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[Narrator] If a person is
no longer able to swallow,

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some medications can be
absorbed into the bloodstream

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by spraying them into the nostrils.

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This can be an easy and
fast-acting alternative

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to oral medication.

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The supplies you'll need are

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the syringe of pre-drawn medication,

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usually provided by the
visiting nurse or pharmacist,

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and the special atomizer that attaches

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to the end of the syringe.

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The atomizer is called the MAD device,

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which stands for Mucosal
Atomization Device.

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As when giving any medication,

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it's important to wash your hands first.

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If the person taking the
medication has nasal congestion

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or secretions, ask them to
blow and clear their nose

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so the medication can be better absorbed.

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Check the label on the syringe

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to ensure you're giving
the right medication

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at the right dose and at the right time

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as prescribed by the healthcare provider.

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Attach the atomizer to the syringe.

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Tilt the patient's head back slightly

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or have them lie flat.

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Place the tip of the
atomizer into a nostril

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and quickly depress the plunger.

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This will spray the
medication into the nostril

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where it can be absorbed
through the inner nasal surface

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and into the bloodstream.

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Remind the person not to
pinch their other nostril

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and not to inhale when the
medication is being given.

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Once you've given the medication,

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use the syringe to flush the
atomizer with running water

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and dry it by drawing up air

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and blowing out the
atomizer a couple of times.

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Then discard the syringe in
the special sharps container.

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Lay the atomizer in a safe,
dry place until the next use.

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This atomizer can be reused
repeatedly for the same person.

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Finally, wash your hands
and document the medication

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and when it was given in
your medication record.

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