How to Use a Metered-dose Inhaler (GINA)
How to Use a Metered-dose Inhaler (GINA)
How to Use a Metered-dose Inhaler (GINA)
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<strong>How</strong> <strong>to</strong> <strong>Use</strong> the Twisthaler <br />
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1. To open the inhaler, hold it upright with the colored <br />
base on the bot<strong>to</strong>m. Grip the base and twist the white <br />
cap counterclockwise / anti-‐clockwise. As the cap is <br />
lifted off, the <strong>dose</strong> counter near the arrow on the white <br />
mouthpiece counts down by one. (When the <strong>dose</strong> <br />
counter reads “00” the cap will lock and the unit must <br />
be discarded.) <br />
2. Exhale fully. Hold the mouthpiece horizontally, firmly <br />
close your lips around it, and take a fast, deep breath. <br />
Take care not <strong>to</strong> cover the ventilation holes. (You may <br />
not be able <strong>to</strong> feel or taste the medication as you <br />
inhale.) Remove the inhaler from your mouth and hold <br />
your breath for 10 seconds. <br />
3. Wipe the mouthpiece dry if needed and immediately <br />
replace the cap by twisting it clockwise until it clicks. <br />
4. For a second <strong>dose</strong>, repeat steps 1 -‐ 3. Rinse mouth <br />
after each use. <br />
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ALWAYS DEMONSTRATE TO THE PATIENT HOW TO USE THE TWISTHALER
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