Living Well With COPD - Page 15

Using a Multi Dose Dry Powder Inhaler (DPI) With powdered medication particles in DPIs, the dose is released to your airways when you take a deep, fast breath from the inhaler. Inhaling the dry powder may cause some people to cough. Talk with your doctor to make sure a DPI is right for you. Most dry powder medication contains lactose. It gives a sugary sensation in your mouth. This indicates that you have taken the medication. It will not affect you if you’re lactose intolerant. There are several different kinds of DPIs. Each has its own loading and releasing procedures. Ask your health-care professional or pharmacist to show you exactly how to use your device. Then follow the manufacturer’s instructions to maintain it. Unlike MDIs, DPIs SHOULD NOT be shaken or primed. They should NEVER be washed in water. List of Multi Dose Dry Powder Inhaler devices: Diskus, Ellipta, Flexhaler, Genuair 1 4 PREPARE DEVICE HOLD BREATH STEP 1: Follow your patient instructions to prepare the device and load the dose of medicine. STEP 4: Remove the inhaler from your mouth. Hold your breath for 10 seconds. If you cannot hold your breath for 10 seconds, hold your breath for as long as you can. 2 5 EXHALE FULLY STEP 2: Holding the device in your hand, exhale fully, pushing as much air out of your lungs as possible. EXHALE SLOWLY STEP 5: Exhale slowly. 6 3 INHALE DEEPLY RINSE IF CORTICOSTEROID STEP 3: Put your mouth on the mouthpiece. Inhale deeply and forcefully. STEP 6: If your medicine contains an inhaled corticosteroid, rinse your mouth with water. Spit out the water – DO NOT SWALLOW IT. 13