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Enhancing Asthma Medication Delivery: Spacers and Valved Holding Chambers
Sally Schoessler1, Tonya Winders2
1Director of Education, Allergy & Asthma Network, Vienna, VA.
NASN School Nurse (Print)
|May 20, 2016
Summary
School nurses manage asthma with metered dose inhalers (MDIs). Using spacers or valved holding chambers improves MDI technique, especially for children, enhancing asthma care in schools.
Area of Science:
- Pediatric Pulmonology
- School Nursing
- Respiratory Therapy
Background:
- Asthma is a common chronic illness in children managed in schools.
- Metered dose inhalers (MDIs) are frequently used for asthma treatment.
- Proper MDI technique is crucial for effective medication delivery.
Purpose of the Study:
- To review the rationale for using spacers and valved holding chambers with MDIs.
- To discuss the implications of using these devices in the school setting.
- To provide guidance for school nurses on optimal MDI use.
Main Methods:
- Literature review of studies on MDI use, spacers, and valved holding chambers.
- Analysis of factors influencing MDI technique in pediatric populations.
- Examination of the school environment's impact on asthma management.
Main Results:
- Spacers and valved holding chambers significantly improve MDI technique by simplifying coordination and reducing impaction.
- These devices are particularly beneficial for pediatric patients who struggle with MDI actuation and inhalation.
- Implementation in schools can lead to more consistent and effective bronchodilator delivery.
Conclusions:
- Spacers and valved holding chambers are essential adjuncts for MDI use in schools.
- Their use enhances medication adherence and therapeutic outcomes for students with asthma.
- School nurses should be trained and equipped to utilize these devices for optimal patient care.
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