Inhalation devices afpa rdmc_06_dr. dhiren mehta_20180422
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The document discusses a course on respiratory diseases management, emphasizing inhalation therapy's historical significance and current applications in treating asthma and COPD. It compares different inhalation devices, such as MDI and DPI, highlighting their usage, efficacy, and patient adherence rates. The course also informs about the types of medications used in these therapies, including bronchodilators and steroids.
Inhalation devices afpa rdmc_06_dr. dhiren mehta_20180422
- 1. 22/04/2018 Respiratory Diseases Management Course 2017-18 Respiratory Diseases Management Course 2017-18 22/04/2018 Ahmedabad
- 2. 22/04/2018 Respiratory Diseases Management Course 2017-18 Inhalation Devices Dr. Dhiren R. MehtaM.B.B.S. Senior Family Physician Ahmedabad
- 3. 22/04/2018 Respiratory Diseases Management Course 2017-18 • As we know very well that inhalation method for delivering medicines is about > 2000 yrs old. • But benefit of this is known since > 200 yrs. • Inhalation therapy is now approved everywhere in treatment of ASTHMA and COPD. Inhalation Devices
- 4. 22/04/2018 Respiratory Diseases Management Course 2017-18 Mainly of two types: • MDI or pMDI. • DPI. • Nebulizer is also other system widely used for acutely ill patient or those who cannot breath properly. Inhalation Devices
- 5. 22/04/2018 Respiratory Diseases Management Course 2017-18 MDI • Since 1950. • Breath actuated as well as non breath actuated. • Aerosol. • Canister filled by aerosol. • So synergism is required. PDI • Since 2 decades. • Breath actuated. • Powder form. • Capsule filled by powder. • Not necessary.
- 6. 22/04/2018 Respiratory Diseases Management Course 2017-18 MDI • Adherence is high up to 76%. • Easy to use by 56.7%. • The rate required to deliver medicine is 30 L/minute. • Exact technical steps followed by 38.4%. PDI • Low up to 49 – 55%. • 87.3% pts feel easy to use. • The rate required to deliver medicine is 30 – 120 L/ minute. • Exact technical steps followed by 67%.
- 7. 22/04/2018 Respiratory Diseases Management Course 2017-18 MDI 81.4% found difficulty in co ordination. 59.4% show exacerbation of symptoms during therapy. 16.8% develop Oral Thrush. May be used with Spacer and mask in children as well as elderly patient. PDI • 15.8% to 23.7% found difficulty in coordination. • 21.7% show exacerbation of symptoms during therapy. • 49.7% develop Oral Thrush. • Difficult by children as well as elderly patient.
- 8. 22/04/2018 Respiratory Diseases Management Course 2017-18 MDI • May be simple or motorized types are available. PDI • Different types like Rotahaler, Spinhaler, Turbohaler, Diskhaler, Acuhaler are available.
- 9. 22/04/2018 Respiratory Diseases Management Course 2017-18 Medicines used are: • Bronchodilators like SABA, LABA. • Steroids like Beclomethasone, Budesonide, Fluticasone, etc. • SAMA like Ipratropium and LAMA like Tiotropium. • Combinations of above also are used. Inhalation Devices
- 10. 22/04/2018 Respiratory Diseases Management Course 2017-18 Thank You..
- 11. 22/04/2018 Respiratory Diseases Management Course 2017-18 Module Coordinator