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SCHOOL HEALTH SERVICES MEDICATION REQUEST FORM FOR RESPIRATORY INHALERS Dear parents/guardian, For a respiratory inhaler that may need to be administered during the school day, during school sponsored
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How to fill out for a respiratory inhaler

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How to fill out for a respiratory inhaler:

01
Remove the cap from the inhaler to expose the mouthpiece.
02
Shake the inhaler vigorously to ensure that the medication is well mixed.
03
Hold the inhaler upright and breathe out fully, away from the inhaler.
04
Place the mouthpiece between your teeth and close your lips around it, forming a tight seal.
05
Start breathing in slowly and deeply through your mouth while simultaneously pressing down on the canister to release the medication.
06
Continue to breathe in slowly for a few seconds to ensure that the medication reaches your lungs.
07
Remove the inhaler from your mouth and hold your breath for about 10 seconds.
08
Exhale slowly and repeat the process if necessary, depending on the prescribed dosage.
09
After use, replace the cap to protect the mouthpiece and avoid accidental discharge of the medication.

Who needs a respiratory inhaler:

01
Individuals with asthma: Those who experience wheezing, shortness of breath, chest tightness, and coughing may benefit from using a respiratory inhaler. Inhalers help alleviate symptoms and manage asthma attacks.
02
People with chronic obstructive pulmonary disease (COPD): COPD is a progressive lung disease that includes chronic bronchitis and emphysema. Inhalers are commonly used by individuals with COPD to improve breathing and reduce flare-ups.
03
Individuals with other respiratory conditions: Respiratory inhalers may be prescribed for individuals with conditions such as bronchitis, pneumonia, or respiratory infections to ease breathing difficulties and facilitate medication delivery directly to the lungs.
04
Athletes with exercise-induced bronchoconstriction (EIB): Some athletes experience narrowing of the airways during or after rigorous exercise, leading to symptoms similar to asthma. Respiratory inhalers are used before physical activity to prevent or reduce these symptoms.
05
Smokers or former smokers: Individuals with a history of smoking may develop respiratory conditions or lung diseases. Inhalers can be part of a comprehensive treatment plan to manage symptoms and improve lung function.
Overall, respiratory inhalers are designed for individuals who struggle with respiratory issues, helping them breathe more easily and manage their conditions effectively.
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