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Spacer use in children — GPhC CRA MCQ

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EasyRespiratory TherapeuticsSpacer use in childrenGPhC CRA

A parent collects a salbutamol pressurised metered-dose inhaler for a 5-year-old child. The child struggles to coordinate breathing with pressing the inhaler. What is the most appropriate alternative?

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

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Correct answer: A — Use the inhaler with an appropriate spacer device

A spacer improves drug delivery from a pressurised metered-dose inhaler and reduces the need for coordination. It is particularly useful in children and during exacerbations. The pharmacist should demonstrate technique and advise on cleaning. The other options would reduce effective delivery or create unsafe use.

Reference: BNF; NICE CKS