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Table 1 Inhaler Technique check-list

From: Predictors of correct technique in patients using pressurized metered dose inhalers

Step pMDI + Spacer pMDI
1 Remove the cap from the inhaler. Remove the cap from the inhaler.
2 Shake the inhaler well for 5s Shake the inhaler well for 5s.
3 Insert the inhaler into the open end of the chamber and ensure that the inhaler fits properly. Hold the inhaler firmly by placing your index finger on top of the canister, and thumb on the bottom of the mouthpiece.
4 Sit up straight or stand up. Sit up straight or stand up.
5 Tilt your head back slightly. Tilt your head back slightly.
6 Exhale completely away from the spacer. Exhale completely away from the inhaler.
7 Place the mouth piece in your mouth and seal your lips tightly around it. Place the inhaler in your mouth and seal your lips tightly around it.
8 Press the inhaler and breathe in steadily and deeply. Press the inhaler and breathe in steadily and deeply.
9 Remove spacer from the mouth. Remove the inhaler from the mouth.
10 Hold your breath for 10s or as long as is comfortable. Hold your breath for 10s or as long as is comfortable.
11 Exhale slowly. Exhale slowly.
12 Remove the inhaler from the chamber and replace covers. Replace cap on inhaler.
  1. Critical steps are shown in bold