When teaching a patient with asthma how to use a metered dose inhaler (MDI) correctly, it is important to emphasize which of the following?
A) Rapid breathing during treatment to facilitate more medication in lungs
B) Allow 5 minutes between each puff
C) Hold breath as medication is released
D) Position inhaler approximately 1 to 2 inches from the open mouth
Ans: D
Feedback: When using an MDI, the patient should position the inhaler approximately 1 to 2 inches from the open mouth, or use a spacer/holding chamber. Repeat puffs are given as directed, allowing 1-2 minutes between puffs. The patient should continue breathing in as medication is released (by pressing cartridge down). Then breathe in slowly and deeply for 3 to 5 seconds. After this has occurred, the patient should hold his breath for 8 to 10 seconds to allow the medication to reach down into the airways.
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