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PARKWAY SCHOOL DISTRICT PERMISSION FOR STUDENT TO SELFADMINISTER MEDICATION BY METEREDDOSE INHALER FOR SCHOOL YEAR Students Full Name Date of Birth Grade Parent/Guardian Name & Phone Number(s) Emergency
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How to fill out metered-dose inhaler for school

01
Remove the protective cap from the inhaler.
02
Shake the inhaler well before each use.
03
Hold the inhaler upright with your thumb on the base and your index and middle fingers on the top of the canister.
04
Exhale completely to empty your lungs.
05
Tilt your head slightly back and place the inhaler mouthpiece between your teeth, and close your lips tightly around it.
06
Start breathing in slowly through your mouth and, at the same time, press down firmly on the canister to release the medication.
07
Continue to breathe in slowly and deeply.
08
Hold your breath for about 10 seconds, or as long as you comfortably can.
09
Remove the inhaler from your mouth and exhale slowly.
10
If a second dose is required, wait for about a minute, then repeat the steps.
11
After use, replace the protective cap on the inhaler.

Who needs metered-dose inhaler for school?

01
Students with asthma or other respiratory conditions may need a metered-dose inhaler for school.
02
Individuals who require medication to manage their asthma symptoms or prevent asthma attacks may also need a metered-dose inhaler for school.
03
It is best to consult with a healthcare professional to determine if a metered-dose inhaler is necessary for a specific student's condition.

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