How should I educate patients on the use of their inhalers during an acute asthma attack to ensure effective relief?

Educate patients on the proper use of their inhalers during an acute asthma attack by:

• Ensuring correct inhaler technique: Observe the patient using their inhaler and spacer (if applicable) to confirm they can use it properly, as poor technique is common and can reduce medication effectiveness. If the patient cannot use the device correctly, provide an alternative inhaler device suited to their physical dexterity and coordination ².
• Using a spacer with metered-dose inhalers (MDI): For children under 12 or patients who struggle with coordination, advise use of a spacer with the MDI to improve drug delivery and reduce side effects. Instruct to actuate the inhaler once into the spacer and inhale immediately, using normal tidal breathing, repeating if a second dose is needed ²,⁴.
• Administering rapid-acting inhaled bronchodilators repetitively: During an acute attack, patients should use their short-acting beta-2 agonist (SABA) inhaler repeatedly as prescribed to relieve bronchospasm quickly ¹.
• Providing a personalised asthma action plan: This plan should include clear instructions on recognizing early signs of exacerbation, how and when to use reliever inhalers during an attack, and when to seek urgent medical help ¹.
• Advising on inhaler device consistency: Where possible, prescribe the same type of device for both preventer and reliever inhalers to reduce confusion and improve technique ².
• Encouraging regular review and training: Reinforce inhaler technique at every asthma-related consultation, especially after exacerbations or device changes, to ensure ongoing effective use ².