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Inhaler technique — GPhC CRA MCQ

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EasyPatient Counselling and Pharmaceutical CareInhaler techniqueGPhC CRA

A 12-year-old using a salbutamol pressurised metered-dose inhaler says most of the spray hits the back of the throat and she tastes it immediately. She does not use a spacer and has poor symptom relief during exercise. What would you advise the patient?

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Correct answer: D — Check technique and consider use of a spacer with the inhaler

Poor coordination with a pMDI can lead to inadequate lung deposition. Technique review and spacer use can improve delivery and reduce oropharyngeal deposition. Spraying into the air wastes medicine. Oral salbutamol is not a routine substitute and would require prescriber involvement.

Reference: NICE CKS Asthma; BNF