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Post by skate4life on Oct 1, 2019 9:43:32 GMT -5
Recent study article noted a significant lack of education and incorrect usage about the various devices to administer our medications - MDI, nebulizers, powder capsules etc. The American Association of Respiratory Care has a third edition you can download free (one copy) speifically for patients. It even had a price list  It is a 60 page document if you want the whole booklet to keep on your computer for reference. I hope this link works for those interested... www.aarc.org/resources/clinical-resources/aerosol-resources/ |
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Post by gerald on Oct 1, 2019 11:58:12 GMT -5
Skate, that is a good find, thank you for posting that.
I noticed one thing not stressed in that was the order that the medications were taken in and to leave minimum of 1 minutee between each puff/medication. Last time I was in the pharmacist went over my list of puffers/inhalers and laid out a specific order and timing to gain the maximum effect. It does seem to make a difference so it is sometime everyone might want to do with their pharmacist.
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Post by skate4life on Oct 1, 2019 17:18:00 GMT -5
Gerald - I read most all this afternoon (don't need infants/children) and did see to wait a minute between puffs. The one thing different was the time to shake an MDI - my drug pamphlet says to shake vigorously and rehab had said at least 45 seconds so drug remixes. In a prior edition of this booklet, they said to keep the MDI always in the upright position even when not being used so the med stays properly in the canister section. As for the sequence - there has never been a formal study about the proper sequence and it is all based either on years of experience or basing it on science of receptors. Of course now, you have all three med (LABA, LAMA, Steroid) all in one device, so for some it is moot. Don't know if the drug companies have tweaed the molecules.... One RT had advocated doing LABA first, then LAMA, then steroid. He felt that it was important that a short acting LABA not be used within two hours of taking their long acting LABA so that there are enough receptors to accept the long acting LABA as many are already blocked by the short acting LABA. Many people were using their albuterol to 'open their airways' in order to 'breath' early morning - but also found they used more albuterol during the day. They didn't get maximum long acting at the start of the day because of the first albuterol. I used that sequence for years and some people continue to use it, others say it really helped about not taking the albuterol so close to LABA. Remember some of these LABAs are a twice daily dosing. More recently he changed that sequence to "ABC" so patients would have an easier time remembering it - anticholineric LAMA, B-agonist LABA, cortiosteroid C. The 'recomendation' continues to not take the LABA closer than two hours ahead. I'm only giving you some history - people get rigid and into fights over this It is your choice. I am not telling you what to do. Always follow advice of your doctor and or pharmacist.... |
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It is a 60 page document if you want the whole booklet to keep on your computer for reference.