What is the first step the nurse should instruct for using the inhalers correctly?

The first step in using inhalers correctly, particularly when both a bronchodilator like albuterol and a corticosteroid like fluticasone are prescribed, is to administer the bronchodilator first. Albuterol, being a short-acting beta agonist, works rapidly to open the airways by relaxing the muscles around them. This step is crucial because it facilitates better penetration of the corticosteroid into the lungs, enhancing its effectiveness in controlling inflammation and preventing exacerbations.

Using the bronchodilator initially ensures that the airway is clear and open, allowing subsequent medication, such as fluticasone, to reach the deeper lung tissues where it can exert its anti-inflammatory effects. After administering the bronchodilator, it is recommended to wait for a few minutes, allowing the medication to take effect, before using the corticosteroid. This strategy not only maximizes the therapeutic benefits of both medications but also supports optimal inhalation technique and patient outcomes.