AKT-5802

A 25-year-old man with asthma presents for a follow-up appointment. He complains of not getting enough relief from his salbutamol inhaler and finds himself using it more frequently.

You decide to assess his inhaler technique. He demonstrates the steps of removing the cap, shaking the inhaler, exhaling before placing his lips over the mouthpiece, pressing down the canister while inhaling slowly, and then exhaling.

What suggestions could you offer to improve his technique?