Spacer use in child — GPhC CRA MCQ
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Correct answer: C — Give one puff into the spacer at a time and allow several tidal breaths
Multiple puffs in the chamber reduce delivery and each actuation should be inhaled separately. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.
Reference: BNF; NICE CKS