Question

PART 1 MEDICAL-SURGICAL CASES CASE STUDY 21 CASE STUDY PROGRESS You ask 8.1. to demonstrate the use of his MDI. He vigorously shakes the canister, holds the aerosolizer at an angle (pointing toward his cheek) in front of his mouth, and squeezes the canister as he takes a quick deep breath. 17. What common mistakes has B.T. made when using the inhaler? 2 Respiratory Disorders 18. You review the proper use of an MDI with B.T and possible side effects he may experience, including hoarseness, dry mouth, white spots in the oral cavity, coughing, and headaches. What actions can you teach him to prevent or diminish the incidence of these effects? Select all that apply. a. Decrease his fluid intake. b. Use a spacer on the inhaler. c. Use the inhaler only as prescribed. d. Rinse out his mouth immediately after using the inhaler e. Clean the spacer in the dishwasher on "hot cycle with heated dry" daily. 19. B.T.'s wife asks about the possibility of B.T. having another attack. How 20. B.T. states that he would like to read more about asthma on the Inte websites to which you could direct him.

Answer 1

Case study progress

Answers:

17. The identified common mistakes of B.T in the demonstration of MDI are

• He shook the inhaler vigorously. - Just simple shake is enough.
• Kept inhaler at an angle towards his cheek. - The right thing is to place the inhaler between the teeth and to seal with lips tightly.
• He squeezes the canister and took a quick deep breath.- The right method is to press the canister once and to take a slow breath for about 3 to 5 seconds so that the medication can reach out the lungs.

18. The action that minimizes the side effects are

b. Use a spacer on the inhaler.

c. Use the inhaler only as prescribed.

d. Rinse out his mouth immediately after using the inhaler.

Rationale:

Use of spacer, rinsing of the mouth with plain water helps to minimize the side effects of the inhaler. Fluid intake should not be reduced because the intake of fluid is necessary for loosening of secretions. The spacer should be cleaned using a mild detergent and warm water and should be air-dried. Hence option a and e are incorrect.

19. An asthmatic attack can be prevented if he follows the medication and instructions accurately. Minimize the exposure to dust and allergens, immediate treatment for cold and cough, lessen the chance of another attack.