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Ventolin_ peak flow meter

Exercise details
Username:
132300

Name:
EMAD MOHAMMAD BASHAR MUSTAFA MUSTAFA

Unit:
Pharmacy Practice Training Summer2022 JUST Year: 2021

Tutorial:
Respiratory system medications

Exercise:
Ventolin_ peak flow meter

Date completed:
09/07/2022 23:45:28
 Summary & Outcome

Summary: Giang Hoang presented with a prescription.

Outcome feedback: Well done, dispensing this prescription was the correct
decision.

Medication 1

Label outcome You had some issues creating the label. It is important
for your customers to create an accurate label. Click on
fields to see individual feedback
 Your label

GIANG HOANG DATE 09/07/2022

RX ONLY DR. ROGER LAMONT

VENTOLIN HFA 0.09 MG/ACTUATION INH

GLAXO
2 PUFFS EVERY 4-6 HOURS
RX XXXXXXX - XXXXX QTY 1 0 refills
JUST
JUST Pharmacy
Pharmacy 555-5555 123
USE BEFORE
03/06/2023

Correct label

GIANG HOANG DATE 09/07/2022

RX ONLY DR. ROGER LAMONT

VENTOLIN HFA 90 MCG / ACTUATION INH

123
INHALE 2 PUFFS EVERY 4-6 HOURS AS NEEDED FOR
SHORTNESS OF BREATH
RX XXXXXXX - XXXXX QTY 1 8 refills
JUST
JUST Pharmacy
Pharmacy 555-5555 123
USE BEFORE
03/06/2023

Your Selections Feedback

Patient Mast Giang Hoang Mast Giang Hoang

Script date 09/07/2022 09/07/2022

Prescriber Dr. Roger Lamont Dr. Roger Lamont

Instructions 2 puffs every 4-6 hours Inhale 2 puffs every 4-6

hours as needed for
shortness of breath

Repeats 0 8

Quantity 1 1

Initials 123 123

Drug on label Ventolin HFA 0.09 VENTOLIN HFA 90 mcg /

mg/actuation Inh actuation Inh
 Scanned product Ventolin HFA 0.09 Ventolin HFA 0.09
mg/actuation Inh mg/actuation Inh

Selected product

Ventolin HFA 0.09 Ventolin HFA 0.09

mg/actuation Inh mg/actuation Inh

Ancillary selection You did not attach any

ancillary labels to this Albuterol inhalers require
product shaking prior to patient
administration.

Patient notes

Your Notes Feedback

No feedback
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patient notes

Patient Fact Finding

Generic feedback: Your Fact Finding for this exercise was very good. You
gathered all of the essential information to complete the
exercise without asking any inappropriate questions.

You inquired about about

these topics: Allergies Required
You must ask the patient this question.

Patient Questions

Customer asked:
 The doctor gave me a peak flow meter and I don't understand how to use
it. Can you explain to me briefly how to use this peak flow meter?

let your son stand up right , then open the cap of the device , let your son take a deep
breath and put it in his mouth and make sure his tongue is under the opning nd not blocking
it and then let him exhale as hard as he can without leaning his head .
Your response

Note from your tutor:

You response should contain all of the following (in your own words)

Peak flow monitoring should be performed on a regular basis, even when asthma
symptoms are not present. Peak flow should also be checked if symptoms of coughing,
wheezing, or shortness of breath develop. Your son should demonstrate how to use a
peak flow meter with either me (your pharmacist) or another healthcare provider to verify
that his technique is accurate.Several steps are important to make sure the peak flow
meter records an accurate value: 1) The peak flow meter should read zero or its lowest
reading when not in use. 2) Use the peak flow meter while standing up straight. 3) Take in
as deep a breath as possible. 4) Place the peak flow meter in the mouth, with the tongue
under the mouthpiece. 5) Close the lips tightly around the mouthpiece. 6) Blow out as
hard and fast as possible; do not throw the head forward while blowing out. 7) Breathe a
few normal breaths and then repeat the process two more times.

Write down the highest number obtained. Do not average the numbers. Repeat the test if
his tongue partially blocks the mouthpiece or if he coughs or spits during the test. Make
sure to clean the peak flow meter periodically.

To establish a baseline measurement " Unlike a blood pressure reading or a cholesterol

test, there is no peak flow measurement that is normal for everyone. For this reason, it is
important to determine what peak flow value is normal for your son.
To determine his normal peak flow measurement, he should measure his peak flow when
he has no asthma symptoms. Perform three measurements with the same peak flow
meter two to four times daily for two to three weeks.
He should note the highest peak flow measurement achieved; this is his "personal best."
This number is used to determine if future peak flow measurements are normal or low,
and is also used to create a normal range (between 80 and 100 percent of the personal
best peak flow measurement).
Readings below the normal range are a sign of airway narrowing in the lungs. A low peak
flow measurement can occur before asthma symptoms such as wheezing or shortness of
breath develop.
Remeasure his personal best peak flow value once per year to account for growth or
changes in the disease. In addition, verify home peak flow measurements with readings
taken with equipment in a healthcare provider's office since this equipment is more
sensitive. For long term management, most clinicians will recommend peak flow testing
once per day, usually in the morning.
If he does not improve or worsens despite treatment, he needs emergency medical care.
Severe asthma attacks can be fatal if not treated promptly. Call 911 for emergency
medical assistance. Do not attempt to drive to a hospital or clinician's office on your own.