Unexpected Painful Breath
Another event was reported in April 2015, in England (www.ismp.org/sc?id=576). A woman used her inhaler and suddenly felt something shoot to the back of her throat. She began gasping for air and spitting up blood. She ran outside, and a neighbor came to her rescue and called emergency medical services. The woman eventually coughed out a fake nail that had been part of a set she had worn weeks ago. In this case, the inhaler's cover had been in place before use, so the nail had probably lodged in the inhaler while using it when wearing the nails.
Tell patients to always inspect the inhaler thoroughly before use to ensure that there are no unwanted objects within the inhaler. Also be sure to have them replace the inhaler cap after every use. Some of the newer inhalers have an attached cap. If a foreign object enters the inhaler, it places the person at risk of breathing in the object and causing choking or severe respiratory difficulties.