Inhalers Techniques

Learn about the Optimum Inhaler Techniques

Steps for the Accuhaler® (Diskus®)

1. Hold accuhaler horizontally
2. Push the lever away from the mouthpiece until you hear the “click”
3. Exhale as much as you can
4. Exhale away from the mouthpiece
5. Place mouthpiece between lips and teeth to seal the mouthpiece
6. Inhale forcefully and deeply
7. Remove accuhaler from the mouth
8. Hold breath for 5 – 10 seconds

Then, record your Personal Best (PB) (highest of the three blows)
Place the green, yellow, and red tags at 100% PB, 80% PB, and 50% PB, respectively

Steps for the Pressurized Metered Dose Inhaler (pMDI)

1. Remove the cap from the inhaler
2. Shake the inhaler
3. Hold the inhaler upright
4. Exhale to residual volume
5. Place mouthpiece between lips and teeth to seal the mouthpiece
6. Inhale slowly and simultaneously activate the canister
7. Continue slow and deep inhalation
8. Take inhaler out of mouth and hold breath for 5 – 10 seconds

Steps for the Turbuhaler®

1. Remove the cap from the inhaler
2. Keep the inhaler upright
3. Rotate grip anti-clockwise then back, until a “click” is heard
4. Exhale to residual volume
5. Exhale away from the mouthpiece
6. Place mouthpiece between lips and teeth to seal the mouthpiece
7. Inhale forcefully and deeply
8. Hold breath for 5 – 10 seconds

Steps for the Pressurized Metered Dose Inhaler (pMDI) + Spacer

1. Shake the inhaler well
2. Fit the inhaler into the opening at the end of the spacer
3. Place mouthpiece between lips and teeth to seal the mouthpiece
4. Breathe out gently
5. Press the inhaler once only
6. Take 5 – 10 slow breaths, in and out through the mouth
7. Do not remove the spacer from the mouth during breaths
8. Remove spacer from the mouth

Peak Flow Meter Technique

1. Set the marker to zero
2. Hold the meter upright
3. Do not block marker movement
4. Take a deep breath with mouth open
5. Place meter in mouth and close lips tightly around meter
6. Exhale hard and fast into meter
7. Check the result
8. Repeat the step 1 – 7 two more times