A 10-year-old child with asthma uses a pressurised metered-dose salbutamol inhaler. The parent says the child actuates several puffs rapidly into the

Question

A 10-year-old child with asthma uses a pressurised metered-dose salbutamol inhaler. The parent says the child actuates several puffs rapidly into the mouth without a spacer and still coughs after exercise. What would you advise the patient?

Accepted Answer

Use a spacer with one puff at a time and breathe in slowly after each actuation.

Answer

Remove the canister and place the mouthpiece under hot water before use.

Answer

Use the inhaler upside down to improve lung deposition.

Answer

Spray four puffs into the spacer together and inhale them after one minute.

Answer

Hold the breath before pressing the inhaler rather than after inhalation.

pMDI spacer technique — GPhC CRA MCQ

A 10-year-old child with asthma uses a pressurised metered-dose salbutamol inhaler. The parent says the child actuates several puffs rapidly into the mouth without a spacer and still coughs after exercise. What would you advise the patient?