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Correct Answer: the patient must connect the oxygen tubing prior to dosing.
the statement that is not correct about the use of albuterol in a metered dose inhaler (mdi) for a patient with reactive airway disease is: "the patient must connect the oxygen tubing prior to dosing."
albuterol metered dose inhalers are designed to deliver medication directly to the lungs through inhalation and do not require the use of oxygen tubing. the mdi contains a pressurized canister of medication that, when activated, propels a measured dose of drug into the airway. the patient should be instructed to exhale completely, place the mouthpiece of the inhaler into their mouth, start a slow and deep inhalation, and then activate the inhaler to release the medication. following this, the patient should hold their breath for as long as comfortably possible (ideally 10 seconds or more) to allow the medication to deposit in the lungs before exhaling.
the incorrect statement suggesting the need for oxygen tubing might be confusing for patients and could potentially lead to improper use of the inhaler. it is important for health care providers to correct any misconceptions and provide clear, accurate instructions on the proper use of mdis. the use of spacers or valved holding chambers with mdis can also be recommended to enhance drug delivery and ease of use, but these devices are not connected to oxygen either.
another instruction sometimes misunderstood is checking the fullness of the inhaler by placing it in water. this method is not reliable and should not be recommended. instead, patients should track the number of doses used or rely on inhalers with dose counters to know when the canister is empty.
proper education on the use of albuterol mdis, including the mechanics of operation and maintenance (e.g., cleaning the mouthpiece), is crucial for effective management of reactive airway diseases such as asthma or chronic obstructive pulmonary disease (copd). this ensures that the medication is delivered effectively to where it is needed most, improving the patient's respiratory function and overall quality of life.
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