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Dry-powder inhaler technique — GPhC CRA MCQ

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ModeratePatient CounsellingDry-powder inhaler techniqueGPhC CRA

A patient using a new dry-powder inhaler for asthma says they breathe in gently as they did with their spacer device. Their symptom score has worsened despite regular use. What would you advise the patient?

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

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Correct answer: B — Demonstrate a forceful deep inhalation appropriate to the device

Dry-powder inhalers require a different technique from pMDIs with spacers. A forceful, deep inhalation is usually needed to disperse the powder, while exhaling into the device can impair dosing. Device-specific technique review is a key pharmacist intervention when control worsens.

Reference: BNF; NICE CKS