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Teleflex MAD Nasal Intranasal Mucosal Atomization Device provides a safe and painless method for delivering medications. It can atomize in any position, and its soft, conical plug on the tip creates a seal with the nostril, preventing fluid from being expelled. The spray transforms drugs into a fine mist of particles ranging from 30 to 100 microns in size.
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1. Remove and discard the green vial adapter cap
2. Pierce the medication vial with the syringe vial adapter
3. Aspirate the proper volume of medication required to treat the patient (including medication to account for the dead space in the device)
4. Remove (twist off) the syringe from the vial adapter and discard it in a sharps container
5. Attach the MAD Nasal Device to the syringe via the luer lock connector
6. Using the free hand to hold the occiput of the head stable, place the tip of the MAD nasal device snugly against the nostril, aiming slightly up and outward (toward the top of the ear)
7. Briskly compress the syringe plunger to deliver half of the medication into the nostril
8. Move the device over to the opposite nostril and, repeating steps 6 and 7, administer the remaining medication into the nostril if indicated
1. Minimize volume, maximize concentration
2. Maximize total mucosal absorptive surface area
3. Beware of abnormal mucosal characteristics
MAD Nasal Device Procedure Guide
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