Last week I had a chance to give medications to one patient who was metal disorder i kni knwith COPD.
At same time, he was on seretide, ventolin, and spiriva . I just had a brief idea of these inhalers that helps breathing by expanding lung capacity and relives COPD symptoms.
I gave him spiriva first then pt used it. Then he asked me " do you really know what you are doing? I mean what meds you are giving to me?"
So i told him that I know these medication helps your breathing by expanding your lung capacity..
The patient said. " no I don't think you know what you are doing. You are supposed to give me ventolin first which opens my airway and expand my lung capacity and then the one you gave me helps remaining expansion. Then you need to give me other.
OMG. I was so embarrassed and shamed myself. But I was wondering why he took spiriva first then pt said " because you gave it first!"
OMG...although he was with mental condition, he has been on these inhalers for many years so I think he is probably right. When I finished my work, I tried to find more info through internet regarding this issue , but I couldn't find good resources. Can anyone teach me about this?
I was taught to give the bronchodilator first....so that would be the Ventolin. The other important thing I remember about inhalers is to wait a full minute between "puffs" when using a bronchodilator. I had a short stint as a school nurse and administered a lot of albuterol. Was really difficult for the little ones to wait for the full minute so we ended up buying sand timers so they could watch it themselves.
On another note- I always find it interesting when pts tell you after the fact that you did something wrong. If he was going to mention it, why not do it before hand so it can be corrected?
Last edit by Student Mom to Three on Jul 5, '14
: Reason: spelling