A buterol administration with and without a spacer attempt to provide the student with as much privacy as possible given the urgency of the situation instructions for inhaler administration with and without spacer gather needed supplies and place on a clean surface position student providing as much privacy as possible wash hands if student will be administering
Medication have student wash hands check for authorization forms or record review the medication administration form the medical provider form and the parent guardian consent form check for the albuterol in order to be sure it is for the right child the right medication the right dose being given at the right time being given by the right route be sure to check
The medication to ensure that it has not expired make sure the inhaler and spacer are free of foreign objects shake the inhaler for 10 seconds to mix the medicine remove the cap from the mouthpiece prime the inhaler if indicated when the mdi is brand new or has not been used for a while the medication may separate from the other ingredients in the canister and the
Metering chamber shaking the mdi will mix the ingredients in the drug reservoir but may not produce enough turbulence to re-blend the ingredients in the metering chamber priming or releasing one or more sprays into the air ensures your next dose will contain the labeled amount of medication quickly review the five rights once again while checking the albuterol to
Be sure it is for the right child the right medication the right dose being given at the right time being given by the right route procedure for inhaler with spacer place the inhaler mouthpiece onto the end of the spacer hold the inhaler between your index finger and thumb have the student stand up and take a deep breath in and breathe out have the student place
The spacer between their teeth and place their lips around it follow the individual spacer instructions press down on the top of the inhaler once instruct the student to breathe in very slowly until they have taken a full breath if you hear a whistle sound instruct the student to breathe slower the breath in should take at least three to five seconds instruct the
Student to hold their breath for five to ten seconds instruct the student to breathe out slowly through their mouth wait one minute before having the student take a second puff if ordered repeat earlier steps if taking a second puff procedure for inhaler without spacer hold the inhaler between your index finger and thumb have the student stand up and take a deep
Breath in and breathe out have the student put the inhaler in their mouth between their teeth and above their tongue have the student close their lips around the inhaler press down on the top of the inhaler once as the student breathes in very slowly until they have taken a full breath instruct the student to hold their breath for 5 to 10 seconds instruct the
Student to breathe out slowly through their mouth wait one minute before having the student take a second puff if ordered repeat previous steps if taking a second puff instructions for post-medication administration with and without spacer have student rinse out their mouth with water and spit as needed wash hands document medication administration in students
Medication administration log follow-up as needed with parents or guardian and healthcare provider cleaning a spacer it is recommended to clean the spacer every one to two weeks or more often if needed remove the mouthpiece and the rubber piece that holds the inhaler soak the mouthpiece rubber piece and plastic chamber in warm water and a small amount of dish soap
Rinse with clean water shake off excess water and dry on a clean surface in a vertical position with the mouthpiece side up do not dry with a cloth or paper towel once dry store in a clean container or bag cleaning the inhaler remove the canister from the actuator run warm water through the top and bottom of plastic actuator do not boil or place the actuator in
The dishwasher shake off the excess water allow the actuator to air dry on a clean surface prior to putting canister back in
