Role of a Community Pharmacy Service in Care of Bronchial Asthma Patients in Lithuania

Table 1

MDI checklist of proper inhalation technique and errors.

Correct step	Checklist of inhalation technique errors
Remove mouthpiece cap	Failure to remove cap
Shake inhaler (suspensions only)	Not shaking the inhalaer
Breath out before firing	No exhalation before actuation
Inhaler upright during firing	Not holding the inhaler in the upright position
Place mouthpiece between lips and over tongue	Actuation against teeth, lips, or tongue
Actuation in the first half of inhalation	Actuation in the second half (after end) of inspiration
Fire while breathing in deeply and slowly	Stopping inhalation immediately after firing
Inhalation by mouth	Inhalation through nose whilst and after actuation
Hold breath for 10 s	No or too short breath-holding after inhalation