Table 3

Number of well-executed steps protocol

Preparationn (%)
 Discuss the purpose and action of the medication.75 (100)
 Take off the dust cap.75 (100)
 Firmly shake the bottle.*61 (81)
 Place forefinger and middle finger on both sides of the nozzle and place thumb underneath the bottle.58 (77)
 Point the nozzle upwards and away from yourself.44 (59)
 Squirt a few sprays into the air until you see a cloud of mist.44 (59)
 Blow the nose or rinse the nose with saline if the nose is clogged.*46 (61)
Administrationn (%)
 Place forefinger and middle finger on both sides of the nozzle and place thumb underneath the bottle.60 (80)
 A. Keep the head upright and place the nozzle in the nose.49 (65)
 B.Use the right hand for spraying in the left nostril, and the left hand for spraying in the right nostril.43 (57)
 Point the end of the nozzle slightly outwards, away from the centre ridge of the nose.*66 (88)
 Close the other nostril with your opposite hand.33 (44)
 Squirt a spray of mist in the nose while breathing in.*69 (92)
 Breathe out through the mouth.*57 (76)
 Repeat steps 8 through 13 for the other nostril.75 (100)
 If two sprays per nostril are prescribed, repeat steps 11 through 16 for both nostrils.75 (100)
 Replace the dust cap.75 (100)
Cleaningn (%)
 Wipe the nozzle with a tissue or handkerchief after every use.38 (51)
 Extensively wash the nozzle once a week:1 (1)
 Take off the dust cap and nozzle.1 (1)
 Rinse the dust cap and nozzle with warm water.4 (6)
 Shake off water.1 (1)
 Air-dry the dust cap and nozzle.1 (1)
 Replace the nozzle.1 (1)
 Firmly shake the bottle.1 (1)
 Squirt a few sprays into the air until you see a cloud of mist.1 (1)
 Replace the dust cap.1 (1)
Points for attentionn (%)
 If the nozzle does not spray properly, perform the cleaning steps. If this does not work, take the spray to the pharmacy. Never puncture the opening.13 (17)
 Check the expiry date on the package and the expiry date after opening.11 (15)
  • *Essential steps.