Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines


Turbuhaler: Proper Use

  1. Unscrew the cover and remove it.
  2. Holding the device upright, turn the coloured wheel one way (right) and back (left) the other way until it clicks. Once the click is heard, the device is loaded.
  3. Breathe out.
  4. Place the mouthpiece between lips and tilt head back slightly.
  5. Breathe in deeply and forcefully.
  6. Hold breath for 10 seconds or as long as possible up to 10 seconds.
  7. If a second dose is prescribed, repeat the steps.
When a red mark first appears in the little window, only twenty doses remain. The Turbuhaler® is empty and should be discarded when the red mark reaches the lower edge of the window. Newer Turbuhaler® devices have a counter that appears in a little window to show the number of doses left.
Care of a Turbuhaler®
  • Clean the mouthpiece two or three times a week.
  • Using a dry cloth, wipe away any particles that have collected on the mouthpiece.
  • Never wash the mouthpiece.