The inhaler is held upright.
Head is tilted down while inhaling the medication
Client waits 5 minutes between puffs.
Mouth is rinsed with water following administration
Client lies supine for 15 minutes following administration.
Decreased heart rate.
“This is an anticipated side-effect of your medication. It should go away in a couple of weeks.”
“You are using your inhaler too much and it has irritated your mouth.”
“You have developed a fungal infection from your medication. It will need to be treated with an antibiotic.”
“Be sure to brush your teeth and floss daily. Good oral hygiene will treat this problem.”
Incorporate physical exercise as tolerated into the treatment plan.
Monitor peak flow numbers after meals and at bedtime.
Eliminate stressors in the work and home environment
Use sedatives to ensure uninterrupted sleep at night.
Occupational exposure to toxins
Viral respiratory infections
Exposure to cigarette smoke
Exercising in cold temperatures
Begin mechanical ventilation
Place the client on oxygen
Give the client sodium bicarbonate
Monitor for pulmonary embolism.
Caused by the sudden opening of alveoli
Usually more prominent during expiration
Produced by airflow across passages narrowed by secretions
Found primarily in the pleura.
Wait until the client’s lab work is done.
Not administer oxygen unless ordered by the physician.
Administer oxygen at 2 L flow per minute.
Administer oxygen at 10 L flow per minute and check the client’s nail beds.
Serosanguineous drainage from the puncture site
Increased temperature and blood pressure
Increased pulse and pallor
Hypotension and hypothermia