Spacers

Question 1

How to use

Answer 1

Shake inhaler
Put inhaler into spacer
Breathe out to make room!!!
Make a seal around mouthpiece of spacer
Press the canister to release dose

Question 2

Breathing slowly and deeply?

Answer 2

Not hard and fast! Because were using an aresol

Hold breathe for 10 seconds or as long as possible and then breathe out, if you need a second dose wait 30 seconds

Question 3

If they can’t do it the right way

Answer 3

Just breathe in and out 5 times - slowly

Question 4

Spacers do what

Answer 4

They remove the need for timing, less coooridination needed

Single breath (breathe once after pressing to release dose)

Can breathe in multiple times

You still need to follow the advice as per using inhaler - rinse mouth after use etc. if using a steroid inhaler with mask then rinse face too

Question 5

Spacers are only for which types of inhalers?

Answer 5

Only for pMDI - aresols that go into the chamber

Licensing can vary - some are not compatible purely because of licensing

Question 6

Spacers are useful for

Answer 6

Poor inhalation technique
Children
High doses of inhaler corticosteroids
Nocturnal Asthma
Patient at risk of candidiasis with inhaled corticosteroid

Question 7

Aerochamber plus

Answer 7

0-18 months - with mask = infants

1-5 - with mask = child

Blue ( 5 and above) - can get with and without mask

Question 8

Plus FLOW- VU

Answer 8

Has a flap -breath moves the flap so easier to count and its also dishwasher safe in compression to other spacer

Question 9

Cleaning

Answer 9

Once a month

Question 10

How do we clean

Answer 10

Mild detergent, rinse ,air dry and no towels

No don’t want static - static = changes the way the aerosol reacts in the chamber and not let us breathe it in

Question 11

Volumatic spacer

Answer 11

More effective - bigger chamber = more space and time but patients hate the size = less adherence (more space, more time doing down the chamber and entering the lungs)