STANDARD DOT PROCEDURE Administration of Metered Dose Inhalers (MDI) PDF

STANDARD DOT PROCEDURE Administration of Metered Dose Inhalers (MDI) via Spacer with Mouthpiece Client Label: Name...

STANDARD DOT PROCEDURE Administration of Metered Dose Inhalers (MDI) via Spacer with Mouthpiece Client Label: Name Date GOAL: To assist with safe and consistent inhaled medication administration. Maintain DIPPS Throughout Procedure SUPPLIES: SCHEDULE: ▪ medicated inhaler ▪ spacer (aero chamber) □ See Client Specific Instructions. ▪ glass of water REPORTABLE OBSERVATIONS: STORAGE SPACE: 1) Inability to complete task. □ Cupboard beside or above fridge 2) Change in client condition. □ Cupboard beside or above kitchen sink 3) Increased shortness of breath. □ Lock box 4) Client cannot breathe slowly enough through the □ Other: spacer to prevent whistling sound. PROCEDURE RATIONALE 1) Wash hands. 1) To maintain cleanliness as per standard precautions. 2) Gather supplies and assemble on a clean, dry surface. 2) To complete task in an organized manner. 3) Direct/assist client to sit in an upright position. 3) To allow client to breathe medication in as deeply as possible. 4) Read the Client Specific Instructions. Start with the 4) To ensure maximum effectiveness of medication. inhaler. 1. Check #1 Identify the Rights of Medication 5) SAFETY: To ensure client receives the correct Assistance medication. 6) Remove the plastic cap off the inhaler mouthpiece and 6) To ensure cleanliness and that there are no foreign the spacer mouthpiece. Check for foreign objects and objects present. ensure that all parts are secure. 6) Check #2 Identify the Rights of Medication 6) SAFETY Assistance 8) Shake the inhaler vigorously at least ten (10) times. 8) To ensure medication is mixed. 9) Check #3 Identify the Rights of Medication 8) SAFETY Assistance 10) Put the inhaler mouthpiece into the large opening of 10) To prepare for administration of medication through the spacer. Do not cover the small slots. the spacer.  11) Put the mouthpiece of the spacer into the client’s 11) To position client to receive treatment. mouth (between the client’s teeth) and ask the client to close lips on the mouthpiece. Make sure that the inhaler mouthpiece and canister are not held on an angle, as this may reduce the medication that reaches the client. 12) Depress the metal canister into the inhaler. 12) To spray the medication into the spacer. 13) □ Ask the client to take a slow, deep breath and to 13) To be certain that client gets maximum dose of inhaled hold this breath for 5-10 seconds. medication. □ Ask the client to breathe in and out normally for 3 to 4 breaths. 14) If you hear a musical sound, ask the client to slow 14) To allow the maximum amount of medication to enter down the breathing. A slow breath should last at least the lungs. 5 seconds. 15) If more than one puff of same medication is needed, 15) To allow time for the medication to be absorbed into wait at least 1 minute after the client’s last breath from the client’s respiratory system before administering a spacer. Do not spray more than one puff at a time into second dose. the spacer. 16) For each puff of same medication needed, re-shake 16) To re-mix medication. MDI (step 8) and repeat steps 10-14. 17) Remove the inhaler from the spacer, replace inhaler 17) Ensures proper storage of medication. cap and return inhaler to the storage area. 18) For each additional inhaler required, wait 5 minutes 18) To ensure client receives the correct medication. and then repeat steps 4-16. 19) After all required inhaled medications have been given, 19) To prevent mouth sores. ask client to rinse mouth with water and spit water out. 20) Wash hands. Return supplies to the storage area. 20) To maintain standard precautions; to ensure proper storage of supplies. 21) Sign flow sheet. Report and record any reportable 21) To maintain accurate records. observations. NAME and Credentials of Healthcare Provider: (please print) SIGNATURE and Credentials of Healthcare Provider: