Uso de inhaladores


Cada vez es más frecuente el uso de inhaladores, tanto en adultos como en niños. Por eso hoy queremos dedicar un post a hablar de ellos y resolver las posibles dudas que surjan.
¿Qué son los inhaladores?
Son unos dispositivos que permiten pasar un medicamento a las vías aéreas con la respiración.
¿Para qué se utilizan?
Se usan para tratar diversas enfermedades respiratorias, especialmente el asma y la enfermedad pulmonar obstructiva crónica (EPOC).
¿Qué tipos de fármacos se administran por vía inhalada?

  • Broncodilatadores: son medicamentos que relajan los músculos que envuelven las vías respiratorias produciendo la dilatación de bronquios y bronquiolos. De esta manera disminuyen la resistencia en las vías respiratorias y aumentan el flujo de aire a los pulmones.
  • Antiinflamatorios (corticoides): ayudan a mantener los bronquios sin inflamación pero su efecto no es tan rápido como el de los broncodilatadores.
  • Asociaciones de broncodilatadores con corticoides: llevan los dos medicamentos en el mismo inhalador.

¿Qué tipos de inhaladores existen?
 Los inhaladores se pueden dividir en dos grandes grupos:

  • Inhaladores con cartucho presurizado: pequeños cartuchos que llevan dentro el fármaco. En cada pulsación liberan la dosis exacta del fármaco en forma de aerosol. Pueden utilizarse solos o con ayuda de una cámara espaciadora. Si se utilizan solos, es necesario coordinar la inspiración con la pulsación del fármaco.
    Las cámaras de inhalación facilitan el uso de estos inhaladores, especialmente en niños y personas mayores. Mejoran la llegada del medicamento a los bronquios y evitan que parte del fármaco se quede en la boca. De esta manera no es necesario coordinar la inspiración con la pulsación.

  • Inhaladores de polvo seco: llevan el fármaco disuelto en un polvo muy fino. Son fáciles de utilizar porque para inhalar el medicamento sólo es necesario hacer una inspiración profunda. Pueden ser de dos tipos:
    1. Monodosis: cápsulas que llevan una dosis del medicamento y hay que cambiarlo en el dispositivo en cada uso.
    2. Multidosis: en el interior del inhalador se encuentran todas las dosis del fármaco. Cada vez que se usa, se libera una dosis.


Pasos para la administración general de todos los inhaladores:

  • Paciente incorporado (sentado o de pie).
  • Expulsar el aire de los pulmones (soplar).
  • Colocar los labios alrededor de la boquilla (cuidado con la lengua, puede obstruir la boquilla).
  • Inspirar (coger aire), de una manera u otra en función del tipo de dispositivo:
  • Rápida y enérgicamente (con “polvo seco”)
  • Prolongadas y coordinadamente pulsión-inspiración (cartucho presurizado)
  • Retirar la boquilla de la boca.
  • Aguantar la respiración durante 10 segundos y expulsar el aire lentamente.
  • Enjuagar la boca con agua.

Pauta de administración con inhalador presurizado con cámara

Pauta de administración con inhalador de polvo seco

  • Sistema turbuhaler (polvo seco multidosis)

  • Sistema novolizer/genuair

  • Sistema accuhaler

  • Sistema twisthaler


Elena Lesaga Lopez
Estudiante 6 curso. Facultad de Medicina. Valladolid

Elpidio García Ramón
Médico de Familia. Centro de salud. Arturo Eyries. Valladolid

 
 
REFERENCIAS:

  • http://www.respirar.org/index.php/portal-de-familias/inhaladores
  • https://www.aepap.org/sites/default/files/gvr/dt-gvr-7-inhaladores.pdf
  • http://www.madrid.org/cs/Satellite?blobcol=urldata&blobheader=application%2Fpdf&blobheadername1=Content-Disposition&blobheadervalue1=filename%3DGU%C3%8DA+USO+INHALADORES.pdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1352884867048&ssbinary=true

Revisado: diciembre 2017

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    Internet Explorer and Office documents

    Category:Windows-only softwareQ:

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