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MART counselling — GPhC CRA MCQ

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HardRespiratory TherapeuticsMART counsellingGPhC CRA

A 45-year-old woman is prescribed budesonide/formoterol 200/6 dry powder inhaler as maintenance and reliever therapy. She previously used salbutamol for symptoms and asks how to use the new inhaler during wheeze. What would you advise the patient?

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

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Correct answer: D — Use the same inhaler for regular doses and extra reliever doses as instructed

MART uses an inhaled corticosteroid with a rapid-onset LABA, such as formoterol, for both maintenance and symptom relief. The patient needs clear counselling on prescribed regular dosing, permitted reliever doses and when to seek help. Salbutamol may not be part of the regimen unless specifically advised. Dry powder inhalers are not used with spacers.

Reference: BNF; NICE CKS Asthma