A patient complains of oral thrush and hoarseness since she has been using fluticasone by MDI. The physician asks you to make a suggestion to help her without discontinuing the drug. You suggest

a. inhale with a higher inspiratory flow rate.
b. switch to a DPI.
c. add a spacer and rinse the mouth after use.
d. pause 5 minutes between puffs.


ANS: C

Health Professions

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