3.1.5 Peak flow meters, inhaler devices and nebulisers

Peak flow meter
  • Standard range, 60-800 litres/ minute (£4.50)
  • Low range, 30-400 litres/ minute (£6.50)

Spacers

See the Inhaler technique reminder cards for information on the correct use of the devices included in the formulary. In children, metered dose inhaler (MDI) via spacer is the preferred method of delivery of beta2 agonists or inhaled corticosteroids. Spacer devices may also be useful for adults and should be used whenever high dose inhaled corticosteroids (ICS) (see Inhaled Corticosteroid Dose Comparison in Asthma) are required to reduce the risk of oral candidiasis.

Aerochamber Plus® (medium-volume spacer device)
  • Standard device (blue) (£4.90 without mask, £8.17 with mask)
  • Infant device (orange) (£8.17 with mask)
  • Child device (yellow) (£8.17 with mask)
Volumatic® (large-volume spacer device)
  • Spacer (£3.88)
  • With paediatric mask (£6.83)

Haleraid® is a device to place over pressurised (aerosol) inhalers to aid when strength in hands is impaired (e.g. in arthritis). Not prescribable on NHS.

Nebuliser diluent

Sodium chloride nebuliser solution
  • Steripoule® 0.9% 2.5ml (£13.52 = 20 x 2.5ml)

Notes

  1. See here for notes on nebulised therapy

Hypertonic sodium chloride

Resp-Ease® 7%
  • Nebuliser solution, sodium chloride 7% 4ml (£21.60 = 60 units)

Indication

  • Management of cystic fibrosis patients with a forced vital capacity (FVC) of greater than 40% of predicted to improve pulmonary function

Dose

  • By inhalation of nebulised solution, 4ml up to twice daily

Notes

  1. Consultant initiated

 

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