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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:
SKILL 5-23Administering Medication via a
Metered-Dose Inhaler (MDI) (Continued)Commentsb. Ask the patient to state his or her name and birth date,
based on facility policy.
c. If the patient cannot identify him- or herself, verify the
patient’s identification with a staff member who knows
the patient for the second source.- Complete necessary assessments before administering med-
ications. Check the patient’s allergy bracelet or ask the
patient about allergies. Explain what you are going to do
and the reason to the patient. - Scan the patient’s bar code on the identification band, if
required. - Remove the mouthpiece cover from the MDI and the spacer.
Attach the MDI to the spacer. (See the Skill Variation in
your skills book for using an MDI without a spacer.) - Shake the inhaler and spacer well.
- Have patient place the spacer’s mouthpiece into mouth,
grasping securely with teeth and lips. Have patient breathe
normally through the spacer. - Patient should depress the canister, releasing one puff
into the spacer, then inhale slowly and deeply through the
mouth.
21.Instruct patient to hold his or her breath for 5 to 10
seconds, or as long as possible, and then to exhale slowly
through pursed lips.
22.Wait 1 to 5 minutes, as prescribed, before administering
the next puff. - After the prescribed amount of puffs has been administered,
have patient remove the MDI from the spacer and replace
the caps on both. - Have the patient gargle and rinse with tap water after
using an MDI, as necessary. Clean the MDI according to
the manufacturer’s directions. - Remove gloves and additional PPE, if used. Perform hand
hygiene. - Document the administration of the medication immediately
after administration. - Evaluate the patient’s response to medication within appro-
priate time frame. Reassess lung sounds, oxygenation
saturation if ordered, and respirations.
ExcellentSatisfactoryNeeds Practice