Childr Health Information

METERED-DOSE INHALER WITH/WITHOUT SPACER DEVICE (MDI WITH SPACER)

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Topic: Medications, General Child Health

This handout was written to answer some of the questions most often asked about using a metered-dose inhaler (MDI, inhaler) with or without a spacer device. Please feel free to ask your doctor or nurse to go over any information you do not understand.

WHAT IS A METERED-DOSE INHALER?
A metered-dose inhaler is a device used to get medicine into the lungs. An inhaler can be used without a spacer device or with one. There are many different medications that come in metered-dose inhalers. Make sure you know what medicine was prescribed for you/your child and why it was prescribed.

WHAT IS A SPACER?
A spacer is a hollow tube that is placed on the inhaler mouthpiece. A spacer helps get the medication from an inhaler into the lungs and may decrease many side effects such as sore throat, hoarseness and bad taste. It is recommended that a spacer device be used with inhalers. There are many different types of spacers. Your doctor will prescribe the best one for you/your child.


YOU/YOUR CHILD HAS BEEN PRESCRIBED:

1. __________________ _______________ _____________________
Inhaler Name # of puffs # of times/day
2. __________________ _______________ _____________________
Inhaler Name # of puffs # of times/day
3. __________________ _______________ _____________________
Inhaler Name # of puffs # of times/day
4. __________________ _______________ _____________________
Inhaler Name # of puffs # of times/day

HOW TO USE A MDI?
1. Wash hands.
2. Check to make sure you have the correct MDI. Check the expiration date.
3. Place the medication canister in the MDI case.
4. Remove the protective cap from the MDI.
5. Hold the MDI with the canister upright, shake firmly three or four times.
6. Sit or stand up straight.
7. Exhale or breathe out all the way.
8. Position the inhaler in one of the following ways: (circle)
• Open mouth with inhaler one to two inches away.
• Use spacer/holding chamber. (Follow package instructions)
• In the mouth.
• Note: Inhaled dry powder capsules require a different inhalation technique. To use a dry powder inhaler, it is important to close the mouth tightly around the mouthpiece of the inhaler and to inhale rapidly.
9. Squeeze the MDI canister once to release a dose of medicine.
10. Breathe in slowly and deeply through mouth until you have taken a full breath.
11. Hold breath for five to 10 seconds.
12. Wait one minute, repeat steps seven to 11 for each additional dose.
13. Replace protective cap in MDI.
Note: If using a steroid MDI, rinse mouth after each use.

AVOID COMMON INHALER MISTAKES. FOLLOW THESE INHALER TIPS
• Breathe out before pressing your inhaler.
• Breathe in through your mouth, not your nose.
• As you begin to breathe in slowly, press down on inhaler.
• Keep inhaling as you press down on inhaler.
• Press your inhaler only once while you are inhaling.
• Make sure you breathe evenly and deeply.

HOW TO CLEAN A MDI
Once a week, the MDI case should be soaked in a mild clear detergent and warm water. Rinse then shake off excess water. Air dry on a clean paper towel.

HOW CAN I TELL HOW MUCH MEDICINE IS IN THE MDI?
One way is to divide the number of sprays used each day by the total number of sprays in the canister (each canister will be labeled with the number of metered inhalations).

HOW SHOULD I STORE THE MDI WHEN NOT IN USE?
MDIs should be stored at room temperature. Never store in areas of extreme heat or freezing temperatures. Check the package insert for specific instructions for your MDI.

Additional information and resources are available in the Family Resource Center at Dayton Children's.  The center is open Monday 9:00 am - 8:00 pm; Tuesday - Friday 9:00 am - 4:00 pm; Saturdays 9:00 am-2:00pm.  The Center is closed on Sundays and holidays.  Please call 937-641-3700 for more information.

PDF: Child Health Information - METERED-DOSE INHALER

Derechos de autor(c) de The Children's Medical Center, ano 1999. Este material unicamente tiene fines educativos. No puede ser reproducido, distribuido ni modificado sin previa autorizacion de The Children's Medical Center of Dayton, One Children's Plaza, Dayton, Ohio, 45404-1815. Llame al 937-641-3666 para solicitar autorizacion o para obtener un juego maestro para copias. Para obtener mas informacion puede visitar www.childrensdayton.org (consulte la seccion de informacion legal).

La informacion contenida en este material es unicamente informacion de tipo general. No debe considerarse como completa. Para obtener mas informacion acerca de los complementos para leche materna, por favor pidala a su doctor.
Corregido: 2002, 2005

The information contained in this handout is for general information only and should not be considered complete. For specific information about bathing your baby, please ask your doctor or nurse practitioner.

Additional information may be located in the Family Resource Center, 2nd floor, near the Outpatient Surgery Center. Hours of the center vary; please contact the Family Resource Center at 937-641-3700.

Copyright(c) The Children's Medical Center of Dayton. This material is for educational purposes only. It cannot be reproduced or distributed without permission from Dayton Children's.
Revised: 2002, 2005

 

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