Asthma Control:

1. Asthma Control: Medical Devices

2. Hi there, remember me? I’m Julie, your asthma trainer. Do you remember earlier in our conversation I mentioned I use a couple of devices to deliver my medications? I told you I’d talk about these later in this training, and here we are! My asthma medications need to have the best chance of getting into my lungs. For a controller medication, I inhale corticosteroids with a spacer. For a reliever during an attack, I use an albuterol inhaler. Unless you’re an asthmatic, these probably mean nothing to you, so let me introduce you to these devices and a couple of other common ones. Then you’ll get to see how different people use different devices for their asthma. Click on the arrow to your right and here we go!

3. Click on each picture below to learn more about each device This device is called a Meter Dose Inhaler (MDI). They deliver medications as sprays, and are sometimes called “puffers”. This device is called a Dry Powder Inhaler (DPI) and delivers a powered medication. The powder must be inhaled quickly and deeply, something a child over the age of 7 usually should be able to do correctly. This is called a spacerand it attaches to an MDI to maximize medication to the lungs. It also helps reduce side effects. A nebulizer, depicted here, delivers rescue medications in a fine mist. It is usually only used in acute situations or urgent care facilities. This spacer with a mask is best for small children or people who can’t use the regular spacer with mouthpiece.

4. This is a picture of the medical device that I use to inhale my controller medications. I put the spacer mouthpiece in my mouth, pump the MDI which releases a meter-dose amount into the chamber. I then breath in and hold it for 10+ seconds. The chamber helps me maximize the amount of medication I get into my lungs. Meter Dose Inhaler (MDI) with medication canister inside Spacer mouthpiece Chamber

5. Now remember that I said I use something different for my reliever meds when I have an attack? What I use to relieve an asthma attack is just an inhaler (MDI) without the spacer. It looks like this picture below. It’s more convenient to carry in a purse or pocket than the an MDI with the spacer. This feature makes it great for active young people, like my Shelby, pictured below. You’ll meet her

6. Hi, I’m Shelby and I’m 15 years old. I was diagnosed with exercise-induced asthma two years ago. I was directed by my doctor to take 2 puffs of my controller medication before exercise or other exerting activities, and to carry my reliever medication with me on my runs. Based on what you’ve learned about each of the medical devices for delivery of asthma medications so far, click on which two do you think I use? Correct! She uses the MDI w/ spacer for controller meds and the MDI alone to take on runs for rescue meds. Meter-Dose Inhaler (MDI) Correct! She uses the MDI w/ spacer for controller meds and the MDI alone to take on runs for rescue meds. MDI with spacer Incorrect. MDI w/ mask is for small children. Incorrect. DPI’s are powders usually used for children. MDI with mask Incorrect. Nebulizers are used in urgent care facilities. Dry-Powder Inhaler (DPI) Nebulizer

7. I’m an avid runner and follow doctor's instructions about 2 puffs before running. However, last week I chose to carry my phone instead of my rescue inhaler medications with me on my run. I ran in very cold weather that night and had a severe attack two miles from home. I couldn’t breath. I was able to text my parents to come get me. They took me to an Emergency Room and I was given a breathing treatment there. Match the pictures below with the circumstances in which Shelby would have used them . 1. During a run A. B. C. 2. Before running • 3. In the emergency room

8. So now that you’ve seen a few of the medical devices and which circumstances they are used, I’d like you to meet Brandon. You’ll learn more about Brandon in later segments—mostly about his triggers and how to figure his Asthma Tracker and Asthma Control Plan. For right now, just click on Brandon to learn more about the specific medical device he uses and why.

9. Hi there, I’m Brandon! I’m 8 years old and love soccer. I’m super active and don’t like to be bogged down with a bunch of stuff in my pockets that gets in the way of my play time. I’m going to let you practice what you know about medical devices here. You’ve already learned about 3 devices and 2 spacers. If you’re feeling a little fuzzy on those, you can refer to the previous slides for a refresher. But, back to me. You already know enough about me and asthma devices by now to have a pretty good idea of which of the following devices I carry with me. Go ahead, give it a try and click on one, I’ll be sure to let you know if you’re right or not! No, this is a nebulizer and used in urgent care facilities. Not for little boy’s’ pockets. Try again. No, this is a spacer with mouthpiece and inhaler. It’s too big to carry this device around. Try again. No, this is a mask for babies and kids 7 and under . Try again. Correct! great job! This Dry-Powder Inhaler (DPI) is perfect in size I’m old enough to use correctly