Nursing 101: Interval between 2 different inhalers?

  1. [font="comic sans ms"]wow! this seems like a very simple question but sometimes the fine details are not clearly recalled. especially when you get to be as old as i am.

    i have a question regarding inhalers. what is the proper time interval wo wait between giving two different inhalers? i remember learning 5 minutes but is this wrong? has it changed?

    thank you for your kind responses. i feel like this is something i should just know. but in teaching a new nurse, i want to get it absolutely right.

  2. Visit jaxnRN profile page

    About jaxnRN

    Joined: Jan '03; Posts: 92; Likes: 4
    OB Labor & Delivery RN/Hospice/HomeHealth
    Specialty: 18 year(s) of experience in OB Labor & Delivery/PP/Nursery/Hospice


  3. by   lpnflorida
    I hope someone has the exact answer, I usually first ask my patient how long do they wait at home between use of two inhalers both scheduled for the same time. Many of them tell 5-10 min, some have said they wait an hour.

    For my daughter. It does not say on his how long to wait in between. So I have simply reminded her one is as needed for so called attacks and the other one is scheduled twice a day therefore there should not be a reason to use them at the same time.

    I look forward to an exact answer.
  4. by   jstbreathe
    :spin:No wait. Just give bronchodilator first (slow deep breath and hold) take a few breaths, then give steroid. rinse mouth
  5. by   iteachob
    Give the beta adrenergic (such as Proventil) first. Wait about 5 minutes. This allows the drug to open the airways allowing for better distribution of the glucocorticoid (Vanceril, Beclovent), which would follow.
    Use a spacer, and remember to rinse the mouth after the corticosteroid.
  6. by   jaxnRN
    You are ALL so very awesome. This is the best resource I have ever found during my nursing career. Thank you to everyone!

  7. by   CoffeeRTC
    Shoot...I should know this too. I'm pretty sure that in LTC (where regs are all wacked) it is 15 minutes between different meds. I'm about 100% sure it is 5 minutes in between each puff.
    Yeah, right!
  8. by   NursingStudent50
    I just finished my first semester of nursing school, and we were taught to give at least 1-2 minutes between breaths and between different inhalers. If using multiple inhalers, use the short acting first. Hope this helps:wink2: Never said 5 minutes, just 1-2.
  9. by   nursejoy1
    I work in LTC and our policy is 1 minute between puffs of same inhaler and 5 minutes between different inhalers.
  10. by   nj2ncgal
    Hi I am currently in my first year of nursing school and I found in my Pharmacology book under principles of drug administration correct use of metered-dose inhaler that if a second dose is required wait 1-2 minutes and repeat procedure, if a glucocorticoid inhalant is to be used with a bronchodilator wait 5 minutes before using the inhaler containing the steroid. This is to allow enough time for the bronchodilator to sufficiently open the airways for better absorption of the other medicine.

    P.S. I realize this answer is a couple of years after the question has been posted but I thought it may be useful to another looking up the same question.