Name of the Procedure:

Drug administered through a metered dose inhaler (J3535)

Summary

This procedure involves the administration of medication using a metered dose inhaler (MDI), a device that delivers a specific amount of medication to the lungs in the form of a short burst of aerosolized medicine. It is commonly used to treat respiratory conditions.

Purpose

Medical Conditions Addressed:

• Asthma
• Chronic Obstructive Pulmonary Disease (COPD)
• Bronchitis
• Other respiratory disorders

Goals:

• To deliver medication directly to the lungs.
• To relieve or prevent symptoms such as wheezing, coughing, and shortness of breath.
• To improve lung function and overall respiratory health.

Indications

Conditions:

• Acute asthma attack
• Chronic asthma management
• COPD exacerbations
• Bronchospasm ##### Criteria:
• Patients diagnosed with asthma, COPD, or other respiratory diseases.
• Patients who require fast-acting relief of respiratory symptoms.
• Patients who need maintenance therapy for chronic lung conditions.

Preparation

• No fasting required.
• Ensure the patient understands how to use the MDI correctly.
• Review and adjust current medications if necessary.

Procedure Description

1. Preparation: Shake the inhaler well (5-10 seconds).
2. Setup: Attach a spacer if recommended.
3. Position: Instruct the patient to sit or stand up straight.
4. Breathing: Have the patient breathe out fully to empty the lungs.
5. Administration: Place the inhaler’s mouthpiece in the mouth, ensuring a good seal, or position it a few centimeters away.
6. Inhalation: Press down on the inhaler to release the medication while simultaneously breathing in slowly and deeply.
7. Breath Hold: Instruct the patient to hold their breath for about 10 seconds to allow the medication to settle in the lungs.
8. Repeat: If a second dose is required, wait about a minute between puffs and repeat the steps.

Equipment Used:

• Metered dose inhaler (MDI)
• Spacer (optional)

No anesthesia or sedation is involved.

Duration

The procedure typically takes a few minutes.

Setting

This procedure can be performed in various settings such as a doctor's office, outpatient clinic, hospital, or at home.

Personnel

• Doctor or nurse for initial instruction and monitoring.
• Patient responsible for self-administration after initial training.

Risks and Complications

Common Risks:

• Throat irritation
• Coughing ##### Rare Risks:
• Allergic reaction to medication
• Paradoxical bronchospasm

Benefits

• Quick relief from symptoms like wheezing and shortness of breath.
• Improved lung function.
• Better control of chronic respiratory diseases.

Recovery

• No specific recovery period needed.
• Follow regular usage instructions as prescribed by a healthcare provider.
• Regular follow-up appointments to monitor the condition and medication effectiveness.

Alternatives

• Nebulizer treatment
• Oral medications (e.g., pills, syrups)
• Injectable medications ##### Pros and Cons:
• Nebulizers: Suitable for severe cases but are bulkier and take longer to administer.
• Oral Medications: Easier to take but slower to act and may have systemic side effects.
• Injectables: Effective for severe cases but involves needle use and may have more side effects.

Patient Experience

During the Procedure:

• May feel the pressure of the inhaler actuation.
• Might experience an immediate taste of medication. ##### After the Procedure:
• Generally feel relief from respiratory symptoms within minutes.
• Mild throat irritation or cough can occur.
• Instructions for comfort:
  • Rinse mouth after use to minimize throat irritation.
  • Use as prescribed to prevent overuse and side effects.

By adhering to these guidelines, patients can effectively manage their respiratory conditions using a metered dose inhaler.