Using an Inhaler with a Spacer
To control asthma, you need to use your medications the right way. Some medications are inhaled using a device called a metered-dose inhaler (MDI). Metered-dose inhalers use a fine spray to dispense medication. You may be asked to use a spacer (holding tube) with your inhaler. The spacer helps make sure all the medication you need goes into your lungs.

Steps for Using an Inhaler with a Spacer
Step 1:
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Remove the caps from the inhaler and spacer.
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Shake the inhaler well and attach the spacer. If the inhaler is being used for the first time or has not been used for a while, prime it as directed by its maker.
Step 2:
Step 3:
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Spray 1 puff into the spacer by pressing down on the inhaler.
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Then slowly breathe in through your mouth as slowly and deeply as you can. This should take about 5-10 seconds. (If you breathe too quickly, you may hear a whistling sound in the spacer.)
Step 4:
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Take the spacer out of your mouth(optional-may leave in mouth)
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Hold your breath for a count of 10.
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Then pucker your lips and slowly breathe out through your mouth
Step 5:
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