MDI technique

Question 1

Give step by step instructions for MDI use

Answer 1

Hold the MDI correctly (with canister on top).
Shake the MDI well.
Exhale slowly.
Place the MDI mouthpiece in the mouth.
Close the lips tightly around the mouthpiece.
Press the canister down once and simultaneously
inhale deeply…..Continue inhaling.
Hold the breath for as long as comfortable (? 10 secs).
Remove the inhaler.
Breathe out slowly.
(Repeat if needed).

Question 2

Give step by step instructions for spacer use

Answer 2

Assemble the spacer correctly where applicable.
Connect the MDI to the spacer.
Put the mouthpiece in the mouth with the lips tightly
around it.
Activate the MDI once.
Inhale deep breaths as soon as possible after activating
the MDI.
Repeat, depending on the prescription.

Wash spacer once a week with a mild detergent, but drip dry only – do not wipe it!

Question 3

Give indications for using a spacer

Answer 3

Persistent poor technique
Require high doses
Prone to candidiasis development
Children
Nocturnal asthma
In acute attack requiring multiple doses