The procedure wherein an MDI device used which delivers a measured amount of medication as a mist that the patient can inhale. An MDI consists of a pressurized canister of medication in a case with a mouthpiece.
MDIs device flexible in easy to handle, portable, efficient, and convenient.
MDI -Metered-dose inhaler
How to Administer Metered-dose inhaler
Material needed
Drug chart & clinical notes
Metered Dose Inhaler
Washbasin or sink to rinse the mouth
Tissue (optional)
PROCEDURE
Confirm the patient carefully as follows
Ask the patient his/her name or call out the patient’s name and re-confirm
Check the name & the Unique hospital ID on the identification band
Confirmation of the medication (drug notes)
Check the name, dosage, form of medicine, time of administration with the patient’s drug card.
Check the drug card and the patient’s record for any allergies to medications
Perform hand hygiene using Hand based sanitizer
Arrange all the required articles
Explain the procedure to the patient
Procedure
Allow the patient to hold and manipulate the canister and explain how the canister fits into the inhaler.
Have the patient demonstrate the insertion of the canister
Discuss the metered-dose concept and frequency of dose to the patient
Explain that the inhaler should be shaken before each use
Remove the mouthpiece and cap from the bottle and insert the stem into the small hole on the flattened portion of the mouthpiece. The patient should grasp the inhaler with thumb and first two fingers
Instruct the patient to exhale, place the mouthpiece into the mouth, and tighten the lips (seal) around the mouthpieces
Ask the patient to firmly push the cylinder down against the mouthpiece only once, while slowly inhaling until the lungs feel full
Instruct the patient to remove the mouthpiece while holding the breath for about 10 seconds then exhale slowly through pursed lips
Repeat the doses as prescribed, with a one minute pause between puffs
A mouthwash can be used by the patient to remove the taste of the medication
Demonstrate to the patient how to wash the mouthpiece under running water to remove secretions
If two or more inhaler medications are prescribed, wait 5-10 minutes between inhalations.
Record all the drug’s name, dose, date, and time, with the signature of the nurse for the medication in the drug card matches with the clinical record as appropriate
Observe for the effectiveness of medication and relief of the patient’s symptoms & document the details.
Metered dose inhaler uses
Enhance the respiratory tract for the during ventilation.
Used in respiratory disorders, obstructive lung disease, asthma
How to administer MDI in ventilator patients
Disconnect the ventilator connection from the Endotracheal tube. connect the metered dose inhaler to ET tube and puff the Salbutamol dose required and reconnect to ventilator.