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31 1. Read the name of the drug. 2. Tell to the patient the necessary information about the drug and explain the course of the procedure. 3. Wash your hands. 4. Demonstrate to the patient how to use an inhalator without the drug. 5. Seat the patient (if the patient’s condition allows, it is better to perform the procedure standing, because the respiratory excursion is more effective in this case). 6. Remove themouthpiece cover from the inhaler. Make sure themouthpiece is clean from the outside and inside. 7. Turn the inhaler upside down and shake it vigorously. 8. Place the patient’s thumb on the base of the inhaler and the index finger on the top of the metal can. Keep the inhaler vertically. 9. Ask the patient to exhale deeply (as much as he can). 10. Ask the patient to tightly clasp the mouthpiece of the inhaler with his teeth (without biting) and tightly wrap his lips. The head is slightly thrown back. 11. Ask the patient to inhale deeply through the mouth and simultaneously press on the bottom of the can. 12. Ask the patient to hold his breath as long as possible, then remove the mouthpiece of the inhaler from the mouth and remove the index finger from the top of the inhaler. 13. Ask the patient to exhale quietly. 14. Invite the patient to perform this procedure himself with a potent inhaler in Your presence. 15. Close the protective cap of the inhaler and remove it. For the introduction of a liquid drug in the respiratory tract nebulizers are used (fig.15). The nebulizer transforms liquid medica- tion into the «foggy cloud» and submits it together with air or oxygen. A facial mask or mouthpiece is used to inhale the drug. In this case, inhalation of the drug is effortless, that allows the use a nebulizer to provide emer- gency care for an attack of bronchial asthma. Due to the principle of converting the medi- cation into vapor, inhalers are: • Compressor. Fig. 15. Nebulizer