A total of 114 caregivers of low-income, urban children completed a 20-minute telephone interview with an asthma nurse to evaluate home management of their child's acute asthma symptoms.
Albuterol use for worsening asthma symptoms was appropriate for only 68% of caregivers and was more likely if the children had an ED visit or hospitalization for asthma in the prior year.
The remaining 32% of caregivers used albuterol inappropriately (overtreatment or undertreatment).
Appropriate albuterol use was not associated with caregiver report of having an asthma action plan (AAP) or a recent primary care physician visit to discuss asthma maintenance care.
Dr. House tries his best: "Are you using your inhaler right?" - "Do I look like an idiot?!"
The correct way to use your metered dose inhaler (MDI).
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Home use of albuterol for asthma exacerbations. Garbutt JM, Freiner D, Highstein GR, Nelson KA, Smith SR, Strunk RC. Ann Allergy Asthma Immunol. 2009 Jun;102(6):504-9.
Spacers should not be regarded as interchangeable: each pMDI–spacer combination should be treated as a unique system (ERJ, 2012).
Proper techniques for the administration of inhaled medications to treat asthma - AAAAI - Ask the Expert, 2011.