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PERSIMMON VALLEY SCHOOL DISTRICT MEDICATION PROCEDURE ASTHMA INHALER PERMISSION TO CARRY/MALADMINISTRATION BY STUDENT (Signed permit good for current school year) The authorization for Medication
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How to fill out inhaler - self-adm1-2doc

01
Step 1: Check the expiration date on your inhaler to make sure it is still valid.
02
Step 2: Shake the inhaler well before using it to ensure proper medication distribution.
03
Step 3: Remove the cap from the mouthpiece of the inhaler.
04
Step 4: Breathe out fully, away from the inhaler.
05
Step 5: Place the mouthpiece of the inhaler between your lips, forming a tight seal.
06
Step 6: Press down on the inhaler to release a dose of medication while simultaneously breathing in slowly and deeply.
07
Step 7: Hold your breath for about 5-10 seconds to allow the medication to reach deep into your lungs.
08
Step 8: Exhale slowly and remove the inhaler from your mouth.
09
Step 9: If another dose is required, wait for about 30 seconds before repeating the process.
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Step 10: Replace the cap on the mouthpiece of the inhaler to protect it from dirt and debris.

Who needs inhaler - self-adm1-2doc?

01
People who have been diagnosed with asthma or other chronic respiratory conditions may need to use an inhaler for self-administration. It is essential for individuals who experience symptoms such as shortness of breath, wheezing, coughing, or tightness in the chest to have access to an inhaler. Only a healthcare professional can determine who specifically needs an inhaler based on their medical history and condition.
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The inhaler - self-adm1-2doc is a documentation form used for self-administration of inhaled medications, often utilized in healthcare settings to track patient adherence and medication usage.
Healthcare practitioners or facilities that administer inhaled medications to patients are typically required to file the inhaler - self-adm1-2doc to ensure compliance and proper documentation.
To fill out the inhaler - self-adm1-2doc, you must provide patient information, medication details, dosage instructions, administration dates, and signature of the administering personnel.
The purpose of the inhaler - self-adm1-2doc is to document the self-administration of inhaled medications, ensuring that patients receive their prescribed treatment correctly and consistently.
The information that must be reported includes patient identification, medication name, dosage, administration method, date and time of administration, and the signature of the responsible healthcare provider.
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