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Paediatric inhaler technique — GPhC CRA MCQ

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EasyPatient Counselling and Pharmaceutical CarePaediatric inhaler techniqueGPhC CRA

A parent collects salbutamol pMDI for a 4-year-old with viral wheeze. The child cannot coordinate actuation and inhalation and becomes distressed when asked to breathe in deeply. The parent asks how to give the dose. What would you advise the patient?

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

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Correct answer: A — use a spacer with a suitable mask and give one puff at a time with tidal breathing

Young children often cannot coordinate pMDI use and should use a spacer with an appropriate mask if needed. Giving one puff at a time and allowing tidal breathing improves lung delivery. Multiple puffs into the mouth without a spacer waste medicine and reduce effectiveness. Swallowing inhaled salbutamol does not treat bronchospasm effectively.

Reference: BNF; NICE CKS: Asthma