A 12-year-old using a salbutamol pressurised metered-dose inhaler says most doses hit the tongue and wheeze does not improve. The parent says no

Question

A 12-year-old using a salbutamol pressurised metered-dose inhaler says most doses hit the tongue and wheeze does not improve. The parent says no spacer was supplied. What would you advise the patient?

Accepted Answer

Check technique and supply or recommend a spacer if clinically appropriate

Answer

Advise inhaling through the nose to reduce throat deposition

Answer

Tell the child to breathe out into the inhaler after actuation

Answer

Recommend spraying two doses into the room before each use

Answer

Suggest stopping salbutamol because poor technique means allergy

Inhaler technique — GPhC CRA MCQ

A 12-year-old using a salbutamol pressurised metered-dose inhaler says most doses hit the tongue and wheeze does not improve. The parent says no spacer was supplied. What would you advise the patient?