Spacer technique — GPhC CRA MCQ
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Correct answer: E — Give one puff into the spacer at a time and allow tidal breathing
Metered dose inhalers with spacers should be used one puff at a time to optimise lung delivery. In this vignette, "Give one puff into the spacer at a time and allow tidal breathing" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.
Reference: BNF; NICE CKS