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. 2016 Mar 15;14(1):713. doi: 10.18549/PharmPract.2016.01.713

Table 1.

Checklists for assessment of Accuhaler; Turbuhaler and pMDI technique in adults

Accuhaler
 1. Open inhaler
 2. Push lever back completely
 3. Exhale to residual volume
 4. Exhale away from mouthpiece
 5. Place mouthpiece between teeth and lips
 6. Inhale forcefully and deeply
 7. Hold breath for 5 seconds
 8. Exhale away from mouthpiece
 9. Close inhaler
Turbuhaler
 1. Remove cap from inhaler
 2. Keep inhaler upright
 3. Rotate grip around and then back until a click is heard
 4. Exhale to residual volume
 5. Exhale away from mouthpiece
 6. Place mouthpiece between teeth and lips
 7. Inhale forcefully and deeply
 8. Hold breath for 5 seconds
 9. Exhale away from mouthpiece
pMDI
 1. Remove mouthpiece cover
 2. Shake the inhaler
 3. Hold inhaler upright
 4. Exhale to residual volume
 5. Keep head upright or slightly tilted
 6. Mouthpiece between teeth and lips
 7. Inhale slowly and press canister
 8. Continue slow and deep inhalation
 9. Hold breath for 5 seconds

These checklists are in accordance to the literature.33, 34