skip to main content

Inhaler spacer advice — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

HardRespiratory TherapeuticsInhaler spacer adviceGPhC CRA

A 6-year-old cannot coordinate actuation and inhalation from a salbutamol pMDI. Which technique plan is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Attach a spacer, actuate one puff at a time and supervise repeated tidal breaths

Option E removes the actuation–inhalation coordination problem and preserves one-puff-at-a-time delivery with technique supervision. Option B allows multiple actuations to settle on the chamber and reduces delivered dose. Option A defeats the spacer’s purpose. Option C exposes the child to systemic treatment without need. Option D assumes the child can generate the inspiratory flow that may be impaired during an attack.

Reference: NICE NG245: https://www.nice.org.uk/guidance/ng245/chapter/recommendations