Video Inhaler Part 3 Versi 3

Summary

This educational video explains how to use two multi-dose dry-powder inhalers (DPIs): the Discus and the Swinghaler. It reviews each device’s features, advantages, limitations, and operating steps.

Discus

The Discus is a disposable, multi-dose DPI that holds up to 60 doses, reducing the need for frequent reloading. It has a dose counter, a protective outer case, and a lever that prepares a dose. Its compact design makes it convenient, but it may work poorly if the user’s inhalation is not forceful enough. Some older users may also find it difficult to handle.

Instructions for use:

1. Hold the outer case in one hand and place the thumb of your other hand in the thumb grip.
2. Slide the outer case away until it clicks.
3. Hold the device with the mouthpiece facing you.
4. Slide the lever away until it clicks to prepare a dose. Avoid repeatedly operating the lever, as it opens a blister.
5. Hold the device away from your mouth and breathe out as far as comfortable. Do not breathe into the inhaler; if you do, the video says to reload the medicine.
6. Place the mouthpiece between your lips and form a tight seal.
7. Breathe in steadily and deeply through the inhaler, not through your nose.
8. Remove the device and hold your breath for about 10 seconds, or for as long as comfortable.
9. Breathe out slowly, then close the device by sliding the outer case back until it clicks.
10. After use, rinse your mouth with water and spit it out. The video says this may help prevent thrush and hoarseness.

Swinghaler

The Swinghaler has a transparent protective cover, a dose counter, and a central powder reservoir. The video describes it as requiring no shaking to dispense the correct volume of powder, which is intended to make it simpler to use.

Instructions given in the video:

1. Open the transparent cover.
2. Shake the device three or four times.
3. Press it once until it clicks.
4. Breathe out forcefully, keeping away from the mouthpiece.
5. Place the mouthpiece between your teeth and seal your lips around it.
6. Take a deep breath through your mouth and hold it for about 10 seconds.
7. Exhale slowly.
8. Press the device again until it clicks, then replace the transparent cover.
9. If another dose is needed, repeat the preparation and inhalation steps.

Note: The Swinghaler instructions are internally inconsistent: the video first says shaking is not required, but its demonstration instructs the user to shake the device three or four times.

Overall lesson

Different inhalers have different loading and inhalation techniques. Correct preparation, a strong and properly directed inhalation, and following the device-specific steps are important. The video concludes that understanding the benefits and drawbacks of inhaler types can help clinicians select an appropriate device for a patient.

Speakers and sources

• Speaker: One unnamed narrator presents the educational material.
• Publishing source identified in the video context: Department of Pharmacology and Therapy, FKKMK UGM.