Research Article

Effect of a Multidimensional Pharmaceutical Care Intervention on Inhalation Technique in Patients with Asthma and COPD

Table 1

Nine-step inhalation technique.

SummaryNine steps of inhalation technique

Turbuhaler®SittingSit up straight and keep the upper part of the body upright
OpeningOpen the device by removing the cap from the inhaler
LoadingHold the inhaler upright, rotate grip anticlockwise, and then back until a click is heard
ExhalingExhale to residual volume and away from device
BitingPlace the mouthpiece gently between the teeth and seal the lips round the mouthpiece
InhalingInhale forcefully and deeply as fast as you can
HoldingHold breath for more than 5 seconds (optimally for 10 seconds)
RepeatingRepeat the fourth step to the seventh step to ensure to get the full dose
CleaningClean the place where the mouth is bitten on the device and close the inhaler
Diskus®SittingSit up straight and keep the upper part of the body upright
OpeningOpen the inhaler by pushing the rod
LoadingPush lever back completely
ExhalingExhale away from mouthpiece
BitingPlace the mouthpiece gently between the teeth and seal the lips round the mouthpiece
InhalingInhale forcefully and deeply as fast as you can
HoldingHold breath for more than 5 seconds (optimally for 10 seconds)
RepeatingRepeat the fourth step to the seventh step to ensure get the full dose
CleaningClean the place where the mouth is bitten on the device and close inhaler
Handihaler®SittingSit up straight and keep the upper part of the body upright
OpeningOpen the inhaler by pulling the dust cap upwards, and open the mouthpiece
LoadingPlace the capsule in the central compartment and close the mouthpiece firmly
ExhalingExhale away from mouthpiece
BitingPlace the mouthpiece gently between the teeth and seal the lips round the mouthpiece
InhalingInhale forcefully and deeply as fast as you can, and a rattle can be heard
HoldingHold breath for more than 5 seconds (optimally for 10 seconds)
RepeatingRepeat the fourth step to the seventh step to ensure to get the full dose
CleaningClean the place where the mouth is bitten on the device and close the inhaler