Medications. Client education regardingmedicationsincludes the purpose of the medication, doSage, side effects, and schedule administration. Medications are administered by mouth, MDI (Box 24-4), or nebulizer. Inhaled medications only effec are tive as the delivery. Simple human errors that affect delivery of inhaled medications include failure shake the inhaler before to failure exhale slowly before inhaling lack of mechanical to Coordination of compression of the inhaler and inhaling rapid nhalation or lack of deep inhalation, not waiting atleast 30-sec- onds between puffs, failure to clean the MDI periodically, hold- ng the MDI upside down-and failure to remove the cap before Spraying the medication (Self-Kilgore, &Shelton, 2003)