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Questions and Answers
What is the purpose of administering bronchodilators?
What is the purpose of administering bronchodilators?
Which of the following interventions may help alleviate anxiety in a patient experiencing breathlessness?
Which of the following interventions may help alleviate anxiety in a patient experiencing breathlessness?
What equipment is essential when administering oxygen therapy?
What equipment is essential when administering oxygen therapy?
What should be done to the oxygen tubing before reconnecting it after emptying water?
What should be done to the oxygen tubing before reconnecting it after emptying water?
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What should be checked before administering oxygen therapy?
What should be checked before administering oxygen therapy?
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How can privacy be effectively provided to a patient during care?
How can privacy be effectively provided to a patient during care?
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Why is it necessary to explain the dangers of smoking in the context of oxygen therapy?
Why is it necessary to explain the dangers of smoking in the context of oxygen therapy?
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Which procedure should be performed first when preparing for oxygen therapy?
Which procedure should be performed first when preparing for oxygen therapy?
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What is the maximum recommended suction level for oral suctioning?
What is the maximum recommended suction level for oral suctioning?
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Which of the following should be included in the equipment for oral suctioning?
Which of the following should be included in the equipment for oral suctioning?
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Why should the suction machine be checked before starting the procedure?
Why should the suction machine be checked before starting the procedure?
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What position should Mr. Barrett be in for oral suctioning if he is unconscious?
What position should Mr. Barrett be in for oral suctioning if he is unconscious?
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What is the first step in preparing for oral suctioning?
What is the first step in preparing for oral suctioning?
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How should the Yankuer sucker be inserted into the mouth during the procedure?
How should the Yankuer sucker be inserted into the mouth during the procedure?
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What should you do to prevent suction while inserting the Yankuer sucker?
What should you do to prevent suction while inserting the Yankuer sucker?
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Which item is NOT recommended for use during oral suctioning?
Which item is NOT recommended for use during oral suctioning?
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What should a patient do immediately after inhaling from the Autohaler device?
What should a patient do immediately after inhaling from the Autohaler device?
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Which of the following best describes the operation of breath-actuated MDIs like the Autohaler?
Which of the following best describes the operation of breath-actuated MDIs like the Autohaler?
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What is a crucial step to remember when using the Easi-breathe device?
What is a crucial step to remember when using the Easi-breathe device?
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What is the recommended action after each use of the Easi-breathe device?
What is the recommended action after each use of the Easi-breathe device?
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What is an important consideration when using dry powder inhalers?
What is an important consideration when using dry powder inhalers?
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What must be done before each dose when using the Autohaler device?
What must be done before each dose when using the Autohaler device?
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How long should the patient ideally wait between activations of the inhaler?
How long should the patient ideally wait between activations of the inhaler?
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What type of inhalers are triggered by a deliberate inhalation from the device?
What type of inhalers are triggered by a deliberate inhalation from the device?
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What is an advantage of using a spacer device with an inhaler?
What is an advantage of using a spacer device with an inhaler?
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What should be done to prevent cross-infection with a spacer device in a hospital setting?
What should be done to prevent cross-infection with a spacer device in a hospital setting?
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Which step is NOT part of the proper use of a spacer device?
Which step is NOT part of the proper use of a spacer device?
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How often should a spacer be washed to maintain hygiene?
How often should a spacer be washed to maintain hygiene?
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What is one way to care for a spacer that preserves its anti-static coating?
What is one way to care for a spacer that preserves its anti-static coating?
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What should a patient do if they are too breathless to use a metered-dose inhaler (MDI) correctly?
What should a patient do if they are too breathless to use a metered-dose inhaler (MDI) correctly?
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What is the maximum duration a patient should hold their breath after inhaling medication from a spacer?
What is the maximum duration a patient should hold their breath after inhaling medication from a spacer?
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Which is the correct action when preparing a spacer for use?
Which is the correct action when preparing a spacer for use?
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How should Mrs Jones ideally learn the inhaler technique for better understanding?
How should Mrs Jones ideally learn the inhaler technique for better understanding?
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What is the role of placebo devices in inhaler teaching sessions?
What is the role of placebo devices in inhaler teaching sessions?
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Why might some patients benefit from a Haleraid hand grip while using an inhaler?
Why might some patients benefit from a Haleraid hand grip while using an inhaler?
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What is a common challenge faced by patients when using pressurized/aerosol metered dose inhalers (MDIs)?
What is a common challenge faced by patients when using pressurized/aerosol metered dose inhalers (MDIs)?
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What is the recommended order of administration for multiple inhaled drugs?
What is the recommended order of administration for multiple inhaled drugs?
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What should be the first action before using a metered dose inhaler (MDI)?
What should be the first action before using a metered dose inhaler (MDI)?
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Why is it important to assess how Mrs Jones learns best before a teaching session?
Why is it important to assess how Mrs Jones learns best before a teaching session?
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What factor might hinder a patient's ability to learn the inhaler technique effectively?
What factor might hinder a patient's ability to learn the inhaler technique effectively?
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Study Notes
Respiratory Care Interventions
- Medications may include bronchodilators, adrenaline, antibiotics, and steroids to treat breathlessness.
- Explain procedures and the plan of care to the patient to reduce anxiety and improve their understanding.
- Breathing techniques and relaxation methods can assist lung expansion.
Administering Oxygen
- Use nasal cannulae or face masks, oxygen tubing, a humidifier, an oxygen source with a flow meter, and "No Smoking" signs.
- Check the prescription for accuracy before starting.
- Explain the procedure to the patient and gain consent.
- Wash hands thoroughly and prepare equipment.
- Warn patients and visitors about the dangers of smoking when oxygen is in use.
- Check the patient's identity band.
- Attach the oxygen tubing to the supply and delivery device.
- Turn on the oxygen flow meter and set the prescribed flow rate.
Inhaler Technique
- Different patients learn in different ways, assess how the patient learns best.
- Consider teaching sessions through easy stages, written guidance, private practice, and final performance in front of a healthcare professional.
- Patients may have difficulty understanding English or reading, ensure to take this into account.
- Placebo devices can be used to practice inhaler technique.
- When using multiple inhalers, administer the short-acting bronchodilator first to improve the effectiveness of other medications.
Pressurized/Aerosol Metered Dose Inhalers (MDIs)
- MDIs are widely used but coordination of inhalation and activation can be challenging for some patients.
- Short spacing attachments can assist with coordination.
- For patients with weak finger strength, a Haleraid hand grip can be used.
Procedure for Administering an MDI
- Sit or stand upright.
- Remove the cap and shake the inhaler.
- Breathe out gently.
- Place lips around the mouthpiece.
- Inhale slowly and deeply through the mouth while activating the aerosol once only.
- Remove the inhaler from the mouth and keep it closed.
- Hold your breath for 10 seconds or as long as possible.
- Repeat as required, waiting around 30 seconds between activations.
Breath-Actuated MDIs
- Breath-actuated inhalers, such as Autohalers and Easi-breathe, are activated by the patient's inspiration.
- These devices help overcome coordination problems.
Autohaler Device Procedure
- Sit or stand upright.
- Remove the cap and shake the inhaler.
- Breathe out gently.
- Place lips around the mouthpiece.
- Inhale slowly and deeply through the mouth.
- Do not stop breathing when the inhaler clicks, continue to take a deep breath.
- Remove the inhaler from the mouth and keep it closed.
- Hold your breath for 10 seconds or as long as possible.
- Repeat as required, waiting around 30 seconds between activations.
- The lever must be pushed up (On) before each dose and pushed down (Off) afterward to operate.
Easi-breathe Device Procedure
- Sit or stand upright.
- Hold the inhaler upright.
- Open the cap.
- Breathe out gently.
- Place lips around the mouthpiece.
- Inhale slowly and deeply through the mouth.
- Do not stop breathing when the inhaler puffs, continue to take a deep breath.
- Remove the inhaler from the mouth and keep it closed.
- Hold your breath for 10 seconds or as long as possible.
- Close the cap immediately after use.
- Repeat as required, waiting around 30 seconds between activations.
Dry Powder Devices
- Dry powder inhalers are triggered by a deliberate inhalation from the device.
- Examples include: Spinhalers, Rotahalers, Aerohalers, Aerolizers, Diskhalers, Accuhalers, and Turbohalers.
- Each device has a distinct loading and preparation method, refer to the manufacturer's instructions.
Dry Powder Inhaler Technique
- Load the inhaler as instructed by the manufacturer.
- Sit or stand upright.
- Breathe out gently and tilt your head back.
- Place your lips around the mouthpiece.
- Inhale quickly and deeply through the mouth.
- Remove the inhaler from your mouth and keep it closed.
- Hold your breath for 10 seconds or as long as possible.
Spacer Devices
- Spacer devices are used with MDIs to improve medication delivery.
- Advantages:
- No need to coordinate actuation with inhalation.
- Reduces cold impact of aerosol particles on the throat, minimizing gagging or coughing.
- Deposits larger drug particles into the chamber, reducing the risk of oral candida from oral steroids.
Spacer Device Procedure
- Ensure compatibility between the spacer and inhaler.
- Place the two halves of the spacer together.
- Remove the cap and shake the inhaler.
- Place the inhaler mouthpiece into the spacer port.
- Sit upright.
- Breathe out gently.
- Place lips around the spacer mouthpiece.
- Hold the spacer level and place one actuation into the spacer.
- Inhale slowly and deeply.
- If a deep inhalation is not possible, the patient should breathe deeply several times, exhaling into the canister.
- Remove the inhaler from your mouth and keep it closed.
- Hold your breath for 10 seconds or as long as possible.
- Repeat as required, waiting around 30 seconds between activations.
- Wash the spacer weekly with warm soapy water and allow to dry. Do not wipe the inside to avoid damaging the anti-static coating.
Oral Suctioning
- If a patient is unable to clear their airway effectively and medical aid is not available, a polystyrene cup can be used as a spacer device.
- It is important to note that this is a temporary measure and should not be used for prolonged periods.
Equipment for Oral Suctioning
- Suction machine/piped suction.
- Suction tubing and oral suction catheter (e.g. Yankuer sucker).
- Sterile distilled water.
- Face mask.
- Eye shield.
- Towel or absorbent pad to protect the patient's clothes and bed linen.
- Gloves.
Procedure for Oral Suctioning
- Explain the procedure to the patient, even if they are unconscious, as they may still be able to hear.
- Wash hands thoroughly.
- Prepare equipment.
- Attach the suction tubing to the suction machine and the oral sucker to the suction tubing, ensuring a tight fit.
- Ensure the suction machine is working properly by plugging it in, switching it on, and kinking the suction tubing. This should cause the pressure dial to rise.
- Change clean suction tubing between patients, and ensure that a Yankuer sucker and flexible catheters are easily accessible to the machine.
- Position the patient in a semi-recumbent position with their head turned towards you. If they are unconscious, they should be nursed in a semi-prone position, facing you.
- Place a towel or pad under the patient's chin.
- Switch the suction machine on and set the suction level.
- Oral or nasopharyngeal suction should be gentle to avoid damaging the mucous membrane, teeth, or gums. Ideal suction levels for oral suction are not well established, but experience indicates that a maximum pressure of 20 kilopascals (kPa) or 120 mmHg for wall suction units is appropriate.
Oral Suctioning Steps
- Put on gloves, eye shield, and mask.
- Ask the patient to open their mouth and assist them if necessary.
- Insert the Yankuer sucker into the mouth along one side and guide it towards the oropharynx without applying suction.
- Suction is prevented by kinking the suction catheter or leaving the hole in the Yankuer sucker open.
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Description
Test your knowledge on respiratory care interventions, including medication administration, oxygen delivery methods, and inhaler techniques. This quiz will assess your understanding of procedures that help manage breathlessness and improve patient care. Gain insights into effective breathing techniques and patient education strategies.
