asthma medication and devices update lisa c. johnson rrt, rcp, bas, ae-c pediatric asthma program...

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Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

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Devices  Device Demonstration  Advantages versus Disadvantages  Cleaning Recommendations  Age Recommendations

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Page 1: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Asthma Medicationand Devices Update

Lisa C. Johnson RRT, RCP, BAS, AE-C

Pediatric Asthma ProgramVidant Medical Center

Page 2: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Objectives

Discuss delivery devices for inhaled medications Demonstrate use of delivery devices Discuss recommendations for cleaning devices Discuss use of peak flow meters Recommendations for use of management plans

Page 3: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Devices

Device Demonstration Advantages versus Disadvantages Cleaning Recommendations Age Recommendations

Page 4: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Metered Dose Inhalers

Page 5: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Spacers with Mouthpiece

Page 6: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Spacers with Mask

Page 7: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Reservoir Bag

Page 8: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Built in Spacer

Page 9: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Autohaler

Page 10: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Respiclick

Page 11: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Common MDI Mistakes

Failure to remove cap from MDI Failure to shake MDI before using Failure to prime MDI Using empty canister Failure to completely exhale prior to using Incorrect timing of actuation Incomplete inhalation Inhale through nose Fast instead of slow inhalation – whistle sound Failure to hold breath for 10 seconds Activate MDI several times instead of once

Page 12: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Diskus

Page 13: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Flexhaler

Page 14: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Twisthaler

Page 15: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Aerolizer

Page 16: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Ellipta

Page 17: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Air Compressor And Nebulizer Set-ups

Page 18: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Nebulizer Concerns

Expense Proper Maintenance of Air Compressor Bacterial Source Electricity Bulky Timely Medication Waste

Page 19: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Peak Flow Meters

Page 20: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Stickers

Page 21: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

ASTHMA ACTION PLAN

Page 22: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

ASTHMA ACTION PLAN

Page 23: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Respimat

Page 24: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Handihaler

Page 25: Asthma Medication and Devices Update Lisa C. Johnson RRT, RCP, BAS, AE-C Pediatric Asthma Program Vidant Medical Center

Contact Information

Lisa JohnsonPediatric Asthma Program

Vidant Medical CenterPhone: 252-847-6834

Email: [email protected]