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2011-2012 1650 Palisade Avenue, Tea neck, New Jersey 07666 * Tel 201-833-4307 * Fax 201-833-0816 INHALER AND MEDICATION SELF-ADMINISTRATION FORM To be completed if student will self-administer MEDICATION,
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How to fill out inhaler and medication self-administration

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How to fill out inhaler and medication self-administration:

01
First, wash your hands thoroughly with soap and water to prevent any contamination.
02
Take out the inhaler from its packaging and shake it well to ensure that the medication is evenly mixed.
03
Remove the cap from the inhaler and check if it is clean. If not, wipe it gently with a clean tissue.
04
Breathe out fully to empty your lungs before inhaling the medication. This helps ensure that the medication reaches the lower airways effectively.
05
Hold the inhaler upright with the mouthpiece placed between your lips. Make sure to form a tight seal around the mouthpiece with your lips.
06
Start inhaling slowly and deeply through your mouth, simultaneously pressing down on the canister to release a dose of medication. Continue inhaling deeply until your lungs feel full.
07
Hold your breath for 10 seconds to allow the medication to be fully absorbed into your lungs.
08
Exhale slowly through your nose or mouth, whichever is comfortable for you.
09
If another dose is required, wait for at least 30 to 60 seconds before repeating the process.
10
After using the inhaler, replace the cap to protect it from dust and debris.

Who needs inhaler and medication self-administration:

01
Individuals with asthma: Asthma patients often require inhalers to manage their symptoms and control their condition. Inhalers deliver medication directly to the airways, helping to alleviate symptoms such as wheezing, shortness of breath, and coughing.
02
Individuals with chronic obstructive pulmonary disease (COPD): COPD is a progressive lung disease that causes breathing difficulties. Inhalers are commonly prescribed to COPD patients to provide relief, improve lung function, and reduce the frequency and severity of symptoms.
03
Individuals with other respiratory conditions: Inhalers may also be prescribed to individuals with conditions such as bronchitis, emphysema, or chronic bronchitis. These inhalers help open up the airways, making breathing easier and more comfortable.
04
Those with severe allergies: Some individuals with severe allergies may be prescribed inhalers containing medication to help manage acute allergic reactions, such as anaphylaxis. These inhalers can provide immediate relief by reducing inflammation and opening up the airways.
Note: It is essential to consult a healthcare professional for proper guidance on inhaler and medication self-administration, as the usage and dosage may vary depending on the individual's specific condition.
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Inhaler and medication self-administration refers to the act of a person administering their own medication, such as using an inhaler for asthma or taking prescribed medicine.
Students or individuals who need to self-administer medication or inhalers are required to file inhaler and medication self-administration forms with their school or workplace.
To fill out inhaler and medication self-administration forms, individuals need to provide details about their medication, dosage, frequency of administration, and any side effects or precautions.
The purpose of inhaler and medication self-administration is to ensure that individuals who require medication have access to it when needed and that appropriate precautions are taken.
Information such as the name of the medication, dosage, frequency of administration, any side effects, and emergency contact information must be reported on inhaler and medication self-administration forms.
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