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Turbohaler | How To Use A Turbohaler (Symbicort Pulmicort Bricanyl)

Posted on October 26, 2022 By
Health

Pharmacist Abraham, discusses Turbohaler. How To Use A Turbohaler. Symbicort, Pulmicort, Bricanyl Turbohaler.

Hey guys in this week’s video we’re going to learn  how to use one of these bad boys you might be   holding this in your hand right now and thinking  how on earth do i use it well not to worry this   turbohaler we’re going to learn how to store   it we’re going to learn how to clean it we’re  going to learn loads and loads of pro

Tips so   let’s begin now before you become a turbohaler  pro it’s just super important to remind you   always read the information leaflet that comes  with any medication this is super important   just to make sure that you’re safe and suitable to  use that medication also if you have any questions   about the medication

If any of this doesn’t make  sense at all always remember you can speak to your   pharmacist you can speak to your nurse you can  speak to your doctor you can speak to any of your   healthcare professionals for more advice so please  do not forget that now let’s begin okay so let’s   begin with the basics what is a turbohaler

Well  a turbohaler is just a medication delivery system   it’s prescribed by your healthcare professional  for many different diseases for example copd   asthma and it’s one of the types of inhalers that  we use to get that medication to where we want it   inhalation so this means it’s not like your   common inhalers

That you may see on tv that you  click and they make that sound and it goes and   it’s propelled outwards and you breathe it in the  turbohaler so it’s driven in by your inhalation so   by that forced breath in it actually delivers  the medicine into your lung so the medicine   in a turbohaler is a dry powder and it’s kept 

Here right at the bottom there’s a reservoir of   medication and it’s all kept in there so unlike  your mdi inhalers your metered dose inhalers   where you click it doesn’t have that propellant  so like i said it’s driven by your inhalation   and it’s really useful for patients who struggle  with timing for example which you get

With the   metered dose inhalers or they’re struggling to  click the button which does happen for patients   with arthritis for example okay so we’re nearly  done with the background promise we’ll be going   on to how we use the turbohaler in a second but  remember you’re going to become a turbohaler pro   this is your

Turbohaler i’m going to give   the bottom we have our turning grip thing   here is the air inlet i don’t know if you can see  that hole let’s try and focus it into that hole   hopefully you can see it that is the air inlet  so it’s super important when you’re using it   you don’t block that because if you do you can’t 

Breathe in okay so you’ve got your air inlet there   inside this unfortunately i can’t open it to   show you it and there’s a scraper there which  when we twist it it gets it into the place into   the chamber where it needs to go and then there’s  an air tube that goes from here all the way up   into the actual top where you

Breathe in that is  the basics of the turbohaler but it’s going to   be super important you know this because at the  end of this video you are going to become that   turbohaler pro you’re going to be teaching your  healthcare professional about this turbohaler so   let’s begin okay so we’ve now got to the good bit  we’re now

Going to learn how to use the turbohaler   congratulations on getting this far this part is  going to be so easy for you now because we now   know all about the turbohaler we now know how it  works we know about the mechanisms of how it works   inside so learning it is going to be a piece of  cake but it will take a bit of trial

And error i’m   not going to promise you it’s going to be easy to  begin with but after a while it’s going to come to   you it’s going to be really easy to understand  and you will become the turbohaler pro okay so   let’s begin now i want you to imagine you’ve just  got a brand new turbohaler from the chemist okay  

It’s nice and clean it’s looking lovely okay   now this is a demonstration turbohaler so it has  no drugs in it unfortunately it doesn’t have the   cap thing that goes on so we’re gonna imagine it  has a cap and i’m going to screw it off and i’m   going to take off now we’ve got the turbohaler  on my hand the first time you use the

Turbohaler   you need to get it ready this is why i say   it’s super important that you read the information  leaflet to check for this section so check on the   information leaflet what it says to do for the  first time you use the turbohaler this one for   example in my hand that i’ve got is a symbicort  one and it needs

To be primed before using it and   the way that you do that for the symbicort is  you turn it in one direction whichever way it   this click okay and then you do it again   to use okay but some other turbohaler are   different so please read the information that  you flip also please do remember whenever you’re  

Using a turbohaler always hold it upright always  hold it like this never hold it like that okay   like this and i’m going to tell you exactly why   in a bit the other thing i want you to do before  you take any dose after you’ve taken off the   cap always have a quick look in the hole in the  mouthpiece to make sure there’s no

Dust there’s   no foreign bodies there’s nothing in there okay  because we’re about to inhale this so it’s super   important there’s nothing in there because we  don’t want to get anything dodgy going down into   our lungs okay so now let’s learn how to use the  turbohaler so let’s say for that previous thing   that

I just did when i primed the inhaler let’s  say i had that dose and this is the second dose   that i’m going to take so we’re going to do the  same thing we’re not going to do it twice we’re   i’m going to turn it one way and hear that click   that means that the medication is now ready and  it’s in the actual chamber for you

To breathe in   of how this works so you understand that bar   and the reason why i say you should always hold  your turbohaler upright is if this did actually   have medicine in it unfortunately it’s a tester  one if it actually had the powdered medication   in the chamber now and if i was to hold it like  this you’d

See all this powder just fall out and   that is a waste of dose okay but it’s not so let’s  say the powder is still there and i didn’t do that   next thing i’m going to do is hold it like so  i’m not going to cover that bottom air inlet   i’m gonna hold that so i’m gonna take a deep   gonna breathe out and i’m gonna wrap my

Lips   around the mouthpiece and take a deep forceful  not too forceful but it is quite forceful breath   there’s no gas propeller or anything like that   drug in the turbohaler does require quite   to take in the breath for as long as i can   and then afterwards i’m going to remove the of my  mouth and i’ll hold my

Breath for about 10 seconds   or as long as i can really and then gently breathe  so like so very simple i should have mentioned  to you this actually has a little whistle in it   so if you look at the kind of force that i’m doing  it’s a lot stronger i’d  probably say it’s more of a   watch if i do it with a normal breath

In   it won’t make the whistling sound but if i do  so that’s the kind of inhalation sort of speed  that we need to do to get the turbohaler dose   right if we don’t do it with that kind of speed  and that kind of force you’ll probably end up   horrible taste in your mouth and it won’t go   to the right part so if you

Are noticing you’re  getting all the powder in your mouth and you’re   not able to breathe in with that much force then  you need to speak to your healthcare professional   okay so that they can check how how deeply you can  breathe in we have devices like this for example   which we’re then able to test if you’re actually 

You do have the capacity to actually take a   turbohaler breathing because it does require quite  a bit of force so i hope that helped now once   you’re done with that dose follow the instructions  from your healthcare professional if you need to   do another dose you now know what to do and once  you’re all done get the lid that

We had over here   my imaginary lid and twist it back on also please  remember that these turbohaler do have a counter   as well always check the counter number as well  to make sure that you’ve actually got doses left   in it and you’re not actually just breathing in  nothing because that’s super important to remember  

Another thing to mention is as well if you are  using a steroid turbohaler it is important to   try and use it let’s say it’s twice a day for  example the dose i always say to patients try   and use it before brushing your teeth so if you’re  doing it twice a day once in the morning and once   in the evening before going to bed

In the morning  before you brush your teeth and the evening before   you brush your teeth again that way it’s going to  reduce your chances of getting oral thrush which   can be one of the side effects of using a steroid  inhaler and for the full information on all the   side effects or on how to use your turbohaler  again

Please read the information these are that   comes with this medication and also it’s a really  good idea if you’re struggling at all if you’re   finding this difficult to speak to your healthcare  professional let them know how you’re getting on   and also ask them to watch you use your turbohaler  or if you’re got another inhaler

Ask them to watch   you use it that’s the best way to learn how to  use the turbohaler or any other inhaler properly   because if you’re not using it properly it’s not  going to get to the right part of the lungs and   it’s not going to give you that adequate control  that we want for asthmatics and copd this is the  

Most important thing that you need to remember and  speaking of other inhalers i do have videos on how   to use a metered dose inhaler on how to use an  aero chamber which i will leave links to up here   interested in them if you have any of them   inhalers and you want to become a pro at that  as well then click on the links and

Give it   storage in terms of cleaning your turbohaler   please please please do not get the turbohaler  wet remember it’s got that powder in there if you   get this wet and the water or any sort of liquid  goes on the powder this inhaler is ruined okay so   please do not use any water in terms of cleaning  you just

Use a cloth two to three times a week   just give that tip a quick little clean and then  put that cap on always make sure inside the cap   is clean as well so there’s no dirt or no fluff or  anything like that that you’re gonna put in there   and it could possibly go into the mouthpiece now  in terms of storage the turbohaler

Is very easy   to store you just need to keep it in a cool dry  place once you’ve got that lid on cool dry place   and make sure it’s not over 30 degrees celsius  and always check the expiry date the other thing   about the turbohaler i want to mention is when  they run out make sure you hand it back to your   chemist

Whichever chemist that you got it from  or any chemist you can hand it back to them but   please also do check if the chemists are part of  the recycling scheme because these can be recycled   as well so i am going to leave a link to that   highly recommend everyone to do this it’s super   inhalers they’re plastic they don’t

Degrade   and it’s really good for the environment if we  are able to recycle these so that’s the end of   this week’s video i promised you at the start of  the video you are going to become a turbohaler   pro let me know if that is true leave a comment  below let me know how you found the video   let me know if you’ve

Got any questions and let me  know if you’ve got any of your own tips because i   love reading those comments and i’m sure everyone  else watching this video would love to read those   comments too get some tips from each other and  learn from each other as always sending your   awesome vibes and i will see you next week hey 

Guys thanks for watching this week’s video make   sure to click that like follow or subscribe button  now to stay up to date with new weekly videos

Transcribed from video
Turbohaler | How To Use A Turbohaler (Symbicort Pulmicort Bricanyl) By AbrahamThePharmacist

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