During a Spiriva HandiHaler technique check, a patient loads one capsule but presses the piercing button again before a second inhalation. Which

Question

During a Spiriva HandiHaler technique check, a patient loads one capsule but presses the piercing button again before a second inhalation. Which correction matches the product instructions?

Accepted Answer

Pierce once, exhale away from the mouthpiece, inhale slowly and deeply, then repeat the inhalation without re-piercing

Answer

Pierce only after the first inhalation so that the initial breath disperses powder around the chamber

Answer

Pierce before each inhalation because two fresh holes are required to empty the capsule completely

Answer

Pierce once, inhale as rapidly as possible, and omit the second inhalation if the capsule vibrates

Answer

Pierce twice before inhaling, then exhale through the mouthpiece to clear residual powder

COPD inhaler technique — GPhC CRA MCQ

During a Spiriva HandiHaler technique check, a patient loads one capsule but presses the piercing button again before a second inhalation. Which correction matches the product instructions?