using the inhaler will maximize the amount of medication administered. Then the client should close the mouth and hold their breath for 5-10 seconds.

Overview

Clients should fully understand how to use a metered dose inhaler so treatment can be effective.

Explanation

Learning Outcomes

Metered dose inhalers are used for clients with respiratory conditions such as asthma and COPD. Proper use is imperative for effectiveness of the medication being administered this route. Medications such as glucocorticoids and bronchodilators are administered through metered dose inhalers. Instructions for use include:

Test Taking Tip

Remember, when administering a bronchodilator and glucocorticoid inhaler, the bronchodilator is always administered first so the airway will be as open as possible to then take in the glucocorticoid.

Video Rationale