From: Predictors of correct technique in patients using pressurized metered dose inhalers
Step | pMDI + Spacer | pMDI |
---|---|---|
1 | Remove the cap from the inhaler. | Remove the cap from the inhaler. |
2 | Shake the inhaler well for 5s | Shake the inhaler well for 5s. |
3 | Insert the inhaler into the open end of the chamber and ensure that the inhaler fits properly. | Hold the inhaler firmly by placing your index finger on top of the canister, and thumb on the bottom of the mouthpiece. |
4 | Sit up straight or stand up. | Sit up straight or stand up. |
5 | Tilt your head back slightly. | Tilt your head back slightly. |
6 | Exhale completely away from the spacer. | Exhale completely away from the inhaler. |
7 | Place the mouth piece in your mouth and seal your lips tightly around it. | Place the inhaler in your mouth and seal your lips tightly around it. |
8 | Press the inhaler and breathe in steadily and deeply. | Press the inhaler and breathe in steadily and deeply. |
9 | Remove spacer from the mouth. | Remove the inhaler from the mouth. |
10 | Hold your breath for 10s or as long as is comfortable. | Hold your breath for 10s or as long as is comfortable. |
11 | Exhale slowly. | Exhale slowly. |
12 | Remove the inhaler from the chamber and replace covers. | Replace cap on inhaler. |