The nurse has received an order for an asthmatic patient for a metered-dose inhaler (MDI), 2 puffs BID. While instructing the asthmatic patient in the proper use of an MDI, the nurse should include which of the following instructions?
a. "Inhale after activating the device."
b. "Administer 2 puffs, wait 1 minute, and administer 2 more."
c. "Wait 1 minute between the first and second puff."
d. "Puff the inhaled doses in rapid succession."
ANS: C
When 2 puffs are needed, an interval of at least 1 minute should separate the first puff from the second.
The inhale should be just prior to activation of the device.
If the medication is ordered 2 puffs BID, the patient would not administer 2 puffs followed by 2 more puffs in 1 minute.
There should be at least a 1 minute interval between puffs. They should not be taken in rapid succession.
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