AKT-5700
Liam, a 19-year-old boy, comes in for his annual asthma review. He has generally well-controlled asthma, with only one exacerbation requiring steroids this year. He takes 2 puffs of his beclomethasone inhaler twice daily, and salbutamol as required, both via a metered-dose inhaler (MDI).
You decide to assess his inhaler technique. He demonstrates removing the cap, shaking the inhaler and breathing out before placing his lips over the mouthpiece, pressing down on the canister while taking a slow breath in and then holding his breath for 10 seconds. However, he immediately repeats this process for the second dose without taking a break.
How could he improve his technique?