Are inhalers dispensed from pharmacy at your facility or loaded in the ADC (we use Pyxis)? If dispensed from pharmacy, how do you deal with changes in dose? We currently only load albuterol inhalers in the ED Pyxis stations, but recently, we came across the issue of when a dose is changed, we do not dispense another inhaler nor routinely send a new label. This applies to ICS as well. Nurses scan the medication barcode directly, so the actual dose given is on the MAR.
-Melody Sun, CHOC Children's