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Administrative Center 9703 Conway Road St. Louis, MO 63124 314.994.7080 314.994.0441 (fax) www.ladue.k12.mo.us REQUEST FOR MALADMINISTRATION OF MEDICATION BY WAY OF A METEREDDOSE INHALER Student Name:
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How to fill out self administration of inhaler

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How to Fill Out Self-Administration of Inhaler:

01
Start by removing the inhaler from its packaging and holding it upright.
02
Shake the inhaler well before each use to ensure proper mixing of the medication.
03
Remove the cap or cover of the inhaler mouthpiece.
04
Breathe out completely to empty your lungs before using the inhaler.
05
Place the inhaler mouthpiece between your lips, forming a tight seal.
06
As you begin to inhale, press down on the inhaler to release the medication.
07
Breathe in slowly and deeply through your mouth, while continuing to press down on the inhaler.
08
Hold your breath for 10 seconds to allow the medication to reach the airways.
09
Release your finger from the inhaler and remove the inhaler from your mouth.
10
Breathe out slowly through your nose or mouth.
11
If a second dose is required, wait for the recommended amount of time before repeating the process.
12
Remember to replace the cap or cover of the inhaler after use to protect it from dust and debris.
13
Follow any additional instructions provided by your healthcare provider or pharmacist.

Who Needs Self-Administration of Inhaler:

01
Individuals diagnosed with respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), or bronchitis may need to self-administer inhalers.
02
People who experience symptoms such as shortness of breath, wheezing, or coughing due to respiratory conditions may also require self-administration of inhalers.
03
Self-administration of inhalers is necessary for those who need to manage their respiratory symptoms on a daily basis or as directed by a healthcare professional.
04
Both adults and children who are prescribed inhalers by their healthcare providers may need to self-administer them for effective management of their respiratory conditions.
05
It is crucial for individuals with respiratory conditions to learn and understand how to properly fill out and use inhalers to ensure that they receive the correct dosage and experience the intended therapeutic effects.
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Self administration of inhaler is the act of using an inhaler to administer medication to oneself.
Students who require the use of an inhaler at school are typically required to file self administration of inhaler forms.
To fill out the self administration of inhaler form, one must provide information such as the student's name, the medication being administered, dosage instructions, emergency contact information, and any relevant medical history.
The purpose of self administration of inhaler is to ensure that students who require the use of an inhaler at school have easy access to their medication in case of an emergency.
The information that must be reported on self administration of inhaler includes the student's name, the medication being administered, dosage instructions, emergency contact information, and any relevant medical history.
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