Monday, September 03, 2007

How do you give someone their inhaler if they need help?

During an acute attack, bronchodilators are the first line of action. Even a handheld pump, if used properly, is extremely quick and reduces symptoms. People with asthma are usually able to give themselves this medicine, even during an attack, but there are certain devices that are less complicated than others.

A metered dose inhaler (MDI) consists of a mouthpiece attached to a pressurized canister of medicine. You hold the device one to two inches away from your mouth, press down on the inhaler to release the right amount of medicine, and breathe in slowly. People who aren’t comfortable with this technique can use spacers, extension tubes that attach to the MDI and allow you to place your mouth directly on the tube. This simplifies the process.

Also, there is a formulation known as Maxair (pirbuterol) that is sold as an autohaler, and it is extremely easy to coordinate. The asthmatic just pushes on a small lever, exhales, and then inhales the medicine.

Lastly, if someone has difficulty coordinating any of the devices mentioned above, handheld nebulizers are available which require very little coordination. These deliver the medication in mist form through a mask that covers the nose and mouth.

Learn more in the Everyday Health Asthma Center.